Issue 172
Newsletter July 2022
BEST Events – Held @ Shaw Lane Sports Club, Barnsley
For further information the BEST Portal Website can be accessed at http://best.barnsleyccg.nhs.uk/
Medicines Management
Shared care and Amber-G guidelines can be found at the following link: http://best.barnsleyccg.nhs.uk/clinical-support/medicines/shared-care-guidelines/ An overview of Shared Care guidelines, including the Principles of Shared Care is available to read here.
Prescribers (including secondary care clinicians) are encouraged to report any problems they experience with shared care or other medicines related issue, particularly where guidelines are not being complied with, to the following email address: BarnsleyAPCReport@nhs.net.
With secondary care opening up activity and undertaking remote consultations, it has been reported that there has been increased pressure in primary care to undertake things they wouldn’t normally. Due to this, the APC reporting has been temporarily expanded to capture any issues and these can be fed into the APC. The hospitals need this information so that issues can be addressed.
Practices can now report any interface issues they have, as much as possible, via Barnsley LMC, which will then be submitted to the hospitals.
A list of Prescribing Guidelines is available to view here.
The Barnsley Area Joint Formulary is available to view here.
Medicines Management monthly Newsletters are available to view here.
Workload Shift
Barnsley LMC would like to remind all practices it is important that we receive examples of any workload shift. Please provide examples of workload shift to barnsley.lmc@nhs.net in order that these can be taken to the meeting with Secondary Care.
NHS South Yorkshire Integrated Care Board (ICB)
Following several years of locally led development, recommendations from NHS England and NHS Improvement and Royal Assent of the Health and Care Act (2022), in the coming week on 1st July 2022, 42 ICSs will be established across England on a statutory basis, including our own South Yorkshire Integrated Care System.
Integrated Care Systems (ICSs) are partnerships of organisations that come together to plan and deliver joined up health and care services, and to improve the lives of people who live and work in their area.
Each ICS includes:
- an Integrated Care Partnership (ICP) – a statutory committee jointly formed between the NHS Integrated Care Board and all upper-tier local authorities that fall within the ICS area. The ICP will bring together a broad alliance of partners concerned with improving the care, health and wellbeing of the population. The ICP is responsible for producing an integrated care strategy on how to meet the health and wellbeing needs of the population in the ICS area.
- an Integrated Care Board (ICB) – a statutory NHS organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the ICS area. When ICBs are legally established, clinical commissioning groups (CCGs) will be abolished. Our ICB is called NHS South Yorkshire.
- within each ICS, place-based partnerships will lead the detailed design and delivery of integrated services across their localities and neighbourhoods. The partnerships will involve the NHS, local councils, community and voluntary organisations, local residents, people who use services, their carers and representatives and other community partners with a role in supporting the health and wellbeing of the population.
- provider collaboratives and alliances will bring providers together to achieve the benefits of working at scale across multiple places and one or more ICSs, to improve quality, efficiency and outcomes and address unwarranted variation and inequalities in access and experience across different providers.
The purpose of ICSs is to bring partner organisations together to:
- improve outcomes in population health and healthcare
- tackle inequalities in outcomes, experience and access
- enhance productivity and value for money
- help the NHS support broader social and economic development.
Over the past few months partners in South Yorkshire have been working together to build on all the exceptional partnership working that has taken place in our area for many years, and develop an ICB, an ICP, place based partnerships and provider collaboratives and alliances that are ready for 1st July 2022.
The first meeting of the Integrated Care Board will take place in public on 1st July 2022 and a recording of the meeting and details of how to view it will also be posted in due course on https://syics.co.uk/about/meetings-and-minutes.
You can find the papers for this meeting and the link for the live stream on the ICS website https://syics.co.uk/about/meetings-and-minutes they have been here from Friday 24th June.
From 1st July a new ICB website will be launched https://southyorkshire.icb.nhs.uk/. On the website you will find the constitution for the ICB and information about our Executives, Non-Executives and Partner Members, as well as our governance arrangements and mechanisms and our organisational priorities.
- an Integrated Care Partnership (ICP) – a statutory committee jointly formed between the NHS Integrated Care Board and all upper-tier local authorities that fall within the ICS area. The ICP will bring together a broad alliance of partners concerned with improving the care, health and wellbeing of the population. The ICP is responsible for producing an integrated care strategy on how to meet the health and wellbeing needs of the population in the ICS area.
- an Integrated Care Board (ICB) – a statutory NHS organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the ICS area. When ICBs are legally established, clinical commissioning groups (CCGs) will be abolished. Our ICB is called NHS South Yorkshire.
- within each ICS, place-based partnerships will lead the detailed design and delivery of integrated services across their localities and neighbourhoods. The partnerships will involve the NHS, local councils, community and voluntary organisations, local residents, people who use services, their carers and representatives and other community partners with a role in supporting the health and wellbeing of the population.
- provider collaboratives and alliances will bring providers together to achieve the benefits of working at scale across multiple places and one or more ICSs, to improve quality, efficiency and outcomes and address unwarranted variation and inequalities in access and experience across different providers.
The purpose of ICSs is to bring partner organisations together to:
- improve outcomes in population health and healthcare
- tackle inequalities in outcomes, experience and access
- enhance productivity and value for money
- help the NHS support broader social and economic development.
Over the past few months partners in South Yorkshire have been working together to build on all the exceptional partnership working that has taken place in our area for many years, and develop an ICB, an ICP, place based partnerships and provider collaboratives and alliances that are ready for 1st July 2022.
The first meeting of the Integrated Care Board will take place in public on 1st July 2022 and a recording of the meeting and details of how to view it will also be posted in due course on https://syics.co.uk/about/meetings-and-minutes.
You can find the papers for this meeting and the link for the live stream on the ICS website https://syics.co.uk/about/meetings-and-minutes they have been here from Friday 24th June.
From 1st July a new ICB website will be launched https://southyorkshire.icb.nhs.uk/. On the website you will find the constitution for the ICB and information about our Executives, Non-Executives and Partner Members, as well as our governance arrangements and mechanisms and our organisational priorities.
IPC Guidance
Barnsley LMC are advising that practices should not be signing up to any new contracts but to wait until primary care guidance has been issued. Practices should not start looking for different services or going to different suppliers/cleaners until we actually get primary care based guidance.
D1 issue: Email Address to Request Clean Copies
We have now been advised that clean copies of D1s should be requested from BHNFT using the email address bdg-tr.formsupport@nhs.net instead of bhnft.clinicalsystems@nhs.net (requests already sent to this email address will be dealt with and do not need to be resent). This is to assist in managing the requests. We have been advised that practices have been emailed directly regarding this.
Please can you continue to also copy in barnsleyapcreport@nhs.net.
We have been advised that the issue was caused by an upgrade at the beginning of last week, this has been escalated to the system supplier.
Covid-19 Vaccines
NHS England’s Letter Includes Next Steps for COVID-19 Routine Vaccination and Work to Develop a Future Vaccination and Immunisation Strategy.
It requests that systems develop plans to deliver autumn COVID-19 vaccinations subject to final Joint Committee on Vaccination and Immunisation advice. A spring booster toolkit is available from FutureNHS. More….
Treating the Longest Waiters
The NHS elective recovery plan, published earlier this year, set out how the health service would address COVID-19 backlogs in treatment, initially focusing on the longest waiters.
People who are still on the waiting list are being asked whether they would be prepared to travel for treatment in the coming weeks. Travel and accommodation costs are available for patients where appropriate. More….
Digital Revolution to Reduce Backlogs and Deliver More Tailored Care
This plan sets out the government’s ambitious vision for transforming health and care with digital technology – which give patients access to quicker and more effective care.
Mental Health Support for People in Crisis
Patients will benefit from new mental health ambulances and improvements to crisis care.
A £150 million investment over the next three years will bolster NHS mental health services, better support people in crisis outside of A&E and enhance patient safety in mental health units. These were all recommendations from Professor Sir Simon Wessely’s independent review of the Mental Health Act which will now be implemented. More……
Fit Note Update
From 1 July, new legislation comes into force which allows nurses, occupational therapists, pharmacists, and physiotherapists to legally certify fit notes, in addition to doctors. To support this, the government has published guidance to help individuals and employers identify the knowledge, skills and experience required to certify fit notes. A new training package is also available and should be completed before taking up this task – this is freely accessible for all healthcare professionals. There is a rollout period from today where GP IT systems will be updated to reflect the change.
Letter from GP for Travel with Medication
It has been brought to our attention that some airlines are advising travellers bringing medication in their hand luggage, should bring a letter from their medical practitioner confirming the type of medication and what it is for. The issue will be raised with the airline, but in the meantime, we would remind practices that patients can print off their medical record from the NHS app, or alternatively, practices are able to charge for travel-related requests for information
GP Pension Scheme Changes
The recent soaring rate of inflation will have significant tax implications for some GPs’ pensions. This applies to those who are active members of the scheme contributing at any point in current 2022/23 tax year, as there could be substantial Annual Allowance charges, when such charges become due, depending on accounting / pensions administration. The Pensions Committee of the British Medical Association (BMA) has launched a CPI modeller CPI modeller for GP pension scheme (bma.org.uk) for the GP pension scheme for GPs to look at their pension growth in 2022/23 and 2023/24 tax years, and to explain the problems with poor design of the Annual Allowance and how it will interact with the 1995/2015 GP pension scheme, and Annual Allowance taxation. It is important that GPs urgently take steps to at least understand their position and the potential impact this may have on future Annual Allowance charges.
LMC Buying Group
Barnsley LMC has been a member of the LMC Buying Groups Federation since 2013. This means that practices can access the discounts the Buying Group has negotiated on a wide range of products and services. If you’re not sure what the Buying Group is all about then this short video explains what they do: https://www.youtube.com/watch?v=FekMwFI5ILg.
By registering with the Buying Group: www.lmcbuyinggroups.co.uk/members/, you can view all the suppliers’ pricing, contact details and request quotes. The Buying Group also offers any member practice a free cost analysis which demonstrates how much money your practice could save just by swapping to buying group suppliers. Tel: 0115 979 6910 Email: info@lmcbuyinggroups.co.uk Website: www.lmcbuyinggroups.co.uk