Documente Academic
Documente Profesional
Documente Cultură
No. 280
January 2015
Following concerns highlighted by practices and LMCs this week relating to the
request from the Health and Social Care Information Centre (HSCIC) to extract
data related to retired QOF indicators (see GPC statement attached), the GPC
Executive Team has taken up the professions legitimate concerns with NHS
England and NHS Employers. We have received an apology from NHS England
for the error which resulted in the HSCIC statement that it is a requirement for
general practices to ensure they continue to provide the services linked to these
indicators. All parties have agreed that this is incorrect and not in accordance
with the agreement negotiated between GPC and NHS Employers.
As a result of our intervention, HSCIC have replaced the statement with
Practices continue to undertake the work and code activity related to retired
indicators as clinically appropriate. This data extraction will help inform
commissioners and provide statistical information but is not intended for
performance management purposes. The HSCIC documents have been
republished.
www.hscic.gov.uk/retiredQOF
The GPC is also writing to the CQC to alert it to this issue and to seek assurance
that it will not use redundant QOF indicators to judge the performance of
practices as the level of coding will now be so variable.
We hope that these amendments and republication will resolve the earlier
concerns. In the event that you continue to experience issues please contact
your LMC. (info.gpc@bma.org.uk).
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Care Certificates
Med1web forms
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Events
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Vacancies
Dr Basil Bile
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Some of you may have already received a letter from Cornwall Skin Clinic, as the result of a dermatology
2WW referral to RCHT. CSC is a new collaboration between local dermatologists, Three Spires Medical
Practice and RCHT. We are an NHS service set up to provide community based skin cancer see and
treat services. Patients seen in CSC remain under the umbrella care of the trust and local skin MDT and
have a named Consultant Dermatologist overseeing their care. Clinics are initially being run at Truro
Health Park; we hope to offer services in other GP surgeries in Cornwall in the future. If you would like
any further information about Cornwall Skin Clinic, please contact Lesley Dennis, Strategic Manager,
Three Spires Medical Practice. lesley.dennis@3spires.cornwall.nhs.uk
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Statements of SEN and Learning Needs Assessments (LNAs) are replaced by Education, Health and
Care plans (EHCPs). These plans:
give statutory protections from birth-to-25 years
set out in one place all the SEN support a child/young person and their family will receive
Ensure that the child or young person has positive educational outcomes.
Parents and young people with Education, Health and Care plans are offered a personal budget
All local authorities must publish a Local Offer which describes the support and provision available to
children/young people with SEND and their families. Cornwalls Local Offer can be found here.
In the past statutory protections ended at 18 years, at the time when children with disabilities moved to adult
health services. Now, as long as the young person is in education or an apprenticeship, the statutory protections dont end until the young person is 25 years. Therefore, there are implications for health professionals
who work with young people who are over 18 years.
Over the next 3 years existing Statements of SEN and Learning Needs Assessment will be converted to Education, Health and Care Plans.
There is specific guidance for health professionals re the implementation of the act here.
The SEND Code of Practice 2014
The SEND Code of Practice provides guidance regarding the implementation of the act and can be found here
and a guide for parents here.
The SEND Code of Practice highlights the following good practice:
the participation of children, their parents and young people in decision making
the early identification of childrens and young peoples needs and the early intervention to support them
greater choice and control for young people and parents over support
collaboration between education, health and social care services to provide support
high quality provision to meet the needs of children and young people with special educational needs
including those without an EHCP
a focus on inclusive practice and removing barriers to learning
successful preparation for adulthood, including independent living and employment.
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Care Certificates
This certificate is the result of the work done in the wake of the Francis Inquiry.
What is it?
It is to be introduced for all new HCAs) employed by GP practices from March 2015 (the exact date in March
has not been given). This affects all staff that are not registered (eg not registered with the NMC as a nurse)
but are offering health care to patients for the first time. This will include phlebotomists. It is to try to regulate
HCAs and the aim is for it to be completed within 12 weeks of them starting their job.
What is in it?
The 15 competencies are these:
1. Understand Your Role
2. Your Personal Development
3. Duty of Care
4. Equality and Diversity
5. Work in a Person Centred Way
6. Communication
7. Privacy and Dignity
8. Fluids and Nutrition
9. Dementia and Cognitive Issues
10. Safeguarding Adults
11. Safeguarding Children
12. Basic Life Support
13. Health and Safety
14. Handling Information
15. Infection Prevention and Control
Evidence will be expected from the HCA by using words such as demonstrate or show when assessing competence. Competency will need to be assessed face to face but the learning can be done via e-learning if that
is what the practice deems as satisfactory.
How do I get training for my HCA to pass this?
You can train your HCA in-house with experienced staff. 3 workbooks will be written for practices. They are in
draft form:
Technical Document
Assessor Document
Healthcare Support Worker and Adult Social Care Worker document (Learner Document)
As the employer, you need to assure the quality of the teaching and can sign off and certificate your HCA yourself. There is no accreditation by any other institution needed to sign this off.
There will no doubt also be lots of private providers offering to train your HCAs to pass this and it is possible
that we might be able to access some of the training via the trusts who will be rolling this out to all their new
HCAs too. However, it is anticipated that most of this can be done online (free) or in-house.
Do I have to do it?
Yes, as CQC will check this.
Is it time-limited does my HCA have to renew it?
No once completed, the certificate is portable for the HCA and can take to a new practice. No need to renew.
When will I know more?
There are pilots reporting back soon and a national learning exchange event in February 17th .
.
More basic info is here:
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Provide NHS leadership and advice to the Cost Recovery Programme team
Support and champion the policy implementation stage increasing fairness in contribution to the use of NHS services
Provide support to the Chair and Executive Director of the Cost Recovery Programme and focus on how to take
forward pragmatic delivery of the implementation plan with the estimated financial target of 500m by 2017/18
Support transition planning and implementation to other parts of DH, ALBs and the NHS
The group has recently considered changes to the charging regulations, but these apply only to NHS hospitals
Charging for primary care
At the November 2014 meeting the Group was told that the Programme Team has taken the decision to deprioritise
extending and amending charging in primary care in order to focus on delivering existing commitments in Phases 1-3
of the Programme. Two consultations will be launched in the Spring to look further at extensions to charging. There
are plans to start an EHIC pilot in primary care, to encourage the collection of EHICs, increase identification of
chargeable patients and increase the engagement of GPs with the cost-recovery programme generally. GPC will be
involved with a view to starting the pilot as early as possible.
The Group has recently been contacted by the Department of Healths Visitor and Migrant NHS Cost Recovery Programme to ask them to comment on a letter and leaflet due to go out to NHS staff explaining how they can ensure
that the UK is reimbursed for the cost of NHS treatment given to European Economic Area visitors here on holiday,
studying or retiring from their home country.
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Legal position
GPC has sought legal advice to help clarify practices legal responsibilities. The advice has confirmed that under
Section 259 of the Health and Social Care Act (HSCA), the Health and Social Care Information Centre (HSCIC) has
the power to collect information considered necessary or expedient for the purposes of any function it exercises.
For the WMDS, the HSCIC is collecting this data under direction from the DH and NHS England. The advice therefore is that practices are legally obliged to provide the information requested for the WMDS.
With regards to personal data, information such as NI number, name, date of birth, gender and ethnicity will be collected. Under the DPA, Section 10, an individual is entitled to object to the processing of their personal data likely to
cause damage or distress. However, the DH direction for this collection, under Section 259 of the HSCA, imposes a
legal obligation on NHS bodies to provide the data, and this in turn overrides Section 10 of the DPA.
Although the right to object under the DPA is removed, we would advise practices to inform their staff of this data
submission, to comply with the fair processing principle of the DPA. We understand practices will be provided with a
template fair processing notice to explain to their staff how individual data will be used. The template will be available
on the WMDS webpage.
Next steps
GPC remains concerned that the dataset is excessive and will create additional, unnecessary burden for practices at
a time when they are already under severe workload pressure. As such, concerns will be raised again with NHS
England during January and LMCs will be updated. GPC will also be responding to the Privacy Impact Assessment
consultation for the dataset which closes on 20 February 2015, and would recommend LMCs and practices also
consider responding.
Our interim advice is that practices should continue to arrange access to the primary care web tool module, as per
the advice in the December HSCIC email (Appendix 1). The HSCIC will contact practices in the middle of January to
grant access to the module, and provide details of the online training materials and further support. We understand
that the module will be prepopulated with information from the Exeter system and the CE1 collection for practices not
on Exeter. We would recommend that practices then proceed with the data preparation and submission.
Where practices remain concerned about the data collection, they should email the GPC Secretariat
(info.gpc@bma.org.uk), giving specific examples of how this exercise is adversely impacting them, so that concerns
can be taken back to NHS England. Please note that any queries about accessing the web tool should be taken to
the HSCIC, as per the details in Appendix 1.
Further information on the dataset, including the data to be collected and the process for submission is available on
the HSCIC website, which includes a specification overview and set of FAQs.
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Events
11th & 12th February
Cornwall & IoS LMC Conference:
Please note this event has been cancelled due to lack of support.
RCGP Tamar Faculty Events 2015
RCGP Tamar Faculty GP Mentoring Course
Thurs 05.03.15, 1 5 pm, Arundell Arms, Lifton PL16 OAA
GP Mentor Training Course Are you interested in becoming a mentor?
Do you want to support new GPs? Could you become a GP mentor?
The Tamar Faculty of the RCGP and GP School at Health Education South West have set up a mentoring
scheme to support GPs in their first 5 years following completion of training.
Supporting new GPs as a mentor can help them to develop professionally and personally, help them to
grow in confidence and sustain them as they develop their skills in the workplace.
If you are interested in becoming a GP mentor click here for further information about the scheme.
Training will be held on 5 March 2015 at 1.30pm-5pm at the Arundell Arms, Lifton. Lunch will be provided
from 1pm prior to the course.
To book a place please click here for the booking form and email it to Severn Faculty. Places are limited
so members who wish to attend are encouraged to book early.
For further information please contact Dr Susanna Hill Associate Dean , GP School, HEE South West or
email Severn Faculty
01392 722744
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The above conferences are bookable on the new practice nurse websites www.devoncornwallpn.co.uk. Booking deadline:
20th February 2015
For further information please contact Dr Susanna Hill Associate Dean , GP School, HEE South West or email Severn Faculty
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01822
832641 Nick.Buxton@call-
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Penzance, Cornwall
GP Vacancy Full time/part time GP
Enthusiastic, additional, full-time/part-time, job share GP required for friendly, successful, well-organised and forward-thinking practice.
Location
Penzance is situated on the spectacular Mounts Bay. Town centre location with dispensing rural branch surgery in
nearby Pendeen, 8 miles away.
Excellent schools and leisure centre.
The Practice
Own premises
Community Matron
Salary negotiable and based on skills you are able to bring to the practice
To arrange an informal visit please telephone 01736 363361 to speak with the Practice Manager; Lesley Searle.
Letter of application, and full CV by 20th February to Lesley Searle, Practice Manager, Penalverne Surgery, Penalverne Drive, Penzance, Cornwall TR18 2RE. Tel: 01736 363361. Email: Lesley.searle1@nhs.net
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Nurse Practitioners
12,500 patients
Research active
Community hospital
For further information please contact a member of our Executive Management Team:
Chris Gendall (Strategic Business Manager) chris.gendall@nhs.net
Dr Sam Freegard (Partner) sam.freegard@stennack.cornwall.nhs.uk
Dr Rupert Morrall (Partner) rupert.morrall@stennack.cornwall.nhs.uk
Or visit our website for more details, www.thestennacksurgery.co.uk
Closing date for applications: 20 February 2015
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Mevagissey Surgery
Enthusiastic, flexible Partners/Salaried GPs required to join a friendly, dedicated practice team.
We are looking to cover 9 sessions per week and are happy to wait for the right applicant/s. You will be joining a
GMS dispensing Practice with 2 Partners, 2 Salaried GPs and 5000 patients. Our main surgery is in the beautiful
fishing village of Mevagissey with a branch surgery operating in the nearby village of Gorran Haven.
The surgery has a high QOF, enhanced services and prescribing achievements, supported by highly experienced
nursing and administration teams.
We are actively involved in a wide range of activities including research and commissioning as well as providing
placements for medical students.
Apply in writing with CV and covering letter, marked Private and Confidential, to Nikki Deakin, Practice Manager,
Mevagissey Surgery, River Street, Mevagissey, St Austell, Cornwall, PL26 6UE
Email: nicola.deakin@mevagissey.cornwall.nhs.uk
Tel: 01726 843701
Closing date: March 2nd 2015
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