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26 May 2020

All documents can be found here

Dear colleague

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

You can view the North West London password-protected GP extranet homepage using the details below.

As always, you are advised to review the full list of Covid-19-related service changes on a regular basis, to ensure you have not missed any notices.

Website: https://www.nwlondonccg.nhs.uk/professionals/coronavirus-clinical

Password: NWLCovid-19

 

Today’s update includes:

  • NW London Primary Care Protocol for Shielded Patients
  • North West London Paediatric Telephone Advice and Guidance for GPs and Primary Care during Covid-19
  • Centre for Perioperative Care (CPOC) FAQs re operations during Covid-19 pandemic 
  • Message from NHSE re RCGP and AHSN Network: Primary care in care homes during Covid-19 webinar

 

Date correction re infection control prevention

Thank you to those of you who have highlighted an error in Friday's message. The infection control prevention deadline is Tuesday 2 June, not Friday. Apologies for any confusion caused. 

 

NW London Primary Care Protocol for Shielded Patients

ACTION: Download the protocol summary, the protocol, and the NHS Digital letter template here

Sir Simon Stevens’ letter to the NHS 29.04.2020 asked primary care to: “proactively contact all those in the ‘shielding’ cohort of patients who are clinically extremely vulnerable to Covid19, ensure they know how to access care, are receiving their medications, and provide safe home visiting wherever clinically necessary.”

To support this, NW London has developed a recommended clinical protocol for General Practice and Primary Care Networks to apply to their shielded population. There are two documents attached:

  • A full protocol, which includes a detailed look at the protocol with recommended actions for GPs and Social Prescribers, and a clinical toolkit with wide range of resources and guidance. 
  • A summary protocol outlining the key actions for GPs to take with shielded patients. 
  • It is a recommended minimum standard of care for shielded patients, but areas that are already going above and beyond this should continue

Alongside the Protocol, WSIC has produced a new Shielded Patient Radar, freely available to all practices. It will:

  • Provide a cleaned weekly update of patients on the shielded list
  • Allow practices/PCNs to check the needs of patients on the shielded patients list
  • Provide an update of the care plan status of shielded patients.
Template letter from NHS Digital

Please click here to download the letter provided by NHS Digital for use where patients who have previously been on the Shielded Patient List are now assessed as being at low or moderate risk. This letter should be sent to them when you request they are removed.

 

North West London Paediatric Telephone Advice and Guidance for GPs and Primary Care during Covid-19

ACTION: Print the document available here and reference as needed

Local Paediatrician advice lines are provided below; these lines are designed to enable clinical discussion between all primary care professionals and a local on-call Paediatrician. These advice lines will enable quality out-of-hospital care through sharing of specialist knowledge where clinically safe children can be cared for within the community.

 

Centre for Perioperative Care (CPOC) FAQs re operations during Covid-19 pandemic 

ACTION: Click here to view the guide

The NHS has announced that it will restart some surgical services which had been stopped to help hospitals cope with the Covid-19 pandemic. This means that some hospitals will start contacting patients on the waiting lists, especially urgent cases, about their delayed operations to arrange a date for the surgery. This series of FAQs, produced by the CPOC aims to address some of the concerns that you may have about going to hospital during the pandemic and to offer some advice on how you can best prepare for your operation.

 

Message from NHSE re RCGP and AHSN Network: Primary care in care homes during Covid-19 webinar

ACTION: The webinar is on Wednesday 27 May, 3-4pm. Register here. 

This webinar will share examples of current good practice and collaboration between primary care and care homes, including resources to support virtual ward rounds. Chaired by Dr Jonathan Leach OBE, RCGP Hon Sec and COVID lead, join Dr Gail Allsopp, RCGP Clinical Policy Lead, Anita Astle MBE, Managing Director of Wren Hall Nursing Home in Nottingham, and Dr Alison Tavaré, Primary Care Clinical Lead at West of England Academic Health Science Network (AHSN) to explore:

  • RCGP ‘top tips’ for GPs caring for care homes
  • Providing person-centred care in times of Covid-19 
  • Covid-19 virtual wards
  • Resources to support virtual ward rounds

This will be followed by a Q&A session.

The webinar will be held on Wednesday 27 May, 3-4pm and you can register here. It will be recorded and shared afterwards. This is the second in a series jointly organised by the Royal College of General Practitioners and the AHSN Network. You can watch the first webinar here: COVID-19: Patient assessment and the role of physiology and oximetry.

 

Other webinars coming up this week:

Tuesday 26 May, 5-6pm - Update on Direct Booking into General Practice from NHS 111 & CCAS via GP connect. Presenters include Dr Phil Koczan, GP and Digital Clinical Champion and Michelle McDermott, GP Connect Lead.

Wednesday 27 May, 12.30-1:30pm - The Primary Care Network DES: discussion for the undecided. Presenters include Dr Richard Vautrey, Chair, BMA General Practice Committee (GPC), Dr Tayo Kufeji, GP and Clinical Director for The Bridge PCN, Ed Waller, Director for Primary Care Strategy and NHS Contracts, NHS E & NHS I, Dr Josephine Sauvage, Chair, NHS Islington CCG.

Wednesday 27 May, 1-2pm - Digital Nurse Network webinar 14. Presenters include Helen Crowther RN, Ann Gregory RN and Chief Nurse Information Officer, Dr Natasha Phillips RN.

Wednesday 27 May, 3-4pm - Primary care in care homes during COVID-19. Presenters:  Chaired by Dr Jonathan Leach OBE, RCGP Hon Sec and COVID lead, join Dr Gail Allsopp, RCGP Clinical Policy Lead, Anita Astle MBE, Managing Director of Wren Hall Nursing Home in Nottingham and Dr Alison Tavaré, Primary Care Clinical Lead at West of England Academic Health Science Network (AHSN).