Somerset LMC weekly Update Friday 26th June 2015
Date sent: Friday 26 June 2015
Sent to all Somerset GPs Practice Managers and Lead Nurses This and Previous Updates in full can be found here
- Guiding Principles for GP Networks-GPC Document June 2015
- GPC News June Edition
- New and Amended Meninigococcal Vaccination Programmes For 2015-16
- Business rules – enhanced services - England
- Extended Hours DES – Message from the GPC
- First Impressions from the ARM: Report from the Chair of the BMA South west Regional Council
- Appraisal tool kits after March 2016
- Changing patients between LH-RH agonists
- Supporting New Models of Care’ Workshop to be held on 17 July 2015 at Canalside, Bridgwater
New and amended meningococcal vaccination programmes for 2015-16
Meningococcal B (Men B) for infants
An enhanced service to deliver Meningococcal B vaccination has been agreed. The programme is for three doses of vaccine at 2, 4 and 12 to 13 months. This programme will commence on 1 September 2015 and will run to 31 March 2016. There will be a payment of £7.64 per dose plus £2.12 (to recognise additional workload) with a total fee of £9.76 per dose.
Meningococcal ACWY (MenACWY)
Due to a rapid increase in meningococcal group W (MenW) disease in England, JCVI recommended an emergency programme to vaccinate all 14-18 years-olds (school years 10-13) with a quadrivalent MenACWY conjugate vaccine. This new programme will commence on 1 August 2015, and is a single-dose programme for all patients aged 18 years on 31 August 2015. There will be a payment of £7.64 per dose plus £2.12 (to recognise additional workload) with a total fee of £9.76 per dose.
Mengingitis C vaccination for University freshers
The Men C University freshers programme, which was due to start on 1 April 2015, has been on hold until the MenACWY vaccine becomes available. The MenACWY vaccination programme will now commence on 1 August 2015, which is when the MenC vaccination programme for freshers will also commence.
The Men C booster will be offered to freshers (first time university or further education students who have received notification via UCAS to obtain MenC vaccination – aged 17-25) not previously vaccinated with MenC since reaching age 10 who self-present at their practice for vaccination. There is a flat fee of £7.64 for one dose.
Further information about all these programmes is available in the attached table and on the BMA website Vaccs and Imms pages. The service specifications are available on the NHS England website.
Business rules – enhanced services - England
The first batch of Enhanced Service Business Rules for 2015/16 have now been published on the HSCIC website at the below link:
Enhanced Services business rules v5.0 - Health
This includes Dementia, Learning Disabilities, Rotavirus and Pneumococcal with others to follow as and when completed and timeframes agreed.
Extended Hours DES – Message from the GPC
It has come to the attention of the GPC secretariat that the SLA for the extended hours DES which has been sent to practices for signature includes a clause indicating that, in respect of appointments being offered by health care professionals other than GPs, “a GP should however be onsite throughout the extended hours period.”
The Chair of the Contracts and Regulation subcommittee and the Executive Lead on C&R have both confirmed that while it might be the case that the GP will be onsite during the extended hours period, there is no such requirement in the DES Directions.
www.gov.uk/government/uploads/system/uploads/attachment_data/file/417192/pms-des-directions-2015.pdf
They advise the following.
It is therefore up to practices to determine whether or not there is a clinical requirement for a GP to be present, depending on the services being offered and the skills, experience and qualifications of the health care professionals providing them. However, practices should bear in mind that they may subsequently be called upon to justify such a decision.
There is a legal obligation on your CCG, on behalf of NHS England, to give your practice the opportunity to provide the DES, with specifications as determined by the Directions laid before parliament, so the DES SLA must not place any obligations on practices over and above the DES Directions. Practices may therefore wish to delete this clause from their SLA before they sign it.
First Impressions from the ARM: Report from the Chair of the BMA South west Regional Council
It has been a busy week at the annual meeting in Liverpool , culminating in a BMA Council meeting where we received sincere and unifying speeches form Dr George Rae, fellow national Council member, GP and Chair of the North West Regional Council and Dr Mark Porter: we are so lucky to have leaders of such integrity and enthusiasm for working for the benefit of our profession. Mark ( who was re-elected for a further year unopposed) has committed to me that over the next two years he will be working, amongst other things, to reduce the liabilities of GPs working in partnerships that fail, as a benefit of our BMA membership. (As described in the motion at the LMC Conference 'last man standing) . He also hopes to accelerate the supply of information to BMA members who are setting up Federations and other new structure to help general practice survive, including keeping legal costs minimal through 'off the shelf' model contracts.
You may have seen some press coverage including the united call for a cessation of CQC inspections of GP practices by the RCGP as a result of debate. The next Council meeting is in July and we will prioritise all the new policy formed this week for our work this coming year.
Sir Al Aynsley-Green was inaugurated as BMA President. Sir Al has many challenges for us on how we change the lives of the children in our communities and take leadership in our communities, including how the BMA can lead locally.
The Annual Business meeting of the Regional Council will be held in Ilminster on the afternoon Tuesday 22nd September.
I look forward to seeing many members there and , and also to attending some Regional Branch of Practice meetings in the autumn to hear how I can best represent you in Council and regionally.
Dr Helena McKeown
Appraisal tool kits after March 2016
As you will know, the Severn Deanery Appraisal toolkit will no longer be available after March 2016 so GPs need to start looking at the alternatives. The Area Team’s preferred option is the MAG form which is free and is available on the NHS Revalidation website. It can be saved to your desktop and evidence added during the year, and after your appraisal a copy is stored in the Revalidation Management System (RMS). This can only be accessed by the Revalidation team, and it allows us a painless process for managing revalidations. Link to MAG
Other acceptable web-based tool kits include “FourteenFish”, which costs £42 but users report that it is easy to use and GP friendly. www.fourteenfish.com.
“Clarity” is a development of the old RCGP toolkit well known to many GPs and it costs £60. Clarity
Note that if you use a web-based toolkit a summary needs to be uploaded to the RMS by your appraiser after your appraisal. Paper based appraisals will no longer be accepted as evidence for revalidation.
A brief reminder as to what is required for Revalidation over the 5 year cycle:
- 250 CPD credits, roughly 50 a year across the scope of your practice
- 10 SEAs (significant event analyses) equating to two a year, and demonstrating reflection
- 1 piece of quality work in a 5 year cycle. This may be an audit, case reviews or other work which relevant to your clinical activity
- 1 patient satisfaction survey, which must be analysed outside your practice and reflected on.
- 1 multi source feedback from colleagues across the scope of your practice, again analysed outside your practice and reflected on.
- Discussion about any complaints, SUIs (serious untoward incidents) or performance concerns that you have been named in Statements about health and probity
And finally thank you to everyone who has helped us to run the Revalidation process as painlessly as possible. If you have any queries please contact Lizzie, Vicky or Maria on England.bnsssg-appraisal@nhs.net
Kate Staveley Assistant Director NHS England South, southwest
Changing patients between LH-RH agonists
There are currently three LH-RH agonists on the CCG formulary for use within their licensed indications. These are Zoladex (goserelin), Prostap (leuprolide) and Decapeptyl (triptorelin). Practices are free to choose any of these products, within the relevant licence, when starting treatment.
We are aware that the different levels of discount are available from different suppliers when practices are buying in these products for "personal administration" supply to patients.
However, please remember that it is not appropriate to switch patients established on one product to another because of the different discounts available, especially if this results in a higher acquisition cost for the NHS. Such action would put the practice at risk of a contract challenge under the Annex 8 rules on excessive prescribing.
Supporting New Models of Care’ Workshop to be held on 17 July 2015 at Canalside, Bridgwater
On behalf of Somerset CCG please find attached Programme for the workshop. The purpose of this event is to share the messages of progress and developments from a national, regional and local perspective, and to share information on how health and social care services are using technology and data to transform and improve patient services, with good information governance and trust. It is also an opportunity to Network with counterparts/ those interested in the same agenda. It is aimed primarily at Caldicott Guardians and Clinicians. Tim Kelsey, National Director for Patients & Information at NHS England, will be the main speaker. Booking details are on the Programme.
Kind Regards
Somerset LMC
TEL: 01823 331428
Fax:01823 338561
www.somersetlmc.co.uk
Attached file: AGENDA-17-July-2015-Supporting-New-Models-of-Care(2).docx
