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GP bulletin November 2002


In this bulletin

Introduction

Welcome to the 15th edition of the GP bulletin, aiming to keep you up to date with useful information for your daily work.

If you would like to receive the bulletin by e-mail, please forward your details to gpbulletin@doctors.org.uk, giving your name, practice name and GMC number.

Please send feedback or views on the GP Bulletin to me at sonny.dutta@doh.gsi.gov.uk

Sonny Dutta
Editor, GP Bulletin
Department of Health
Quarry House
Quarry Hill
Leeds
LS2 7UE

The Bulletin in Portable Document Format PDF logo

Headlines

GP flu remuneration 2002/03

‘Get the right treatment’ campaign

Tackling violence towards GPs and their staff

Tobacco advertising and sponsorship

NHS leadership qualities framework

Report on chronic fatigue syndrome/myalgic encephalomyelitis

e-health: the wider picture

Workplace health and well-being

Launch of the Emergency Care Collaborative

Models of emergency care conference

Primary Care magazine

GP flu remuneration 2002/03

Last year’s agreement on influenza remuneration will be repeated for another year. Under this agreement, GPs receive a B rate item of service fee for every patient aged 65 and over who was immunised against influenza, as well as the personal administration fee for each dose of vaccine.

Adopting best practice of setting up risk registers will help GPs improve uptake among all the risk groups.

Primary care trusts (PCTs) may agree local incentives for GPs to immunise at-risk patients under the age of 65, using local development schemes or local variation to PMS contracts.

PCTs will be given a budget to supplement PMS contracts to ensure that PMS GPs are adequately rewarded for immunising the over-65s, in line with the level of achievement of individual pilots.

For details on this winter’s flu campaign, please see www.doh.gov.uk/flu For queries on flu remuneration, email Mark.Smith@doh.gsi.gov.uk or tel 0113 2546385.

‘Get the right treatment’

The Department of Health’s winter campaign, ‘Get the Right Treatment’, is now in its fourth year. The primary objective of the campaign is to promote the various health care options available to the public and encourage their appropriate use.

The campaign, which starts this month and runs until March 2003, aims to:

• improve awareness and understanding of the full range of health care options available

• explain how to access health care services, when to use them and how to use them responsibly

• raise awareness of the role of the pharmacist

• build the public’s confidence to self-treat where appropriate.

The campaign will feature PR and advertorials in national magazines, aimed at women aged 22 to 45 who have child care and other carer responsibilities. Guidance and support materials have also been issued to NHS communication leads.

A national leaflet in support of the campaign is available. Aimed at the general public, it asks questions such as ‘have you tried your pharmacist or chemist?’ and ‘have you called NHS Direct?’ Copies are available by calling the NHS Responseline on 08701 555455 and quoting the product code 25793.

If you have any queries on the campaign, contact Rachael Mullan, Tel 0113 2545842 or email rachael.mullan@doh.gsi.gov.uk

Tackling violence towards GPs and their staff

NHS chief executive Nigel Crisp wrote to all primary care trust (PCT) chief executives on 18 June seeking their personal support for action against violence in general practice. The letter set out PCTs’ responsibilities for assessing the risk of violence to GPs and their staff, and for putting in place action plans to tackle the problem. Nigel Crisp has asked PCTs to ensure that local action plans are in place by 31 October 2002.

Local action plans should include agreements with local providers that ensure all GPs are able to refer to, or have access to, a secure facility for the treatment of violent patients. Local arrangements for such facilities will vary, and might include an arrangement with the local police, an acute hospital trust or a security firm. PCTs have been asked to ensure that local GPs are notified of these arrangements by 31 January 2003.

A small working group has been set up to oversee the NHS zero tolerance zone campaign in primary care. The group includes representatives from PCTs, the BMA’s General Practitioners’ Committee and local leads from the Improving Working Lives programme.

Further information on the campaign, with examples of local best practice in tackling violence in primary care, are at www.nhs.uk/zerotolerance

Copies of the letters to PCTs on this issue are available on the Department of Health’s publication database at www.info.doh.gov.uk/doh/point.nsf/Publications?ReadForm

For further information contact: Meena Paterson or Eileen Calline, NHS Employment Policy, email meena.paterson@doh.gsi.gov.uk or eileen.calline@doh.gsi.gov.uk Tel 0113 254 5758 or 2546131.

Tobacco advertising and sponsorship

The Department of Health is consulting on various regulations it intends to make on tobacco advertising and sponsorship. These concern advertising at point of sale, brand sharing and transitional arrangements for tobacco sponsorship. Details are at www.doh.gov.uk/tobaccoregsconsult

Comments should be made by 15 November to Penny Allsop, Department of Health, Room 646 Wellington House, Waterloo Rd, London SE1 8UG, email penny.allsop@doh.gsi.gov.uk

NHS leadership qualities framework

The qualities to which all NHS leaders should aspire are set out in a new ‘leadership qualities framework’ launched by the NHS Leadership Centre.

The qualities include a range of social, cognitive and performance skills, grouped into three categories: personal qualities, setting direction and delivering services.

A 360º assessment tool has been derived from the framework which can be used to support development for individuals and organisations. The NHS Leadership Centre is working closely with the Department of Health’s directorates of health and social care (DHSCs) to support implementation and development of good practice. This work will initially take place at early implementation sites. Workshops and training in accreditation of use of the assessment tool will be available nationally and locally.

The framework is available at www.NHSLeadershipQualities.nhs.uk A limited number of launch packs are available on request - Tel 0207 725 2609.

Those wishing to become early implementation sites should contact their DHSC lead or the Leadership Centre:

• DHSC North: Talib Yaseen, Tel 01925 704224, email talib.yaseen@doh.gsi.gov.uk

• DHSC South: Anne Rainsberry, Tel 020 7725 2797, email anne.rainsberry@doh.gsi.gov.uk

• DHSC London: Sandra Hatton, Tel 020 7725 5534, email sandra.hatton@doh.gsi.gov.uk

• DHSC Midland & East: To be advised via the NHS Leadership Centre

• NHS Leadership Centre: Catherine Guelbert or Heather Corlett, Tel 020 7725 2609

Report on chronic fatigue syndrome/myalgic encephalomyelitis

An independent working group’s report on chronic fatigue syndrome/myalgic encephalomyelitis was published in January 2002. The Department of Health is currently developing a strategy to take the group’s recommendations forward.

Pending decisions on this, Action for ME, a leading voluntary organisation active in this field, has produced a useful eight-page summary of the issues, Guidance on the management of CFS/ME.

The guidance is online at www.afme.org.uk Hard copies can be obtained from Action for ME, PO Box 1302, Well, Somerset BA5 1YE, Tel: 01749 670799, email admin@afme.org.uk

e-health: the wider picture

A broad view of electronic health initiatives will be offered at a conference organised by the Medical Devices Agency on Monday 11 November.

The London event will feature key Department of Health staff involved in the development of e-health, and aims to address how e-health will change the way clinicians practise medicine.

All healthcare providers are welcome to attend. For further information, including the application form, visit www.medical-devices.gov.uk You may also contact the organiser, Ian Chell, Tel 020 7972 8166.

Workplace health and wellbeing

The Health Development Agency has created a new web-based resource giving information on workplace health matters.

‘Workplace Health and Wellbeing’ (www.hda-online.org.uk/workplacehealth/) was launched on 14 October, at the start of European Week for Safety and Health at Work. It aims to help directors and senior managers with responsibility for workplace health get an overview of the wide range of issues that contribute to workplace health and well-being. The web section will also be of interest to staff working in health and safety, human resources and occupational health.

Launch of the Emergency Care Collaborative

The first wave of the new Emergency Care Collaborative was launched on 8 October by health minister David Lammy and national clinical director for emergency access Professor Sir George Alberti. The launch was accompanied by a series of case studies on improving emergency care.

Run by the NHS Modernisation Agency, the collaborative is a national programme for reducing delays and improving the patient and carer experience. It will focus on the whole system of emergency care and will help all A&E departments in England to meet The NHS Plan target - a maximum of four hours from a patient’s arrival to admission, transfer or discharge.

Speaking at the launch David Lammy said: "I don’t believe patients have serious doubts about their clinical care in A&E, but we do know they are concerned about the time they have to wait for it and about the overall quality of the A&E environment. I hope the collaborative can help to improve both."

The goal is for local teams to make improvements in their organisations by looking at how they work, learning from others and making changes that benefit patients. Organisations will work together to exchange best practice and find out what systems work best. The focus of the collaborative is on the whole system of emergency care across the local health and social care community rather than on individual departments. Therefore, there will be participation from relevant departments in acute trusts, the ambulance service, social services, primary care, NHS Direct and others.

The programme will run until August 2004 in six waves of roughly 35 sites each. Each wave will last 14 months. Some will overlap so that every site can complete its work and contribute to meeting The NHS Plan target by the end of 2004.

Front line staff will be directly involved in leading, testing, implementing and measuring changes that benefit both patients and staff. Sir George said: "People who provide emergency care haven’t had enough time to stop and think about how they could change things for the better. The collaborative is a big step forward and I’m looking forward to watching it develop over the next year or two."

More information can be found at www.modern.nhs.uk/emergency

Models of emergency care conference

The models of emergency care conference focused on progress being made towards reforming and modernising emergency care, with key speeches from David Lammy MP, Dr Stephen Shortt and Dr David Dawson.

Dr Stephen Short, a Nottingham GP, focussed on designing models based on avoiding the need for hospital admission.

To read the speech summaries visit www.doh.gov.uk/conferences/mod-emerg-care-con.htm

Primary Care magazine

This month’s Primary Care magazine can be found at www.nhs.uk/nhsmagazine/primarycare The November issue will cover GP quality, focusing on how to set in place standards and structures in light of the Shipman Inquiry. It will also include features on allied health professionals and nurse prescribing.

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Issue 15 October 2002
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