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«About this bulletin This bulletin contains important information for practice managers, including requests for information and deadlines, as well as ...»

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16th October 2015 / Issue 131

About this bulletin

This bulletin contains important information for practice managers, including requests for

information and deadlines, as well as updates on issues relating to GP contracts.

Copies of the bulletins and attachments are available on our website –


If you have any questions or wish to provide feedback, please contact the Primary Care Team for

Bristol, North Somerset, Somerset, South Gloucestershire, Devon Cornwall and Isles of Scilly by emailing: england.primarycaremedical@nhs.net Contents

• Key Deadlines

• Items for all Practices o Friends and Family Test – September data due today – 16th October 2015 o NHS England Business Rates Refunds Process o GMS Statement of Financial Entitlements – Amended Directions o RGCP/NSPCC Safeguarding toolkit o Haloperidol 5mg/1ml injection 1ml Supplies o Abdominal Aortic Aneurysm (AAA) Screening o Seasonal Influenza Vaccine Uptake Collection 2015/16 – GP Patient Survey o Shingles: questions and answers for healthcare professionals o Shingles (herpes zoster): the green book, chapter 28a o Cervical Cytology o Vaccine Update: Issue 234, October 2015

• Items for Bristol, North Somerset, Somerset and South Gloucestershire Practices only o Clifton Village Practice, Bristol o Important: NBT e-referrals migration to Lorenzo o School aged immunisations catch up in Bristol and South Gloucestershire

• Items for Devon, Cornwall and Isles of Scilly Practices only o Deadline for submission of Annual Certificate of Pensionable Profit - 15th January 2016 o Local Estates Strategy (LES) update Page | 1 Key Deadlines DCIOS Directed Enhanced 10/11/2015 Services Claims Submission of DES Claim Forms should be sent to - england.primarycarefinancedcios@nhs.net BNSSSG Directed Enhanced 14/01/2016 Services Claims Avoiding Unplanned Please send your first report to 31/10/2015 Admissions DES Report england.primarycaremedical@nhs.net.

Please submit information via the Primary Care Workforce Minimum Dataset 11/11/2015 Webtool www.primarycare.nhs.uk

• Items for all Practices Friends and Family Test – September data due today – 16th October 2015 Just a gentle reminder (for practices that have not already done so) that the Friends and Family data submission for September is due today 16th October. I have attached the data submission timetable for your information.

Unfortunately, we are not able to accept data submissions beyond this date. Although, CQRS will allow data to be entered onto the system and does not alert you to the fact that the submission deadline has passed, late data will not be uploaded to the national NHS England team passed the deadline.

Please note that, should you not have received any responses from patients, you are required to enter ‘0’ responses in CQRS. If you do not submit, your practice will be highlighted as ‘no data submitted’, which will be subject to future monitoring. If you would like any blank templates for post cards, feedback posters etc or if you have any general FFT enquiries, please contact mandy.stokes@nhs.net. If you have any specific queries relating to the data or its submission, please contact the national FFT Team england.friendsandfamilytest@nhs.net. If you have any issues submitting the data on CQRS, please contact the CQRS Service Desk on: 0800 440 2777 or email: cqrsservicedesk@gdit.com NHS England Business Rates Refunds Process Practices may recall that appeals against rateable values were lodged with the land tribunal on behalf of many surgery premises. Rateable values (RV) were being assessed on the basis of rental value rather than the cost of rebuild, as has been the case with purpose built health centres historically. After protracted legal and land valuation argument, the ruling passed down was that RV should be assessed on the basis of rebuild cost rather than rental value. This has seen a substantial reduction in many RV assessments. This has no impact on your notional/current market rent reimbursement.

As business and water rates are reimbursed in full, except where apportionment applies for shared use of a building, any refunds received from Local Authorities will need to be returned to Page | 2 NHS England.

NHS England has entered an arrangement with GL Hearn to manage the return of Business Rates Refunds from Local Authorities. If your practice has received a refund directly this will need to be

transferred back to NHS England via GL Hearn. There are two ways of doing this:

a) to GL Hearn via cheque to their Southampton office:

NHS England, c/o GL Hearn Management Ltd, PO Box 1610, Southampton, SO15 3WX or,

b) By BACS to the dedicated client monies account:

–  –  –

GL Hearn has set up a dedicated e-mail address to use when communicating with them.

NHSEngland.rates@glhearn.com Please use this e-mail address for all general queries or where information/notifications are being sent to GL Hearn.

GMS Statement of Financial Entitlements – Amended Directions The Department of Health has published the General Medical Services Statement of Financial Entitlements (Amendment No.3) Directions 2015 (see attached). The document sets out amendments to the GMS contract for GPs from 1 October 2015 affecting global sum, dispensing and seniority payments. These changes will be implemented into GMS practice payments from October 2015.

The associated changes in PMS practices amounts have not yet been published. Details will be shared once this information is known.

RGCP/NSPCC Safeguarding toolkit Please see attached the RCGP/NSPCC Safeguarding children toolkit to assist GPs and practices in delivering the children’s safeguarding agenda locally. You may have seen this useful document before in 2014 but a recent request for it prompts us to re-circulate for your information.

Haloperidol 5mg/1ml injection 1ml Supplies We have been advised by a pharmacy in Bristol that having spoken to their suppliers it is estimated that Haloperidol 5mg/1ml injection 1ml will be out of stock until at least November.

Abdominal Aortic Aneurysm (AAA) Screening A reminder that the Abdominal Aortic Aneurysm (AAA) Screening Service can screen any of your male patients born before 1st April 1945, please contact them for details. All men in their 65th Page | 3 year born after this date will be invited to an appointment automatically. Further details can be found www.nhs.uk/aaa We would like to thank all practices who currently accommodate the service, enabling us to keep the screening as local to the patient as possible. If this is not something you currently do but would like to host the service in the future or would like us to attend a PPG/Health Fair please contact us. Further details of your local AAA Screening Service can be found www.nhs.uk/aaa Plymouth & Cornwall - 01752 764858 rch-tr.aaascreening@nhs.net South Devon & Exeter - 01803 655441 Bristol, Bath & Weston - 0117 3421630 For Plymouth & Cornwall - in December a list of patients for the 2016/17 screening year will be sent to practices, with a 2016 desk calendar which we hope you will find useful.

Seasonal Influenza Vaccine Uptake Collection 2015/16 – GP Patient Survey Please find attached updated versions of the Seasonal Influenza Vaccine Uptake in GP patients user

guide and GP letter via the following link:

https://www.gov.uk/government/publications/seasonal-influenza-vaccine-uptake-gp-patientsurvey-data-collection Shingles: questions and answers for healthcare professionals Guidance: Shingles: questions and answers for healthcare professionals Shingles (herpes zoster): the green book, chapter 28a [Updated: Updated shingles vaccine Q and A for healthcare professionals.] Guidance: Shingles (herpes zoster): the green book, chapter 28a Cervical Cytology Please be aware that the following documents have been updated and can be viewed on the following website http://devoncornwallpn.co.uk/cervical-cytology/ - Cervical Sample Taker Training and the Cervical Policy.

Vaccine Update: Issue 234, October 2015 Please find below the link to the Vaccine Update. This edition provides information about MenACWY, MenB and details of vaccine deliveries over the Christmas and New Year holidays and updated resources.

Correspondence: Vaccine update: issue 234, October 2015

• Items for Bristol, North Somerset, Somerset and South Gloucestershire Practices only Page | 4 Clifton Village Practice, Bristol Please see the attached information regarding the immediate closure of Clifton Village Practice, Bristol.

Important: NBT e-referrals migration to Lorenzo North Bristol Trust (NBT) will shortly be migrating from their existing Patient Access System to a new system, ‘Lorenzo’. To enable the migration, NBT will ‘switch off’ the NHS E-Referral Service from dates yet to be announced but due shortly.

It is expected the transfer will take four weeks in which the e-referral system will not be available.

Patients referred for an outpatients appointment will not be able to select North Bristol Trust (NBT) hospitals as an option through NHS E-Referral.

In anticipation of the migration, we would recommend that practices consider how they engage with patients to make their choice of provider. This will provide a prudent amount of lead in time to safely manage the referral route.

A contingency plan has been arranged by NBT and various local stakeholders to ensure continuity of service. Once the start date has been announced, documents and further information will be sent which outline the means by which to manage referrals for patients who either need to be seen at an NBT or who have indicated NBT is their preferred option.

During the ‘switch off’ period a 24 hour GP Queries Hotline will be made available and run by NBT.

Details will follow shortly.

We will keep you informed of the start date with further details and further information to follow.

School aged immunisations catch up in Bristol and South Gloucestershire In the 2014/15 academic year a number of children in Bristol or South Gloucestershire were not vaccinated against HPV or MenC within the school programme. This is currently being investigated as an incident. We are urgently addressing this issue and are tackling the two vaccine catch-ups in different ways. Please see the attached documents which contain details of the catch-up campaigns and the MenACWY process. We would appreciate your assistance with both campaigns, in particular please note the HPV campaign where girls may be invited to phone your practice to arrange an appointment for vaccination as soon as possible. We have tried to ensure that both these catch-up processes vaccinate adolescents quickly with as little disruption to primary care services as possible. Thank you for your cooperation with this process. If you have any queries please contact us at england.bnsssg.imms@nhs.net

• Items for Devon, Cornwall and Isles of Scilly Practices only Deadline for submission of Annual Certificate of Pensionable Profit th January 2016 Page | 5 GP Providers and Non-Providers A GP Provider and non-GP Provider in NHS pension terms is a GMS/PMS/APMS/sPMS ‘single hander’, partner or shareholder.

GP Provider Where a GP Provider is involved in more than one practice/surgery they must in law complete an Annual Certificate of Pensionable Profit per practice/surgery.

Non – GP Provider However a non-GP Provider can only superannuate income from one selected practice/surgery.

Deadline PCS Pensions would kindly request that the annual certificates are submitted as early as possible, with a final deadline of 15th January 2016, to increase the chance of the team being able to process the adjustments within the 2015/16 financial year. The earlier PCS receives the certificates the sooner these can be processed and reconciled. If the certificates are not received until the deadline of 28th February (or later), as imposed by the NHS Pensions Agency, the adjustments will not be made within the 2015/16 financial year.

Please send completed annual certificates to:

SBS Pensions, Third Floor East Wing, Cardinal Square, 10 Nottingham Road, Derby DE1 3QT.

Local Estates Strategy (LES) update NHS England and CCGs have been working together in partnership to actively move towards developing a strategic approach towards an integrated, local estates strategy. This will involve us all working with our partners and those who provide services across our areas for the benefit of patients and the wider community. For Kernow CCG, the plans will also support the “One Public Estate” ethos already established in Cornwall and the Isles of Scilly working with Cornwall Council, Isles of Scilly unitary authority and other locally based public and third sector organisations to maximise, where possible, whole system efficiency and effectiveness.

The purpose of the LES is to provide a longer term strategic plan for primary and community estate development which will help the local health economy to meet changes in demography and demand for healthcare services. It will inform the estate requirements to support the delivery of health care services in the future, meet the challenges in funding and affordability whilst delivering quality. It will have a major influence on future infrastructure funding applications by helping the CCG and NHSE to prioritise applications. The LES will facilitate a distinct shift in the approach to development and upkeep of both primary and community care-based estate and infrastructure.

This will be a change from a short-term, individual project-based approach to one of long-term, strategic estates planning.

Cornwall LIFT (Local Improvement Finance Trust) have been commissioned to undertake a data capture and analysis piece of work with all GPs in Cornwall.

Page | 6 Capita are undertaking the strategic assessment and review of commissioning plans and strategies across the CCG and local authority.

Project Timescales The project consists of 3 key stages.

Stage 1: (Data Collection) has already begun and involves establishing a baseline of our current estate and infrastructure information and in parallel, information is being collected on the current and future clinical strategic priorities that will need to inform future estates requirements.

• Current estates and infrastructure information is being collected by Cornwall 1st Community (C1C).

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