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KEY MESSAGES: 26 March 2020

Care Homes Prescription Ordering

Danielle Haley, the Medicines Optimisation in Care Homes Technician, would like to support getting named staff in care homes registered to order prescriptions through SystmOne online and EMIS equivalent on behalf of their patients.

This will stop them dropping off paper requests at practice, support self isolation and improve workflow for both practice and care homes.

Danielle will need to be added to your clinical system to do this if you have not done this already for previous work with you.

Advantages

  • It is possible for the surgery and care home to know who has accessed the records directly from the electronic records if needed.
  • The surgery has improved control as the proxy access can be revoked for individual staff members without needing to revoke access for the care home in total or every resident.
  • Easy for the care home to use and manage.
  • The is the method recommended by the RCGP in their online toolkit https://www.rcgp.org.uk/patientonline

Danielle Haley | Medicines Optimisation in Care Homes Pharmacy Technician (Calderdale and Kirklees)      

Mob: 07557313488 | E-mail: danielle.haley@nhs.net

 

Prescribing

There is a national priority to reduce over prescribing in primary care as this is causing severe pressures on the medicines supply chain

Please ensure all your prescribers are only issuing 28 days as standard and only 1 inhaler to patients.

Put all suitable patients on ERD so they can access repeats in a timely way without contacting the surgery. Paying for prescriptions or previous longer duration should not be used as exceptions to this policy.

Please follow Calderdale, Kirklees and Wakefiled respiratory advice about rescue packs and new supplies of inhalers:

  • We have been made aware of some inaccurate information circulating regarding special ‘rescue packs’ for patients with pre-existing respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD). We are not currently changing our usual advice about emergency supplies of antibiotics and steroids. The main reason for this is that we understand neither would help in the early stages of a COVID-19 infection and people might delay seeking advice if they became increasingly short of breath
  • Please do not contact your GP practice for a rescue pack. You should continue to manage your condition in the usual way and if you feel you have symptoms of COVID-19, go tohttps://111.nhs.uk/covid-19 before doing anything else.
  • We are getting increased demand for inhalers from people who have not had inhalers for several years. This is not recommended and inhalers should only be restarted if your symptoms have returned. Please only request inhalers if you are currently using them and please visit AsthmaUk.org or British Lung Foundation UK for further information.
  • We would also like to reassure you that the large majority of people, even with underlying risk factors, will have a mild to moderate illness and recover well. Information on covid-19 can be found online at https://111.nhs.uk/covid-19
  • Follow the links below for guidance on how to nominate a community pharmacy:
  • Ask patient which pharmacy they wish to nominate.

 

Personal Protective Equipment Issues

We are still awaiting and update on more supplies of Personal Protective Equipment (PPE nationally).

Practices and Trusts should contact the National Supply Disruption Response (NSDR) unit on:

Freephone number in the UK: 0800 915 9964

Direct line: 0044 (0) 191 283 6543

Email: supplydisruptionservice@nhsbsa.nhs.uk 

Hours of Operation: Mon – Fri, 8am – 6pm

The ‘hotline’ referred to in the press is this NSDR number. If you have not done so already please register to the daily webinars from NHS Supply Chain.

These occur at 3.00pm every day and a recording/PDF is available following the webinar. Please cascade to anyone else in your organisation that you feel appropriate:

Registration Link: Daily COVID-19 Webinars

This is a single link that will register you for the series of daily webinars.

 

Primary Care

Further stocks from the pandemic stockpile have been made available to the following primary care wholesalers. Please contact these wholesalers to purchase PPE:

Organisation

Health Sector

Alliance / NWOP

Pharmacy

Phoenix

Pharmacy / GP Surgery

Mckesson / AAH Pharma

Pharmacy

DCC Vital / Williams

GP Surgery

Henry Schein

Dentist

DD Group

Dentist

Wright Health Group

Dentist

Should your supply arrangement fail with no immediate resolution available, you should report it to the National Supply Disruption Response (NSDR)

 

Accurx on desktop with webcam instructions

  • Plug in webcam into USB slot at front of computer hard-drive.
  • Ensure SystmOne and accuRx is running.
  • Retrieve patient you want to call on SystmOne.
  • Click on the camera icon on the small turquoise accuRx toolbar.
  • Select ‘Video’
  • Typically we have been using our own phones which means putting our mobile phone numbers in the box ‘your mobile number’. In this box type ‘n/a’
  • Click send and save
  • Now hold down the mouse key to select the web link in the text that has been sent to the patient. Copy and paste this into the application ‘notepad’ and then into the Chrome search bar or straight into the Google Chrome search bar. (Internet explorer does NOT support this software and unfortunately is also the default option if you click directly on the link to open it)
  • If you click enter, it should send you straight to the online consultation. You may need to click ‘allow permissions’

 

RCGP guidance on prioritisation of work

Click here to view a document from the RCGP, which has been RAG rated on prioritisation of work.

 

Screening and Immunisations

Breast Screening

‘Well Women Breast Screening’ has been suspended and will be re-arranged in due course. 

We have been advised that recalls will continue to be seen.

Please refer to this notice from Pennine Screening:

Well women breast screening hes unfortunately been suspended. Please share this information in your networks, as we were currently inviting women from central Halifax surgeries. I have emailed the generic email address that we have on record.

 We are currently ringing women that we have a telephone number for and sending letters for those with appointments later in the week.  New appointments will be sent out automatically when things are back to normal. 

 Please remind everyone that changes in breast health should still be referred to the One Stop Breast Clinic. 

Message to patients posted on Facebook:

Due to the current COVID19 risk we have regrettably paused breast screening.
If you have a screening appointment this week please do not attend and contact the unit.


If you have received a letter asking you to come back for second stage screening please attend as per appointment.


Apologies for any inconvenience and confusion at this time.
01274 365521
pennine.screening@bthft.nhs.uk

 

Cervical Screening

Paul Butcher confirms a temporary suspension on cervical screening whilst we await National Guidance.  This was discussed with LCM,CCG & Clinical Directors, and was felt to be reasonable at this stage.

Repeat smears

Following previous abnormal should continue within the stated repeat time.

 

Childhood and Adolescent Immunisations

We are currently awaiting National Guidance on a steer for Section 7a Screening and Immunisation Programmes, however, where possible, the delivery of childhood and adolescent immunisation should be administered as “business as usual” until advised otherwise.

In the meantime, please see the following advice from PHE National Immunisation Team regarding the low supply of liquid paracetamol which also includes the advice that primary and adolescent immunisations should not be delayed.

 

Sexual Health

ALL SEXUAL HEALTH QUEUE & WAIT CLINICS HAVE BEEN SUSPENDED UNTIL FURTHER NOTICE

Please ring 01422 261370/261365 where you will be assessed by a nurse and, if appropriate, an appointment will be made for you.

For further information please contact

  • Liz Todd, Medical Secretary – Sexual Health Services
  • Direct Tel: 01422 261354 | Sexual Health Services Tel: 01422 261370

 

Thanks to you all for your continuing hard work,

Dr Caroline Taylor CCG, Dr Seema Nagpaul LMC, Dr Fawad Azam CD, Emma Bownas

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