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Newsletter for staff of the City & Hackney Clinical Commissioning Group

April 2014

Chair's Welcome

I hope everyone is enjoying the fabulous Spring sunshine and gets a break over the holiday. We had a good Board to Board session with the Homerton, and are making good progress with the contract for 14/5.

We need to redo the specification for Community Health Services and this may take some time to negotiate, but we are optimistic that we will get a contract signed earlier than last year.

Please note physio and foot health activity has gone up a lot since C&B was introduced, so please ensure all clinicians are aware of the need to ensure all referrals are entirely necessary as waiting lists are growing.

Clare Highton

Clinical Commissioning Engagement (CCE)

Please download the final version of Clinical Commissioning and Engagement Contract (previously known as the CC LES) CCE Tracker for 2014-15

We’ve tried really hard to make everything as clear as possible and bug free but if you do have questions please contact [email protected]

Sign up

Sebastian will contact you all next week asking you to sign up, which now has to be via a standard NHS contract.

Big White Wall

Leading digital mental health service Big White Wall is now available for everyone aged 16+ Hackney. The service is for anyone experiencing emotional distress and offers:

 Safe, anonymous support

 Trained counsellors online at all times

 Community, group and 1:1 peer therapy

 Guided programmes on smoking, alcohol and weight management

 Clinical tests and a broad range of self-care resources

The commission has been funded by the NHS Regional Innovation Fund. To join Big White Wall, people simply need to go to www.bigwhitewall.com and enter their Hackney postcode.

Practices will also be sent publicity materials to display in practice and give to patients.

More information: see the website or email [email protected]. NHS City and Hackney Clinical Commissioning Group Clinical Executive Committee (CEC) Wednesday 9 April 2014 key issues

Feedback from the members and CCG Programme Boards

The CEC requested that Public Health make a presentation to a future meeting to ensure that the CCG plans are consistent across organisations. Consortia Leads raised and discussed issues around year end close processes, Local Enhanced Service (LES) payments, physiotherapy referrals, 2014/15 clinical audits and the community matron service from the Homerton University Hospital NHS Foundation Trust (HUHFT). The future 2014/15 CCG contracts (ex LES services) were also discussed and Consortia Leads informed that practices will be written to, outlining the CCGs plans. The CEC discussed how to approach risk stratification, with the multitude of IT tools and data restrictions and noted that training sessions on the NELIE system are available from the CSU. Read more...

TIA Service

Homerton Hospital have informed the CCG that some practices are still using very outdated forms/information when referring patient to the TIA service.

Please see download the revised TIA Referral Form and the TIA Pathway for Homerton and cascade amongst your teams.

If you would like any more information please contact the Service Administrator on 020 8510 7577

Learning Disabilities Health Check Scheme

The enhanced service for 2014/15 has been extended to include patients aged 14 and over. We are working with the transition team at Hackney Ark to identify patients aged 14-17yrs who meet the criteria to be included on the learning disabilities "health check" register. These patients will need to be offered an annual health check and health action plan.

Lucy Gittins, our primary care liaison nurse for learning disabilities will be contacting practices during May 2014 to update you about those patients aged 14-17yrs that will need to be added to the register. Contact Lucy if you have any questions [email protected]

All practices signed up to this enhanced service will need to attend both of our annual education sessions to meet the requirements of the enhanced service:

Wednesday May 6th, St Joseph's Hospice, 13:30-15:00 for Reception staff/Practice Managers Wednesday July 9th, Tomlinson Centre, 13:30-15:00 for GPs and Practice Nurses

Cervical and Breast Screening for our Learning Disabilities population

Uptake for cervical and breast screening in our learning disabilities population in 2013/14 has been disappointing, only 31% (84) of eligible women were up to date with cervical screening and only 13% (8) of eligible women were up to date with mammography screening.

Please encourage women to have screening during their annual health checks. The easy read information below will help practices explain what's involved in each of the screening programmes. http://www.cancerscreening.nhs.uk/cervical/publications/easy-guide-cervical-screening.pdf http://www.easyhealth.org.uk/sites/default/files/Having-a-mammogram.pdf http://www.cancerscreening.nhs.uk/breastscreen/publications/easy-guide-breast-screening.pdf

Feedback regarding physiotherapy services As you will be aware physiotherapy services provided by Locomotor at St Leonards are now directly bookable through Choose and Book. Our colleagues in the physio service have reported a significant increase in demand for their service which has led to an increase in waiting times. The Planned Care Board are responsible for commissioning this service and are in discussions with the Locomotor team to look in depth at the issue. In the meantime we would like to ask practices to consider the following actions:

 Are you able to support your patient with advice on appropriate exercise and use of the ARC leaflets?http://www.arthritisresearchuk.org/health-professionals-and- students/information-for-your-patients/exercise-sheets-and-videos.aspx

 Are you familiar with the Locomotor referral form on our website that includes a brief questionnaire about your patients back pain which is useful as part of your decision to refer? http://www.cityandhackneyccg.nhs.uk/Downloads/gp/Forms/Locomotor%20Referral%20Form %20V3%201%20April%202013.doc

We hope that these short term actions will assist our colleagues in physio in managing referrals. We will also looking at DNA rates and referral rates by practice to establish if there is growth in referrals and any possible trends. We will also be talking with GP colleagues in more detail about this at the Clinical Commissioning Forum on the 1st May.

Thank you for your support

Dr Gary Marlowe

NHS England London Dental Service

NHS England London Dental Service introduces a more localised Out of Hours Urgent Dental Services across North East London. Out of Hours Urgent dental treatment services are available at five locations across North East London. The area covered is shown in red on the map.

To access these services you must telephone 020 3594 0938 and a dental professional will then assess your dental needs over the phone.

If you require urgent dental treatment, you will be offered an appointment as near to you as possible, either the same day or the following day.

The telephone lines will be open Monday to Friday 18:00 to 21:00 hours and Saturday, Sunday and Bank Holidays 09:00 hours to 14:00 hours. For especially busy periods (such as some Bank Holidays), phone lines will be open between 09:00 and 16:00 hours.

Download the poster

Education & Training

The Friday education events at Homerton return on April 25th the medicines management team will be introducing GPs to the components of the Clinical Commissioning and Engagement Contract for 14/15. The next CCE (formerly CC LES) education event is on 9th May. Remember CCE events are marked in green on the calendar.

Upcoming education events: GP/PN/: Medicines Management, Friday 25th April GP/PN/HCA: Partnership Triage, Hackney’s MASH, Wed 30th Apr 2014 & Wed 18th Jun 2014 AM/PM: Learning Disabilities Annual Training, Tue 6th May for reception staff and practice managers. Book now! GP/PN/: Care Plan - Integrated Care, 9th May GP: Managing Mental Health in Primary Care, Wed 21st May Registration form GP: London Sports Injuries Symposium - Sports Hip And Groin, Thur 22nd May 2014 GP/PN/HCA: Forced marriage and the changes in legislation, Tue 10th Jun 2014 GP: Free Orthopaedic seminar for GPs, Thu 12 Jun 2014 Back to top

New Mindfulness Course for Patients with Cancer

Do you have any patients who may be interested in attending an eight week Mindfulness Course for people with cancer?

Mindfulness is a way of being more present and aware. There is mounting evidence that it can be of benefit in managing the stress of cancer.

There is a new course starting on 25th April 2014. Please see the information for patients and referrer information about who and how to refer.

This course is for patients who have advanced cancer, on-going physical effects or high risk of recurrence.

ParaDoc Service - Paramedic and GP response unit

ParaDoc Service - Paramedic and GP response unit in City and Hackney launched on Friday 28th March 2014.

The ParaDoc service is launching this week. GPs will play a vital role in making ParaDoc a success.

This new and innovative service will consist of a paramedic and experienced GP working together to respond to patients with urgent healthcare needs within the community setting. Patients that have read more...

Oral Health Training

The oral health team will running a training programme for professionals working with adults, children and vulnerable groups. The team covers Hackney, City of London and Tower Hamlets. Please download the leaflet for more information

What's On Please download a list of events happening from now until January 2015 for staff and patients Whats On Updates April 14

If you have an event you would like featured in this section please send details to [email protected] Back to top

City and Hackney CCG Quiz!

Last month's quiz

Q: Larry's father has five sons named Ten, Twenty, Thirty, Forty...Guess what would be the name of the fifth?

A: Larry

Congratulations to Valerie Gabbidon Medical Secretary at Somerford Grove Practice for being the first person to correctly answer.

March's question:

In your body, what do you have 46 of? Submit your answer

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