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Monday 10 December 2018
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Topic: Practice management

December 10, 2018

GP practices will not be allowed to buy fax machines from January next year and the equipment will be phased out by end of March 2020, the Government has announced.
This measure, which is part of the Government’s tech vision for the health service, will also see NHS organisations being monitored on a quarterly basis until they are fully ‘fax free’.
Organisations will have to invest in modern technology, such as secure emails, to improve cyber security, the Department of Health and Social Care (DHSC) said.

December 7, 2018

Practice managers have been asked to re-send nearly 20 years' worth of immunisation records to NHS England, as part of a national drive for improved child health data.
Practice managers were told the task - which would involve extracting all new registrations and immunisations since October 1999 from GP records - is to ensure there are no gaps in the records held by NHS England.

December 6, 2018

A former trainee medical secretary working in a GP practice in England has been fined by a court after admitting to reading patients' medical records for reasons unrelated to her job role.
Hannah Pepper began work at the Fakenham Medical Practice in August 201,5 where her role required her to access medical records to help doctors, solicitors and insurance companies. She had also been given training on how to securely and ethically handle patient data.

December 6, 2018

RCGP Wales has urged the Welsh Government to allocate a larger proportion of the NHS budget to general practice.
The college’s calls come after the findings of a recent RCGP workforce survey, presented in Transforming general practice: building a profession fit for the future report, found that 42% of GPs believe it is financially unsustainable to run a practice and 82% blame this on insufficient funding.
RCGP Wales put the suggestion forward on 4 December, on the day Welsh Assembly members debated the draft budget for 2019/20.

December 5, 2018

There is some ‘reasonable agreement’ on the need to include a ‘network QOF’, a medical director at NHS England told Management in Practice.
Speaking at the Management in Practice event in Birmingham yesterday, Dr Raj Patel, national deputy medical director of primary care at NHS England said practices will be encouraged to work more collaboratively in the future.
He added: ‘There will be financial incentives around a network QOF, to say what you need to deliver for your community to improve its life.’

December 3, 2018

The winners of the General Practice Awards 2018 were revealed at an awards ceremony on Friday, 30 November at the Park Plaza Westminster Bridge London hotel.
Now in their tenth year, the awards celebrate the hard work and innovation of general practice teams and individuals.
Lifetime Achievement Award
For the first time, the coveted Lifetime Achievement Award, now in its third year, went to a practice manager – Val Hempsey, a partner at Bridges Medical Practice in Gateshead.

December 3, 2018

Nearly a third (31%) of GPs say they are 'unlikely' to still be working in general practice in five years' time, with stress cited as the main reason, the RCGP has found.
The college surveyed 1,094 GPs in England, also finding that swathes of practices are set to close, amid vast issues with recruitment.
The survey found that:

November 30, 2018

The primary care home model allows for closer integration of social care with primary care, new guidance has said.
Primary care home and social care: Working together, published yesterday by the National Association of Primacy Care (NAPC) and the Association of Directors of Adult Social Services (ADASS) showcased examples of successful collaboration between primary and social care through the primary care home (PCH) model.

November 29, 2018

The number of full time and part time managers working in general practice has decreased by over 600 in just three years, official data have shown.
NHS Digital provisional data, published last week, revealed a decrease of 612 full time and part time managers – which regroups together ‘managers’ and ‘management partners’ – between September 2015 and September 2018.
However, there has been an increase of 69 managers between September 2017 and September 2018, according to NHS Digital data.

November 28, 2018

A CCG has set up a crisis fund from which its member GP practices can request money if they hit temporary hard times.

November 28, 2018

GP practices and pharmacies will be able to share patients’ data more easily thanks to a new standard, NHS Digital has said.
The standard will be incorporated into the clinical systems that pharmacies and practices use from next year, allowing community pharmacists to share information digitally with GP practices.
For the first stage of the standard, pharmacists will be able to communicate information collected on patients when they provide services such as vaccinations, medications and guidance with minor ailments.

November 27, 2018

A CQC report has highlighted the lack of sepsis training for reception staff at a practice rated inadequate. 
The Matthewman Practice, based in north London and run by Dr Philip Matthewman, was rated inadequate by the CQC in a report published earlit this month, on how safe, effective and well-led it is.
However, it was rated good for being caring and responsive.

November 23, 2018

Public Health England has urged GP practices to order next winter's flu vaccines, despite the fact NHS England's final guidance on which vaccine to use is still pending.
PHE said practices should go ahead and order the same two types of vaccine they are using this flu season.
But the Government’s vaccination advisory committee is saying that a new vaccine - quadrivalent influenza cell culture vaccine (QIVc) – could be just as effective and used across all adults.

November 22, 2018

Prime Minister Theresa May has pledged an extra £3.5bn real terms annual funding for primary and community care by 2023/24, as part of the £20.5bn funding increase for the NHS announced earlier this year.
In the announcement, made yesterday, Ms May said the money will be used to ensure that more patients are cared for at home and in the community, rather than in hospitals.

November 22, 2018

Prime Minister Theresa May has pledged an extra £3.5bn to primary and community care, announced last night, which will ensure that people receive better care at community level, which will avoid them going to the hospital.
However, scarce details have been released on how this money will be allocated, and some fear there is simply not enough staff to deliver on these promises.
Management in Practice speaks to PMs across the nations to find out their views on the announcement.

November 16, 2018

Nearly 70% of GPs have experienced a shortage of the new over-65s flu vaccine, forcing them to turn away vulnerable older patients as a result.
In a Pulse survey of 650 GPs, 68.5% said their practice suffered a shortage of adjuvanted trivalent flu vaccine (aTIV) that has been recommended for patients aged over 65 this year, with only 20% saying they had no trouble securing the vaccine.
Around a quarter of GPs have also suffered a shortage of the quadrivalent vaccine (QIV), recommended for patients in the 18-64 age group.

November 16, 2018

Management in Practice is speaking to a series of PMs on the front-line about what being a practice manager means to them.
Reporter Valeria Fiore talks to Nargis Khan, practice manager Lavender Hill Group Practice in Battersea, London about the challenges practice management poses and the future of the profession.
Q. How has being a practice manager changed since you first started out in the profession?

November 15, 2018

The number of available flu vaccines for this year’s flu season is set to exceed demand, NHS England has said.
In a letter sent to GP leads and practice managers last week, NHS England said that the supply of the adjuvanted trivalent inactivated flu vaccine (aTIV) – also known as Fluad – for the over-65s will ‘exceed anticipated requirements’.

November 14, 2018

The BMA has urged NHS England to end Capita’s contract for GP back office services, after it failed to deliver correspondence relating to cervical cancer screening to 47,700 women.
The BMA has written to NHS England chief executive Simon Stevens after becoming aware of the issue, which it said mainly relates to appointment invitations or reminder letters, but does include some screening results.

November 13, 2018

GP practices had 'more than enough time' to place their orders for the new over-65s flu vaccine, NHS England has said.
As practices and pharmacies are still having to turn away patients due to problems securing stocks of the adjuvanted trivalent flu vaccine (aTIV), NHS England has suggested GPs are to blame for the mess, according to the Daily Mail.

November 13, 2018

GP practices will be repaid for the costs of locums covering for GP partners gradually returning to work, following clarification from NHS England.
Local commissioners will be asked to reimburse the costs of locums covering for GP partners returning to work after sick leave on ‘phased return or adjusted hours’.
This comes as NHS England updated its protocol on locum cover payments for GP performers on sick leave and phased return last month.

November 12, 2018

Some GP practices have been left with ‘extraordinarily high numbers of documents to check’ following errors with the Docman system.
In some cases, practices were having to manually check 'in excess of a thousand' documents following the IT glitch, which was reported in August and caused documents received by practices through NHSmail to be left out from patient records.

November 9, 2018

A myriad of letters flow into GP practices every day, consuming a large part of the team’s time.
Dr Andrew Venning, a GP partner at Cricketfield Surgery in Devon, worked with his team to create a system that would help his practice save time on reviewing correspondence.
The new way of working was introduced just over a year ago and has since helped the practice save on average 25 hours per week of GP time, which roughly equates to 1,300 hours a year.
The problem

November 7, 2018

A number of GP practices are set to receive extra funding from their CCG to make up for the loss of their minimum practice income guarantee (MPIG) payments.