Primary care bulletin - 10 November 2023
Bulletin:
Delivery of the new model of care for adult (18+) community based specialist palliative care; toolkit: winter vaccines; training; webinars and more


Welcome to this week's primary care bulletin


Key points this week include:
  • Delivery of the new model of care for adult (18+) community based specialist palliative care
  • NW London primary care clinical leaders meeting
  • Toolkit: Winter vaccines for people with a learning disability
  • HIV GP champions
  • New IT self service portal now live
  • Training and webinars including:
    • GP education webinars
    • The evolving model of general practice
    • World AMR awareness week - webinars
    • Primary care immunisation update webinar series
    • Do you use the eConsult online consultation platform?
    • Children & young people - how their views can shape our work to increase impact
    • ICHP polypharmacy masterclass - care homes
    • Polypharmacy action set learning set workshops
    • NW London improving heart failure care webinar
    • Palliative care bites - frailty & end of life care

NW London primary care clinical leaders meeting 

Wednesday 8 November 2023

Delivery of the new model of care for adult (18+) community-based specialist palliative care

North West London residents are being asked to register their interest in attending an online webinar where we will be looking at future potential service options for delivery of the new model of care for adult (18+) community-based specialist palliative care. 

Toolkit: Winter vaccines for people with a learning disability

HIV GP champions

Are you passionate about effecting change within primary care and your community? We are looking for GPs working in London to become Fast Track Cities HIV GP Champions for their area.

Fast-Track Cities London is a partnership working to end new HIV infections, put a stop to HIV-related stigma and discrimination, stop preventable deaths and improve the health, quality of life and well-being of people living with HIV across the capital. Primary care plays a crucial part in the success of achieving these goals.

The new HIV GP Champion role offers an opportunity to improve care for people living with HIV by removing the historic barriers between services and offering an integrated approach to long-term health across primary care, secondary care, Local Authorities and voluntary sector organisations for people living with HIV.

The aim is to work collaboratively between all care settings for the patient as a whole person, reducing obstacles to access care and improving patient outcomes. This approach is consistent with and supportive of London’s overall HIV response, the Evolving HIV Care Report, the BHIVA Standards of Care, and the Fuller Stocktake on integrated primary care.

New IT self service portal now live

Please be aware that as of Friday 13th October we will no longer accept any manual forms submitted to us via email, example of the manual forms are New Starters forms, Leavers forms, Hardware Requests forms, etc. After Friday 13th October we will only accept such requests by tickets raised via our IT Self Service Portal.

Use this Self Service link to login: https://selfserviceportal.nw.london.nhs.uk/HEAT

Click the button below for step-by-step login instructions and the full list of tickets currently available to use within Self Service.

If you experience any issues with logging on, please contact the NHS NWL Service desk on 0203 350 4050. 

Education and training

GP education webinars

Hepatology: Thursday 9 November at 1pm

Join Consultants Dr Ameet Dhar, Hepatologist & Head of Speciality at Imperial College NHS Trust and Dr Jayshri Shah, Lead Hepatologist LNWH Trust Thurs 9th November for a lunchtime webinar on MS Teams.

Click here to join the meeting

Dizziness: A three part series

First webinar: Tuesday 14 November at 1pm


A 2023-24 Training Series presented by RIPEN Training Hub on behalf of NWL

Join expert Dr Barry Seemungal who aims to make things easy for the busy GP presented with a wide differential to consider in the Dizzy patient.

Click here to join the meeting. 

More information about other sessions can be found here. 

The evolving model of general practice

This event will provide critical insights into the evolving model of primary care and is particularly relevant for GP practices, primary care teams, and GP trainees.

Featured Speakers: Dr. Kiren Collison, National Deputy Medical Director for Primary Care and Dr. Mohit Venkataram, ELFT Executive Director for Primary Care

Webinar Details:
Date: 15 November 2023
Time: 7-8pm
Platform: Zoom

For full details and registration, visit the ELFT website here.

Join Dr. Mohit Venkataram, Executive Director of Primary Care, in conversation with Dr. Kiren Collison, Deputy Medical Director of Primary Care at NHS England, for “The Future of Primary Care” webinar series on November 15, from 7 pm to 8 pm.

General practice has transformed by leaps and bounds and remains the key flagship of the NHS. 

The evolving model of general practice is heavily reliant on talent retention and embracing new ways of working. In addition, the collaboration with local secondary care services delivers a remarkable ability to maintain safe care. This webinar will focus on exploring strategies and policy directions that will strengthen these pillars.

This webinar is essential for those looking to adapt and thrive in the changing landscape of primary care. Reserve your seat now and be part of the conversation that shapes the future of primary care.

We welcome your questions in advance. Please send them to elft.communications@nhs.net by November 15.

World AMR awareness week - webinars

The Antimicrobial Prescribing and Medicines Optimisation (APMO) Team have collaborated with colleagues to bring you three webinars during World AMR Awareness Week, 2023. 

Monday 20 November (13:00 - 14:00) - Optimising duration of antibiotic use in primary care: Implementing change

This PrescQIPP AMS Virtual Professional Group (VPG) webinar will focus on the NHS England AMR programme workstream that aims to optimise antibiotic duration in primary care and supports delivery of the NHS England medicines optimisation opportunity14: Reducing course length of antimicrobial prescribing.  

Click here for further information and to register. 

Tuesday 21 November (12:30 - 13:30) - Managing acute respiratory tract infections in children in primary care: an evidence update

Join this interactive live webinar with leading academic primary care clinicians Professor Alastair Hay, a GP (since 1997) and Professor of Primary Care at the University of Bristol and Dr Oliver Van Hecke, an academic GP who completed his doctoral studies in 2018 at Oxford.  

To register for this event, please go to NHS Events/ Managing acute respiratory tract infections in children in primary care: an evidence update

Wednesday 22 November (18:30 - 19:30) - Acne and COPD exacerbation: Reviewing patients on long term/repeated antibiotics

This webinar will look at ways your practice can review antimicrobial prescribing for patients who are on long-term or repeat antibiotics for acne and COPD exacerbations. 
Presenters from NHS England and pharmacy teams based in GP practice will showcase resources including those available through TARGET and the dashboards to support the antibiotic duration workstream.  

Click here to register

Please share this information with colleagues who you think would like to attend.

Primary care immunisation update webinar series 

A free training resource for immunisers in London.

Immunisers in primary care in London can access FREE immunisation update training. The series of webinars are free to access for all competent immunisers working in a primary care setting and have been designed to focus on updating the learning needs of immunisers in primary care and run until December 2023.

Immunisers are invited to attend all webinars relevant to their practice/learning needs.

For full details about who can attend, how they work and for booking information, please see the attached flyer.

Do you use the eConsult online consultation platform? 

Do you use this system to help triage enquiries or manage sick notes?  

Are you looking to enhance your confidence when using this system? 

Sign-up to our next Digital First Action Learning Set taking place on 14th November. 

Details available on the Learning Hub

or email nhsnwl.digitalfirst@nhs.net to secure your place.

Take a look at this short video to find out more.
Hepatology: Thursday 9 November at 1pm

Join Consultants Dr Ameet Dhar, Hepatologist & Head of Speciality at Imperial College NHS Trust and Dr Jayshri Shah, Lead Hepatologist LNWH Trust Thurs 9th November for a lunchtime webinar on MS Teams.

Click here to join the meeting

Dizziness: A three part series

First webinar: Tuesday 14 November at 1pm


A 2023-24 Training Series presented by RIPEN Training Hub on behalf of NWL

Join expert Dr Barry Seemungal who aims to make things easy for the busy GP presented with a wide differential to consider in the Dizzy patient.

Click here to join the meeting. 

More information about other sessions can be found here. 

Children and young people - how their views can shape our work to increase impact 

Two workshops led by Imperial

Workshop 1: to help improve your skills in analysing qualitative data collected from interviews and focus groups 

Workshop 2: Led by young people who will provide insights and support to help you develop your practice in engaging children, young people and families. 

ICHP polypharmacy masterclass - care homes 

Wednesday 22 November 2023 with Manisha Bhatt, Care Home Lead Pharmacist, The Confederation Hillingdon CIC.   

Manisha Bhatt and Imperial College Health Partners would like to invite you to attend our upcoming “Polypharmacy Masterclass - Care Homes” webinar on Wednesday 22nd November 2023 from 10.30am-12.30pm. In this webinar we will highlight environmental and personal barriers when it comes to deprescribing in elderly patients, and how to address some of these.  You will also hear some practical tips for reviewing medicines of elderly care home residents, as well as the importance of shared care decision making and collaborative MDT working.  

Click here to register for the session. 

For further information and/or to get involved with the ICHP Polypharmacy Programme please contact:
catherine.caldwell@imperialcollegehealthpartners.com or gill.francis@imperialcollegehealthpartners.com 

Polypharmacy action learning set workshops  

Wednesday 22 November and Wednesday 6 December 9:30-12:15

The National Polypharmacy Programme invites you to join the Action Learning Set (ALS) to help build GP and prescribing health care professionals’ confidence in, and understanding of, the complex issue surrounding and stopping inappropriate medicines safely. Delegates need to attend all three sessions. The ALS with also help PCNs deliver the medicines optimisation elements of the new Directed Enhanced Services contract and contributes to the QoF.

To learn more about the Polypharmacy ALS please click here, to register for Cohort 10 please click here.

For further information and/or to get involved with the ICHP Polypharmacy Programme please contact:
catherine.caldwell@imperialcollegehealthpartners.com or gill.francis@imperialcollegehealthpartners.com 

NW London improving heart failure care webinar

Wednesday 22 November, 1-2pm 

CLICK HERE to complete registration form - please sign into Microsoft Teams to receive your invitation

On behalf of Dr Neville Purssell (GP, NWL CVD Clinical Lead), Dr Carla Plymen (Consultant Cardiologist, NWL Heart Failure Clinical Lead) and Carys Barton (Heart Failure Nurse Consultant), we warmly invite you to join us for a primary care Heart Failure care and medication prescribing webinar on Wednesday 22nd November,1:00-2:00pm.

The webinar will cover:

· The difference in diagnosis and management of heart failure with reduced EF and preserved EF

· Management of heart failure and medications – rationale & ‘how-to’ with specific emphasis on SGLT2i 

· Awareness of the Heart Failure pathway and how to embed best practice care including patient recall

· Case examples to support PCNs and Practices 

· Q&A session 

Why is this important?

We know that there is a need to improve diagnosis and ensure optimal management of patients with HF; in NWL there is a significant detection gap - there should be 32% more people diagnosed with HF. Further, over 1000 patients are known to primary care with HF but have not had a formal echo, with more than 700 not being on adequate therapy. Most importantly, the Imperial College Health Partners dashboard shows that 43 lives could be saved with adequate detection and therapy with a cost saving to the ICS of £1.8 million.

The webinar will explore how reviewing and managing HF and medications can help:

· Patients to better manage long term conditions

· Meet target to ensure 90% of HF patients have had an annual review including review of medications for QoF targets 

· Reduce health inequalities (one of NWL ICB’s priorities)

· Provide cost saving opportunities

 
Please share the invitation with relevant colleagues in your sector and for any further queries, please contact nhsnwl.localcare@nhs.net

 

Palliative care bites - frailty and end of life care

Tuesday 21 November, 1pm-2pm

Guest Speaker: Kerry Lyons, Consultant Admiral Nurse for Frailty, Dementia UK 

We are witnessing an increasing overlap between dementia, frailty and end of life care. We are, therefore, delighted to have Kerry Lyons as our guest lecturer. She is the first Admiral Nurse focusing on frailty and dementia supported by Dementia UK. This session is relevant to all of us working in primary care and palliative care, especially those in Care Homes, District Nurses and General Practice. We have much to learn!