Health and care providers from all sectors have shared examples with CQC showing how they have innovated and adapted working practices to respond to the challenges of dealing with coronavirus (COVID-19).
The short examples, from small home care agencies to large acute hospitals, are also a celebration of the dedication and resourcefulness of health and care providers and staff.
We would like to thank everyone who has shared their examples with us - we were overwhelmed with the response. We'll be updating the case studies regularly, so please do continue to share your examples with us by email.
The Government has announced that antibody tests will be available to NHS and care staff, eligible patients and care residents in England to see if they have had coronavirus as part of a new national antibody testing programme.
Tests will be prioritised for NHS and care staff, and clinicians will be able to request them for patients and people using services in both hospital and social care settings if they deem it appropriate.
General Practice Nurse involvement in Primary Care Networks animation https://vimeo.com/423548275 . It has been produced as part of the GPN 10 PP to promote PCNs to support population health management and has been adapted to respond to COVID 19 to make it relevant.
Diagnostic Imaging in NW London
Please see the full document HERE
Health Help Now app to be decommissioned from end of June 2020
NHS North West London CCGs have decided to decommission the Health Help Now app with effect from the end of June 2020. The decision follows engagement with stakeholders and an equality and health inequalities analysis screening exercise.
To see the full document please click HERE
Please see Healthwatch information HERE
Advice from Asthma UK for parents of children with asthma
Asthma UK has updated a page on their website advising parents how they can prepare their children for going back to school - and including tips to cut the risk of them having an asthma attack.
They have also published a blog by Dr Louise Fleming from the Royal Brompton Hospital about children, asthma and the risk of Covid-19, which you can read here
Update on Coronavirus (COVID-19) for North West London
Briefing for primary care regarding Covid-19: correct as of 4.6.2020
Please find below the latest GP update regarding Covid-19.
You can view the North West London password-protected GP extranet homepage using the details below.
As always, you are advised to review the full list of Covid-19-related service changes on a regular basis, to ensure you have not missed any notices.
The power of practice nursing podcasts https://soundcloud.com/user-95072702-837482268/the-power-of-practice-nursing-the-future-of-general-practice-nursing-in-london-part-2 this will soon be available on the London Health Podcast on Spotify and Apple Podcasts.
Link on antibody tests to health and social care staff and patients in England https://www.gov.uk/government/news/government-to-offer-antibody-tests-to-health-and-social-care-staff-and-patients-in-england
NW London GP Quick reference guide to EOL services
ACTION: Print out and keep NW London GP Quick Reference Guide to EOL services (and share feedback using the details below)
Attached (or via the link) you will find an updated version of NW London GP Quick Reference Guide to EOL services which you are encouraged to print out so you have easy access to the document as needed.
This NW London guide is intended to support GPs and other community services (including NHS111 OOH GPs) to:
- Give a quick overview of the generalist and specialist palliative and end of life care services in each of the boroughs
- Show services hours of operation (in hours and out of hours)
- Provide the most direct telephone numbers to facilitate direct contact for expert medical advice 24/7
- Show the level of medical advice within each services (i.e. CNS or consultant)
- Strengthen the use of the local arrangements already in place.
You will see on the last page of the document, GPs and clinicians are invited to email michelle.scaife@nhs and email@example.com with their feedback about the ease of use of the guide, as well as their experience of using the telephone numbers provided and suggestions of how this tool can be improved in future iterations.
RCN suggested resources to inform risk assessments for the delivery of services in non-clinical settings. The guidance is in the Primary and Community Care folder on the web page https://www.rcn.org.uk/clinical-topics/infection-prevention-and-control/novel-coronavirus
Latest guidance on safety in remote consultations https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0479-principles-of-safe-video-consulting-in-general-practice-updated-29-may.pdf
Shielded patient radar go-live
ACTION: View the Shielded Patient Radar on the WSIC dashboard
The Shielded Patient Radar is now live on the Whole Systems Integrated Care (WSIC) dashboard. A further set of Covid-19 Dashboards are also now available.
A demonstration video is available on YouTube here.
Questions or feedback can be sent to: firstname.lastname@example.org
ACTION: Note the message in full
You will have seen that the Government has updated the 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 today. 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 2m 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.
15/06/2020 H&F Non Urgent & Urgent District Nursing Team Phones: Monday-Friday 8.00am to 4.00pm; Out of Hours = Senior Nurse via 111 (see also: Community Matron contact details for Monday to Friday only)
The Learning Hub is a digital platform that provides easy
access to a wide range of education and training resources
for the health and care workforce, enabling users to
contribute, search for and access resources.
The Learning Hub is in Beta phase and new features will be
frequently released. It is important that the platform
continues to meet your needs - you can provide feedback to
help improve it.
The Learning Hub and the e-Learning for Healthcare (e-LfH)
Hub are two standalone, but complementary, platforms
however, if you have an eligible e-LfH Hub account you can
sign in to the Learning Hub using those details.
For more information click HERE
Restoration of Cervical Screening Invitations for full document please click HERE
Please see copy of COVID-19 restoration of community health services for children and young people: second phase of NHS response. This document supersedes the prioritisation guidance for community health services first published on 20 March and subsequently updated on 2 April and has been welcomed as it prioritises the role of health visitors as an essential part of the country’s support structure for children and their parents during this public health pandemic.
Sir Simon Stevens’ letter to the NHS 29.04.2020 asked primary care to: “proactively contact all those in the ‘shielding’ cohort of patients who are clinically extremely vulnerable to Covid19, ensure they know how to access care, are receiving their medications, and provide safe home visiting wherever clinically necessary.”
To support this, NW London has developed a recommended clinical protocol for General Practice and Primary Care Networks to apply to their shielded population. There are two documents attached:
- A full protocol, which includes a detailed look at the protocol with recommended actions for GPs and Social Prescribers, and a clinical toolkit with wide range of resources and guidance.
- A summary protocol outlining the key actions for GPs to take with shielded patients.
- It is a recommended minimum standard of care for shielded patients, but areas that are already going above and beyond this should continue
Alongside the Protocol, WSIC has produced a new Shielded Patient Radar, freely available to all practices. It will:
- Provide a cleaned weekly update of patients on the shielded list
- Allow practices/PCNs to check the needs of patients on the shielded patients list
- Provide an update of the care plan status of shielded patients.
North West London Paediatric Telephone Advice and Guidance for GPs and Primary Care during Covid-19
ACTION: Print the document available here and reference as needed
Local Paediatrician advice lines are provided below; these lines are designed to enable clinical discussion between all primary care professionals and a local on-call Paediatrician. These advice lines will enable quality out-of-hospital care through sharing of specialist knowledge where clinically safe children can be cared for within the community.
The HHP (Homeless Health Project) is a health
project commissioned by LBHF which aims to
improve the access to healthcare and reduce
the health inequalities of people experiencing
homelessness across Hammersmith and
Fulham. This includes rough sleepers, people
living in supported accommodation and those
who may be at risk of homelessness.
To view more information please click HERE
To download document please click HERE
Paediatrics for Primary Care
COVID question number 6 - What is hyperinflammatory syndrome and how do I recognise it?
National Health Supporters is a directory for known networks of students across the country assisting staff with their needs. The aim is for students to help alleviate pressures on staff including, but not exclusive to: babysitting; grocery shopping; and pet sitting.
"Pharmacist Support is an independent, trusted charity providing a wide variety of support services to pharmacists and their families, former pharmacists and pharmacy students. We listen, without judgement, and compassionately encourage and empower people to create positive change"
To view website click HERE
TO download document please click HERE
As part of efforts to respond to the Coronavirus outbreak, we would like to reassure healthcare professionals and others working in the NHS in England about the position in relation to indemnity for clinical negligence incidents. The Clinical Negligence Scheme for General Practice (CNSGP) provides indemnity for GPs and others working in NHS general practice. NHS Resolution administers both schemes and more details can be found at resolution.nhs.uk.
Please see attached tripartite indemnity letter, circulated by NHSE/I for further information
BMA toolkit for GPs and practices on a range of topics
The toolkit covers a range of topics including; home visits and care homes, working in hubs and furlough, dispensing and medications, locum doctors, Primary Care Networks and has links to updated guidance on returning doctors, IT, homeworking and remote consultations.
The toolkit can be accessed here
For information on how HEE is supporting nursing and midwifery around the Covid-19 pandemic click HERE
The Government has amended the Misuse of Drugs Regulations 2001 (MDR), providing Ministers with emergency powers concerning the supply of controlled drugs in specified circumstances during a pandemic.
These changes give Ministers the option to switch on additional flexibilities during a pandemic to:
- Allow registered pharmacies to supply substances in Schedule 2, 3 and Part 1 Schedule 4 to the Misuse of Drugs Regulations 2001 (‘the 2001 Regulations’) without a prescription, where the patient has been receiving them as part of ongoing treatment;
- Allow supply of Schedule 2, 3 and Part 1 Schedule 4 substances under a Serious Shortage Protocol. These allow on-going treatment with alternative products where prescribed items are unavailable or are in short supply; and
- Allow pharmacists without prescribing rights to change the frequency of instalments on instalment prescriptions without the immediate need for a new prescription from a prescriber. Any changes MUST be agreed with the prescriber or an appointed representative.
The proposed measures are enabling and will only be used when switched on by Ministers. It is anticipated that these provisions will be used in infrequently, and would only be used if demand and workforce pressures during a pandemic meant that local health services were at imminent risk of failing to fulfil their duties.
There is no change in practice until the flexibilities introduced by the legislation are activated by an announcement from the Department of Health and Social Care. Guidance will be published as soon as possible and professionals will be notified if the new measures are switched on. The announcement relating to the supply of controlled drugs in these circumstances will include the area to which the arrangements will apply, the circumstances involved and the period during which the arrangements may be provided.
A copy of the Statutory Instrument can be found here.
To view the document please click HERE
Verification of death means verification of the fact of death: this will be formally in line with national guidance. Please find enclosed resources which include:
- NHS Death Verification guidance
- A review on Verification of Death, with coroners’ statement
- BMA Guidance for Remote Verification of Expected Death (VoED) Out of Hospital
These resources are also accessible through HEE London Training Hubs Resource Repository.
Please visit HEE London Training Hub Resource Repository
To request access to the HEE repository please contact: email@example.com
Click HERE to view full document
For full document please click HERE
To see more information click HERE
If you would like to discuss individual queries on a case by case basis, please email firstname.lastname@example.org
with the subject line ‘GP ADVICE’ where this will be picked up by a member of the team. If you have acute concerns regarding gynaecological emergencies or need immediate advise, please contact the gynaecology registrar on call via 020 3315 8000 (bleep 8742) and refer to the emergency department as appropriate.
GPs should be emailing the MCCDs to the local authority where the death took place, not just to the families
Hammersmith & Fulham- email@example.com
When GPs email Medical Certificates of Cause of Death (MCCDs), can they please provide the details of the next of kin and their contact details and email address (if known). GPs should be emailing the MCCDs to the local authority where the death took place, not just to the families.
- Updated: Primary and Community Respiratory Resource Pack
- Medical Certificate Cause of Deaths (MCCDs)
- Message from ChelWest re endometriosis care
- Government guidance on getting tested for Covid-19
To view the website please click HERE
To gain access to the website please use the following password: NWLCovid-19
You may already have seen some of these resources, but please see attached helpful documents shared through national and regional team to support GPNs (and wider practice staff) at this challenging time.
Link to End of Life Webinar (Tower Hamlets)
For more information about NHS staff parking please click HERE
Please download here further information on NWL cancer communications.