MESSAGE FROM DR NICOLA JONES: Latest coronavirus information

Update from Dr Nicola Jones,
Chair of the South West London Primary Care Cell

9th April 2020

Dear Colleagues

As a working bank holiday approaches, here are some important updates which I hope will support you in your practice.

Thank you to all the staff in general practice who are working to ensure that the urgent care systems can cope. I hope everyone manages to get some down time.

Dr Nicola Jones
Clinical Lead, SWL Primary Care

Staff testing

As per the previous updates this week, the GP practice SitRep form, e-mailed to practices each day by the SWL team, includes a link allowing practices to provide specific information about front line clinicians or members of their household who have symptoms and require testing.

Testing will still be taking place over Easter. As the SitRep form will not be open on Saturday and Sunday please go directly to this form on Saturday or Sunday only if you need to report frontline clinicians or members of their household who have symptoms and require testing.

The SitRep form should still be completed as usual on the Easter Bank Holiday Friday and Monday and on those days if front line clinicians or members of their household have symptoms and require testing this should still be reported.

Highest Risk Patients – national process

NHSE/I have now confirmed that shielding letters for any additional highest risk patients that have been identified centrally are now in the post to the patients and IT system suppliers are updating patient records to reflect this. A code should drop into your clinical system for relevant patients.

As per last Friday’s update you can send patients a personalised copy of the national highest risk patient letter if they should have received it and have not done so – i.e. if they have not been flagged on your IT system as such a patient or if they contact you to say they have not received it. Keep a record of these patients so you can code them when directed which code to use (we are awaiting information on this).

In addition you can also direct extremely vulnerable patients who require coronavirus support here to register to receive support.

Clinical guidelines

London guideline on emergency oxygen therapy to treat hypoxic patients within primary care hot sites

This attached guide was produced for health care professionals working in hot sites. It has been developed using the British Thoracic Society guidelines for Emergency Oxygen and expert clinical consensus across London.

Please note that information on local pathways in your specific borough will also be following shortly.

Primary and community care respiratory resource pack – updated version

The resource pack was published last week and an updated version is now available – attached. This clinical guideline is extremely helpful in guiding your management of patients with COVID19 or suspected COVID19.

IT support

Laptops have now been deployed across SWL. If you are experiencing issues and need support then please contact your local IT support desk in the usual way. There is currently a high call volume at the NEL service desk. However, additional capacity is being arranged. If your query is not resolved in a timely manner then please escalate this via the NEL CSU escalations team. If you feel that the escalation process at NEL CSU has failed then please contact the SWL CCG escalations team who will manage this.

 

  • NEL CSU Support Desk – Richmond, Merton, Wandsworth, Sutton, Croydon:

 

T: 0203 816 1616
E: nelcsu.itservicedesksouth@nhs.net
P: https://marval.nelcsu.nhs.uk/NELselfservicelocal

YHC Support Desk – Kingston only

Live Chat: www.yh-it.co.uk
Email: ITServiceDesk@yourhealthcare.org
Portal:  https://help.yourhealthcare.org/

  • NEL Escalations:

 

Call – 0203 816 1616 and ask one of our Analysts to escalate your call

E: NELCSU.Escalations@nhs.net

  • SWL CCG Escalations

If your issue is not resolved through the NELSCU service, please provide the following to nimesh.patel@swlondon.nhs.uk or sam.ball@swlondon.nhs.uk:

  • INC or SR reference
  • Date the call was logged
  • Date the call was escalated
  • Any email or correspondence

DNACPR

This letter has been published to ensure clarity on the use of the Clinical Frailty Scale in decisions about cardiopulmonary resuscitation in various patient groups.

London immunisation programmes

Please see below guidance from NHSE/I London Region on London’s immunisation programmes:

The purpose of our national immunisation programmes is to reduce incidence of vaccine-preventable diseases in our population.  It is therefore important that we maintain our uptake to prevent a resurgence of these infections. 

When delivering the vaccinations, please triage and undertake the advised precautions for giving face-to-face appointments as per the national guidance. It may be necessary to adapt your current model of delivery to accommodate this. We are working on guidance around models of delivery which we hope to share with you soon. 

Childhood immunisations

  • All routine childhood immunisations from birth up to and including vaccines due at one year of age should continue. 
  • If people present for other scheduled vaccinations, the opportunity to provide these should not be missed. 

Maternal and targeted vaccinations

  • Please ensure that pertussis vaccination continues to be offered to pregnant women.  Where vaccination cannot be provided in maternity, please signpost pregnant women to their GP.
  • Please continue to offer and provide BCG vaccinations.  Please risk assess and prioritise those infants aged 0-1 who either reside in a borough of a TB incidence rate of >40 per 100,000 or live in a household with a parent or grandparent from a country with a TB rate of >40 per 100,000.  
  • It is imperative that any infant born to a Hepatitis B positive mother receives their course of Hepatitis B vaccination as this is time critical.  These infants must continue to be identified and called for vaccinations.

Should have you any questions, please do not hesitate in contacting ENGLAND.londonimms@nhs.net.

Contacting the CCG over the Easter period

If you have an urgent query for the CCG over the Easter period please contact the SWL inbox that this update has been sent from – swlhcp.swlprimarycare@nhs.net

Attachments

  1. Emergency oxygen guidance primary care setting
  2. Primary and Community Care Respiratory Resource Pack during COVID19

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