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29 April 2020

All documents can be found here

Dear colleague

Please find below the latest GP update regarding Covid-19.

You will find this update with links to the files on the new North West London password-protected site page. You can also review the full list of Covid-19 related service changes, to ensure you have not missed any notices.

Website: https://www.nwlondonccg.nhs.uk/professionals/coronavirus-clinical
Password: NWLCovid-19
 
Today’s update includes:

  • Updated: Primary and Community Respiratory Resource Pack
  • Medical Certificate Cause of Deaths (MCCDs)  
  • Message from ChelWest re endometriosis care
  • Message from Royal Free London re paediatric ambulatory hub at Edgware Community Hospital
  • Local participation in Oxford Covid-19 vaccine clinical trial
  • Government guidance on getting tested for Covid-19

 

Updated: Primary Care and Community Respiratory Resource Pack for use during COVID-19

ACTION: Review the updated resource pack here

The Respiratory Resource Pack from NHS London Clinical Networks has been updated. The following changes were made:

  • Updated pathway diagram 1 and 2
  • New pathway guidance for use by care home staff Review of CPR guidance
  • Updated information for follow up on patients with co-morbidities
  • Updated antibiotic treatment guidance to align with NICE
  • Updates and alignment relating to treatment preferences
  • Latest version of questions from ACRX
  • Updated appendix on treatment pathway for those with Bronchiectasis
  • Updated CFS poster
  • Updated Palliative care treatment guidelines.

 

Medical Certificate Cause of Death (MCCD) document 

ACTION: GPs should be emailing the MCCDs to the local authority where the death took place, not just to the families

When GPs email Medical Certificates of Cause of Death (MCCDs), can they please provide the details of the next of kin and their contact details and email address (if known). GPs should be emailing the MCCDs to the local authority where the death took place, not just to the families.
 
Please click here to view the email addresses of the local authorities.

 

Message from ChelWest re endometriosis care 

ACTION: Read the information here from ChelWest

ChelWest consultants would like to share with GPs and their patients during the current Covid-19 pandemic information regarding the endometriosis service at Chelwest. We understand there has been disruption to the service and the information in the link above will offer guidance to GPs managing patients during this time.
 
If you would like to discuss individual queries on a case by case basis, please email endometriosis@chelwest.nhs.uk with the subject line ‘GP ADVICE’ where this will be picked up by a member of the team. If you have acute concerns regarding gynaecological emergencies or need immediate advise, please contact the gynaecology registrar on call via 020 3315 8000 (bleep 8742) and refer to the emergency department as appropriate.
 
 

Royal Free London paediatric ambulatory hub at Edgware Community Hospital

ACTION: Note this service change

The Royal Free London has established a paediatric ambulatory hub at Edgware Community Hospital (Burnt Oak, Edgware, HA8 0AD), to help deliver ambulatory care to children and young people in north central London during the COVID-19 pandemic.
 
The hub will support Barnet, Camden and Enfield paediatric patients, and will mainly be a nurse-led service, with a registrar on site every day and consultant support.
 
The service will run Monday to Sunday (including bank holidays) between the hours of 8am-8pm, and is by referral and appointment only.
 
Services provided at the hub:

  • Urgent blood tests
  • Urgent Rapid Access Clinic (consultant led)
  • Medical reviews of ambulatory patients
  • Intravenous antibiotics (IVABs)
  • IV infusions
  • IM injections
  • Dressing clinic
  • ECG
  • NG tubes
  • Prolonged jaundice clinics (Monday and Wednesday)
  • Any other clinical nursing need (please call to discuss)

All patients who are referred to the hub will need to be discussed and approved by a consultant or senior nurse. All attendances will be appointment based.
 
Referrals to the hub must be from:

  • Hospital discharges for ambulatory care from the Royal Free Hospital and Great Ormond Street Hospital
  • GP referrals (via acute on-call consultant)
  • Rapid Access Clinic referrals
  • Community referrals

And can be made via the following routes:

  • RFL consultant on-call phone: 07983 637 686
  • Royal Free Hospital  consultant: bleep 1000 from switchboard (020 7794 0500)
  • Edgware Hub direct line: 020 3758 2410
  • Edgware Hub email address: rf-tr.edgwarehub@nhs.net

The hub is not equipped to deal with acute emergencies and there is no access to resuscitation equipment. Any child who presents acutely unwell or becomes acutely unwell while at the hub will need to be transferred to the closest emergency department – staff in the hub will contact the emergency services.

Ongoing care of paediatric patients who have been discharged from hospital/ED and are Covid-19 positive
 
Patients, who are known to be COVID-19 positive, and have been discharged from hospital or ED who require IVABs, blood test, dressings or any on-going clinical treatment will be accepted to the hub in a separate area. Please ensure patients and parents/carers travelling to the hub wear a mask and travel in their own car.

 

Local participation in Oxford Covid-19 vaccine clinical trial 

NB: URGENT INFORMATION MAY BE REQUESTED FROM PARTICIPANT’S GP

The Clinical Research Facility at Imperial College Healthcare NHS Trust (ICHT) is one of the sites participating in the Oxford Covid-19 vaccine clinical trial. Screening of potential participants is taking place this week.

If one of your patients is a participant, you may be contacted by the study team to confirm the patient’s current medicines list. The study team will require this information urgently as they hope to vaccinate on Monday. We will send more information as we receive it from the study team.

For more information contact: Punita Patel, Lead Pharmacist with Hammersmith and Fulham CCG: punitapatel@nhs.net.
 

Government guidance on getting tested for Covid-19

Guidance on coronavirus testing, including who is eligible for a test, how to get tested and the different types of test available can be found here.