The Accessible Information

Standard

No. 297

Cornwall & Isles of Scilly

LMC Newsletter

June 2016

The NHS Accessible Information Standard

(www.england.nhs.uk/ourwork/patients/
accessibleinfo/)
This has been in circulation for a little while now,
and with the implementation deadline of 31 July
2016 looming,
A very brief summary of what it means is
attached.

Inside this issue:

Sessional GP Newsletter

Your Chairman Writes

Prescribing gluten-free
products

Childhood Imms
Individual funding requests
QRISK2 Calculator

Dr Chaand Nagpaul
Chair of GPC

Events

Vacancies
Dr Basil Bile Writes

6-7
8

Please see the link below for the

sessional GP Newsletter from
the BMA.
http://bma-mail.org.uk/t/JVX4ACJR-1BJCJOU46E/cr.aspx

Items for the Newsletter should be

sent to the Editor, Dawn Molenkamp
at Victoria Beacon Place, Room
B314, Station Approach, Victoria,
Roche, St Austell, PL26 8LG
Tel :01726 210141
e-mail dawn@kernowlmc.co.uk

Your Chairman writes ..

Hopefully many of you are regular visitors to our website or pick up our twitter feed and Facebook posts. If
so you will have seen the post about managing workload (http://www.kernowlmc.co.uk/helping-you-tocontrol-your-workload/)
The BMA has created a portal of information and resources for us to use in our day to day work. As if we
didnt need reminding by our GP leaders that workload pressures are increasing, academics are demonstrating what we all know that General Practice is at saturation point
(http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)00620-6/abstract). It is up to each us
to now utilize the tools at our disposal to try and limit some of the inappropriate demands placed upon us.
The LMC will be asking our provider Trusts if they have plans to respond to the demands made of them by
Simon Stevens in the GP forward view (https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf)
to limit buck-passing. Alas judging by some of the requests made upon myself in the last week it doesnt
look like anything has changed just yet. Unfortunately, this has created some additional workload for my
secretarial staff who are typing regular missives to various hospital departments informing them of the GP
forward view and its contents. Please dont just give in and do this extra work - it only encourages them to
send you more of the same. We will be conducting a workload survey to give us a clearer idea of the volume of such additional work generated by our provider Trusts.
Summer is a busy time for most of us in our practices so the thought of doing extra work doesnt appeal to
most us. However, sometimes a change is as good as a rest and with GP income falling, work in the OOH
service provides an opportunity to vary workload, earn extra income and contribute to your NHS pension just think you could be able to retire even earlier !
Cornwall Health is jointly owned by KernowHealth CIC our GP owned company. Its success or otherwise
will ultimately reflect on the GP community and therefore I would ask all of you to consider doing some
OOH work with Cornwall Health. Before you ignore this plea as another piece of madness from your
Chairman, the success of our OOH company is vital in the process of transforming our Primary Care Services, joining up Urgent Care and creating a vehicle for the delivery of other services e.g. expanded GP
services/visiting service. It is also a chance to meet other colleagues and develop skills
(http://www.cornwallhealthltd.co.uk/working-for-cornwall-health).
Meanwhile if you can recover from the shock of Brexit, I hope you have a pleasant and peaceful summer.

Prescribing gluten-free products

NHS Kernow would like draw your attention to a public engagement regarding the future prescribing and
NHS supply of gluten-free products to patients with coeliac disease and dermatitis herpetiformis in Cornwall and Isles of Scilly.
The public engagement will run for 7 weeks from 24th June until 12th August. Full details of the engagement, including how you can have your say, can be found on the NHS Kernow website at:
https://www.kernowccg.nhs.uk/get-involved/consultation/gluten-free-prescribing-case-for-change/
The above web page also contains a link to a survey that we would like as many people as possible to
complete.

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Childhood Imms
The vaccinations included in the school based programme will be as follows
Childhood flu vaccinations for primary school children aged 5, 6 and 7
Secondary schools
HPV girls aged 12/13. The GP based enhanced service is unaffected by this as it is for older girls on an
opportunistic basis
Meningitis ACWY and Diphtheria, tetanus, polio teenage booster given at around 14 years (school year
9)
Meningitis ACWY catch up for year 11 students

Individual Funding Requests Practice visits

NHS Kernow has a statutory duty to provide comprehensive healthcare within the resources available to
it. This legal requirement means that some hard choices have to be made. Not all treatments can be provided by the NHS.
An Individual Funding Request is an application to fund healthcare which falls outside the range of treatments which are routinely commissioned. The Individual Funding Request team are available to visit your
practice to discuss the process. For further information please contact Lesley Fowlie on 01726 627964 or
email kccg.IFRequests@nhs.net

QRISK2 Calculator
As you will be aware, TPP announced on 9 June 2016 that there had been code mapping issues with the
QRISK2 Calculator in SystmOne.
NHS England will be writing to practices today outlining how this issue is going to be approached. We understand that the expectation is that the average SystmOne practice will have approximately 100 patients
affected by errors in the QRISK2 scores.
We have highlighted to NHS England that the workload implications for practices as a result of this incident, which will vary (potentially significantly) from practice to practice, must be recognised. NHS England
will be carrying out an audit, using a number of practices, to assess the workload impact. The issue of
how practices will be compensated for this additional work has not yet been resolved but this is something
which we are insisting NHS England addresses to ensure that practices are resourced appropriately.
NHS England will also be circulating to practices advice from its National Clinical Directors regarding priority groups for clinical review, along with a system-wide statins/antihypertensives review template from
TPP, which will enable practices to document the clinical outcome from undertaking the patient reviews
Clearly there are likely to be a number of questions and issues as a result of this process and we will ensure that we work with NHS England to resolve these.

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Please see the following message from

Dr Chaand Nagpaul, Chair of GPC:
As part of the GPCs workforce engagement work, I have wanted to implement a "Quality first" resource
webpage for a while. This is aimed at LMCs, practices and individual GPs, as a single portal for the range
of practical ways in which we can manage workload to deliver safe care, with how to, and with real case
examples of positive change.
Following my announcement at the LMC Conference, the pages are now live on the new BMA website:
They cover areas including:

Managing inappropriate workload

Guidance on establishing or joining a GP network or federation

Collaboration and working at scale

Technology new ways of working

Patient empowerment

Assessing and negotiating workload

This initial work has been completed in a very short space of time by a work stream led by Farah Jameel,
supported by Mark Corcoran, Peter Horvath-Howard and David Wrigley, as well as Cat and Carmen from
the secretariat. I thank them for their sterling work. It is by no means a final product, and we hope to keep
adding on and evolving as per feedback and new examples that we receive from around the country.
We have updated the original template pack and also converted it to Word. We have also sourced
SystmOne, EMIS and Vision web templates ready to be exported into practice systems with ease. This
should enable automated letters to push back on inappropriate workload, and should ideally be via coordinated local strategies involving LMCs and CCGs.
In time I would hope that this can also become a dynamic noticeboard of LMC and practice views and ideas - it would be part of creating a sense of empowerment and resilience for GPs and practices at a local
and national level. We would therefore be very appreciative if LMCs and GPs could share any examples
of effective workload management by emailing GPworkload@bma.org.uk, so that we can add to the resources available.
Some of these initiatives can link into the General Practice Forward Views releasing time for patients
programme, which looks at ideas, support and funding to release time for care and to lessen workload.
We are also inviting members to share their experience via Connecting Doctors (formerly BMA Communities) and you can join the conversation on twitter via #GPworkload which is the hashtag we will be using
to promote this work and engage GPs around the country.
Your feedback is valuable, will be listened to and taken on board, so do take the time to send your
thoughts in to GPworkload@bma.org.uk
Many thanks and best wishes
Chaand

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CORNWALL RCGP CPD MEETINGS

Time: 7 pm for 7:30pm start. Hot Buffet and drinks are available from 6:30 pm .
Venue: Duchy Hospital, Truro, TR1 3UP.
Parking: Staff car park behind the Duchy Hospital. Please avoid parking at the front
reception
Conferance room: opposite the Staff car park, please press the PUSH PAD to enter
6 Jul Wed 2016

Stress in NHS & Exploring insecurity: Mr. Ashish Patwardhan

Consultant Opthalmologist

The events are aimed at Sessional and Principal GPs, Locums, First5s, AiTs, trainees in
Primary care but multi-disciplinary teams & Secondary and Social Care staff are welcome to
attend too.
These meetings educate, update and provide a platform for peer group networking and
mentorship. Evening meetings are free for everyone, there is no need to book

Employment Law SeminarThursday 21st July 2016

The LMC is holding an Employment Law Seminar with Darius Ferrigno BA,LLB,LLM Mjur on
Thursday 21st July at Advent House Room A12, Victoria. Registration will be from 9.30am to
start at 10.00am through to a 17.00pm finish. The subject for the day will be How to keep in
touch with discipline and dismiss sick employees along with any new legislation plus a chance
for questions.
The day is open to both Practice Managers and GPs with the cost being 175.00 per delegate
including refreshments and lunch.
If you wish to attend please complete the attached booking form and return it to the office or
email it to admin@kernowlmc.co.uk

LMC Golf Tournament Day

The LMC is organising a Golf Tournament Day which will be taking place on Saturday 17th September
2016 at Bowood Park Hotel & Golf Club, Lanteglos, Camelford.
It will include:

Tea/Coffee and a bacon bap on arrival

A round of Golf

A meal after the golf

The cost will be approximately 45 per person. If you would like to book or for further information please
contact Christina. christina.moore@kernowlmc.co.uk

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Stratton Medical Centre

Stratton, Bude, Cornwall, EX23 9BP
Locum required (Long Term)
We are a friendly, semi-rural coastal EMIS web practice with 6 Partners, 11,000 patients and are looking
for a locum for 8 sessions or two locums as we are flexible with sessions.
We have an excellent nursing and administrative team with Nurse led Chronic Disease
Management Clinics.
Informal enquiries and visits are welcome please telephone
Kathryn Pengelly (Practice Manager) on 01288 352133
Email: kathryn.pengelly@nhs.net

Salaried GP St Keverne Health Centre, Helston

SALARIED GP POST WEST CORNWALL

6 SESSIONS PER WEEK WITH HOLIDAY COVER
An opportunity has arisen for a salaried GP at St Keverne Health Centre from 1 October 2016.
We are a friendly rural dispensing General Practice on the beautiful Lizard Peninsula in West Cornwall.

Our practice serves a population of almost 3000 patients over the rural Eastern part of the Lizard Peninsula. There are 2 GP Partners and we are looking to employ a 6 session Salaried GP to complement our
team, which includes 2 Practice Nurses, 2 HCAs, and a dispensing, administration and managerial team.

Holiday cover would require a commitment of 8 sessions a week during periods of annual leave and the
overall commitment is therefore 6.5 sessions per week over the year. We are flexible regarding sessions
worked.

A competitive salary and good working environment are offered.

Please contact Anita Dugmore (Practice Manager) on 01326 280205 or anita.dugmore@nhs.net if you
would like more information or to arrange an informal visit.
CLOSING DATE : 31 July 2016
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Partner / Salaried GP
Saltash Health Centre
SALTASH THE GATEWAY TO CORNWALL
Situated on the west bank of the river Tamar, Saltash acts as a gateway between Cornwall and Devon,
whether travelling by road, rail or river. Saltash is close to the sea, Dartmoor and to the major city of
Plymouth. Our main hospital for secondary care, Derriford Hospital (Plymouth Hospitals NHS Trust) is just
15 minutes away. We have a local Community Hospital, St. Barnabas. There are excellent Primary
Schools in Saltash and surrounding area. Saltash.net Community School is a mixed 11 to 18 Academy
School, and there are Grammar schools nearby in Plymouth.
Well organised practice seeking a new partner or salaried GP to join our well remunerated and thriving
practice. We are looking for a full-time or part-time GP to replace a retiring partner.

6 Partners and 1 Salaried GP

Rising list size of 13,000 patients

Fully supported by nursing, administrative and management teams

Well-located purpose built partner-owned premises

Excellent reputation and consistently high QOF achievement with wide range of LES and DES

Enthusiastic involvement with Undergraduate & Postgraduate Medical Education

TPP SystmOne clinical system

Active involvement with local commissioning

We are looking for an enthusiastic, pro-active, team player with a strong patient-care focus who will share
our supportive, friendly ethos and commitment to high quality care.
For further details contact:
Lynn Chenery, Practice Manager, Saltash Health Centre, Callington Road, Saltash, Cornwall, PL12 6DL.
Telephone: 01752 842281. Email: Lynn.Chenery@nhs.net
Informal enquiries / visits welcome. Website: www.saltashhealth.co.uk

Senior Surgical Manager Probus surgical centre

PSC is an organization that has been providing NHS elective surgical procedures under LA in a primary
care setting in Cornwall over 20 years.
An exciting opportunity has arisen for the right person to manage our small and expanding team based in
Probus, 6 miles East of Truro. We have satellite centres across the County.
The post is full time and would suit someone with strong managerial experience, excellent communication
skills and who is self-motivated and passionate about providing excellent care to patients. Knowledge of
the NHS and commissioning would be a strong advantage.
The centre is linked to a dispensing GP Practice. Salary: Negotiable according to experience.
NHS Pension.
If you are interested, please send your CV to Mrs Debbie Barnicoat, Practice Manager, Probus Surgery,
Tregony Road, Probus, TR2 4JZ. Tel: 01726 885549 Email: Debbie.barnicoat@nhs.net.
For an informal chat, please ask to speak to the Clinical Director, Mr Guy Lin. Email: Guy.lin@nhs.net
Closing date 29th July 2016

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DR BASIL BILE WRITES...

I am beginning to recover my composure after the referendum. Of course it pales into insignificance compared with the infinitely more important junior doctors vote, the result of which is eagerly awaited, not least
at Jeremy Hunt Towers. Nonetheless the Eurobotch event has rather put the dampener on my regular
scuttles over to la belle France, international excursions which have always resulted in my joyous return to
dear old blighty two days later with an economy hatchback laden to the sunroof with bottles of cut-price
claret and chardonnay.
Frankly I am furious that the British public could have been quite so gullible as to fall hook, line and
sinker for all the transparent propaganda peddled by Boris and his assorted bunch of misfits, thus giving
the heave-ho to my beloved Euro Tipple Trips. It is of scant comfort that university graduates voted overwhelmingly for Remain, given that the thickos prevailed.
Still, it is best not to get too bitter and twisted about such things. It is not as though we in General
Practice havent got other things to worry about. For instance,
I was astonished to read a headline in GP Newspaper which pointed out the sexual inexperience of a primary care punter. Hardly politically correct I would have thought.
Virgin set to take over outstanding GP Practice forced to close by 400,000 cuts.
Whether or not someone has ever been sexually active is frankly none of our business outside of
the consulting room, and I have bashed off a letter of complaint to the Equality Ombudsman pointing out
the error of GP Newspapers ways. I trust there will be no repetition.
Meanwhile good old fashioned doctor-bashing prevails as per bally usual in our less well-informed
media. It was the turn of The Times to have a go at us last week, this time over sick notes. The BMA helpfully suggested via Deputy GP Chairman Richard Vautrey that employees should be allowed to sign themselves off work for periods of up to two weeks at a time instead of the current measly seven days. Patients
should be trusted not to skive so we practitioners of the noble art of Family Doctory can concentrate our
Herculean efforts on tending to the genuinely sick and needy rather than endlessly signing chitties for folk
wanting time off to watch the footie at Euro 2016, presumably a competition we will be ineligible as a
country to enter in future as we will no longer be in Europe.
The Times editorial kindly pointed out that doctors, in spite of being exposed to a wide variety of
contagious diseases, only lose 1.22% of working days due to sickness per year. This compares with 6%
for ambulance staff and 3% for those working in central government. I naively thought we were being portrayed positively at this point, and ploughed enthusiastically on. I should have known better. My blood
pressure rose and my temples throbbed as I read on to discover we were being criticised for being pushovers in issuing any sick notes at all!
A functioning affordable NHS requires a little more steel in the surgery and the ability to say no to
a sick note.
Stuff that for a game of marbles. As a result of the BMAs initiative we at the Abandonhope Surgery have
installed a machine in the waiting room. I got it at an auction. It used to issue car parking tickets, but has
now been transformed by our mechanically minded GP Registrar. Shes a wonder with a spanner. On the
insertion of pound coins it now dispenses signed sick notes, one quid for a week and two quid for a fortnight, with an invitation to fill in your own diagnosis. To cap it all, the contraption is made of steel. A little
more steel in the surgery was suggested by The Times. Now theyve got it

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