19 November 2025
Bulletin
Self-care week; Cancer GP Bulletin published; Education and training; and more

Welcome to this week's primary care bulletin

Key points this week include:
  • Self-Care Week: 17 – 23 November 2025
  • RM Partners' Cancer GP bulletin published
  • Cervical screening sample takers audit - requested by Cervical Screening London
  • London Ambulance Service's Child Frequent Callers’ programme  
  • new case studies on inclusive approaches to cervical cancer elimination  
  • update on orthotics referrals in Brent, Ealing and Harrow
  • current remittance advice update.
Education and training:
  • lipid management in primary care - recent updates
  • chronic pain as a cancer late effect
  • celebrating Care Leavers' Month events.

If you have any submissions for this bulletin please email them to the communications inbox - nhsnwl.communications.nwl@nhs.net. View previous editions.


Please note the deadline for submissions is 3pm each Monday.
Self-Care Week: 17 – 23 November 2025

Self-Care Week, running from 17 - 23 November 2025 and hosted by the Self-Care Forum, is an opportunity to help people build the skills and confidence to manage their own wellbeing and access the right services.

Research by the Self-Care Forum and Imperial College London’s Self-Care Academic Research Unit (SCARU) shows that people want more control over their health, yet self-care advice is often overlooked during consultations. With demand on services increasing, personalised self-care has never been more important.

For ready-made content, guides, and resources to promote self-care, visit the Self-Care Week homepage.
RM Partners' Cancer GP Bulletin published

The November bulletin has been published (PDF). It includes:
  1. important updates to the Sarcoma Referral Pathway - all clinical staff
  2. encouraging appropriate utilisation and ensuring high quality referrals – non-site specific (NSS) cancer pathway - all clinical staff
  3. Lower Gastrointestinal (GI) pathway - all clinical staff
  4. Pancreatic Cancer Awareness Month: Pancreatic cancer primary care toolkit – all clinical staff 
  5. Beyond the Strategy - prevention and screening and early diagnosis - 17 December 2025, 2.30 – 3.30pm – all staff.
The referenced attachments (all PDFs) can be found below.
Cervical screening sample takers audit - requested by Cervical Screening London

Please complete the questionnaire by 1 December 2025, as requested by Cervical Screening London. This is an annual ask and is vital to provide assurance to participants in the London region in the Cervical Screening Programme that samples will be taken to a high standard by trained and competent sample takers. 

Please send your completed questionnaire back to hsl.csl.cstd@nhs.net.
New case studies: Inclusive approaches to cervical cancer elimination – 

The NHS remains firmly committed to cervical cancer elimination by 2040. As part of this, the national vaccine, screening and primary care teams recently hosted an event focused on increasing uptake and coverage of HPV vaccination and cervical screening, while tackling health inequalities.

We were inspired by the innovative work happening across the country and are pleased to share the following case studies:
  1. engagement with primary care as part of cervical cancer elimination in the south west: Improving awareness and access to HPV vaccination for 16–25 year-olds
  2. inclusive approaches to screening in the north west: Delivering cervical screening through a mobile service to reach underserved communities
  3. toolkits to improve HPV vaccination uptake in the south east: Using tailored toolkits to support local initiatives and drive coverage
If you have examples of good practice you'd like to share, please get in touch at: england.vaccination@nhs.net.
London Ambulance Service's Child Frequent Callers’ programme  

The London Ambulance Service (LAS) launched the ‘Child Frequent Callers’ programme on 3 November 2025, designed to identify under-18s who have frequent contacts with their service. The primary function of this process is safeguarding and improving outcomes for children. LAS will share relevant information with GPs, other health and social care professionals involved in the child’s care in addition to any potential risk to the child.

An information poster (PDF) and referral pathway (PDF) have been developed by LAS. To learn more about the referral process or to share any feedback, please contact londamb.childhighintensityuser@nhs.net.
Update on orthotics referrals in Brent, Ealing and Harrow

From 17 November 2025, LNWH will no longer accept direct GP referrals for orthotics via eRS.  Please refer all patients through the local community MSK service:
  • Brent and Harrow: North West London Community MSK (Cora Health)
  • Ealing: Community MSK, West London Community NHS Trust.
This change ensures patients are assessed and triaged to the right pathway. Referral information is available on the LNWH Orthotics webpage.

Please email urgent enquiries to lnwh-tr.orthoticsadmin@nhs.net.
Current remittance advice update

Due to the implementation of the new NHS ledger system (ISFE2), the current remittance advice’s that are being sent out do not include a description of what payments relate to. Please accept our apologies for this issue and be assured that we are working with SBS to rectify this.

In October, the North West London Single Offer and Local Schemes were paid along with the MOES reconciliation payments for 24/25 for those PCNs without appeals, however if you still do not recognise these values then please contact NHS North West London primary care finance so that we can support you in reconciling the payments received.

Education and training
Lipid management in primary care – recent updates

On behalf of Dr Mohammed Haidar, North West London ICS Clinical Lead for Cardiovascular and Renal Disease, we would like to invite you to the upcoming cardiovascular disease webinar on Wednesday 26 November 2025, 1 - 2pm. 

In this session, we will focus north west London lipid guidelines ensuring alignment with current standards of care, and the associated novel therapies. You will also hear real-life experience from Dr Jai Cegla, Consultant in Metabolic Medicine, Imperial College Healthcare NHS Trust and NHS England clinical advisor. We will also provide an update on the 25/26 QoF, Inclisiran reimbursement changes and medicines management and optimisation, focusing on how these frameworks impact lipid management. You will have the opportunity to put your questions to north west London clinicians in a Q&A chaired by Dr Mohammed Haidar.

Register for the session via Teams events.

Feel free to circulate this invite to other colleagues who may be interested.

For further information and/or to get involved with the series please contact Cath Caldwell.
Chronic pain as a cancer late effect

This one-day course to be held on 20 March 2026 is designed for healthcare professionals who work with adults experiencing chronic pain as a consequence of cancer treatment. The event will explore the complexity of pain as a cancer late effect, combining lived patient experiences, expert perspectives, and practical management strategies.

This is an in-person event held in Bath. Find out more on the poster (PDF) and the programme leaflet (PDF).
Celebrating Care Leavers' Month events

The North West London Health and Social Care Skills Academy amd Dynamic Training have partnered to organise sessions to explore how health and care providers can better support care‑experienced individuals into employment.
  • Trauma‑Informed Training for Employers Working with Care - Friday 21 November 2025, 11.30am – 12:30pm
  • Practical Strategies for Maximising Care Leaver Success - Thursday 27 November 2025, 11am – 12pm.
The poster (PDF) contains booking details.