Professional Documents
Culture Documents
288
September 2015
Q. Can parents or guardians whose children dont fall into the eligible
age groups get their child vaccinated against MenB? If so, how?
A. Children can be vaccinated through a private clinic that is able to
obtain the vaccine from the manufacturer. However, parents or
guardians should be aware that they will be responsible for the full
cost of the vaccine. Under the current contract for general practice,
practices are restricted from providing private services to their own
NHS patients except in very specific areas, such as travel advice.
In addition to this FAQ, the GPC would like to reiterate the advice that
whilst GPs can provide private prescriptions, they are not allowed to
charge their own NHS patients and we would therefore recommend
that patients (outside the cohort) access a comprehensive private
service provided by another practice or service provider, who would
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Vaccine Update
Menopause Referral Service
Dementia Extract
Flu Immunisation
Phasing
out
of
seniority payments
Please see the link on our
website.
Focus on phasing out seniority
October 2015
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As a working GP, you will know that general practice is at a critical juncture as GP services struggle under
sustained pressure from a decade of rising patient demand, underinvestment and staff shortages.
This situation cannot go on.
Today the BMAs GP committee (GPC) has launched its vision for the future of our profession:
Responsible, safe and sustainable: Towards a new future for general practice.
This important report is the culmination of a years work and builds on our largest ever survey of 15,560
GPs, which many of you answered , as well as feedback from patients and several LMC events across
England, including input from sessional and newly qualified GPs.
Our recommendations are based on the experience of everyday GPs and how they want to work in the
future. Our vision demands an end to the short-term headline grabbing of recent years and outlines a
programme of reform for a sustainable, modern and flexible service that enables GPs to care for their
patients. This includes:
- putting a properly resourced NHS general practice at the heart of the community with an
expanded multidisciplinary team of healthcare professionals, including
community nurses and other practitioners, which interacts and collaborates better
with the rest of the NHS
increasing year-on-year funding for patient care so that general practice can keep
pace with escalating demand
- a new national campaign designed in collaboration with patients, government and
healthcare professionals to promote and support patients to effectively self-care
and signpost to other services to lessen pressure on GP services
- creating a long-term infrastructure fund to invest in GP facilities in order to expand
their capacity to treat patients
- better use of technology to improve patient care and lessen unnecessary workload,
including phasing out of paper records
- making a career in general practice more attractive and accessible for medical
graduates by reforming the training curriculum and making the career path for new
GPs more flexible.
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Schools
Thursday 24 September
GPs
Ordering restrictions
Ordering will open for the 2015/16 season with no restrictions for either schools or GPs in the first
instance.
However, the ability to allow free ordering throughout the programme requires customers to adhere to the
guidance that has been issued to order/hold no more than 2 weeks stock at any time.
Applying restrictions such as an allocation system, or order cap will be considered by PHE at a later date
if stock runs low.
Shelf life of Fluenz Tetra
Fluenz Tetra is a live attenuated vaccine and as such has a very short shelf life. Please bear this in mind
when ordering. The first batches will have December 2015 expiry dates. You will be able to place an order
every week and deliveries will be made weekly alongside your usual deliveries of vaccines. Where
possible do not order more than you will need for the next two weeks. This is to minimise vaccine wastage
due to the vaccine passing its expiry date before it can be administered. The vaccine will be available to
order throughout the entire flu season to ensure there is in date stock available into the New Year.
Subsequent deliveries of vaccine will have later expiry dates.
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Dementia extract
Practices should have received a series of communications from the Health and Social Care Information
Centre (HSCIC) on a forthcoming GP extract entitled Quality and Outcomes Framework (QOF) Subset
Extract for Dementia Prevalence 15/16 (also known as SoS Dementia). The HSCIC confirmed that
practices were required to participate in this extract through the Calculating Quality Reporting Service
(CQRS) by 31 August, and that they are legally required to comply under Section 259(5) of the Health and
Social Care Act (HSCA).
To clarify, this extract is unrelated to QOF, despite being labelled a QOF subset. It was given this name
because the data closely matches a subset of QOF indicators. GPC has asked the HSCIC to use different
terminology in future to avoid any confusion.
The HSCIC has confirmed that 617 practices are yet to enable this collection through CQRS, and they
have written to these practices to request they accept the extract by the end of Thursday 29 September
2015.
GPC recommends that practices comply with this request, which is a legal requirement under the
HSCA. The Joint GPC & RCGP IT Committee (JGPITC) was consulted on this extract, as confirmed in
the HSCICs communications. The Committee accepted the legal basis of this collection through the
HSCA, and that the extract had been approved by both the General Practice Extraction Service (GPES)
Independent Advisory Group (IAG) and the Standardisation Committee for Care Information (SCCI).
The collection is of non-identifiable, aggregated data specifying the number of people at each practice
with a diagnosis of dementia, broken down by age and gender, as well as the number of the practices
total registered population. This is non-identifiable data and therefore not subject to the fair processing
provisions of the Data Protection Act. There is therefore no requirement to inform patients. Further
information is provided within the Data Provision Notice sent to practices.
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Events
Primary Care Updates
Updates for Primary Care
12 - 16th October 2015
The Headland Hotel, Newquay
Please see attached flyer for more information
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A culture within the service that is open and honest at all levels.
To receive a written and truthful account of the incident and an explanation about any enquiries and
investigations that the service will make.
GPStennack Surgery
The Stennack Surgery, St Ives, Cornwall
General Practitioner
Are you looking for the perfect job balancing high quality progressive general practice with unrivalled lifestyle opportunities?
We would like to welcome an enthusiastic GP into our harmonious team. We are a large practice proud of our high quality
service, working from large premises in the beautiful seaside town of St Ives.
For further information please contact a member of our Executive Management Team:
Chris Gendall (Strategic Business Manager) chris.gendall@nhs.net
Dr Dan Rainbow (Partner) dan.rainbow@nhs.net
Dr Rupert Morrall (Partner) rupert.morrall@nhs.net
Or visit our website for more details, www.thestennacksurgery.co.uk
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GPBottreaux Surgery
Bottreaux Surgery is a high-earning dispensing practice located on the North Cornwall coast, renowned
for its beautiful beaches and coastal paths.
We are looking for a GP to join our long-established and popular practice with surgeries in the villages of
Boscastle and Tintagel, serving a rural community of around 4,950 patients.
We are offering a salaried post or with a view to partnership to an enthusiastic, self-motivated, pro-active,
and committed GP to work with our three GP Partners, 2 Practice Nurses, and Assistant Practitioner.
Commencing Spring 2016. 8 sessions. Microtest Evolution. No OOH. No weekends. Competitive
salary package. Accredited teaching practice.
To apply, or for more information, please contact: Matthew Gibbons, Business Manager Tel: 01840
250740 Email: matthew.gibbons4@nhs.net Informal visits welcome.
Please send expressions of interest and a copy of your current Curriculum Vitae to our Practice Manager:
Mrs Teresa Kemp, Veor Surgery, South Terrace, Camborne, Cornwall, TR14 8SN. Tel 01209 611171 or
email teresa.kemp1@nhs.net
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Earlier this year Government advisers said the feminisation of the GP workforce had led to a shortage of family doctors, as more than half of family docs are now women, with many working part-time. As a
doddering old fart, I can recall with misty eyed nostalgia the days when the coffee room at the Abandonhope Surgery was full of sweaty blokes at the end of morning surgery, swapping risqu anecdotes and
engaging in arm wrestling competitions with our free hand as we signed repeat prescriptions with the other. Happy days. Alas and alack, roll the clock forwards to 2015 and if I have the temerity to suggest a
belching tournament over our mint and herb infusions, I am on the receiving end of a volley of withering
looks from the assembled oestrogenies, led by Hilda Bunnytunnel, salaried sessional GP Lettie Golately,
and Ghastly Gertie our Practice Manger.
At least until this juncture I had a male ally in this ocean of ovarian niceties, but to my horror junior
partner Clint Thrust turned up to work yesterday wearing a kaftan and dangly earrings, announcing that
from now on he wants to be known as Clintella. Previously he and I shared the workload of the impotent
and prostatically challenged inhabitants of St Salive. Now I am lumbered with the bally lot of them.
I was cheered in part by the unexpected blip of common sense escaping from the thin lips of our
Secretary of State for Health. Jeremiah let slip during a recent broadcast that he doesnt have a problem
in principle with charging people for missed appointments. This followed a survey finding that more than
sixty thousand GP appointments are wasted each day because punters fail to turn up. Doctors surgeries
are losing the equivalent of one GPs worth of clinical time a week, with twelve million slots missed each
year at a cost to the NHS of one hundred and sixty million quid.
Personally my view is that having some precious time to myself is reward enough when the daft
buggers fail to materialise, but the idea that the tills could ring in celebration of each DNA is too tempting a
notion to leave alone. How to maximise the income stream from this potential nice little earner was the conundrum exercising my remaining grey cells. And then the light bulb moment. Eureka! Seagulls.
The number of seagulls in the UK has quadrupled in the past fifteen years, the gulls becoming ever
more aggressive, with attacks on humans and pets being reported in Cornwall in the last few months. Our
beloved Prime Minster and his wife are regular staycationists in the Grand Duchy, not least because of the
stunning photo opportunities provided, and he has suggested a big conversation on the issue. The
RSPB wants the Government to hold a gull summit.
Well, phooey to all of that. I have befriended and trained a Herring Gull called Herbert. He has a
razor-sharp two inch beak, a one and a half metre wingspan, and impressive talons. With my encouragement he has adopted a roosting spot atop the Surgery roof which gives him an excellent vantage point.
Before each surgery session I scatter fragments of pasty and chips around the car park and entrance to
our Theatre of Cures, ensuring regular screeching swoops from Herbie. Pensioners, who make up a significant percentage of our footfall, are particularly deterred from crossing our threshold by his kamikaze
antics. The highly satisfactory result of my innovative scheme is a) More Me-time ; b) At a tenner a
missed appointment a tidy contribution to Basils Retirement Fund; and c) A very happy if somewhat overweight seagull.
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