Somerset LMC Weekly Update Friday 30 August 2019
Date sent: Friday 30 August 2019
Sent to all Somerset GPs and Practice Managers This and previous updates are available here
- Being There the latest blog from LMC Chairman Dr Nick Bray
- Network News: Legal and Financial Roadshows
- Pag Bites
- Safeguarding Training for General Practice
- British Menopause Society update on HRT supply shortages
- and finally
Meanwhile an NHSE Manager in SE England Writes
- Legal and Financial Roadshows We have arranged two evening roadshows on the 18th of September in Taunton (link) and 19th of September in Frome (link) with Adrian Poole (Porter Dodson) and Andrew Spear (Lentells).
Pag Bites: These notes are a distillation of the conversations held at the Performers Group where concerns about the performance of GPs (including referrals to GMC) are discussed. These “bites” to help GPs be aware of the type of problems that we can run into but are not diktats.
Lab results: Doctors reviewing lab results must be familiar with normal ranges, including for diagnosing diabetes and prediabetes and clearly document proposed course of action for any abnormal results. Do not look up results of friends and family members!
Cauda Equina syndrome: in patients with back pain and neurological symptoms, if you do not think about it you cannot diagnose it - there is new national guidance available.
Emails on holiday: consider not looking at work emails when on leave - an email from PAG or GMC can ruin your break! Everyone is entitled to time away and the PAG and (even the) GMC recognise this.
Safeguarding Training for General Practice: We provided a summary of the new recommendations for GPs for safeguarding training over three years cycles recently. The RCGP have published a guide to the Intercollegiate Documents (ICD) that set out training advice for Primary Care staff which the CQC has welcomed. It has details of requirements for all the various members of the team including at induction or within 12 months of taking up a post. “Should CQC inspect your practice, then all elements of safeguarding training as described in both ICDs will be counted as evidence of safeguarding training. It is not a requirement that all hours of training for CQC purposes should be certificated, reflective notes of other training and learning completed such as in the learning logs, is sufficient to evidence the learning achieved. It is acknowledged that safeguarding training requirements are significant, both for individuals and practices. The requirements are so significant because of the importance of safeguarding to holistic care and ensuring that safeguarding is reflected in healthcare’s legal and ethical duties. It is not an addition to clinical practice, it is an intrinsic part of professional practice and is core business for all health care organisations. Primary care staff in each of the four UK nations will be on a different part of their safeguarding journey. It is anticipated that for some, the safeguarding training requirements as outlined in this documented, may already be being met. For others, the requirements will be a significant increase. As is documented within the adult ICD, the RCGP, along with the other Royal Colleges, recognise it will not be possible for all staff to access the adult safeguarding training within the first year of publication. It is anticipated that organisations will reach the required levels of workforce training over time. It is expected by the next iteration in 2021, all staff will have received training to attain the appropriate competencies.”
You can it read here.
MEANWHILE AN NHSE MANAGER IN SE ENGLAND WRITES: “I am being approached by people almost daily asking what agile training is available for PHE staff? There are two routes...: A Government Digital Service 3-day course or Civil Service Learning – Agile Practitioner training. Before looking at the options... I want to evaluate both...to ascertain the benefits for PHE staff...”
The LMC view is that the first sentence should have ended at the word “is?”
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