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KEY MESSAGES: 20/05/2020

Work Underway to Safely Re-open Outpatient Activity

The final version of a letter agreed today which updates clinicians in primary and secondary care about work being undertaken to safely re-open out-patient activity is available to download below.

The letter has been agreed by Dr Steven Cleasby, Dr Steve Ollerton (Chairs of Calderdale and Greater Huddersfield CCGs respectively) and CHFT colleagues.

The letter includes; an update/joint key messages from the clinical forum leading the work, information to support conversations with patients, and a copy of the original letter for information.


Virtual Frailty Service

A reminder of the Virtual Frailty Service that has been developed in response to the COVID-19 Pandemic and the need for the NHS to ensure that it can continue to care for frail and older people closer to home.

The CHFT response has been to develop a virtual response to support care home residents and people over the age of 70 living in their own home. This service provides additional support around treatment and other interventions that may assist decision making as to whether to admit to hospital or to continue to support safely at home.

Further details can be found in the following document link.


Covid Primary Care Pathway

To inform you of the continuation of the COVID clinic at CHFT for patients who are 18-55 with no chronic respiratory, cardiovascular or neurological co-morbidities.

Details of assessment required in primary care and how to refer are attached in the COVID primary Care Pathway attachment. This service will be continuing until further notice and it would be useful if you would continue with the audit from General Practice as this will help to evaluate the effectiveness of the assessment prior to referral.


Primary Care Bulletin Link

https://www.england.nhs.uk/coronavirus/primary-care/other-resources/primary-care-bulletin/

Sexual Assault Referral Services – information poster for support services

Please see the attached poster produced by Mountain Healthcare re the Sexual Assault Referral Centre Services, highlighting that they are still available during the COVID-19 pandemic.


Head & Neck Fast Track (2WW) referrals 

CHFT would like all GP practices to know that their Head & Neck Fast Track (2WW) referrals will be managed by a Referral Assessment Service (RAS) from Thursday 21st May 2020. 

There will be a seamless change via ERS.  The revised process is attached.  If you have any queries regarding this service, please contact Christine Powell or the 2WW office directly.


Domestic abuse during COVID-19: a reminder of advice for NHS staff

The NHS website has advice online for the public on spotting the signs for domestic abuse and domestic violence and where to go for help.

The NHS also has a help page for those who have been raped or sexually assaulted.


#LookingAfterYouToo programme: Coaching Support for Primary Care Staff

Primary Care colleagues involved in the delivery of Primary Care services, both clinical and non-clinical, are facing unprecedented challenges through Covid-19.

NHS are keen to ensure all staff delivering frontline primary care services feel supported to maintain their psychological wellbeing during this time.

The NHS Resilience and Wellbeing are offering a coaching programme for primary care staff.

Use this link to apply: https://people.nhs.uk/lookingafteryoutoo/


Central Alerting System: Influenza Season 2019/20

Ending The Prescribing And Supply Of Antiviral Medicines In Primary Care

GPs and other prescribers working in primary care should no longer prescribe antiviral medicines, for the prophylaxis and treatment of influenza on an FP10 prescription form.

Community pharmacists should no longer supply antiviral medicines in primary care, on presentation of an FP10 prescription form. 

CEM_CMO_2020_024.pdf


Coronavirus symptoms have been updated

The UK’s list of coronavirus symptoms has been updated. Self-isolate if you develop any of the following:

  • fever
  • a new continuous cough
  • loss/change in your normal sense of smell or taste

ALERT: possible cervical screening text messaging scam

NHS Cervical Screening Programme has received reports of a possible scam. Some women are being contacted by text message, claiming to be from the call and recall service to advise they are overdue for screening.

The message asks them to call a mobile number and provide personal details.

These messages are not from the NHS Cervical Screening Programme.  The Action Fraud Line has been contacted.

All services should ensure that staff dealing with queries from general practices and the public:

  • are aware of the situation
  • handle any suspicious calls and concerns by reporting them according to local organisational policies
  • alerting the screening and immunisation team (SIT) and the screening quality assurance service (SQAS)

Changes to the process for Urine samples for culture and sensitivity

A change in recommended practice relating to sensitivity testing by the European Committee on Antimicrobial Susceptibility Testing (EUCAST) will be implemented by the end of May.

Full details of the changes can be found in the attached letter from the Consultant Microbiologist, Clinical Director – Pathology at CHFT.


Keeping People Connected Calderdale

Keeping People Connected Service is free for people with neurodiverse conditions such as Autism, ADHD and mild learning disability and provides information on how to stay safe and well during the Coronavirus outbreak.

Please contact Cloverleaf Advocacy, whose details can be found in the following download:


Urgent Diabetes Communication :  DPP and Blood Tests

Due to the impact of COVID-19, many people who have previously been categorised with non-diabetic hyperglycaemia following a blood test and are therefore eligible for the NHS Diabetes Prevention Programme, may not have access to a repeat blood test maintaining their eligibility (i.e. their last recorded blood test may now be 12 months + ago); for example because they are shielding, or because primary care are currently focusing on COVID-19 response.

In addition, many people with an eligible blood-reading have had their referral into the programme delayed due to COVID-19, and now have a blood test result more than 12 months old.  This makes them technically ineligible for the service.

To ensure that people in these circumstances are not disadvantaged due to the impact of COVID-19, the requirement for a confirmatory blood test indicating NDH to be within 12 months will be temporarily increased to 24 months.  This change will apply until 1st April 2021, at which point we plan to revert to 12 month eligibility.

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