GPN Resources

Updates

Antibiotics Awareness Week from 12th-18th November
World Antibiotics Awareness Week (WAAW) aims to increase global awareness of antibiotic resistance (AMR) and to encourage best practice among the general public, health workers and policy makers to avoid the further emergence and spread of antibiotic resistance.

The key messages this year are:-
Think Twice. Seek Advice – Always seek the advice of a healthcare professional before taking antibiotics
Misuse of Antibiotics puts us all at risk – Only take antibiotics prescribed to you, do not share them. Antibiotic resistance can affect anyone of any age in any country.

Further information and resources can be found at:
http://www.who.int/who-campaigns/world-antibiotic-awareness-week
http://www.rcgp.org.uk/clinical-and-research/toolkits/target-antibiotic-toolkit.aspx

Education Scholarship Funding Opportunity
The professional development team at Health Education England are offering multi-professional educators the opportunity to apply for a multi-professional education scholarship.

This scholarship is a grant to support NHS healthcare professionals with formal education responsibilities (within the London and South East), who want to undertake a postgraduate programme that develops their skills as medical and clinical educators.

A maximum of £1,750 is available per applicant. The Scholarship must only be used to pay for student course fees for a postgraduate certificate, diploma or masters level programme in education at a Higher Education Institution. The Scholarship is awarded on a competitive basis only.

Deadline for all applications is Monday 4th February 2019. Please follow the link https://faculty.londondeanery.ac.uk/global-news/new-multi-professional-education-scholarship and respond directly to facultydevelopment.lase@hee.nhs.uk for the criteria and an application form.

Prescribing Newsletter – October 2018
This issue includes:
– Update on Influenza Vaccine in London
– Update on limited availability of EpiPen® and EpiPen® Junior (adrenaline auto-injector devices)
– 20181009 – EpiPen Advice – NHSI Final
– EpiPen and EpiPen Junior Schools Guidance1
– Freestyle Libre® – Initiation and continuation forms for prescribing in Primary Care
– Safer Benzodiazepine prescribing and withdrawal
– Fluphenazine decanoate discontinuation

Update on Influenza Vaccine in London
NHSE has issued a letter on maximising use of aTIV influenza vaccine in London during winter 2018/19:

GP practices and community pharmacy providers should offer the adjuvanted trivalent vaccine (aTIV) for all 65s and over. Based on available evidence, the aTIV vaccine is more effective and highly cost effective in this age group compared with the non-adjuvanted (TIV) vaccines. Quadrivalent vaccine (QIV) is advised to be the best option for the 18-65s at risk group.

A large number of GP practices in London do not have enough aTIV for their over 65s practice populations.

NHSE (London) public health commissioning team advise the following steps to be taken to ensure that the over 65s population are adequately protected this winter:

  • If your practice has not ordered aTIV for your over 65s population, the patients can be referred to community pharmacies where aTIV is available.
  • If the community pharmacy does not have aTIV, the over 65 year old patient should be informed and can be offered QIV.
  • If your practice has low stock of aTIV, the over 75s should be prioritised and those over 65s at clinical risk before offering to the rest of your over 65s cohort.

Community pharmacies vaccinating patients with Influenza vaccine must notify the patient’s GP Practice using the form as outlined in the Service specification: Community pharmacy seasonal influenza vaccination advanced service.

IMMUNISATIONS UPDATE
To be cascaded out to all staff involved in immunisation
NHS England London Region has published an Addendum to the IM Influenza PGD v06.00 on its website. This can be accessed at http://www.england.nhs.uk/london/immunis-team/

The Addendum is:
• NHSE PHE IM Influenza PGD v06.00 Addendum

Practices should ensure that any registered healthcare professional who is due to administer vaccinations under this PGD should be made aware of this Addendum.

False Widow Bite Information
Click below to download the advice for schools from PHE, which may be useful if doctors and nurses are asked about these bites.
False widow spider advice for schools

Sexual Health Services Location Changes – Please Note
The new location for the sexual health service is 160 Falcon Road, London SW11 2LN. It is less than 5 minutes’ walk from the main entrance of Clapham Junction station.

Please note that the service will continue to run from Bedford Hill till 17 November and the Falcon Road site opens on 19 November. The phone number for the Single Point of Access will remain the same i.e. 0333 300 2100 after the move to the new premises.

Compression Hosiery Presentation
Anatomy & Physiology Doppler Assessment & WHY? by Jane Webster, Regional Clinical Advisor

Huntleigh Vascular Range 12PP Brochure

Wound Care / Compression therapy / Chronic Oedema and lymphoma / Care Home and HCA training
https://lohmann-rauscher.co.uk/education/elearning – eLearning accredited by the RCN

Sexual Health Updates
https://wandsworthproviders.wordpress.com/ – this is a link to Free webinar updates and training dates hosted by Sexwise and the FPA.

Poster from the Independent Medicines and Medical Devices Safety Review
The Independent Medicines and Medical Devices Safety Review (IMMDS) is investigating 3 medical interventions where patients have reported problems and suffered serious harm. These are pelvic mesh implants, Primodos and hormonal pregnancy tests, and sodium valproate (Epilim or Depakote). Full details can be found on their website.

The Review wants to make sure any individual or family affected by these three interventions is aware of its work and can make contact or provide evidence.

They are therefore asking Clinical Commissioning Groups (CCGs) to distribute a poster to GP practices and community pharmacies so that it can be displayed prominently for members of the public to see, and if possible to feature it on the CCG website. The poster is available in two forms: print-sized version or e-version.

Asthma Event (13th Sept) Resources

GPN 10PP – National Programme Update July 2018 (.pptx)

PHE Updated Guidance on use of Tetanus Specific Immunogloblin for management of Tetanus prone wounds 2018 (.pdf)

August PCSE Cervical Screening bulletin.pdf

Flu Information 2018/19

Update on Influenza Vaccine in London

NHSE has issued a letter on maximising use of aTIV influenza vaccine in London during winter 2018/19:

GP practices and community pharmacy providers should offer the adjuvanted trivalent vaccine (aTIV) for all 65s and over. Based on available evidence, the aTIV vaccine is more effective and highly cost effective in this age group compared with the non-adjuvanted (TIV) vaccines. Quadrivalent vaccine (QIV) is advised to be the best option for the 18-65s at risk group.

A large number of GP practices in London do not have enough aTIV for their over 65s practice populations.

NHSE (London) public health commissioning team advise the following steps to be taken to ensure that the over 65s population are adequately protected this winter:

  • If your practice has not ordered aTIV for your over 65s population, the patients can be referred to community pharmacies where aTIV is available.
  • If the community pharmacy does not have aTIV, the over 65 year old patient should be informed and can be offered QIV.
  • If your practice has low stock of aTIV, the over 75s should be prioritised and those over 65s at clinical risk before offering to the rest of your over 65s cohort.

Community pharmacies vaccinating patients with Influenza vaccine must notify the patient’s GP Practice using the form as outlined in the Service specification: Community pharmacy seasonal influenza vaccination advanced service.

Immunisations Update for all staff involved in immunisation
NHS England London Region has published an Addendum to the IM Influenza PGD v06.00 on its website. This can be accessed at http://www.england.nhs.uk/london/immunis-team/

The Addendum is:
• NHSE PHE IM Influenza PGD v06.00 Addendum

Practices should ensure that any registered healthcare professional who is due to administer vaccinations under this PGD should be made aware of this Addendum.

Sanofi Pasteur flu update slides – useful for nurses who did not manage to access a flu update this year.

Childhood Seasonal Flu Vaccination Programme Resources for Registered Practitioners

Flu Season Information:
Clinical Risk Groups – Influenza immunisation – information 2018
Flu vaccines and Suppliers 2018 – Contact sheet

Free Flu training (you just need to register to access the link):
http://www.e-lfh.org.uk/programmes/flu-immunisation/how-to-access/​

NHS England London Region has published two new and four updated Patient Group Directions (PGDs) on its website. This can be accessed at:
http://www.england.nhs.uk/london/immunis-team/

Patient Group Directions (PGDs) for Vaccines
NHS England London Region has published three updated Patient Group Directions(PGDs) on its website. This can be accessed at http://www.england.nhs.uk/london/immunis-team/

The new PGDs are:
NHSE PHE IM Influenza PGD v06.00 (.pdf)
NHSE PHE LAIV PGD v07.00 (.pdf)
NHSE PHE PPV PGD v02.00 (.pdf)
NHSE PHE Hib Men C PGD v03.00 (.pdf) – This PGD updates a previous version and details of the amendments are on page two of the document.

Practices should ensure that any registered healthcare professional who is due to administer vaccinations under these PGDs should sign this and be properly authorised.

Green Book (Department of Health)
https://www.gov.uk/government/publications/influenza-the-green-book-chapter-19

The national influenza immunisation programme letter and plan 2018/19:
https://www.gov.uk/government/publications/national-flu-immunisation-programme-plan

Return to Practice

If you would like to provide a practice placement, want to engage in recruiting nurses for RtP, or have additional queries about the programme, local HEE office leads would like to hear from you. For enquiries in South London, contact info.sl@hee.nhs.uk

Information on Return to Practice is available on the Come Back to Nursing website and for AHP’s and healthcare scientists on the HEE website.

HEI’s in London delivering nursing Return to Practice courses are:
Kingston University, London
Buckinghamshire New University
City University, London
London University of Greenwich
University of Hertfordshire
University of West London (for GP RtP)

Useful Links

Core Copetencies for PNs (pdf)
http://www.rcgp.org.uk/membership/practice-teams-nurses-and-managers/~/media/Files/Membership/GPF/RCGP-GPF-Nurse-Competencies.ashx

RCN Guidance for Mentors of Nursing and Midwifery Students (pdf)
Click here to download

Nurse Prescribers
If you are a prescriber and need a BNF you can order it via the www.pharpress.com/bnf69 or order via charlotte.mason@rpharms.com

Useful link for ear care protocols:
http://earcarecentre.com/professionals/protocols/

Free online COPD training:
Free online learning to Respiratory Clinicians for the GOLD 2017 guidelines. There are 10 modules available that you can claim credit and a certificate for on completion. You can sign in for free if you are a Respiratory Clinician (Sign up as RN).
http://education.goldcopd.org

Hep B:
Hepatitis B resources can be found by going the Public Health England section of the gov.uk site and then going to Health Protection A-Z/ Infectious Diseases/ Hepatitis B.
Direct link:
https://www.gov.uk/government/collections/hepatitis-b-guidance-data-and-analysis
Direct link to dried blood spot testing for infants: https://www.gov.uk/guidance/hepatitis-b-dried-blood-spot-dbs-testing-for-infants

Primary Care Online Cancer Education Tool
This NG12 online educational tool for health care professionals in primary care has been developed to aid primary care in referring patients for suspected cancer including symptom criteria, direct access diagnostics and straight to test, safety netting, patient information and links to external educational resources.
The tool includes quizzes and case studies to aid learning.
http://ng12panlondonapproach.org/login/index.php
or via the Healthy London Partnership Website
https://www.healthylondon.org/our-work/cancer/suspected-cancer-referrals/