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Contents
New To Practice Fellowships
Devon Training Hub - Our Offer to Primary Care Networks
TRAINING AND LEARNING OPPORTUNITIES
Non-Medical Prescribing Courses - BOOK NOW!
NEW COURSES - BOOK NOW
HEE Learning Pathway
Diabetes Virtual Meetings with Astra Zeneca
EVENTS
Video - General Practice Nurses' Involvement in Primary Care Networks
Volunteers' Week
Breastfeeding Celebration Week
Nightingale Hospital Exeter - Webinar
TEST AND TRACE
Test and Trace
Test and Trace - Potential Scam
COVID-19 UPDATES
COVID-19 Bulletin
HSE Coronavirus Update
Wearing a Mask - Dos and Don'ts
Updated Shielding Guidance
HEE Guidance - First Aid During the Outbreak
RESOURCES
NHS Health at Home Campaign
Devon Local Councils Helpline
Principles of Safe Video Consulting
myAsthma App
Devon Family Resource Advice Line
GET INVOLVED!
Nominate a Covid Hero
Why not like our facebook page where all the news happens on a daily basis, keep up to date with the latest guidance as we receive it daily. We also post regularly to our Twitter feed and our LinkedIn pages. Please do tweet, re-tweet, share, post, place hashtags and comment on our pages!
This week at the Training Hub...
This week at Devon Training Hub we have we working on improving and expanding our digital education offers to you with new courses coming on line almost daily as we work with our regular educators to move traditional F2F learning onto digital platforms. This is all new to us and we as always welcome any feedback and ideas of how our systems can be improved. In particular we have a new online course on Summarising Medical Notes which we hope will be of value to your teams.
The ‘new normal’ for us as for everyone else is starting to emerge and obviously this will be everything digital and online for the foreseeable future. The team are all working from home and we are all fairly used to this now although missing the day to day interaction that makes us all so happy to be working for Devon Training Hub.
With many of the projects we are working on we are waiting for national guidelines to come through as to how they should work in the new normal, for example Clinical Supervision will now be based on a digital network rather than F2F supervision. I hope that we will have news on this soon. Local Forums will also resume soon in digital format.
Video Group Consultations (VGCs) have been on hold for a few weeks due to an indemnity issue which has now been solved by NHSE/I. Here in Devon we will have some dates issued next week for all practices to book onto Local Briefing Sessions, in the first couple of weeks of July, these will be followed by the training itself delivered by the ELC team and in the Autumn when you have all completed the training and started to implement VGCs into your clinics we will arrange some follow ups to capture and share learning and pick up any issues. Finalised dates will be in our newsletter next week.
Our preceptorship programmes are continuing on line also which we hope will have been helpful for the practices that have these nurses as they learn new skills which will embed them into their practice teams.
Finally, if you have or are an HCA who is interested in upskilling to be a Nursing Associate, please contact me for more information: lucywood1@nhs.net
Wishing you all a restful weekend,
Lucy Wood RN
Education Delivery Team Lead
Devon Training Hub
If there is anything that your organisation is doing that you would like to share with others please drop us a line! devon.traininghub@nhs.net.
Best wishes,
The Devon Training Hub Team
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New To Practice Fellowships
Dear PCNs and Practices,
As you will no doubt have heard, NHSE&I are introducing a fully funded Fellowship offer for GPs and Nurses who are new to General Practice. Devon Training Hub is co-ordinating this offer across Devon and we are pleased to be able to now provide you with details of the offer for the first tranche of these fellowships. From a PCN / Practice point of view there are 3 points for you to consider:
- If you have a GP or nurse new to general practice
If you have any GP or Nurse who is working for you who qualified since November 2018 and you are interested in them taking up one of these fully funded fellowship positions, please can you send your expression of interest giving details to andy.smallshaw@nhs.net by 30th June 2020. You will see from the document that places are limited at this moment in time, so once the closing date has passed, we will be back in touch to let you know the next steps.
- If you are looking to employ a newly qualified GP or nurse
This offer is also being circulated out HEIs and Medical Schools to allow students who are about to qualify and who are interested in working in Primary Care the opportunity to apply. We will gather their details in a database and we are therefore keen to hear from your PCN / Practice if you are looking to employ a student and we can then put you in contact with these students for your to commence your recruitment process. Obviously, the eligibility criteria for the fellowship requires participants to ‘hold, or be about to hold, a substantive salaried or partnership contract in Primary Care and must be working to provide primary medical services’ and so they will only be able to commence the fellowship once they meet these criteria.
- If you are a newly qualified GP or Nurse
If you are a newly qualified GP or Nurse, having qualified since November 2018, currently working in Primary Care and you are interested in this Fellowship offer, please contact your Practice Manager to discuss your interest and the possibility of them submitting an expression of interest as required.
Please click here to see the document that we have produced giving details of the Fellowship offer. Hopefully you will find all the information that you require on there, but if you have any questions, please feel free to contact me.
Kind regards,
Andy
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Devon Training Hub
Our Offer to Primary Care Networks
Devon Training Hub (DTH) was established in 2016 to provide accessible and affordable, coherent and comprehensive, locally managed but centrally assured educational governance eventually encompassing all training and education in Primary Care.
In 2019 Devon GP Practices came together to create 31 Primary Care Networks (PCNs).
Our Devon PCNs range in size from 21,000 to 61,000 patients and may comprise anything from a single up to a 7 practice PCN . They are a diverse mix of urban, rural or a mix of both.
All of the PCNs are at different stages in their development and have different needs.
Devon Training Hub can help to support your PCN’s development, bringing together an offer that is both comprehensive , cohesive, accessible and local .
This is your Devon Training Hub …. here for you.
Click here to read our complete Offer Document
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TRAINING AND LEARNING OPPORTUNITIES
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REMINDER
Important Course Update
Non-Medical Prescribing
Our presentation of the popular Non-Medical Prescribing courses are being updated to reflect the ongoing Coronavirus concerns. We are now hosting these as webinars!
Please see below for the changes to the programme:
- Wednesday 8th July 2020 - 13:30 to 16:00 - Non-Medical Prescribing Webinar BOOK NOW
- Thursday 9th July 2020 - 13:30 to 16:00 - Non-Medical Prescribing Webinar BOOK NOW
- Friday 10th July 2020 - 13:00 - 14:00 - BONUS MATERIAL! - Non-Medical Prescribing; Covid-19 Conundrums BOOK NOW
- Wednesday 15th July 2020 - 16:00 - 17:00 - BONUS MATERIAL! - Renal Function and Prescribing BOOK NOW
If you are already booked on a course you will have received an email from us describing how to rebook to take advantage of all the material we have to offer.
As always if you have any queries please email us: devon.traininghub@nhs.net.
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UPDATE
More Online Courses!!!
Devon Training Hub is delighted to advise that there are more courses available that make use of online platforms to share presentations and collaborate to support group learning.
We will send you the meeting details and our experienced trainers will lead the online forums on the dates below.
Visit www.devontraininghub.co.uk to secure your place!
New Courses: More New Courses!
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New Learning Pathway for Health and Care Professionals
Health Education England e-Learning for Healthcare (HEE e-LfH) has recently added a new learning pathway for nurses, midwives and all other health and care professionals with a supervisory role.
The ‘Support for supervisors’ pathway includes resources to help health and care supervisors give effective feedback and support to their teams during the pandemic.
Please share the pathway details and URL with your practice learning colleagues and partners: https://portal.e-lfh.org.uk/Component/Details/641899.
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Managing Type 2 Diabetes
National Virtual Meetings Series - June 2020
AstraZeneca is aware of how challenging the current situation is for everyone and that attending educational meetings face-to-face is continuing to be extremely difficult during this time.
The ongoing-COVID-19 pandemic is impacting the NHS in this unprecedented time and AstraZeneca have worked with a number of national key opinion leaders in diabetes to develop a virtual series of UK national educational meetings focussing on managing Type 2 Diabetes.
Listed below are virtual promotional meetings that are 1 hour in duration each. If you would like to attend, please register by clicking on the buttons below.
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Dr Debbie Hicks - Nurse Consultant, London "Working differently: Getting the most out of remote consultations for Diabetes during the COVID-19 pandemic" 10th June 2020 | 12:30 - 13:30
Click here to book |
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Dr Klaus Witte - Consultant Cardiologist, Leeds "Heart Failure and Type 2 Diabetes - What is the connection?" 12th June 2020 | 12:30 - 13:30
Click here to book |
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Professor Mark Kearney - Professor of CV and Research, Leeds "The Burden of Heart Failure in Type 2 Diabetes" 17th June 2020 | 19:00 - 20:00
Click here to book |
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Dr Naresh Kanumilli - GPwSI, Manchester "Managing Cardiovascular Risk: Evidence in to Primary Care" 25th June 2020 | 12:30 - 13:30
Click here to book |
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Dr Marc Evans - Consultant Diabetologist, Cardiff "Delivering value beyond glycaemic control in Type 2 Diabetes" 30th June 2020 | 12:30 - 13:30
Click here to book |
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These educational meetings by AstraZeneca will contain promotional content. Meetings are non-transferable to any other roles, and are intended for the recipient only. Please do not forward.
If you have any questions or would like any additional information, please do not hesitate to contact your nearest AstraZeneca representative.
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General Practice Nurse Involvement
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From Simon Tapley
Accountable officer, NHS Devon Clinical Commissioning Group
"This week is National Volunteer Week, so I want to recognise and acknowledge the thousands of people in Devon who during the coronavirus (COVID-19) pandemic lent a hand to help other people. There has been an incredible showing of community spirit and support over the last few months, and this will help us as we start on our road to restore services.
"NHS Volunteer Responders are ready to provide vital support to the NHS and allow people to self-refer in for support. If you know someone who may be vulnerable and/or at risk and needs help with shopping, prescription pick-up or a 'Check in and Chat', they can call 0800 196 3646."
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Breastfeeding Celebration Week
Breastfeeding Celebration Week is underway! it started on 01 June and will finish on Sunday -7 June 2020.
The aim has been to support breastfeeding through Covid-19.
Start 4 Life - Breastfeeding Week resources
The national Start 4 Life campaign has a range of useful help, advice and support available on its website.
Do you have suspected or confirmed coronavirus and are wondering if you can breastfeed?
Find out the latest advice from The Breastfeeding Network UK and The Royal College of Obstetricians and Gynaecologists
National Breastfeeding Helpline
Open as usual from 9.30am-9.30pm 7 days a week on 0300 100 0212, or you can access web chat here www.nationalbreastfeedinghelpline.org.uk
Amazon Alexa
For further support, try Breastfeeding Friend on Amazon Alexa.
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Nightingale Webinar to be held
Next Wednesday
Staff are invited to hear the latest Nightingale updates including the build and staffing arrangements at the third live webinar on Wednesday 10 June. Devon’s chief executive overseeing the development of the project, Phillipa Slinger, the Nightingale’s chief nurse, Sarah James, and medical director, Dr Rob Dyer, will provide the latest developments in a live broadcast from 1pm – 2pm.
Staff are encouraged to ask questions during the meeting or submit them in advance. To join the meeting, staff must pre-register by email. Attendance is first come, first served. A recording will be published after the event.
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Be alert to Test and Trace - Potential Scam
People are being advised to be on the lookout for possible scams related to the Test and Trace service, which launched on the 28 May to help control the Covid-19 virus. There may be attempts scammers to try to use the same methods as the Test and Trace to obtain personal information.
People will be alerted by the NHS Test and Trace service if they have been in close contact with someone who has tested positive for coronavirus.
Contact tracers will:
- call from 0300 013 5000
- send text messages from ‘NHS’
- ask people to sign into the NHS test and trace contact-tracing website
- ask for full name and date of birth to confirm identity, and postcode to offer support while self-isolating
- ask about the coronavirus symptoms
- ask people to provide the name, telephone number and/or email address of anyone they have had close contact with in the 2 days prior to symptoms starting
- ask if anyone they have been in contact with is under 18 or lives outside of England
They will not ask:
- for bank details, or payments
- for details of any other accounts, such as social media
- set up a password or PIN number over the phone
- to call a premium rate number, such as those starting 09 or 087
Further information about the scam from www.which.co.uk.
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Antibody testing in primary care
While NHS England has launched antibody testing across the country last week, the laboratory arrangements locally for the testing to take place in primary care is still being co-ordinated so that there is access across all four of our localities.
Plans are being developed to ensure that all staff (who wish to be tested) will be able to be tested within the next 6 weeks. Practices will have been contacted to gain an understanding of demand. We are awaiting further detailed national guidance on antibody testing, but it’s likely that staff testing will be prioritised.
If you have been contacted by your local laboratory and are able to request antibody test for patients through your usual blood requests, please continue to do so, otherwise we hope to have an update from all four trusts, along with guidance on patient testing and the process for staff testing shortly.
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Webinar : Virtual prescribing forum (primarily for PCN and practice-based pharmacists).
Tuesday 9 June 12.00 – 13.00
The CCG medicines optimisation team will hold their second COVID-19 prescribing forum, virtually, on Tuesday 9 June at 12 noon.
The finalised agenda can be found here . If you have questions related to the agenda items, please submit these prior to the event, where possible, to give the presenters opportunity to weave the answers into their discussion. Please contact the team via D-CCG.medicinesoptimisation@nhs.net.
In order to join the webinar please click here. Please note, this meeting is open to anyone with an interest in pharmacy and prescribing, this includes, those who are not pharmacy professionals (e.g. practice managers and GPs), or any pharmacy professional not working in primary care.
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New eConsult questionnaires for long term conditions
AsthmaThe following review questionnaires are now available via eConsult, and practices can send out bulk messages to patients with links to them:
- Diabetes
- Hypertension (high blood pressure)
- COPD
- Thyroid
- Contraceptive pill
In order to invite a patient to complete the eConsult review, you will need to include a link to your review page or to the specific condition review questionnaire. eConsult have a complete guide on how to do this here including pre-written text messages to send to patients, which you can do via your usual bulk messaging system - just include the relevant link for each patient group.
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eConsult video guide for patients now available
For social media and website channels, the YouTube video link is here. A new video has been released that explains what eConsult is, how it works, and some of the key features and benefits. Practices can add this video to their practice website, share it on social media channels and with PPGs.
If you have any questions or queries, please email: marketing@webgp.com
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Diagnosing type 1 diabetes in children and young people
Attached here is a letter from Dr Nick West, Co-Chair South West children and young people diabetes network, Consultant Paediatrician at Great Western Hospital, which sets out concerns where type 1 diabetes symptoms could be confused with COVID-19 and result in subsequent delays in presentations and referrals.
NHS England issues mental health advice for children going back to school
NHS England’s is urging parents to be alert to signs that children could be experiencing anxiety, distress or low mood as some pupils return to school this week. NHS mental health services remain available for children and young people. and NHS England are working in partnership with schools and other services to support children and their families.
Parents can also take simple steps to help children who might be struggling to deal with the loneliness and uncertainty of lockdown or fears about returning to school. For more information, links and guidance click here.
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HSE has published a range of guidance, which you may find useful.
It includes information on:
For all the latest information and advice visit our coronavirus microsite.
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Wearing a Mask - the Dos and Don'ts
The latest Bulletin from the Community Infection Prevention and Control Team for General Practice focuses on ‘Wearing a mask: Dos and don’ts – Personal protective equipment’.
We would be grateful if you would share this information with colleagues as appropriate.
Please follow this link to view the bulletin:
https://www.infectionpreventioncontrol.co.uk/news/ipc-bulletin-for-gp-practice-staff/
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Updated Shielding Guidance for
Clinically Vulnerable People
You will have seen that on 31 May 2020, the Government has updated its guidance for people who are clinically extremely vulnerable to COVID-19 and have been advised to shield. The update from Government comes into effect from 1 June 2020. In summary the changes are:
· The advice for people identified as clinically extremely vulnerable is that they should continue to shield until at least the 30 June but from 1 June, they can spend a short period of time outdoors each day with members of their household, still maintaining 2 metre distance from others.
· If the shielded person lives alone, the Government is advising they can meet one other person from a different household, maintaining strict social distancing. The advice is that this be the same person each time.
· Important aspects of Government’s policy and guidance remain the same. Apart from going outside once per day, a shielded person should continue to avoid all non-essential face to face contact. This means they should still not go shopping or to pharmacies.
· The support for shielded people remains in place and unchanged.
The Government has also confirmed that it will be reviewing shielding guidance alongside wider changes to social distancing, including plans to write to those on the shielding patients list with information about next steps on shielding after the next review on 15 June 2020.
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First Aid During The Outbreak
Make sure you are aware of first aid requirements during the coronavirus outbreak...
Our guidance on first aid in non-healthcare settings will help employers ensure first aiders are confident that they can help someone injured or ill at work during the outbreak.
If first aid cover for your business is reduced because of coronavirus, or you can’t get the first aid training you need, there are some things you can do to ensure you still comply with the law.
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NHS Health at Home Campaign
New Messaging and Assets
Our NHS colleagues have created the Health at Home campaign www.nhs.uk/health-at-home that signposts the public to the information they need to contact their GP, order repeat prescriptions, manage their wellbeing and existing conditions – without having to leave home.
Resources can be downloaded here and include:
- A toolkit of newsletter and website copy.
- Social media posts and social media assets.
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Don't worry, help is at hand
If you're feeling isolated, struggling to get help and support, or are in financial difficulty as a result of coronavirus then you can contact your local district council.
You can also call them to raise concerns about someone in your community who you think needs help.
Visit devon.cc/help for your local district council helpline. Together #WeAreDevon
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Principles of Safe Video Consulting
in General Practice During COVID-19
New guidance aimed at NHS general practice staff who are consulting via video with patients at home has been published. Supported by the Royal College of General Practitioners and other key stakeholders as part of the guideline development group, it includes the key principles for safely assessing patients using a video consultation.
The guidance is split into two sections; the first section covers general information for staff such as information governance, medico-legal and consent. Section two outlines guidance for remote examinations including intimate examination and a practical step-by-step guide to starting a remote video consultation.
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Asthma is the perfect condition for digitally enabled care, and the NHS approved app myAsthma, from my mhealth, provides a great vehicle for delivering this. A report published by Asthma UK [1] recommended the following specifically for Primary Care Networks:
- Health professionals should continue to invest, adopt, and embrace digital platforms that allow for asthma reviews to be conducted remotely
- Ensure that every patient with asthma has a digital copy of their personalised asthma action plan available and is updated at each review
- Every PCN should each appoint a respiratory lead to drive improvements in services for people with asthma
myAsthma enables you to manage your patient effectively and remotely by providing everything you need for delivering the annual review remotely and more efficiently. myAsthma provides patients with:
- Digital Asthma Action Plans
- Evidence based inhaler instruction (correcting over 70% of inhaler errors)
- Medication diary to improve compliance and highlight those using their reviler inhaler more than x 3 per week
- Remote Asthma Control Test™ (ACT) delivered every 4 weeks with feedback regarding asthma control
- An individualised set of education videos
- Local pollen and air pollution reporting
And much more …………………
If you, or one of your team are interested in using myAsthma to deliver your Asthma care remotely then please contact us at info@mymhealth.com to arrange a demonstration from our friendly customer support team.
For more information visit our website https://mymhealth.com
Ref: [1] Digital asthma: re-imagining primary care - https://www.asthma.org.uk/support-us/campaigns/publications/digital-asthma/
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Devon Family Resource
Advice Line Launched
Exeter Community Initiatives will be launching a new phone advice line for parents and carers across Devon on Monday 1 June. The number for the new service is 01392 949059 and it will be staffed from 10 – 2pm Monday to Friday.
People will be able to leave a message outside of these hours, or when the operators are all busy. It will offer advice on a specific issue around their children and their family relationships, including any communication issues or conflict they are having with their partners or co-parents of their children. For more information click here
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Does someone you know deserve an honour?
You can nominate someone who lives in the UK for a national honour for their contribution to the response to the coronavirus (COVID-19) pandemic.
They might be a frontline worker, or someone providing care to a vulnerable person. Or they could be someone you know who is volunteering in the community to help and support vulnerable people. Or someone who has come up with a clever way to help people, or gone to enormous lengths to keep critical services going.
It's your choice. You just need to give the nominee's name, contact details, their role, and a bit of information about what a difference that person has made.
There's a form online to submit your nomination, and you email it to covid-19nominations@cabinetoffice.gov.uk
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Happy to help.
If you need any help with the website, courses which have not been advertised or just want some advice please do not hesitate to contact a member of the team. We look forward to speaking with you. Best Wishes
Lucy,Julie, Tracey, Kathy, Summer, Vix, Andy and Paddy
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5th June 2020 - Newsletter
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