401f0ef540ea48a7ac6e57b8ea9b4bca

Vaccinations for 5-11 year-olds at-risk

Mon, 31 Jan 2022 13:30:28 GMT

• The Joint Committee on Vaccination and Immunisation (JCVI) has advised that 5 to 11-year-olds who are either in a clinical risk group or are a household contact of someone who is immunosuppressed should be offered two doses of the Pfizer-BioNTech COVID-19 vaccine, with a minimum interval of eight weeks.

• This means around half a million children nationally will soon be invited to take up their jab.

• The JCVI has set out criteria for determining who should be offered vaccination within this group and clinicians will be responsible for identifying children in their care who are eligible.

• Information on eligibility can be found in the Green Book, chapter 14a in the section on children aged 5-11 years and tables 3 and 4.

How will I know if my child is eligible?

• GPs and hospital specialists have been asked to identify 5 to 11-year-olds who are eligible. For children eligible as a household contact, we will write directly to the person who is immunosuppressed.

• Parents and guardians will be notified if their child should get the vaccine and told how they can book an appointment. The NHS will be in touch in the coming weeks if your child is eligible, so it’s important that parents wait to hear from us and do not contact their GP.

Anti Vaccination Caution

Thu, 12 Aug 2021 14:44:20 GMT

Please see the link below for the Anti Vaccinator Threat guidance issued by Warwickshire Police

Vaccination Centre - Staff Guidance from Warwickshire Police

NHS App and Covid Pass

Tue, 10 Aug 2021 13:42:00 GMT

This is a subtitle for your new post

As part of NHSX's continuing work against the Covid-19 pandemic they are looking to support people across England understand more about the NHS App and the COVID Pass. This includes the features and benefits it can bring to individuals needing to access health and care services as well as using the features to help them in several aspects of their management of Covid.

NHSX have now produced a NHS Family Communications Social Media Toolkit (attached) to help enable CCGs, ICS and primary care contractors on their social media channels. The toolkit includes high quality engaging content such as social media posts, impactful infographics, animations and also videos tailored with a diverse and wide-ranging audience in mind to drive likes, shares and click-throughs with the desired call-to-action of downloading the NHS App and COVID Pass.

NHSX hopes that you find these useful but should you have any questions or feedback about the toolkit and/or the assets, then please contact Stephen Breen in the first instance: stephen.breen@nhsx.nhs.net

NHS App and COVID Pass Social Media Toolkit for NHS Family

…and as mentioned previously we would recommend the migration from Patient Access to the NHS App

Update on Vaccinating Under 18s

Mon, 09 Aug 2021 12:07:24 GMT

Attachments:
- Children Self Assessment Checklist Part A

- CLEAN NBS Changes R18s 02-08-21

- C1375 - Enhanced Service Specification: COVID-19 vaccination programme 2020/21 – version 10

- C1377 - Enhanced Service Specification: COVID-19 vaccination programme: phase 3 2021/22 – version 2.1

As expected following the BBC News announcement re vaccinating children …here follows the guidance!

The key messages are:

• Enhanced Service Updated to include under 18s – thus providing contractual cover and indemnity:

1. Raising Adults i.e. 17 ¾ and included in Cohort 12

2. 16 to 17 ¾ year olds are included in cohort 12

3. Eligible 12 to 15 year olds are now cohort 13

4. PCN groupings must have a new Collaborative Agreement in place including reference to the new extended cohorts by 5th September

• PCNs can start vaccinating 16 to 17 year olds and eligible 12 to 15 year olds BUT must be assured that they meet the additional protocols/standards around vaccinating children:

1. Additional requirements included in the ES are here: National minimum standards and core curriculum for immunisation training for registered healthcare practitioners (publishing.service.gov.uk)

2. Children’s Self Assessment checklist attached

3. Additional training requirement and online training links available here: Clinical models phase three_Children Vaccination - COVID-19 Vaccination Programme - FutureNHS Collaboration Platform

4. (The assurance checklist applies to all 3 groups; raising adults, 16-17 ¾s, 12-15 CEV)

5. PGD for 16-18s Coronavirus » Patient Group Direction for COVID-19 mRNA vaccine BNT162b2 (Pfizer/BioNTech) (england.nhs.uk)

6. 12-15 year olds MUST be done under PSD

7. There is an option to opt out of cohort 13 (i.e. eligible 12 to 15 year olds) and this need be done by 23.59 on 13th Aug by notifying the CCG (this does not impact capability to deliver Phase 1,2,3 Cohort 1-12)

8. The CCG are talking to CWPT re supporting the vaccinating of cohort 13 and further info will follow

• PCNs using NBS

1. From Monday raising adults i.e. 17 ¾s will be invited via NBS.

2. The default national assumption is that PCN LVS sites are compliant with children’s requirements as Primary Care have experience of childhood IMMs, and as such LVS sites will be available on NBS very early next week. [Note: We are aware that most LVS sites do not necessarily mirror childhood IMMs models – if your LVS is not in a position to accept 17 ¾s you will need to update your QFLOW to switch this off to prevent bookings. See attached guidance on how to action this].

3. Work is underway to allow bookings for 16-17 ¾s, however it is likely a local booking system (or walk-in clinic approach) will be needed for 12-15 CEV – more information to follow.

Rebecca, Sarah and I are all around if you have any questions…and please email us formally if you wish to opt out of cohort.

Please see attached C1375 - Enhanced Service Specification: COVID-19 vaccination programme 2020/21 – version 10 and C1377 - Enhanced Service Specification: COVID-19 vaccination programme: phase 3 2021/22 – version 2.1

Enhanced service specifications updated in line with latest JCVI guidance

Further to the JCVI’s recent announcements on 15 July and 4 August about the vaccination of children and young people, we have updated the COVID-19 enhanced service specification for phases 1 and 2 and the enhanced service specification for phase 3 to include the new eligible patients.

Practices delivering COVID-19 vaccinations under the phases 1 and 2 Enhanced Service (ES) can start vaccinating eligible children and younger people immediately subject to meeting the requirements of the ES. That includes eligible 12–15-year-olds and all 16- and 17-year-olds.

Until Public Health England (PHE) update the national protocol and Patient Group Direction (PGD), sites will need to use a Patient Specific Direction (PSD).

If a PCN grouping is signed up to the ES for phases 1 and 2 but does not wish to vaccinate eligible 12–15-year-old patients (cohort xiii), they must opt out of delivering COVID-19 vaccinations to cohort xiii by 23:59 on 13 August in writing to their local commissioner (CCG), which is providing administrative support to NHS England so alternative provision can be secured.

Further details and support on running searches and identifying eligible 12–15-year-old children will be shared shortly.

In addition to these changes, the ES specification for phases 1 and 2 has also been extended until the end of October 2021 to enable any PCN groupings not participating in the phase 3 enhanced service to complete any remaining second doses for eligible patients. We have also made a few updates to align both the phases 1 and 2 and phase 3 ES specifications and future proof them. The amendments are highlighted in the specifications.

If you have any queries, please contact: england.pccovidvaccine@nhs.net

Regards

Sue

Immunosuppressed Patients Vaccine Uptake - INFO ONLY

Fri, 16 Jul 2021 17:23:38 GMT

Immunosuppressed Patients Vaccine Uptake

Please see link FOR INFORMATION only regarding Immunosuppressed Patients Vaccine Uptake .

IPC Guidance & Toolkit

Fri, 16 Jul 2021 15:00:02 GMT

Infection prevention control guidelines to remain in place.

The highest priority for the NHS remains the safety of staff, patients and visitors.

While COVID restrictions will end in many settings in England from 19 July, everyone accessing or visiting healthcare settings must continue to wear a face covering (unless they are exempt) and follow social distancing rules.

Public Health England’s infection prevention control guidelines and hospital visiting guidance are therefore set to remain in place for all staff and visitors and across all health services including hospitals, GP practices, dentists, optometrists and pharmacies to ensure patients and staff are protected.

Read the infection prevention control guidance in full at:

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

Please read or download the Comms Document here .

Covid Vaccination Bulletin - 15-Feb-21

Wed, 17 Feb 2021 09:25:36 GMT

Covid Vaccination Support bulletin

Please read the embedded PDF for the latest vaccination bulletin.

PCN Covid Vaccination Directories

Thu, 24 Dec 2020 09:25:04 GMT

Please find links to 7 documents that detail various aspects of the vaccination programme.

1) Site Set-up and Equipment

• NHSE mobilisation letters and FAQ Guidance

• Readiness Assessments and Assurance Templates

• Equipment and consumables delivery information

• Vaccine delivery information

• Site set up contacts (eg. Signage, Clinical Waste etc)

• System set up details (eg Pinnacle)

• Security and Risk Assessment

• Lateral Flow

• Comm’s – patient comm’s/media

2) Pharmacy and Clinical Updates

• Pharmacy Policy

• Vaccination Preparation Guidance

• Care Home Preparation SOPs

• PGD

• National Protocol

• 6th Dose Update

• 15 minute observation guidance

• MHRA and Clinical Alerts

• Anaphylaxis guidance

• Green Book

• Courageous guidance

• Clinical Evidence Overview of Vaccination

• Drugs and Equipment

3) Incidents and Reporting

• Clinical Advice and Response Service (CARS)

• National Incident Reporting SOP

• Local incident reporting guidance

4) Workforce and Training

• Workforce and Training toolkits

• Training Products

• Training Resources

• IT/Operating System training

• Onboarding

• Staffing support information

• Indemnity provision

5) Care Home Vaccination Programme

• National letter

• National SOP

• Mobilisation Support Pack

• Green Book – Consent

• Roving Supply Inventory List

6) Useful Contacts

• Local, Regional and National support contact details

7) Contract and Guidance

• Links to Contract, Collaborative Agreement and useful national guidance links

COVID Vaccination evidence

Tue, 22 Dec 2020 10:02:24 GMT

Please find a link to a document with information following approval of the Pfizer vaccine.

Pfizer vaccine evidence

PCN Daily Update - 13th December

Mon, 14 Dec 2020 11:22:36 GMT

PCN Daily Update 13th December - Parts 1 and 2

Moving forward this document will be shared via this website. Due to the size of this document and to avoid delays in sharing information, the document was shared in two parts by e-mail on the 13th December. Please review both Documents for full information:

Part 1

Part 2

NHSX free patient information videos

Mon, 12 Oct 2020 15:11:08 GMT

As part of its plans to support staff through the pandemic, NHSX has secured a licence for NHS clinicians to access a library of over 600 health and care videos for patient information completely free of charge until the end of the year. The videos have been written by NHS clinicians and developed to work within care pathways. They have been professionally produced by Health and Care Innovations (HCI) for use by patients and have been independently, clinically assured by various NHS trusts across the UK. An online resource hub , including specialty webinars, is also available to NHS clinicians and includes guidance on how to access the videos by clinical specialism or pathway, and how they can be made available to patients as part of the patient journey.

Covid Tracing App resources

183:820766164 (Ben Evans) — Wed, 30 Sep 2020 14:37:11 GMT

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Cold vs Covid in children

183:820766164 (Ben Evans) — Wed, 30 Sep 2020 13:57:56 GMT

Cold or coronavirus symptoms in children

The Department For Education, in conjunction with DHSC, has published an animation explaining the symptoms that could indicate if a child has coronavirus and should get a test, and when it is just a cold or something else, and parents or guardians should check the NHS website or via their pharmacy. The assets can be downloaded here .

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 September 2020 (Issue 69)

Wed, 23 Sep 2020 12:44:31 GMT

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Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest local information for primary care, visit our dedicated Coventry and Warwickshire COVID-19 support portal: https://www.cwcovid.support/

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

Local Updates

Place Updates

Communications from NHS England

Education

Latest Local Picture

Latest National Picture

Please click on the relevant section above to view specific information

1. Referring to Hot Hubs

While the majority of referrals to the Hot Hubs are appropriate, there are a small number of patients who could have been more appropriately seen by their GP Practice.

Your help would be appreciated if you could ensure that only patients who have been triaged, are symptomatic and who you are unable to see remotely are referred to a Hot Hub.

When you do refer patients please remind them that they will not get a definite diagnosis of COVID at a Hot Hub, for this they will need to book a test via online via the national government website or call 119.

2. Protect yourself, your family and our patients from flu this winter

This year, due to the potential impact of flu and COVID-19 circulating at the same time, it’s more important than ever that we act to protect ourselves, our teams, our families and patients from getting flu.

Read the letter from NHS England and Improvement urging all frontline staff to get the flu vaccination this year.

3. Flu vaccination posters

We are pleased to inform you that the following posters for the 2020/21 Flu season are now available on .gov.uk. PDF versions are also attached below for ease.

Which flu vaccines should children have poster – product code: 2020173

https://www.gov.uk/government/publications/flu-vaccines-for-the-current-season

Open the PDF here.

Flu vaccines for 2020 to 2021 poster – product code: 2020195

https://www.gov.uk/government/publications/which-flu-vaccine-should-children-have

Open the PDF here.

Please note that when you view these links on the .gov.uk link you will no longer see an icon of what these posters look like on the left hand side (you will see a blank cell). When you click on the links you will be immediately redirected to the Health Publications (.gov.uk) website, and it is from that site that you can download the digital copy.

If you have any queries about these posters please contact Immunisation@phe.gov.uk

4. Recognising COVID-19 symptoms poster

Following a request from a GP practice, we have developed a poster for each CCG to share with patients to support them in recognising COVID-19 symptoms. Please upload the appropriate poster to your website and share on your social media channel(s) to support patients recognise COVID-19 symptoms from a common cold or flu, as we move into the winter months.

Coventry and Rugby CCG

Warwickshire North CCG

South Warwickshire CCG

Generic NHS logo

5. Hands Face Space Campaign

HM Government has launched Hands. Face. Space, a new campaign that urges the public to continue to wash their hands, cover their face and make space to control infection rates. The spread of coronavirus, particularly in enclosed spaces is shown in a new film, produced with experts in the field, which highlights the risk in simple, everyday interactions. The campaign will run across TV, radio, print, out of home, social and digital display advertising. GP practices can help to spread the message to patients by sharing campaign materials through their channels.

6. West Midlands Cervical Screening Services:

Electronic Requesting – System Updates

In preparation to transitioning to Electronic Requesting for HPV cervical screening tests, RWT are working with your GP systems suppliers to update the configuration in your system. Over the next few weeks you will notice a new link appear for within your test request options titled ‘West Midlands Cytology Service BCPS’. This is the link that will be used when we move to e-requesting to request a test, you may also be prompted with a log in box requesting you add your username/password. This information will be provided to you when we implement within your practice. I appreciate that this may be an inconvenience in the meantime so we suggest that you that you deactivate in the background within your EMIS system. – Please see attached ‘Deactivating EMIS GP Interop Guidance' until we are ready to implement.

Should you have any further questions then please contact:

IT Project Team/Enquires rwh-tr.ict-hpv@nhs.net

If you would like to find out more about West Midlands Screening Services, read their latest newsletter here

7. Coventry and Warwickshire - Diabetes Newsletter, issue 8

The latest edition of the Diabetes Newsletter includes information on the Healthier You: NHS National Diabetes Prevention Programme including workshops for you to attend, diabetes community champions and the new wellbeing support service which is now live in Coventry, Rugby and Warwickshire North.

8. Coventry and Warwickshire Primary Care Cancer Newsletter

The latest edition of the Primary Care Cancer Newsletter includes information on service updates, Early Diagnosis for Cancer QOF QI 2020/21, Stoptober 2020 and much more.

9. Action Learning Set: Leading Prevention in Clinical Services

Health Education England, in partnership with Public Health England, are working to recruit and support a group of health care leaders from clinical settings across the North West and Midlands areas into an Action Learning Programme.

The aim of the programme is to support a range of health and care professions, to develop their own population health skills through designing, implementing, testing and evaluating a small-scale health improvement project within their sphere of practice.

Participants will be supported remotely via an Action Learning Set to utilise the PHE developed toolkit for Embedding Public Health into Clinical Services to identify ideas and test public health interventions in their own field of practice.

Find out more here

NO UPDATES FOR South Warwickshire – 22 September 2020

NO UPDATES FOR Warwickshire North – 22 September 2020

NO UPDATES FOR Coventry and Rugby – 22 September 2020

10. COVID-19: Primary Care Bulletin - 18 September 2020 (Issue 67)

Dr Nikki Kanani GP and Medical Director for Primary Care and Ed Waller, Director for Primary Care Strategy and NHS Contracts bring you the latest updates in their letter issued on Friday (18 September). This edition includes an update on PHE's Acute Shortages Guidance, technical specifications for PPE, flu reminders and updates and much more. Read it here.

11. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

12. Media enquiries

A reminder that our communications team is here to support you if needed. If you are approached by the media, please forward on to your local communications team: agem.communications@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

Please note all sessions are open to all localities

13. Warwickshire North GP & Clinician Virtual PLT

Please find below the details of tomorrow's virtual PLT event, around Virtual First Proactive Care which will include some National as well as Local Presenters:

Date: Wednesday 23 September 2020

Time: 1.30 - 5.00pm

Location: Microsoft Teams- joining details below:

Join Microsoft Teams Meeting

Learn more about Teams | Meeting options

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda attached; please be aware that Out of Hours cover has been arranged for your practice as with previous PLTs.

If you are unable to join the session at the scheduled time, it will be recorded and available to view on the Care for Your Career website. There are already 8 previous session recordings on the website including: Cancer Pathways, COVID Hot Topics and Impact on BAME people, Mental Health & Using Technology during COVID, Managing the breathless patient- Heart Failure & Haematology Update, AccuRx Demonstration & EOL, Managing breathless patient- COPD update and Elderly medicines Review, Perils of Using Social Media- BMA talk and a DOCOBO Demonstration.

The next WN PLT will be on Wednesday 28 October 2020, 1:30 – 5:00pm – Theme TBA .

14. Cov & Warks LMNS Smoking in Pregnancy Review webinar

Join the webinar to hear about the findings from the review into smoking in pregnancy, undertaken by Berni Lee, Public Health Consultant between October-April 2020. The webinar will take place on Tuesday 29 September at 12.30-13.30 and you can access it here

Please note: we are now issuing the briefing once a week (Tuesday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. Please keep us updated with any issues that you may be having so we can try to address them.

Please note that the below data does not include care home data.

Click here to view the latest local confirmed cases, patients in hospital beds and death counts in hospitals across Coventry and Warwickshire.

Latest National Picture

As of Monday 21 September 2020 at 4:00pm:

the total number of COVID-19 associated UK deaths is 41,788

the daily total of 4,368 people tested positive for COVID-19 in the UK, a total of 398,625

there are a total of 37,487 cases in the West Midlands

The latest reproduction number (R) and growth rate of COVID-19 in the UK

Guidance on the NHS Test and Trace service for employers, businesses and workers

Click here to view the slides to accompany coronavirus data briefing: 21 September 2020

Click here to view slides, datasets and transcripts to accompany coronavirus press conferences

Click here to view the new measures in response to the acceleration of coronavirus

Click here to view the Chief Scientific Advisor and Chief Medical Officer briefing on coronavirus (COVID-19): 21 September 2020

The latest advice is here

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Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 August 2020 (Issue 63)

183:820766164 (Ben Evans) — Tue, 11 Aug 2020 15:09:39 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Please note that the below data does not include care home data.

Coventry and Warwickshire COVID position up to 11.08.2020

4,129 cases now confirmed in Coventry and Warwickshire (+83 / +2.1% from Tuesday)

6 of these are currently admitted (+2 / +50.0% from Tuesday)

Admissions by Trust:

GEH: 0

UHCW: 4

SWFT: 2

CWPT: 0

436 beds still available (+10 / +2.3% from Tuesday)

1 ITU beds occupied by Covid patients (-1 / -50.0% from Tuesday)

533 reported deaths in a hospital setting (+0 / +0.0% from Tuesday)

Download the weekly data pack.

1. UPDATED General Practice Standard Operating Procedures v3.4

Revisions have been made to the guidance and these have been highlighted in yellow. Among those sections revised are guidance for patients at increased risk, safeguarding and symptom management and end of life care. You can read it here

2. NEW Practice action card for known or suspected COVID-19 cases

A new and revised action card for the management of known or suspected Coronavirus cases in GP Primary care settings is now available. The card details step by step actions that practices should take as well as usual contact information. You can download the card here. This link also includes updated business continuity guidance for practices.

3. REMINDER PPE

It is important that you have signed up for PPE through the new portal. Ensuring your supply of PPE will help ensure your readiness for a second wave. Access to the portal will enable your practice to order regular additional supplies that you may require. In addition, emergency resilience supplies whilst waiting for orders to arrive are available via the local Team (details are listed below). Practices are still advised to order supplies from ‘usual routes’.

Coventry GP Practices:

PrimaryCare@coventryrugbyccg.nhs.uk or: Georgina.cady@coventryrugbyccg.nhs.uk

Rugby GP Practices /Rugby Health PCN:

Emma Flint: PCN Co-ordinator, c/o Clifton Road Surgery. Emma.flint2@nhs.net

Or: PrimaryCare@Coventryrugbyccg.nhs.uk

South Warwickshire GP Practices via the South GP Federation:

kim.dodd@southwarwickshiregps.nhs.uk

Warwickshire North GP Practices:

WarwickshireNorthPrimaryCare@warwickshirenorthccg.nhs.uk

4. REMINDER Antibody testing for GP practice staff

Tests which determine if someone has had COVID-19 (coronavirus) are available across Coventry and Warwickshire, for all practice staff including locums.

Click here for details of the process. Do remember that the antibody test tells the person if they have had the virus or not, but not about any level of protection or immunity from getting the virus again. It is important to remember that anyone having this test should still adhere to the guidance regarding social distancing, hand hygiene and wearing of PPE as recommended by public health experts. If you missed the email a copy can be accessed here.

5.NEW Support for patients and colleagues in managing COVID-19

You may find the slides from last week's webinar with Dr Nikita Kanani useful as they covered a wide range of subjects including the COVID-19 Support Fund for General Practice, Digital Primary Care, an update on the flu programme and an update on the cancer response. To view the slides click here

6. Delivering Diabetes Care during the COVID-19 Pandemic

This the ‘new normal’ Guidance is aimed at General Practice is now available to download; it includes:

How to undertake remote diabetes review

Delivering diabetes care during a pandemic

A Quick guidance to Risk Stratification and recovery of Diabetes Services

Click on the links to download.

7. LATEST Non-acute restoration position

Please see this link for a list of non-acute services and their restoration position.

8. Heatwave warning issued for region

A heatwave alert has been issued by the Met Office for very hot weather this week, with temperatures of over 30 degrees forecast between now and Friday. Self help advice is being promoted to the public through social media and traditional media.

9,. Booking British Sign Language (BSL) Interpreters

Support for patients can be booked through the Coventry and Warwickshire Deaf Centre, by either a Practice or a patient. With advance notice, CWAD will attend patients home to support telephone or video consultation.

Contact CWAD on T: 02476 520378 or visit for their website for more information www.coventrydeafcentre.org.uk

10. Flu Vaccination leaflet now available

This information leaflet explains to patients how they can help protect themselves and their children against flu this coming winter. It is available in a wide variety of languages and formats click here to view

11. Launch of the new suicide prevention microsite

A new website called Dear Life is being launched in Coventry and Warwickshire to coincide with World Suicide Prevention Day on 10 September. Dear Life is aims to reach people who are desperately seeking support or anyone who is worried about a loved one or someone they know. More information on the launch can be found here or you can visit the website by clicking this link

12. EMIS

Monthly EMIS Health newsletter is now available here

13. The latest edition of E-Grapevine,

The weekly e-newsletter containing local and national news from the third sector, useful information and details of forthcoming events. In this week's edition: Latest recovery funding, a young ambassador competition and details of a new befriending service, read more here

NO UPDATES FOR Coventry and Rugby – 11 August 2020

NO UPDATES FOR Warwickshire North -11 August

UPDATES FOR South Warwickshire – 11 August 2020

14. Additional process to help reduce DNAs in Radiology

The Radiology service at South Warwickshire NHS Foundation Trust have recently put in an additional process to reduce the Patient Did Not Attend (DNA) rates. The department are now working towards working a more paperless environment. To reduce the amount of paper we send out and that you receive, the department will replace the individual patient DNA letters you receive with a weekly list of the practice patients who have DNA’d with the service, this will be sent directly to your practice generic email address. This will be effective from Monday 17th August 2020

We hope that you find this improvement beneficial. Any questions or concerns please contact gpradiologyreferrals@swft.nhs.uk

15. Reviewed referral process for restored outpatient physiotherapy

Outpatient physiotherapy services have now been restored following the closure of routine physiotherapy in response to the covid -19 pandemic. Patients will be triaged initially and then either offered a face to face consultation or virtual consultation ( phone /video conference) in line with government and Trust guidelines. Over the last few months we have reviewed the referral process and would like you to use e-rs for your musculoskeletal physiotherapy referrals. The referral form has been amended for ease of use so now all you need to do is complete the form and send to us. It can be found under Musculoskeletal Service-Physiotherapy-Warwick Hospital-Triage .The physiotherapy admin team will contact the patient and book them into an appropriate appointment. Patients are still able to self-refer.

16. Supporting Access to End of Life medicines across South Warwickshire

A useful update that includes community pharmacies in south Warwickshire who have agreed to hold on demand End of Life medicines used in south Warwickshire. Click here to view

Please note all sessions are open to all localities

16. Spirometry Certification - Wednesday, 12th August at 12:30pm-13:30pm:

With speaker Joanna Purvis, Lead Respiratory Physiologist from George Elliot Hospital NHS Trust, this this webinar will highlight the importance of performing quality assured diagnostic spirometry, how to become spirometry certified and being on the spirometry register.

To register for FREE:

https://www.bigmarker.com/closerstill-media/Spirometry-Certification?utm_bmcr_source=southwarwccg

17. Gynaecology- hosted by Warwickshire North Education Programme

Date: Tuesday 18th August 2020

Time: 1.00 -2.00pm

Location: Microsoft Teams- joining details : Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff.

18. Demonstration of Docob - hosted by Warwickshire North Education Programme

Date: Tuesday 25th August 2020, 1pm – 2pm

Docobo is a telehealth technology that enables remote monitoring of patients in various settings such as care homes, patients own home etc via a web based portal and telehealth enabled devices. The results of remote monitoring such as BP, oxygen saturation, HR, temperature can be available to the clinicians remotely which will enable them to monitor patients' health and wellness without requiring a visit. Docobo has been utilised in various areas of UK to monitor patients with various complex health conditions including chronic disease monitoring. The aim is to relieve pressure on clinicians, improve patient outcomes and proactive management of chronic disease and care home patients in Warwickshire North.

Location: Join Microsoft Teams Meeting

19. NHS Volunteer Responder programme updates – new webinars

Fortnightly webinars are being held to provide regular updates on the NHS Volunteer Responder programme. The webinars are for referrers and colleagues working across health and care, including: primary care; social care; local authorities; government departments; voluntary sector organisations; STPs and ICSs; and NHS England and Improvement regional teams.

These webinars will provide an overview of the programme, including facts, figures and the most recent updates on programme adaptations in response to policy changes and the needs of vulnerable people.

Thursday 20 August, 11am - 12pm - Join Microsoft Teams Meeting

Thursday 3 September, 11am - 12pm - Join Microsoft Teams Meeting

Thursday 17 September, 11am - 12pm - Join Microsoft Teams Meeting

Thursday 1 October, 11am - 12pm - Join Microsoft Teams Meeting

20. General Practice NHSE/I Webinar

Nikki Kanani, Medical Director for Primary Care and Ed Waller, Director, Primary Care Strategy and NHS Contracts hold a regular webinar for general practice and primary care staff.

The upcoming webinars are listed below, links and further information will be sent out as soon as we have it.

3 September (TBC)

1 October (TBC)

5 November (TBC)

3 December (TBC)

21. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. The new term will start on 2 Sept and links to the Zoom talk will be published on the site under flyers 48 hours before the session. Over the summer, if you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

As Monday 10 August 2020 at 5:53pm, the total number of COVID-19 associated UK deaths is 46,526.

Monday 10 August 2020 at 5:53pm, 311,641people have tested positive for coronavirus in the UK.

NHS Test and Trace and Public Health England to partnership with local authorities to reach more people testing positive and their contacts

Shoppers across the UK have been urged to do their bit and take part in Shop Local Week (10-16 August) to help local businesses rebuild from the coronavirus pandemic.

Latest advice is here

Notification to organisations to share information

22.. COVID-19: Primary Care Bulletin - 6 August 2020 (Issue 61)

Dr Nikki Kanani, the GP and Medical Director for Primary Care and Gabi Darby, Deputy Director for GP Contracts bring the latest news in their most recent letter on a wide range of subjects of interest to primary care, click here to view

23. Third phase of General Practice response to COVID-19

Updated on Friday 31 July, this is;

• sets out priorities for the rest of 2020/21; and

• outline financial arrangements heading into Autumn as agreed with Government available here

24. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

25. Media enquiries

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 July 2020 (Issue 61)

Wed, 29 Jul 2020 15:26:59 GMT

View this email in your browser

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Please note that the below data does not include care home data.

Coventry and Warwickshire COVID position up to 28.07.2020

3,947 cases now confirmed in Coventry and Warwickshire (+50 / +1.3% from Thursday)

4 of these are currently admitted (-4 / -50.0% from Thursday)

Admissions by Trust:

GEH: 1

UHCW: 2

SWFT: 1

CWPT: 0

462 beds still available (+10 / +2.2% from Thursday)

0 ITU beds occupied by Covid patients (+0 / from Thursday)

531 reported deaths in a hospital setting (+1 / +0.2% from Thursday)

Download the weekly data pack.

1. Increased referral choice for Anti-VEGF (previously referred to as the Wet AMD service)

Coventry and Warwickshire CCGs have recently completed a successful tender for Anti-VEGF (previously referred to as the Wet AMD service) services with 3 existing and 3 new providers delivering the service from July onwards. The existing providers continuing to deliver the service are:

New Medical Systems Limited (t/a Newmedica), primarily but not limited to covering North Warwickshire, South Warwickshire NHS Foundation Trust, primarily but not limited to covering South Warwickshire, University Hospitals Coventry & Warwickshire NHS Trust, primarily but not limited to covering Coventry and Rugby.

The 3 new providers are:

SpaMedica Limited who will be delivering services based at Coventry from 3rd August 2020

Community Health & Eye Care Limited who will be delivering services from a number of sites covering Coventry and Warwickshire via a mobile unit and expected to commence delivery of the service from 1st September 2020

George Eliot Hospital NHS Trust who are based in Nuneaton and the start date for commencement has yet to be confirmed

All providers will be available on e-referral to offer patients more providers and location of services to receive treatment. New patients are to be seen within 10 working days to ensure they are diagnosed and treated urgently for conditions.

2. PHE Alert - Evidence of harm from illicit or fake benzodiazepines

An alert has been issued by PHE to alert advises of the availability of, and harm from, illicit drugs sold as benzodiazepines particularly when used in conjunction with alcohol and drugs with a respiratory depressant effect including gabapentinoids and opioids. Guidance which outlines risks and advice for professionals is available here

3. Restarting of Holbrooks Health Team Ultrasound Services in August - change of referral route

The range of examinations is unchanged and the referral route is via e-RS, please. The referral form can be downloaded from GP Gateway. The service provision has been redesigned in order to comply with social distancing rules, protective equipment requirements, disinfection and cleaning procedures. The requirement for a transvaginal scan will be assessed by the sonographer during the pelvic transabdominal scan and the transvaginal scan may need to be rescheduled.

A letter from the service can be found here and a patient information leaflet can be downloaded here

4. Thoracic surgery at UHB moved to Queen Elizabeth Hospital (QE) site

Thoracic surgery has historically been based on the Heartlands site only. Due to a cessation of elective operating due to the COVID-19 situation, a limited Thoracic surgical programme is currently operating out of the Priory Hospital. UHB have designated the QE site for complex cold surgery; and in view of the private sector provision being likely to cease, it has been agreed to move the Thoracic service to the QE site as of 20th July 2020, to sit alongside Cardiac Surgery, as recommended in external reviews.

5. Suffocation risk of face masks attached to baby's dummies

In some parts of the country there have been warnings issued as face masks attached to baby's dummies were found to be being used. While there is some uncertainty about whether if this is an issue locally, we have been asked by Safeguarding to make you aware of this and it is something to be aware of. To read media coverage in another part of the country click here

6. Learning Disabilities Mortality Review (LeDeR) programme Bulletin

This month's review includes a comprehensive list of FAQs that cover everything about the programme. They are particularly useful if you are new to LeDeR - perhaps as a LAC or reviewer - and have ‘why’ or ‘how’ questions. To read the bulletin in full click here.

7. Update from EMIS Health

The latest bulletin from EMIS Health is now available and it includes childhood immunisation protocol updates, New versions of EMIS Mobile and more. You can read it here

8. Clenil® Modulite® 100mcg (beclometasone) inhalers: release of batch specific variation

Additional batches of Clenil® Modulite® 100mcg (beclometasone) inhalers have been released into the UK supply chain to help address the current increased demand.

A summary of key information related to batch variation is as follows:

Information when additional batches that will be released can be found here and a patient information is available here

NO UPDATES FOR Coventry and Rugby – 28 July 2020

NO UPDATES FOR North Warwickshire – 28 July 2020

NO UPDATES FOR South Warwickshire – 28 July 2020

Please note all sessions are open to all localities

9. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. The new term will start on 2nd Sept and links to the Zoom talk will be published on the site under flyers 48 hours before the session. Over the summer, if you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

10. Risk Assessment Webinar

Hosted by North London Partners in Health and care, this helpful webinar explores how risk are assessed during COVID-19 and considers what GP Partner/Practice Managers can do to mitigate the risk for their workforce. Both a recording of the event and the slides are available:

Watch Recording of Live Event

Webinar Slides 1

Webinar Slides 2

11. Warwickshire North Virtual education sessions

A number of virtual education sessions that have taken place in Warwickshire North are now available to view. Subjects including heart failure and lower GI and breast cancers are amongst areas discussed. If you are interested in finding out more click here.

As of 3:59pm on Monday 27 July 2020, the total number of COVID-19 associated UK deaths is 45,759.

As of 9am on Monday 27 July, 300,111 people have tested positive for coronavirus in the UK.

Latest local figures published by GOV.uk and PHE as of Sunday 26 July 2020 at 3:59pm, are a total of 26,788 cases in the West Midlands.

Latest advice is here

COVID-19: background information (updated 27 July).

Major new campaign: encouraging millions to lose weight and cut COVID-19 risk.

COVID-19: guidance for the safe use of places of worship and special religious services and gatherings during the pandemic.

Coronavirus (COVID-19): advice for people in England with animals.

Updated: Adult Social Care Infection Control Fund.

12. Second phase of General Practice response to COVID-19

Updated guidance and publications to GP contracts and income protection arrangements are available to view here.

13. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

14. Media enquiries

15.

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Primary Care Escalation Plan/Coventry and Warwickshire Surge Plan

Wed, 29 Jul 2020 10:18:48 GMT

Primary Care Escalation plan / Coventry and Warwickshire Surge Plan

The ‘Guidance and standard operating procedures, General practice in the context of coronavirus (COVID-19)’ states;

‘As the COVID-19 pandemic escalates, collaboration between GP practices within primary care networks (PCNs) and federations, and the wider healthcare system will be crucial. General practice, pharmacies and community services need to work together to deliver the best care for patients. Local health systems should ensure clear leadership, robust workforce planning and appropriate data sharing and patient record sharing are established’.

Practice resilience during the COVID-19 pandemic will be critical to the overall system response. It is likely that members of staff (both clinical and non-clinical) may be off sick, self-isolating, may need to work remotely, and may be working under increasing patient demands.

The Coventry and Warwickshire Primary Care operating model is being developed to meet the expectations set out in the above guidance. This model will need to adapt to the changing circumstances, for example if a practice needs to close due to workforce issues. The plan detailed below sets out how each Place will respond to primary care escalations.

Actions at each level should be built upon. Click the Attachments button to see levels.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 July 2020 (Issue 60)

Thu, 23 Jul 2020 08:22:56 GMT

For all clickable links, please click on the attachments.

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Please remember: we are issuing the briefing twice a week (Tuesday and Thursday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. Please keep us updated with any issues that you may be having so we can try to address them.

Coventry and Warwickshire COVID position up to 23.07.2020

3,897 cases now confirmed in Coventry and Warwickshire (+10 / +0.3% from Tuesday)

8 of these are currently admitted (-1 / -11.1% from Tuesday)

Admissions by Trust:

GEH: 7

UHCW: 0

SWFT: 1

CWPT: 0

452 beds still available (-10 / -2.2% from Tuesday)

0 ITU beds occupied by Covid patients (+0 /+0% from Tuesday)

530 reported deaths in a hospital setting (+0 / +0.0% from Tuesday)

Download the weekly data pack.

1. Make sure 111 slots are telephone slots

We have had a reminder from the regional team who commission the 111 service as follows:

When creating bookable appointments in EMIS practices should make sure the appointment type is ‘Telephone’, not ‘In Person’

The majority of Practices will have done this already but any practices unsure should check their system

2. Health and Care Video Library

Short and simple videos aimed at the public on a wide range of illnesses and treatments are available in the Health and Care Video Library. Funded by the NHS, the video library has a comprehensive A-Z section which makes it easy to use.

You can view it here

3. Warwickshire Community & Voluntary Action (WCAVA) bulletin

The latest bullet from WCAVA is now out and contains information on community grants that are open for applications, voluntary opportunities as well as updates on how the voluntary sector has been, and continues to support the COVID-19 effort. To read the newsletter please click here

4. Reminder An update on Primary Care COVID-19 antibody testing

Antibody testing results will now be with the requestor in seven days from the sample being taken. If it has not arrived after eight days please email: covidstafftesting@uhcw.nhs.uk stating the name and DOB of the individual tested.

Please do not chase your result by calling your registered GP or the lab.

Remember that consent forms printed off when you book your test need to be given to your employing organisation to be kept in your HR Record, see further detail in the table below:

Staff Group Consent form to be kept by:

Staff and GPs employed by Practice GP Practice employee HR record

SWGP Fed and GP Alliance Locums Employing organisation

Self employed GP Locums Retain own copy and leave copy with practice where Ab test ordered

Blood samples need to be on a transport to the lab on the same day they are taken to ensure integrity of the sample. When registering, it is really important to include your accurate details, including full name – these are being matched to the lab records to ensure that right result is being sent to the right person and to the correct registered GP. If these details are not correct your test result may be delayed or void.

To date, up to and including 20 July, 1533 antibody tests have processed. 1524 results have been shared with 13.1% have the antibody detected.

Finally, for full details on how to request an antibody test follow this link www.cwcovid.support

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

Repeat testing

Repeat testing is available to staff under the following conditions:-

They have been confirmed as having Covid via an antigen test since the last antibody test request

They are symptom free and have been for at least 48 hours

It is at least 30 days since being confirmed as having COVID

Thank you for your patience and your support is appreciated.

UPDATES FOR Coventry and Rugby – 23 July 2020

No updates this issue

UPDATES FOR North Warwickshire – 23 July 2020

No updates this issue

UPDATES FOR South Warwickshire – 23 July 2020

Please note all sessions are open to all localities

5. The Perils of Social Media- Presented by the BMA (Warwickshire North Virtual Education Programme)

Date: Tuesday 28th July 2020

Time: 1.00pm -2.00pm

Location: Microsoft Teams- joining details below: Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is here.

6. PLT session on Safeguarding (Warwickshire North Virtual Education Programme)

Following yesterday's PLT session on Safeguarding, contact details for parents/families seeking support who may have no or limited internet access are here

7. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. The new term will start on 2nd Sept and links to the Zoom talk will be published on the site under flyers 48 hours before the session. Over the summer, if you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

8. Risk Assessment Webinar

Watch Recording of Live Event

Webinar Slides 1

Webinar Slides 2

9. Domestic Violence and Abuse training and referral programme

IRIS (Identification and Referral to Improve Safety) is a general-practice based domestic violence and abuse training, support and referral programme for primary care staff. The Warwickshire IRIS team has set up some more mop-up sessions for those who were unable to attend the previous sessions. If you are unable to make these set dates, please email your IRIS AE with dates of your availability and we can book in a session for your surgery.

Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

10. Warwickshire North Virtual education sessions

As of Wednesday 22 July 2020 at 3:58pm, 296,377 people have tested positive for coronavirus in the UK and 45,501 people have died across all settings

At 9am on 19 July, testing capacity was 318,829 in the UK (figure not updated)

Latest local figures published by GOV.uk and PHE as of Wednesday 22 July 2020 at 3:58pm, are a total of 26,390 cases in the West Midlands.

Latest advice is here

Millions could be vaccinated against COVID-19 as UK secures strong portfolio of promising vaccines

Families and friends to be reunited with loved ones in care homes as visits restart

11. Second phase of General Practice response to COVID-19

Updated guidance and publications to GP contracts and income protection arrangements are available to view here.

12. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

13. Media enquiries

14. Please review the new testing turnaround times

Primary Care Coronavirus briefing – Coventry and Warwickshire – 21 July 2020 (Issue 59)

Tue, 21 Jul 2020 08:29:28 GMT

For all clickable links, please click on the attachments.

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 21.07.2020

3,887 cases now confirmed in Coventry and Warwickshire (+44 / +1.1% from Thursday)

9 of these are currently admitted (+0 / +0.0% from Thursday)

Admissions by Trust:

GEH: 8

UHCW: 0

SWFT: 1

CWPT: 0

462 beds still available (-42 / -8.3% from Thursday)

0 ITU beds occupied by Covid patients (+0 /+0% from Thursday)

530 reported deaths in a hospital setting (+0 / +0.0% from Thursday)

As mentioned in last week's updates, the care home data is not included and currently being reviewed.

Download the weekly data pack.

1. UPDATED An update on Primary Care COVID-19 antibody testing

Please do not chase your result by calling your registered GP or the lab.

Remember that consent forms printed off when you book your test need to be given to your employing organisation to be kept in your HR Record, see further detail in the table below:

Staff Group Consent form to be kept by:

Staff and GPs employed by Practice GP Practice employee HR record

SWGP Fed and GP Alliance Locums Employing organisation

Self employed GP Locums Retain own copy and leave copy with practice where Ab test ordered

To date, up to and including 20 July, 1533 antibody tests have processed. 1524 results have been shared with 13.1% have the antibody detected.

Finally, for full details on how to request an antibody test follow this link www.cwcovid.support

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

Repeat testing

Repeat testing is available to staff under the following conditions:-

They have been confirmed as having Covid via an antigen test since the last antibody test request

They are symptom free and have been for at least 48 hours

It is at least 30 days since being confirmed as having Covid

Thank you for your patience and your support is appreciated.

2. The National Test and Trace service

A download of the latest update from the Coventry, Solihull and Warwickshire Beacon team is available here. You can keep up to date and find more background information about our beacon work at www.staysafecsw.info

3. Changes to Myton Services - email from Ruth Freeman – CEO

Here at Myton, like everyone else, we are planning for the future post Covid- 19 and by the end of August we will be in a position to discuss our thinking with you. I am conscious however, that you may become aware of some proposed changes before we are in a position to share them with you so I have below provided a brief interim update that I hope will be helpful.

In April this year Myton were experiencing severe staffing shortages due to vacancies and sickness, a situation which began to rapidly worsen as those in vulnerable groups adhered to shielding guidance and it soon became apparent that we would be unable to run our two in-patient units effectively or safely. In discussions with Warwick Hospital, therefore, we decided to temporarily hand over the unit in Warwick to the hospital to help with the local response to the pandemic.

This meant we moved our entire In- patient operation to our Coventry site at which we increased the number of available beds to a maximum of 20. Since we made the move we have continued to take patients from across Coventry and Warwickshire and our team have consequently been very busy.

The plan is for Myton to move back into the Warwick unit in September and we are currently running a recruitment campaign so that we can be ready to start taking patients there as soon as possible.

The impact of the pandemic on Myton has been significant. The lockdown has had a huge impact on our ability to raise voluntary funds and we anticipate the losses could be as much as £ 1- 1.5 million. Even now as the restrictions are lessened the future is uncertain and we will only know the full impact of the pandemic many months if not years from now.

What is clear is that Myton has to make some changes if we are to ensure that our service delivery is protected for the future. This means re-shaping the way we run some parts of our organisation a process we have just begun. It’s important to say at this point that we are not looking to reduce the number of patients we support, in fact we are hoping that our reach will increase by implementing the lessons we learned during the pandemic and by doing a number of things differently.

Change is always challenging and this is going to be a difficult time for our staff directly affected. We have just started a consultation process which will come to an end on the 15th August 2020 after which time we will be able to talk about our plans with the wider community. Until then as this is going to be a sensitive time could I ask that if you have any questions or concerns you direct them personally to me.

Kind Regards

Ruth Freeman

Chief Executive

4. COVID-19 patient information in 21 languages

Information aimed at patients about COVID-19 has been produced in 21 languages by Doctors of the World in partnership with the British Red Cross, Migrant Help and Clear Voice. Among the languages featured currently are English, Albanian, Dari, French, Pashto, Portuguese, Bengali, Vietnamese, Kurdish Sorani with Mandarin, Hindi, Urdu, Arabic, Spanish, Portuguese, Malayalam, Turkish, , Farsi, Amharic, Tigrinya, Somali coming soon. To view them click the link https://drive.google.com/open?id=193qQN9l04Dvf0N9L5zeWTiXK_DRbrAxg

5. Support for people with dementia in the community

Some of the support services available for people living with dementia have seen a decline in referrals during the COVID-19 pandemic. As well as Admiral Nurses.who are available in some areas, there are other forms of support and resources available. To find out what these are click here

6. Primary Care Careers in Coventry and Warwickshire - Care For Your Career

The CCGs have used GP Forward View funding to create the “Care for Your Career” website, a one-stop shop for primary care recruitment and education for Coventry and Warwickshire.

We have commissioned a marketing agency to do a big recruitment push for us to help bring new GPs, nurses, practice managers and more to the area, so if you have vacancies open at your practice, let us know – we can help to advertise them! Fill out the job advert form (click here to download) and send it to communications@coventryrugbyccg.nhs.uk

On the website you will also find lots of useful resources, including recordings from weekly Virtual Learning Sessions as well as mentoring and other programmes helpful in making progress as a Primary Care professional.

Here’s a video of just some of the hardworking staff in primary care helping to make a difference in our area:

https://vimeo.com/318988448

So don’t forget to visit our website dedicated to finding jobs and developing careers in the Coventry and Warwickshire area: https://careforyourcareer.co.uk/.

UPDATES FOR Coventry and Rugby – 21 July 2020

No updates this issue

UPDATES FOR North Warwickshire – 21 July 2020

No updates this issue

UPDATES FOR South Warwickshire – 21 July 2020

7. Funnel Charts

Download the latest funnel charts from SWFT for south Warwickshire practices. They are on Non-Elective Admissions - COPD and Diabetes; Points of Delivery; Ambulatory Care and Top 5 Speciality Treatments.

Please note all sessions are open to all localities

8. TOMORROW - Warwickshire North GP & Clinician Virtual PLT

Details of next week's PLT around Safeguarding including an update of any changes during COVID and a presentation from Refuge on Domestic Abuse below:

PLEASE NOTE This session will be split for Virtual AND In-house working- please check Agenda for Timings.

Date: Wednesday 22nd July 2020

Time: 1.30 -5.00pm

Location: Microsoft Teams- joining details below:

Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is available here. Please be aware that Out of Hours cover HAS been arranged as with previous PLTs.

If you are unable to join the session at the scheduled time, it will be recorded and available to view on the Care for Your Career website- https://careforyourcareer.co.uk/support/medical-education/ purposes. There are already 6 previous session recordings on the website including: Cancer Pathways, COVID Hot Topics and Impact on BAME people, Mental Health & Using Technology during COVID, Managing the breathless patient- Heart Failure & Haematology Update, AccuRx Demonstration & EOL, Managing breathless patient- COPD update and Elderly medicines Review.

The next WN Virtual Education Programme Session will be on Tuesday 28th July 2020 , 1:00 – 2:00pm– Perils of Social Media- BMA.

9. UPDATED Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. The new term will start on 2nd Sept and links to the Zoom talk will be published on the site under flyers 48 hours before the session. Over the summer, if you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

10. Risk Assessment Webinar

Watch Recording of Live Event

Webinar Slides 1

Webinar Slides 2

11. Domestic Violence and Abuse training and referral programme

Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

12. Warwickshire North Virtual education sessions

As of 20 July, 4:02pm, 295,372 people have tested positive for coronavirus in the UK and 45,312 people have died across all settings

At 9am on 19 July, testing capacity was 318,829 in the UK.

Latest local figures published by GOV.uk and PHE are as of on Monday 20 July 2020 at 4:02pm, there are a total of 26,282 cases in the West Midlands.

Latest advice is here

Millions could be vaccinated against Covid-19 as UK secures strong portfolio of promising vaccines

13. Second phase of General Practice response to COVID-19

Updated guidance and publications to GP contracts and income protection arrangements are available to view here.

14. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

15. Media enquiries

16. Please review the new testing turnaround times

Primary Care Coronavirus briefing – Coventry and Warwickshire – 16 July 2020 (Issue 58)

183:820766164 (Ben Evans) — Mon, 20 Jul 2020 08:39:01 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 15.07.2020

• 3,843 cases now confirmed in Coventry and Warwickshire (+2 / +0.1% from Tuesday)

• 9 of these are currently admitted (-2 / -18.2% from Tuesday)

Admissions by Trust:

o GEH: 7

o UHCW: 2

o SWFT: 0

o CWPT: 0

• 504 beds still available (+0 / +0.0% from Tuesday)

• 0 ITU beds occupied by Covid patients (+0 / from Tuesday)

• 530 reported deaths in a hospital setting (+1 / +0.2% from Tuesday)

It has been decided to take the care home data out of the daily comms as the data is not updated frequently enough to provide a robust current position. This is being reviewed.

Download the weekly data pack.

1. State of Readiness – update

As part of the NHS Covid-19 Phase 1 response, and in line with many areas across the country, a number of General Practice services were either fully or partially stopped in order to prioritise resources appropriately to respond to the national Level 4 Incident. With the downgrade to Level 3, we can now use this as an opportunity to realign our focus to the restoration of services across Coventry and Warwickshire. This will take place at practice level, PCN level or Place level.

As our services begin to resume, it is vitally important to recognise the positive innovations that have been made to the core General Practice operating model as part of the Covid response. This includes the introduction of ‘total triage’, ‘virtual first’, and extended use of ‘remote management/non face to face’. Our suggestion is that where possible this delivery model should be sustained and become the default approach for all practice level services wherever possible. This is in order to support Primary Care manage patient demand, maintain access and protect the Primary Care workforce.

Local Forums

Each ‘Place’ has established a local forum or is utilising existing mechanisms to maintain proactive dialogue with member practices throughout the COVID-19 response. They will continue to provide assistance, and support to Practices with their restoration programmes. We would ask that you please refer to your local CCG contacts (details below) for any support or clarification that you may require.

The four local ‘Place’ forums will follow core restoration principles that have been agreed by the Coventry and Warwickshire General Practice Clinical Advisory Group (CAG), which includes the CCG Clinical Chairs / Vice Chairs and the LMC's. These can be found on the attached State of Readiness spreadsheet (link to download spreadsheet)

We believe that the local ‘Place’ forums are key to supporting the operational restoration of services. They will sit in a wider governance structure to ensure that as services are restored, they are done so ensuring the impact across the Coventry and Warwickshire health and care system is considered and aligned.

We would like to reiterate our thanks for all your hard work and support during the Covid-19 emergency response, for each of us these have been unprecedented times for our local health service. We look forward to working and supporting you all as we bring about the restoration of services to our local population.

If you have any questions you can speak with your local primary care lead:

Coventry and Rugby: Nikkie Temperley: Nicola.TemperleySmith@coventryrugbyccg.nhs.uk

South Warwickshire: Sue Phillips: Sue.Phillips@southwarwickshireccg.nhs.uk

Warwickshire North: Roma Holland: Roma.Holland@coventryrugbyccg.nhs.uk

2. Updated Cervical Screening Programme Restoration Guidance (Version 4)

NHS England and Improvement has issued further national guidance on the restoration of cervical screening Section 6 of the guidance includes specific advice for cervical sample takers. The updated guidance is here

3. An update on Primary Care COVID-19 antibody testing

Although over 80% of the antibody tests undertaken via this new process are being resulted within 72 hours, there are some tests that are taking longer to result than anticipated. Your result should be with you within a week of your sample being taken. If it has not arrived after eight days please email covidstafftesting@uhcw.nhs.uk stating the name and DOB of the individual tested.

Please do not chase your result by calling your registered GP or the lab.

Remember that consent forms printed off when you book your test need to be given to your employing organisation to be kept in your HR Record, see further detail in the table below:

Staff Group Consent form to be kept by:

Staff and GPs employed by Practice GP Practice employee HR record

SWGP Fed and GP Alliance Locums Employing organisation

Self employed GP Locums Retain own copy and leave copy with practice where Ab test ordered

To date, up to and including 8 July, 677 antibody tests have processed – 15.8% have the antibody detected.

Finally, for full details on how to request an antibody test follow this link www.cwcovid.support

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

Thank you for your patience and your support is appreciated.

4. Step-by-step for patients to take a good quality photograph of their throat

A helpful video that shows in step by step detail how patients can take a high quality photograph of their throat to help you understand their symptoms can be found here https://www.youtube.com/watch?v=_xZjv45eh2k The copyright owner, an NHS GP, has given their permission for the video to be shared.

UPDATES FOR Coventry and Rugby and Warwickshire North CCGs – 16 July 2020

5. Summer Holiday Breakfast Club (revised leaflet) - Coventry only

The leaflet provided in Tuesday's bulletin link to a leaflet promoting the Summer Holiday Breakfast Club. There was an error within the leaflet so please do not use copies. The new updated leaflet is available to download.

Coronavirus pandemic has demonstrated the power of community. In Coventry, community centres have taken an active lead in the distribution of essential food supplies to people who have been shielding and who are vulnerable. Coventry City Council has helped to draw the city together, working in partnership with voluntary, community and other organisations to create an emergency food network. Within this network food hubs were set up throughout the city to ensure that food was provided to those who were in greatest need. The Food Hubs offer a range of community-based support. Including: Summer activities for children, Grub hubs and Foodbank.

6. Supporting the LGBTQ+ community with videos during Pride

Due to Coronavirus this year’s Warwickshire Pride event has been cancelled but we haven’t given up on celebrating the beauty of diversity and inclusion! On Saturday 22 August a Warwickshire Pride online event will take place. The day will be filled with Pride performances, entertainment, talks and education streamed across different platforms such as Facebook, Twitter and YouTube.

The CCGs want to show solidarity with the local LGBTQ+ community and promote the Rainbow Badge Initiative. To do this, we’d like to create a quick video with messages of support from our staff.

The idea for the video is very simple, based on two viral TikTok games: the “wipe it down challenge” and the “don’t rush challenge”. The change in the video would be from our “normal look” to a pride look – colourful, creative and/or crazy!

Examples of both challenges can be found here:

• https://www.youtube.com/watch?v=3rJvhricCow

• https://www.facebook.com/watch/?v=231141241436488

The challenges are just an example, all variations on the theme are welcome! Essentially we want to show our support for the local LGBTQ+ Community.

If you’d like participate in the CCGs' message, please send your video to communications@coventryrugbyccg.nhs.uk using wetransfer.com or via WhatsApp to 07717786585. The deadline for submissions is 26 July.

UPDATES FOR South Warwickshire – 16 July 2020

No updates this issue.

Please note all sessions are open to all localities

7. Risk Assessment Webinar

Watch Recording of Live Event

Webinar Slides 1

Webinar Slides 2

8. The adult breathless patient and how to manage them webinar provided by Boehringer Ingelheim Ltd

An online webinars take place on:

Saturday 18 July 10.00am to 11.30am

Mrs Beverley Bostock, Advanced Nurse Practitioner and clinical lecturer, has expressed a desire to make contact with Heath Care Professionals during this time through a live Microsoft Teams Speaker Meeting. The objective is to discuss the adult breathless patient and how to manage them. Online and Telephone Consultations have become important for managing patients, the presentation will focus on this type of consultation as Health Care Professionals learn to make the most of this medium. If you would like to be part of this meeting please respond to laina.tebbutt@boehringer-ingelheim.com. We will be limiting attendees so a prompt response would be appreciated. On receipt of your email request we will send out a formal invite and agenda along with the MS Teams link in order for you to join on the day.

9. Warwickshire North GP & Clinician Virtual PLT

Details of next week's PLT around Safeguarding including an update of any changes during COVID and a presentation from Refuge on Domestic Abuse below:

PLEASE NOTE This session will be split for Virtual AND In-house working- please check Agenda for Timings.

Date: Wednesday 22nd July 2020

Time: 1.30 -5.00pm

Location: Microsoft Teams- joining details below:

Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is available here. Please be aware that Out of Hours cover HAS been arranged as with previous PLTs.

The next WN Virtual Education Programme Session will be on Tuesday 28th July 2020 , 1:00 – 2:00pm– Perils of Social Media- BMA.

10. Domestic Violence and Abuse training and referral programme

Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

11. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. Links to the Zoom talk will be published on the site under flyers 48 hours before the session. If you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

12. Warwickshire North Virtual education sessions

• As of 5pm on 14 July, of those tested positive for coronavirus in the UK, 45,053 have died across all settings.

• As of 9am on 15 July, 291,911 people have tested positive for coronavirus in the UK.

• Latest advice is here

• COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable.

• COVID-19: Home Office extraordinary funding for domestic abuse support services.

• COVID-19: guidance for commissioners and providers of services for people who use drugs or alcohol

• Types and uses of coronavirus (COVID-19) tests.

• Latest local figures published by GOV.uk and PHE are as of Tuesday 14 July 2020 at 4:47pm, there are a total of 25,852 cases in the West Midlands.

13. NHS England Primary Care Bulletin – 15 July

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin from 15 July. This issue has the latest advice and guidance toolkit for the NHS e-referral service and a new animated video to support total triage in general practice. The regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

14. Second phase of General Practice response to COVID-19

Updated guidance and publications to GP contracts and income protection arrangements are available to view here.

15. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

16. Media enquiries

17. Please review the updated shielding guidance.

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You can update your preferences or unsubscribe from this list.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 14 July 2020 (Issue 57)

Tue, 14 Jul 2020 08:26:51 GMT

For all clickable links, please click on the attachments.

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 13.07.2020

3,841 cases now confirmed in Coventry and Warwickshire (+44 / +1.2% from Thursday)

11 of these are currently admitted (+2 / +22.2% from Thursday)

Admissions by Trust:

GEH: 7

UHCW: 3

SWFT: 1

CWPT: 0

504 beds still available (+56 / +12.5% from Thursday)

0 ITU beds occupied by Covid patients (+0 / from Thursday)

529 reported deaths in a hospital setting (+3 / +0.6% from Thursday)

Download the weekly data pack.

1. Shielding update

A letter dated 8 July from Professor Chris Whitty, Chief Medical Officer for England and Professor Stephen Powis, NHS Medical Director has been shared with Primary Care with an update on shielding and protecting people who are clinically extremely vulnerable from COVID-19. The letter is a follow up to the communication from 22nd June to outline planned changes to the government’s guidance and also contains additional advice from the Royal College of Paediatrics and Child Health (RCPCH) and provides three key updates:

Annex 1 sets out key points about the updated guidance the Government has now published which applies from 6 July 2020, as well as information on maintaining the shielded patient list (SPL).

Annex 2 sets out key points about local lockdown measures and how they relate to shielding and protecting people who are considered clinically extremely vulnerable.

Annex 3 provides details on what this guidance means in relation to children and young people and how we expect this guidance to be implemented. In summary, the updated guidance confirms that the majority of children currently considered clinically extremely vulnerable to COVID-19 will be able to be removed from the SPL following consultation with their specialist clinician or GP. All children and young people currently identified as clinically extremely vulnerable should now be reviewed and, where appropriate, removed from the SPL.

The full letter is available to download.

2. Investigation of the deaths of healthcare and social care workers who contracted the coronavirus

On 29 May 2020, the Secretary of State wrote to the Chair of the Health and Social Care Committee describing a process for investigating the deaths of healthcare and social care workers who died after contracting the coronavirus. This letter provides information about the process and what it means for NHS organisations. There is also additional information for lead medical examiners and medical examiners.

3. EMIS: COVID-19 Care Pathway template updates, Patient Access Password Security and more...

This week in the EMIS Support newsletter…

COVID-19 Care Pathway template updates (July 2020): We've made some changes to the COVID-19 Care Pathway template. All the changes are detailed here.

Patient Access Password Security:Two important new security measures will be implemented in Patient Access by the end of July. Please read the information here which explains what these measures are and why we are introducing them.

4. An update on Primary Care COVID-19 antibody testing

Please do not chase your result by calling your registered GP or the lab.

Remember that consent forms printed off when you book your test need to be given to your employing organisation to be kept in your HR Record, see further detail in the table below:

• Annex 3 provides details on what this guidance means in relation to children and young people and how we expect this guidance to be implemented. In summary, the updated guidance confirms that the majority of children currently considered clinically extremely vulnerable to COVID-19 will be able to be removed from the SPL following consultation with their specialist clinician or GP. All children and young people currently identified as clinically extremely vulnerable should now be reviewed and, where appropriate, removed from the SPL.

Staff Group Consent form to be kept by:

Staff and GPs employed by Practice GP Practice employee HR record

SWGP Fed and GP Alliance Locums Employing organisation

Self employed GP Locums Retain own copy and leave copy with practice where Ab test ordered

To date, up to and including 8 July, 677 antibody tests have processed – 15.8% have the antibody detected.

Finally, for full details on how to request an antibody test follow this link www.cwcovid.support

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

Thank you for your patience and your support is appreciated.

5. Warwickshire update

The latest update from Warwickshire County Council and includes new guidance for people who have been self-isolating (shielding) since late March was introduced this week, and the Council has been using the opportunity to reflect on the support offered to this group in the intervening weeks.

6. Cancellation of elective procedures at University Hospitals of Leicester

A letter from Andrew Furlong, Medical Director of University Hospitals of Leicester around their cancellation of elective procedures.

7. How to contact Warwickshire Police

A poster has been produced by Warwickshire Police which details the various ways to contact them, please make available through your practices.

UPDATES FOR Coventry and Rugby – 14 July 2020

8. Coventry Clinical Membership Meeting

Dear Colleague, now, more than ever with the changes that are coming and with the impact of Covid-19 it seems timely to re-establish the Coventry Clinical Membership meetings to share more directly some of the work that the CCG is progressing and to engage more closely with you as Members of the CCG.

The intention is to schedule meetings directly following the lunch time education session for Coventry practices with the first being: Wednesday 15th July, 2pm - 3pm which will be through MS Teams link. Join Microsoft Teams Meeting. Download the invite

This will be a valuable opportunity for the CCG to share the latest information and seek Members views on developments / proposals and to work more closely with Members throughout this Covid-19 recovery phase and further beyond that. Each practice attending will of course receive remuneration for their time for a Clinical Lead attendance and involvement in these discussions at a rate of £100 per practice (GP attendance rate). I look forward to seeing you all soon.

Dr Sarah Raistrick

9. Summer Holiday Breakfast Club - Coventry only

The Coronavirus pandemic has demonstrated the power of community. In Coventry, community centres have taken an active lead in the distribution of essential food supplies to people who have been shielding and who are vulnerable. Coventry City Council has helped to draw the city together, working in partnership with voluntary, community and other organisations to create an emergency food network. Within this network food hubs were set up throughout the city to ensure that food was provided to those who were in greatest need. The Food Hubs offer a range of community-based support. Including: Summer activities for children, Grub hubs and Foodbank. This leaflet provides information on each.

UPDATES FOR South Warwickshire – 14 July 2020

10. Protected Learning Time - 15 July 2020

This week's Protected Learning Time session takes place tomorrow, Wednesday 15 July, is being delivered online via Zoom form 1.15pm. The agenda covers:

Frailty in primary care - past, present and future, an overview of pre-covid work on frailty, managing frailty during Covid and how this will influence frailty services in the future (various speakers)

Restoring services in primary care (Sue Phillips)

Endoscopy in the Covid era (Ian Allwood and Jeremy Shearman)

To access the session, registration is via the dedicated Zoom page.

UPDATES FOR Warwickshire North – 14 July 2020

No updates this issue.

Please note all sessions are open to all localities

11. The adult breathless patient and how to manage them webinar provided by Boehringer Ingelheim Ltd

These online webinars take place on:

Wednesday 15 July 12.30pm to 2pm

Saturday 18 July 10.00am to 11.30am

12. Domestic Violence and Abuse training and referral programme

Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

13. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. Links to the Zoom talk will be published on the site under flyers 48 hours before the session. If you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

14. Warwickshire North Virtual education sessions

As of 5pm on 12 July, of those tested positive for coronavirus in the UK, 44,830 have died across all settings.

As of 9am on 13 July, 290,133 people have tested positive for coronavirus in the UK.

Latest advice is here

97.5% of in person coronavirus tests returned next day

Deaths of homeless people involving COVID-19, England and Wales: deaths registered up to 26 June 2020

Latest local figures published by GOV.uk and PHE are as of on Monday 13 July 2020 at 3:56pm, there are a total of 25,821 cases in the West Midlands.

Regional R-rates: The latest figures relating to regional R-rates can be found here.

15. NHS England Primary Care Bulletin – 10 July

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin from 10 July. This issue has an update on staff risk assessments, the letter detailing the second phase of the general practice response to COVID-19, the GP patient survey 2020 and the updated shielding guidance changes for children. The regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

16. Second phase of General Practice response to COVID-19

Updated guidance and publications to GP contracts and income protection arrangements are available to view here.

17. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

18. Media enquiries

19. Please review the updated shielding guidance.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 9 July 2020 (Issue 56)

183:820766164 (Ben Evans) — Fri, 10 Jul 2020 13:57:46 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 09.07.2020

• 3,797 cases now confirmed in Coventry and Warwickshire (+14 / +0.4% from Tuesday)

• 9 of these are currently admitted (-10 / -52.6% from Tuesday)

o Admissions by Trust:

o GEH: 6

o UHCW: 2

o SWFT: 1

o CWPT: 0

• 448 beds still available (-59 / -11.6% from Tuesday)

• 0 ITU beds occupied by Covid patients (+0 / 0% from Tuesday)

• 526 reported deaths in a hospital setting (+2 / +0.4% from Tuesday)

Download the weekly data pack.

1. An update on Primary Care COVID-19 antibody testing

Please do not chase your result by calling your registered GP or the lab.

Remember that consent forms printed off when you book your test need to be given to your employing organisation to be kept in your HR Record, see further detail in the table below:

Staff Group Consent form to be kept by:

Staff and GPs employed by Practice GP Practice employee HR record

SWGP Fed and GP Alliance Locums Employing organisation

Self employed GP Locums Retain own copy and leave copy with practice where Ab test ordered

To date, up to and including 8 July, 677 antibody tests have processed – 15.8% have the antibody detected.

Finally, for full details on how to request an antibody test follow this link www.cwcovid.support

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

Thank you for your patience and your support is appreciated.

2. A message from the LMC

Dear All Coventry and Warwickshire GPs and Practice Managers,

Both Coventry and Warwickshire LMCs are being contacted by an increasing number of Practices regarding inappropriate transfer of work from secondary care. This seems to have been exacerbated by Covid and the move to remote consultations by much of secondary care but is, as you will all know, an ongoing issue.

Both LMCs have raised this with the CCGs and acute providers. The providers can dismiss this as 'anecdotal' and see it as being the fault of the odd 'rogue' consultant or medical secretary.

We are keen to stem this tide of additional, non contractual work before it becomes even more difficult to manage and causes further irritation and frustration for Practices and results in a poorer service for patients across Coventry and Warwickshire. To do this we need a clear and accurate picture of the scale and nature of the problem which we can use in discussions with the CCGs as commissioners and the Trusts. The CCGs would also welcome this information to inform their conversations with the Trusts and this would enable us to ensure we reverse the trend and work together as a system.

That is where we need the support of all Practices across Coventry and Warwickshire. We will be asking every Practice to log all such incidents over a two week period (and we do mean ALL). The dates for this audit are the weeks Monday July 20th to Friday July 31st.

The full details of the audit and information required will be sent to all Practices next Wednesday (July 15th) but we wanted to make you aware of this initiative and to ask all GPs and all Practice Managers to support us in this.

This initiative was discussed at both Coventry LMC and Warwickshire LMC meetings this week and has the full support of members. We do appreciate that it will be an inconvenience for Practices and thank you all in advance for your cooperation.

Best Wishes

The Officers of Coventry and Warwickshire LMCs

3. Revised two week wait referral forms; Breast and Lower GI

Dear Colleague,

The Coventry and Warwickshire Primary Care Cancer Network is working to ensure local cancer initiatives and projects will support the milestones set out in the NHS Long-Term Plan, including increasing the diagnoses of cancers at an early stage (Stages 1 or 2) to 75% by 2028. Achieving this target is central to improving cancer survival and quality of life for those living with a cancer diagnosis.

Members from the Primary Care Cancer Network continue to work closely with secondary care colleagues. As part of this work stream we have undertaken a review of the two week wait referral forms that are in use across Coventry and Warwickshire.

There is evidence to suggest that the forms in circulation do not meet the referral guidance set out in NICE guidance https://www.nice.org.uk/guidance/ng12. In recognition of this and on the basis a proportion of GP referrals are handwritten the Coventry and Warwickshire Health and Care Partnership Cancer Board has supported the implementation of standardised electronic templates across Coventry and Warwickshire

Please find included in this communication revised referral forms for immediate use across the following specialities:

Lower GI

The referral form has a dual purpose as it will allow the referring clinician to select the appropriate clinical criteria under NG12 and generate a request to order a FIT test (simply by ticking the box). For further information please refer to the Faecal Immunochemical Test section on the form. Please note to request a FIT test email the referral form directly to uhc-tr.fitbcs@nhs.net and send as e-referral as a 2 week wait.

In addition please find attached:

• Referral form

• EMIS template

• Vision template

• FAQ document to provide you with a summary of the proposed changes, how to refer and the rationale to support implementation.

• Patient information leaflet

Breast

The referral form has been amended to accommodate changes in relation to the management of breast pain. In addition please find attached

• Referral form

• EMIS template

• Vision template

• Guidance/pathway overview (including a link to the Breast Cancer Care Breast Pain leaflet

Can you please make arrangements to remove old versions of the referral forms from your systems and also cascade a copy of this communication to relevant colleagues from within the practice, including secretaries and IT leads

All referral forms can be located online via:

CRCCG GP practices https://www.coventryrugbygpgateway.nhs.uk/pages/two-week-wait/

WNCCG GP practices PLEASE NOTE: There will be a slight delay adding this to DXS

SWCCG GP practices https://www.southwarwickshiregpextranet.nhs.uk/documents-and-publications/referralforms/navigate/1417/4722

For further information and resources please refer to the Cancer Research UK website: https://www.cancerresearchuk.org/health-professional/learning-and-support/resources

If you have any queries please do not hesitate to contact Michelle Park, System Lead for Cancer via email Michelle.Park@cwstp.uk or alternatively on 07468 709135 or Dionne Trivedi Timed Cancer Pathway Project Lead dionne.trivedi@cwstp.uk or 07468 708 458.

4. Two week wait - head and neck referrals at UHCW

UHCW has recognised that it has an issue with 2ww Head and Neck waiting list backlog. The Group has been tasked with formulating a plan to ensure this is cleared. Please advise patients that the current waiting time is approximately 3-4 weeks. We will continue to work closely with the hospital teams and will provide regular updates as we receive them.

5. Key Principles for Intimate Clinical Assessments Undertaken Remotely in Response to COVID-19

Available to download are the key principles for intimate clinical assessments undertake remotely in response to COVID-19. This guidance is aimed at clinicians who are consulting remotely with patients through a digital channel (e.g. online, email, text, video-link) across healthcare settings in England. We expect the key principles in this document to be generalisable across the UK.

The COVID-19 pandemic has accelerated the adoption and utilisation of online and video consultations as part of core clinical practice. The guide focuses on how to safely manage the receipt, storage and use of intimate images taken by patients for clinical purposes.

6. #CarryonVaccinating Campaign - Reminder

The Warwickshire #Carryonvaccinating campaign which launched in June continues with its different focus each week. This week the focus is the pre-school booster (6 -12 July) while next week the subject is the MMR vaccine (13-19 July). Do keep a look out for the emails promoting this campaign. For further information visit the Carry on Vaccinating website. Good vaccination coverage is essential to avoid a local resurgence of serious vaccine-preventable diseases which could have a significant impact on the health of pregnant women, infants and children, and would place substantial additional pressures on the NHS during the COVID pandemic. The website has a range of resources which will help practices promote the campaign messages in Warwickshire.

7. Warwickshire Out of hospital survey

Out of hospital, in conjunction with Warwickshire County Council, have developed a survey to capture feedback on the impact of Out of Hospital Services on patients with diabetes. The survey link is below and very quick. The team would be grateful for any feedback. The survey can be accessed via: https://www.surveymonkey.co.uk/r/BXKGCKS

8. New COVID campaign updates

New materials are available for the following campaigns:

• Stay Alert to Stay Safe Posters: White background easy print for face coverings and distance

• NHS Test and Trace Posters: White background easy print for drive through testing and self-isolate

• Symptoms Posters: White background easy print for taste and smell

9. Recommendations for receiving external visitors to GP Practices

Available to download is a "Recommendations for receiving external visitors to GP Practices" guide with a suggested declaration form to use, this is in light of the pandemic and External Visitors/ Contractors attending surgeries.

10. Warwickshire CAVA newsletter

Community And Voluntary Action (CAVA) in Warwickshire has produced their latest newsletter. This edition highlights include: DSC's research into COVID-19 response funding, highlighting innovative and boundary-pushing BAME-funders and the Test and Trace programme.

UPDATES FOR Coventry and Rugby – 9 July 2020

11. Coventry Clinical Membership Meeting

Dr Sarah Raistrick

UPDATES FOR South Warwickshire – 9 July 2020

No updates this issue.

UPDATES FOR Warwickshire North – 9 July 2020

12. Reminder - Flu Vaccination Delivery Survey - deadline tomorrow

Deadline for submissions is by 3.00pm Friday 10th July 2020. This survey is for all staff including Practice Managers, Nurses, GPs and any other clinical staff to complete as we would like to receive as much engagement from practice staff as possible, Practice Managers please circulate to all staff- thank you: https://www.surveymonkey.co.uk/r/8J93KSC

Please download the NHSE Primary Care SOP Guidance v 3.3, plus please find government latest infection control guidance here- https://www.england.nhs.uk/coronavirus/primary-care/ to help with making your comments.

If you are unable to provide service delivery at a practice level, then an at scale option may be considered or a hybrid of the two.

13. Warwickshire North GP & Clinician Virtual Education Programme

Please find details of next weeks education session around Managing the breathless patient- COPD update below:

Date: Tuesday 14 July 2020, time: 1.00pm - 2.00pm, location: Microsoft Teams- joining details: Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is to follow.

The programme is still being developed and we will advise you of future plans as soon as they are confirmed, the following week there will not be a session on the Tuesday because there is the first re-started VIRTUAL PLT session planned for Wednesday 22 July 2020, 1:30 – 5:00– This will focus on Safeguarding including an update of any changes during COVID and a presentation from Refuge on Domestic Abuse. This session will be split for Virtual AND In-house working (Agenda and timings to follow).

Please note all sessions are open to all localities

14. Diabetes Care presentation

Professor Vinod Patel, Consultant Diabetologist at GEH, held a webinar on 'Diabetes care in the time of COVID-19’, at the end of June. For who were unable to see it, the link and password follows. The presentation is filled with some great data and stats related to diabetes overall and Covid-19 guidance, slides can also be download from:

Professor Vinod Patel - Diabetes Care - COVID-19, the password: diabetes2020.

15. Domestic Violence and Abuse training and referral programme

Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

16. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. Links to the Zoom talk will be published on the site under flyers 48 hours before the session. If you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

17. Warwickshire North Virtual education sessions

• As of Wednesday 8 July 2020 at 4:07pm, of those tested positive for coronavirus in the UK, 44,517 have died across all settings.

• 286,979 people have tested positive for COVID-19 in the UK.

• Latest advice is here

• Coronavirus (COVID-19): getting tested

• COVID-19: Potentially infectious people – How public health officers apply Schedule 21 to the Coronavirus Act 2020 in response to the COVID-19 pandemic

• The impact of COVID-19 on caring

• Latest local figures published by GOV.uk and PHE are as of Wednesday 8 July 2020 at 4:07pm, there are a total of 25,466 cases in the West Midlands.

18. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

19. Media enquiries

20. Please review the updates on antibody testing and the two week wait.

Want to change how you receive these emails?

You can update your preferences or unsubscribe from this list.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 July 2020 (Issue 55)

Tue, 07 Jul 2020 12:48:30 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 07.07.2020

Please also note that the methodology employed by PHE for reporting the number of cases has now changed. As of the 2nd of July the methodology changed to both remove some duplicates and to now include testing undertaken through pillars 1 and 2 – therefore there is not a recent surge in cases, but simply a definitional change.

• 3,783 cases now confirmed in Coventry and Warwickshire – see note re change in PHE reporting methodology

• 19 of these are currently admitted (-15 / -44.1% from Thursday)

o Admissions by Trust:

o GEH: 15

o UHCW: 4

o SWFT: 0

o CWPT: 0

• 507 beds still available (+48 / +10.5% from Thursday)

• 0 ITU beds occupied by COVID patients (+0 / +0.0% from Thursday)

• 524 reported deaths in a hospital setting (+4 / +0.8% from Thursday)

Care Home current position as at 07.07.2020 as reported in latest Silver call update

• 252 COVID related deaths in care homes (+0 / +0.0% from Thursday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 612 Care home deaths in total (+0 / +0.0% from Thursday)

• 781 confirmed cases (+0 / +0.0% from Thursday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 420

o South Warwickshire: 241

o Warwickshire North: 120

Download the weekly data pack.

1. Risk Assessments

Dear All

NHSE issued guidance regarding risk assessments for all GP practice staff on the 24th June (links to download are below) with a request these be conducted within 4 weeks i.e. by 23 July.

In order to support you undertake this task we have attached 4 examples of risk assessments – the first 2 have been adapted for local use and have been updated to follow guidance from the latest General practice SOP 3.3 https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/CO485_guidance-and-standard-operating-procedures-general-practice-covid-19.pdf. The third example is from Wolverhampton CCG and this has been recommended by some PMs so we have included it too and the fourth example comes from St Helens and Knowsley Trust who are the lead employer Trust for all GP Specialist registrars.

We are aware that many of you may already have started this process these are merely to help those that may not have yet started this exercise.

We have been advised that the CCG will be required to report the % of risk assessments completed on 24th July to NHSE, while we aware that reporting for practices is not mandated, however, it would help us to understand the scale of the issues some practices are dealing with and would enable to us to be able to plan additional support that practices may require on either a practice, PCN, local place or Coventry and Warwickshire basis. We thought the easiest way to facilitate this is to add it to the returns you are already sending into the CCG so your next return will include an additional column requesting the following information - “What percentage of your workforce risk assessments have you completed?”

We have also produced a light touch checklist based on the information received to date. We hoped we have pre emptied the NHSE request and were keen to share this with you all to save us all having to run around on 23rd July when NHSE confirm what is required.

Finally we are STILL trying to confirm the details of the local Occupational health support offer and will advise as soon as we get this information back from NHSE who commission this service on our behalf.

However, If you have any questions on the meantime please do not hesitate to contact your Primary Care teams via the usual contact details.

Kindest Regards

Dr Sarah Raistrick

Dr David Spraggett

Dr Imogen Staveley

Documents available to download

COVID Risk Assessment Guidance

Demographic Responsive staff risk assessment form GP Trainee

Example 1 Risk Assessment Template

Example Framework Risk Assessment Tool

Individual Risk Assessment Proforma

Primary Care Risk Assessment Checklist

Risk Assessments for at risk staff groups letter

2. Antibody testing for GP Practices

Antibody testing for GP practice staff is now available and to date there have been almost 300 requests, with 20% of those tested showing that anti bodies have been detected. We are aware of of a glitch in the new system which has resulted in a handful of people receiving a DNA message. If you receive one of these, please disregard it.

Finally, please ensure that you complete all the data requested on the form otherwise this can cause your request to be rejected which could cause a delay. For full details on how to request an antibody test follow this link www.cwcovid.support

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

3. Letter and guidance to community pharmacies and dispensing doctors announcing commissioning of the pandemic medicines and appliances delivery service for July 2020

A letter from Dr Keith Ridge and Ed Waller confirms that the Community Pharmacy Home Delivery Service and the Dispensing Doctor Home Delivery Service will be commissioned from 2 July until 31 July 2020. The services, introduced on 9 April 2020, were due to run until 1 July 2020. The letter announces that both pharmacies and dispensing doctors across England will be required to ensure shielded patients can receive a home delivery of their medicines until 31 July 2020. Attached to the letter is service specifications and guidance. Dispensing doctors can claim payment for delivery of medicines under the Pandemic Delivery Service using this form. Contractors must submit their claims for payment monthly by 5 August 2020. Claims for this service will not be accepted after 5 August 2020. Payment for the mandatory element of the Pandemic Delivery Service will be made automatically for July.

4. Coventry and Warwickshire - Diabetes update, Issue 7

Distributed on a quarterly basis, the Coventry and Warwickshire Diabetes update includes items on NHS Diabetes Advice line, Type 2 patient information packs and the Diabetes Prevention programme as well as local points of contact. The aim of the publication is to keep you informed of all their diabetes patient education projects and most importantly let you know about any training, education, wider support and opportunities that are available to you as you deliver diabetes care to your patients. Please do contact the team if you have any items you would like to see included in future updates, including your top tips!

5. Test and Trace comic strip

Coventry City Council have worked with Partners and Public Health England to produce a comic strip aimed at the public that describes each step that those with coronavirus symptoms or confirmed coronavirus should take, including how NHS Test and Trace works. Available here to download and view

UPDATES FOR Coventry and Rugby – 7 July 2020

No updates this issue.

UPDATES FOR South Warwickshire – 7 July 2020

No updates this issue.

UPDATES FOR Warwickshire North – 7 July 2020

6. GP IT Issues/ Questions Request

In preparation for the upcoming Warwickshire North GP IT Members Update Meeting on: Thursday 9 July between 1.00pm and 2.00pm, joining details here- Join Microsoft Teams Meeting do note that the meeting will be attended by SWFT IT. If you have any questions regarding any aspect of GP IT including any issues, please submit them to Jonathan.King@coventryrugbyccg.nhs.uk by 5.00pm on Tuesday 7 July for a response in the meeting.

7. Reminder - Flu Vaccination Delivery Survey

As mentioned in the last Members Engagement meeting we are looking at potential scenarios for flu delivery, but we need your help in understanding what problems practices would have if they were to deliver these and to enable this can you please complete the following short survey. You may find it helpful to imagine what you would need to do if you had to deliver this in two weeks’ time and with shielded patients consideration.

This survey is for all staff including Practice Managers, Nurses, GPs and any other clinical staff to complete as we would like to receive as much engagement from practice staff as possible, Practice Managers please circulate to all staff- thank you: https://www.surveymonkey.co.uk/r/8J93KSC

If you are unable to provide service delivery at a practice level, then an at scale option may be considered or a hybrid of the two.

Deadline for submissions is by 3.00pm Friday 10th July 2020.

Please note all sessions are open to all localities

8. Domestic Violence and Abuse training and referral programme

9. Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

10. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. Links to the Zoom talk will be published on the site under flyers 48 hours before the session. If you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

11. Warwickshire North Virtual education sessions

• As of Monday 6 July 2020 at 3:55pm, of those tested positive for coronavirus in the UK, 44,236 have died across all settings.

• 285,768 people have tested positive for COVID-19 in the UK.

• Latest advice is here

• Coronavirus (COVID-19): getting tested

• NHS Test and Trace contacts more than 130,000 people

• Latest local figures published by GOV.uk and PHE are as of Monday 6 July 2020 at 3:55pm, there are a total of 25,390 cases in the West Midlands.

12. NHS England Primary Care Bulletin – 6 July

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin from 6 July. The issue information on the new to partnership payment schemes, the alert regarding Cardinal Health Type IIR masks and PPE Portal order limits for general practice and social care providers. The regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

13. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

14. Media enquiries

15. Please review the updates on antibody testing and the information in the Coventry and Warwickshire Diabetes Update.

Primary Care - Antibody testing for GP practice staff – Coventry and Warwickshire – 2 July 2020

183:820766164 (Ben Evans) — Fri, 03 Jul 2020 11:03:23 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find an update on antibody testing for GP practice staff.**

We anticipate demand will be high but to ensure the service is not overloaded at the start, please can test requests be spread over the next couple of weeks.

Tests which determine if someone has had COVID-19 (coronavirus) are starting to be rolled out across Coventry and Warwickshire, for all practice staff including locums.

The antibody test tells the person if they have had the virus or not, but not about any level of protection or immunity from getting the virus again. It is important to remember that anyone having this test should still adhere to the guidance regarding social distancing, hand hygiene and wearing of PPE as recommended by public health experts.

Please note: Antibody test is best done after 40 days post Covid to get maximum sensitivity and current advice states that it should not be conducted less than 14 days after an acute infection.

Why are tests being carried out now?

The test is an important factor in helping to understand how the virus has spread through our population including the primary care workforce. The test will help us learn more about the virus epidemiology and will be used in further research.

There is currently NO clinical benefit in having the test however, antibody testing will also confirm with those who may think they have had COVID-19 or if they have been infected but were asymptomatic.

What information do I need before getting a test?

Before you can start to arrange a test, you will need the following:

Your NHS number (learn more about how to get your NHS number if you cannot remember it)

Your mobile phone number (the results will be sent by text within 72 hours of your test)

Details of the GP Practice where you are registered as a patient

What is the process for getting a test?

1) Access the booking system through the specific antibody testing web link: https://www.swiftqueue.co.uk/uhcw_antibody.php

This link MUST be used to access antibody tests – logging into Swift Queue the normal way will not work.

2) Staff will be asked to select whether they are having their blood test taken by their GP Practice team or whether they need to book a normal phlebotomy appointment, if the practice has no phlebotomy capacity.

3) GP staff will then be asked to log on/register with SwiftQueue and complete all the required information including NHS number, mobile phone number and the screening group they belong to, e.g. Primary Care Staff SWCCG for staff at practices within South Warwickshire CCG.

4) Staff will then be asked to print their antibody test request form – this will have been created specifically for the staff member and will not be able to be used by anyone else.

5) A consent form will also be available online to print off. This needs to be signed and given to the employing GP practice to be kept in the staff member’s HR record. (see further detail in table below).

Staff Group Consent form to be kept by:

Staff and GPs employed by Practice GP Practice employee HR record

SWGP Fed and GP Alliance Locums Employing organisation

Self employed GP Locums Retain own copy and leave copy with practice where Ab test ordered

6) Once the blood sample is taken it will be sent to the lab on normal pathology transport with the blood request form. Please ensure samples taken at the practice are sent to the lab on the day they are taken.

7) The result will be sent by text directly to the staff member within 72 hours of the test being taken. Results will also be sent to the GP practice where the staff member is registered as a patient. Staff should NOT contact the GP practice to get their result.

Where can I get more information?

Further information on testing if you are symptomatic is available from www.cwcovid.support and any updates will be supplied in future primary care bulletin updates.

Who can I contact if I am having problems booking an antibody blood test?

If you have queries about the booking process, please email covidstafftesting@uhcw.nhs.uk stating your enquiry is regarding ‘primary care staff antibody testing’.

Our GP practice does not normally take bloods – how can they get the blood taking consumables required?

The GP pathology consumables order form lists items needed for blood taking. Practices can order what they require via the form and their usual pathology consumable ordering process. The tube required is 1 x Yellow top serum tube for each test. The Pathology Service asks that practices do not bulk order the yellow top tubes, but order weekly, when they are required, to spread demand.

COVID Antibody testing for Primary Care Staff process

Download the flow chart which summaries the process of how staff can get their test.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 2 July 2020 (Issue 54)

Thu, 02 Jul 2020 15:33:58 GMT

For all clickable links, please click on the attachments.

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 02.07.2020

2,448 cases now confirmed in Coventry and Warwickshire (+6 / +0.2% from Tuesday)

34 of these are currently admitted (+5 / +17.2% from Tuesday)

Admissions by Trust:

GEH: 25

UHCW: 8

SWFT: 1

CWPT: 0

459 beds still available (-69 / -13.1% from Tuesday)

0 ITU beds occupied by Covid patients (-2 / -100.0% from Tuesday)

520 reported deaths in a hospital setting (+1 / +0.2% from Tuesday)

Care Home current position as at 01.07.2020 as reported in yesterday’s Silver call update

252 Covid related deaths in care homes (+0 / +0.0% from Tuesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

612 Care home deaths in total (+1 / +0.2% from Tuesday)

781 confirmed cases (+0 / +0.0% from Tuesday)

Confirmed care home cases broken down by CCG:

Coventry & Rugby: 420

South Warwickshire: 241

Warwickshire North: 120

Download the weekly data pack.

1. Antibody testing for GP practice staff - now live! to include links to email

Tests which determine if someone has had COVID-19 (coronavirus) are starting to be rolled out across Coventry and Warwickshire, for all practice staff including locums.

Earlier today a separate email was sent providing details of the preocess. Do remember that the antibody test tells the person if they have had the virus or not, but not about any level of protection or immunity from getting the virus again. It is important to remember that anyone having this test should still adhere to the guidance regarding social distancing, hand hygiene and wearing of PPE as recommended by public health experts. If you missed the email a copy can be accessed here.

2. Learning Disabilities Annual Health Checks

We would like to thank you all for participating in the Learning Disability DES (Direct Enhanced Service) and supporting this vulnerable cohort of patients. As we know this group experiences poor health outcomes and this has only increased since the arrival of Covid-19. Continuing with annual health Checks is seen as a priority and we can confirm where not possible, face to face these can be conducted via a video link. Download the document and suggested invitation letter template.

3. Steam Inhalation and Paediatric Burns during COVID-19 Pandemic

There has been a significant increase in children presenting to burns units following the use of steam inhalation to treat colds /congestion during the pandemic. Steam inhalation is a hazard to children. Resulting scalds can ultimately lead to hospital admission, surgery, and life-long disfigurement. Parental education is paramount to preventing these injuries. It is suggested that clinicians should actively discourage steam inhalation and educate parents about alternative treatments for their child. Evidence suggests no therapeutic benefit from this practice. To access the full article visit the Lancet website.

4. Letter for the sessional/locum GP workforce

The letter from Dr Cat Roberts, is sent on behalf of the CCGs and LMCs to recognise the contribution made during the COVID-19 pandemic and to acknowledge the unique challenges posed during this time. In addition, the letter recognises the universal challenges faced by primary care including the need to deliver care differently, work remotely, become familiar with digital healthcare and outlines a number of resources available. The full letter is available to download.

5. Safeline: Independent Sexual Violence Advisors (ISVAs)

Our ISVAs (Independent Sexual Violence Advisors) are here to provide emotional and practical support to anyone who has experienced sexual violence and who is either considering reporting to the police or has already done so. Whether it is a recent or historic crime we can offer support to ages 3+ from all genders, cultures, faiths and abilities. Safeline’s ISVA team are highly trained, victim focused advocates, independent from the police, criminal justice system and other agencies; although they work in partnership with local agencies to support their clients. Download their leaflet and referral form.

6. School Programme Vaccination update

Download details of the secondary school vaccination update for the academic year 2019/20 and the pan for the academic year 2020/21.

7. Information on Translation and Interpretation Services: DA Languages

NHSE commission DA Languages to provide Translation and Interpretation services to GP Practices within your CCG. Available to download is updated information on services offered by DA Languages for information.

What is available to you

DA Languages is here to provide support through:

Face to Face Interpreting (download the quick guide)

Video Interpreting (download the quick guide)

Telephone Interpreting (download the language PIN guide)

Written Translations and Transcriptions (download the quick guide)

8. #ThankYouTogether clap – 5 July

On Sunday 5 July at 5pm there will be the biggest, loudest and final clap for carers and key workers. Afterwards, people will be encouraged to stay outside to show their thanks/appreciation to their neighbours or reach out to someone who is lonely, isolated or shielding, to let them know they are supported (while maintaining social distance). Please share this with your channels (both internal and external).

9. Local rap artist helps to #RaisetheAwareness

Up and coming rap artist, Aaron Woodhouse has picked up the mic to help raise the awareness of the simple steps we all need to take to stay safe from Covid-19. The project has been commissioned by Warwickshire County Council on behalf of the Coventry, Solihull and Warwickshire Covid-19 response, and Test and Trace programme. Please help spread the word to young people about Covid safety and prevention messages by sharing this fantastic rap video.

UPDATES FOR Coventry and Rugby – 2 July 2020

No updates this issue.

UPDATES FOR South Warwickshire – 2 July 2020

No update this issue.

UPDATES FOR Warwickshire North – 2 July 2020

10. Reminder - Flu Vaccination Delivery Survey

If you are unable to provide service delivery at a practice level, then an at scale option may be considered or a hybrid of the two.

Deadline for submissions is by 3.00pm Friday 10th July 2020.

Please note all sessions are open to all localities

11. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

The session will aid front line staff supporting adults in Coventry. It will be in the form of a 30 minute lunchtime webinar briefing to outline treatment options and harm reduction advice covering the spectrum of alcohol misuse. The webinar will be presented by Karen Wagstaff from HLS Coventry and Steve Bliss from CGL Coventry and will be followed by a Q&A session. The briefing will include an overview of the spectrum of alcohol use and assessing the level of alcohol use. Access is via Microsoft Teams.

12. Warwickshire North GP & Clinician Virtual Education Programme

Next week's education session is around Video Consultations Using AccuRx Demonstration by AccuRx & The Community Day Time Rapid Response for End of Life in Rural North and How End of Life has altered in light of COVID below:

Date: Tuesday 7 July 2020

Time: 1.00 -2.00pm

Location: Microsoft Teams- joining details: Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is to follow. The programme is still being developed and we will advise you of future plans as soon as they are confirmed, the following session being planned is for Tuesday 14 July 2020 , 1:00 – 2:00– Gynaecology Pathways & Managing the Breathless Patient- COPD Update. If you are unable to join the session at the scheduled time, it will be recorded and available to view on the Care for Your Career website- https://careforyourcareer.co.uk/support/medical-education/ We are also planning on posting future programming on this website for reference purposes.

13. Domestic Violence and Abuse training and referral programme

Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

14. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. Links to the Zoom talk will be published on the site under flyers 48 hours before the session. If you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

PRACTICE NURSE EDUCATION

15. Practice Nurse Immunisation Training update

Please note the brief summary and a link to the full guidance released 26 June 2020. Immunisation remains an essential service and immunisation training should continue to be seen as an important priority during the pandemic. It is vital that immunisers are given the time and opportunity to undertake training and that they are supervised and supported in practice as required. Good quality immunisation training prevents errors and leads to a successful programme. The overall recommendations made in the training standards for immunisation have not changed but while pandemic related restrictions apply, the ways in which immunisers undertake training may need to be adapted. The full training guidance during the Covid-19 pandemic can be downloaded.

As of 9am on 1 July, there have been 9,662,051 tests, with 226,398 tests on 30 June.

313,483 people have tested positive.

As of 5pm on 30 June, of those tested positive for coronavirus in the UK, across all settings, 43,906 have died.

Latest advice is here

Coronavirus (COVID-19): guidance for local government

Latest local figures published by GOV.uk and PHE are as of Wednesday 1 July 2020 at 4:01pm, there are a total of 17,092 cases in the West Midlands

16. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

17. Media enquiries

18. Please review the updates on antibody testing and learning disabilities health checks.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 30 June 2020 (Issue 53)

183:820766164 (Ben Evans) — Wed, 01 Jul 2020 09:10:19 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 30.06.2020

• 2,442 cases now confirmed in Coventry and Warwickshire (+11 / +0.5% from Thursday)

• 29 of these are currently admitted (-17 / -37.0% from Thursday)

o Admissions by Trust:

o GEH: 24

o UHCW: 4

o SWFT: 1

o CWPT: 0

• 528 beds still available (-5 / -0.9% from Thursday)

• 2 ITU beds occupied by Covid patients (-1 / -33.3% from Thursday)

• 519 reported deaths in a hospital setting (+13 / +2.6% from Thursday)

Care Home current position as at 29.06.2020 as reported in yesterday’s Silver call update

• 252 Covid related deaths in care homes (+0 / +0.0% from Thursday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 611 Care home deaths in total (+0 / +0.0% from Thursday)

• 781 confirmed cases (+0 / +0.0% from Thursday)

• Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 420

o South Warwickshire: 241

o Warwickshire North: 120

Download the weekly data pack.

1. Standard Operating Procedure update to v3.3

There is a new Standard Operating Procedure for General practice in the context of coronavirus v3.3 which is out now. Practices should be aware that this update was made on 24/6/20 and is available to download from the NHS Primary Care website, updates within the document are highlighted in yellow and include outbreak management in context of Covid-19.

2. Antibody testing for GP practice staff

The final checks for antibody testing for GP practices are currently being carried and we expect the service to go live this week. As we know there is demand for the roll out to happen, we will issue a separate communication to practices with full details of how to access the service as soon as it is available. We thank you for your continued patience.

3. Increased restrictions for Leicester and parts of Leicestershire announced

Residents in Leicester and its outlying areas are to be asked to continue to follow stricter lockdown restrictions for at least two weeks, and non-essential shops will be closed. This means the city’s bars, restaurants and hairdressers will not open on 4 July as planned, and shops that were allowed to open on 15 June will have to close again from 30 June. Schools will close from 2 July but will stay open for children of key workers and vulnerable children. The relaxation of shielding planned for 6 July will not happen. Visit the County Council website for the full briefing and details of areas affected.

4. Clinical guidance for healthcare professionals on maintaining immunisation programmes during COVID-19

GP practices will continue to ensure vaccinations are offered to all eligible individuals. Despite COVID-19, the routine childhood immunisation programme will continue to play an important role in preventing ill-health through causes other than coronavirus infection. Download the full guidance.

5. UHCW and ultrasound guided steroid joint injections and Covid-19

After further careful consideration and research by the MSK Consultant Body around guidelines for steroid injections in the Covid era the Radiology Department will only perform steroid joint or tendon injections under strict directives. The reason for this is risk of severe Covid if patients have a steroid injection and then contract the disease (patients can experience adrenal suppression following a steroid injection for up to 28 days post injection). Download the update.

6. Health Visiting - Revised 0-5 years offer due to the Covid19 Pandemic

South Warwickshire NHS Trust would like to inform General Practitioners of the revised Health Visiting 0-5 years offer, due to the Covid19 Pandemic and in line with current NHSE Guidance. The Warwickshire Health Visiting Service will continue to operate making contact with all women and families for mandated contacts and to support those on a Universal Plus or Partnership Plus pathway of the service. The service delivery model remains predominantly telephone / video calling and text / email. Face to face contacts remain minimal and based on a clinical need identified by parent or Health professional. Predominantly these are between when the New Birth visit and 6-week contact is due offered between 10-28 days, and also based on the midwifery offer for the family too to avoid too many practitioners having face to face contact with the family in the same period.

The Health Visiting Teams can be contacted on 07520 615293. Each area also has a face book page which can be found online under contacts. Download the full update.

7. SnoMed Coding for Antibodies from EMIS

COVID-19 - latest tools and resources to help your organisation deal with the coronavirus pandemic -

https://www.emisnow.com/csm?id=kb_article_view&sysparm_article=KB0064137&sys_kb_id=3fde45461b611c101f18b8c2cd4bcb4c&spa=1

Clinical SNOMED CT coding information in relation to COVID-19

https://www.emisnow.com/csm?id=kb_article_view&sysparm_article=KB0064477&sys_kb_id=3fde45461b611c101f18b8c2cd4bcb4c&spa=1

If you search for the virus' name SARS-CoV2-2 and "detection" you get the codes. Currently we have IgG and IgM, later there should also be IgA and generic antibody concepts added.

8. #ThankYouTogether clap – 5 July

UPDATES FOR Coventry and Rugby – 30 June 2020

No updates this issue.

UPDATES FOR South Warwickshire – 30 June 2020

No update this issue.

UPDATES FOR Warwickshire North – 30 June 2020

9. Warwickshire North Flu Delivery Planning Survey

If you are unable to provide service delivery at a practice level, then an at scale option may be considered or a hybrid of the two.

Deadline for submissions is by 3.00pm Friday 10th July 2020.

Please note all sessions are open to all localities

10. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

11. Medical education sessions for all

Medical education sessions available to all to watch, including a session on IT and AccuRx on 3 June on www.mededcoventry.com. Go to the GP section and then to Presentations, (log in using covgp for both GMC and password). The AccuRx information on 3 June starts about 30 mins in. Any queries, please contact gpteachingadmin@uhcw.nhs.uk.

• As of 9am on 29 June, there have been 9,290,215 tests, with 93,881 tests on 28 June.

• 311,965 people have tested positive.

• As of 5pm on 28 June, of those tested positive for coronavirus in the UK, across all settings, 43,575 have died.

• Latest advice is here

• Coronavirus (COVID-19): guidance for local government

• Latest local figures published by GOV.uk and PHE are as of Monday 29 June 2020 at 4:02pm, there are a total of 17,068 cases in the West Midlands.

12. COVID-19: Easing of lockdown restrictions

The Prime Minister has announced changes to lockdown measures in England to enable people to see more of their friends and family, help businesses get back on their feet and get people back in their jobs.

From Saturday 4th July, the Prime Minister has announced that:

1. Pubs, restaurants and hairdressers will be able to reopen, providing they adhere to COVID Secure guidelines - updated guidance for all workplace settings can be found here: https://bit.ly/sectorsocialdist

2. Two households will be able to meet up in any setting with social distancing measures - updated guidance on social distancing can be found here: https://bit.ly/SDUpdated

3. People can now enjoy staycations in England with the reopening of accommodation sites - guidance on opening up the visitor economy can also be found here: https://bit.ly/sectorsocialdist

4. In order to begin restoring the arts and cultural sector, some leisure facilities and tourist attractions may also reopen, if they can do so safely – this includes outdoor gyms and playgrounds, cinemas, museums, galleries, theme parks and arcades, as well as libraries, social clubs, places of worship and community centres - guidance on opening up the visitor economy can also be found here: https://bit.ly/sectorsocialdist

Following a review, the Prime Minister has also set out that where it is not possible to stay two metres apart, guidance will allow people to keep a social distance of ‘one metre plus’. This means staying one metre apart, plus mitigations which reduce the risk of transmission. The full press release here: https://bit.ly/PMPressNotice

13. NHS England Primary Care Bulletin – 26 June and 30 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin from 26 June and 30 June. The issues have an update on social distancing guidelines, advice on the completion of staff risk assessments, an update on the GP Standard Operating Procedure, a reminder to practices of the importance of providing all women with a postnatal GP check at 6-8 weeks and on 30 June, the new to partnership payment schemes. The regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

14. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

15. Media enquiries

16. Please review the guidance for healthcare professionals on maintaining immunisation programmes.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 25 June 2020 (Issue 52)

183:820766164 (Ben Evans) — Thu, 25 Jun 2020 15:34:14 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 25.06.2020

2,431 cases now confirmed in Coventry and Warwickshire (+16 / +0.7% from Monday)

46 of these are currently admitted (-19 / -29.2% from Monday)

Admissions by Trust:

GEH: 40

UHCW: 6

SWFT: 0

CWPT: 0

533 beds still available (-50 / -8.6% from Monday)

3 ITU beds occupied by Covid patients (+0 / +0.0% from Monday)

506 reported deaths in a hospital setting (+5 / +1.0% from Monday)

CareHome current position as at 24.06.2020 as reported in yesterday’s Silver call update

252 Covid related deaths in care homes (+0 / +0.0% from Monday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

611 Care home deaths in total (+0 / +0.0% from Monday)

781 confirmed cases (+0 / +0.0% from Monday)

Confirmed care home cases broken down by CCG:

Coventry & Rugby: 420

South Warwickshire: 241

Warwickshire North: 120

Download the weekly data pack.

1. Restoration of Services

As you will all be aware, in March we paused a large number of non-essential services to enable practices to focus all their time and capacity on their COVID response. The Coventry and Warwickshire Primary Care Clinical Advisory Group are now working through the plan to restore and restart these services. This will include the prioritisation and timescales for the service restarts and the associated delivery requirements in relation to maintaining safe delivery of care. Further information on this, including the service restart timescales, will be shared next week.

2. Increased risk of heat stress when wearing PPE

A warning has been issued on the increased risk of heat stress when wearing PPE in clinical settings. To reduce this risk, measures to control the temperature of clinical environments and enable staff to make behavioural adaptations to stay cool and well hydrated should be made.

Action which can be taken relating to this include;

Assess the risk of overheating in your workplace and consider appropriate control measures to implement.

Consider collective control measures first (eg remove or reduce the sources of heat where possible).

Consult the Heatwave Plan for England.

Ensure that staff are aware of the risk of heat stress when wearing PPE and know how to reduce their risk including making sure that frontline staff receive any alerts.

Staff working in warm/hot conditions should follow the advice:

Take regular breaks, find somewhere cool if you can.

Make sure you are hydrated).

Be aware of the signs and symptoms of heat stress and dehydration

Use a buddy system with your team to look out for the signs of heat stress

Between shifts, try to stay cool as this will give your body a chance to recover.

3. Your chance to feed back on the mental health GP Advice Line

We have been exploring how we can improve and expand utilisation of the mental health GP Advice Line. The next step in this work is to gain GP feedback on the current service with the intention that we would then be in a position to potentially trial Consultant Connect and subsequently run an evaluation. Following a delay due to COVID-19, this work is back underway and we are asking you to take part in a survey which should take less than five minutes to complete: https://www.surveymonkey.co.uk/r/T2RG2YD

UPDATES FOR Coventry and Rugby – 25 June 2020

No updates this issue.

UPDATES FOR South Warwickshire – 25 June 2020

Funnel Charts

Download the latest funnel charts from SWFT for south Warwickshire practices. The are on Non-Elective Admissions - COPD and Diabetes; Points of Delivery and Top 5 Speciality Treatments.

UPDATES FOR Warwickshire North – 25 June 2020

No update this issue.

Please note all sessions are open to all localities

4. Managing the Breathless and Haematology Patients during COVID

Date: Tuesday 30th June 2020

Time: 1.00 -2.00pm

Location: Microsoft Teams- joining details below:

Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is attached.

The programme is still being developed and we will advise you of future plans as soon as they are confirmed. The next session being planned is for Tuesday 7th July 2020 , 1:00 – 2:00– TBA

If you are unable to join the session at the scheduled time, it will be recorded and available to view on the Care for Your Career website- https://careforyourcareer.co.uk/support/ We are also planning on posting future programming on this website for reference purposes. Previous Warwickshire North education sessions have also been uploaded onto the website - https://careforyourcareer.co.uk/support/medical-education/

5. Microsoft Team training

This training on Microsoft Team is provided by the ICT Team at SWFT. Session 1- Introduction and Session 2- Meetings. Dates include 26 June and 30 June. For further information please contact Emma.Fulham@swft.nhs.uk. The schedule, joining instructions and course content are both available.

6. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

7. Medical education sessions for all

PRACTICE NURSE EDUCATION

8. FREE Perinatal Mental Health Training for Practice Nurses via Zoom

FREE Perinatal Mental Health Training for Practice Nurses via Zoom by Dr Lucy Blunt, GP Champion for Perinatal MH for Coventry and Warwickshire

An essential training course written specifically for practice nurses on how to recognise perinatal mental illness in primary care. Date: Tuesday 30 June 2020

19:30 – 20:30

Currently in the UK around 20% of new mums are affected by mental health issues but only 50% of these are being detected. Why is this? What can we do about it? Untreated perinatal mental illness has huge implications for both the family and society as a whole. Raising awareness of perinatal illness isn't just about diagnosing postnatal depression. It's about recognising all other forms of mental illness that can occur in new parents and thier families. Practice nurses play a vital role in helping to recognise and support these families in primary care. Please join me for this interactive Zoom session to raise awareness and provide education for those nurses working in primary care.

Registration is via Eventbrite. Once your ticket has been registered you will be sent the Zoom details to enable login on the night.

Dowloading the Zoom app can take some time so please consider downloading this before the event.

As of 9am on 24 June, there have been 8,542,186 tests, with 232,086 tests on 23 June.

306,862 people have tested positive.

As of 5pm on 23 June, of those who tested positive for coronavirus in the UK, across all settings, 43,081 have died.

Latest advice is here

Slides and datasets: 24 June 2020

Coronavirus (COVID-19): guidance for local government

Latest local figures published by GOV.uk and PHE are as of Wednesday 24 June 2020 at 4:20pm, there are a total of 16,962 cases in the West Midlands.

9. COVID-19: Easing of lockdown restrictions

On Tuesday 23 June the Prime Minister Boris Johnson set out further changes to lockdown measures in England to enable people to see more of their friends and family, help businesses get back on their feet and get people back in their jobs.

From Saturday 4th July, the Prime Minister has announced that:

Pubs, restaurants and hairdressers will be able to reopen, providing they adhere to COVID Secure guidelines - updated guidance for all workplace settings can be found here: https://bit.ly/sectorsocialdist

Two households will be able to meet up in any setting with social distancing measures - updated guidance on social distancing can be found here: https://bit.ly/SDUpdated

People can now enjoy staycations in England with the reopening of accommodation sites - guidance on opening up the visitor economy can also be found here: https://bit.ly/sectorsocialdist

In order to begin restoring the arts and cultural sector, some leisure facilities and tourist attractions may also reopen, if they can do so safely – this includes outdoor gyms and playgrounds, cinemas, museums, galleries, theme parks and arcades, as well as libraries, social clubs, places of worship and community centres - guidance on opening up the visitor economy can also be found here: https://bit.ly/sectorsocialdist

10. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

11. Media enquiries

Our communications team is here to support you if needed. If you are approached by the media, please forward on to your local communications team: agem.communications@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

12. Please ensure you are acting on the heat stress advice.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 June 2020 (Issue 51)

Tue, 23 Jun 2020 08:48:45 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 22.06.2020

• 2,415 cases now confirmed in Coventry and Warwickshire (+24 / +1.0% from Thursday)

• 65 of these are currently admitted (-3 / -4.4% from Thursday)

o Admitted cases broken down by Trust:

o GEH: 55

o SWFT: 3

o UHCW: 7

• 583 beds still available (+45 / +8.4% from Thursday)

• 3 ITU beds occupied by Covid patients (+1 / +50.0% from Thursday)

• 501 reported deaths in a hospital setting (+6 / +1.2% from Thursday)

Care Home current position as at 22.06.2020

• 252 Covid related deaths in care homes (+0 / +0.0% from Thursday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 611 Care home deaths in total (+1 / +0.2% from Thursday)

• 781 confirmed cases (+2 / +0.3% from Thursday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 420

o South Warwickshire: 241

o Warwickshire North: 120

Download the weekly data pack.

1. Antibody testing for GP practice staff

We know and appreciate that there is demand for the antibody testing service to be rolled out. Teams are working to complete this as soon as possible and once the details are finalised an update will be shared. While the timescales have taken longer to complete please be assured that this has taken longer to make sure that the process is as seamless and robust as it can be and we thank you for your continued patience.

2. Temporary residents

We have heard concerns from some commissioners and practices about the significant impact that holiday makers can have on local areas and the difficulties this will bring for general practice.

The current rules on patient registration set out that a practice may register patients as a temporary resident if they are resident in the practice area for more than 24 hours but less than three months. However, given the introduction of total triage and the rapid and widespread increase in use of remote consultations by practices, registering as a temporary resident might no longer be necessary or provide the most appropriate access or care for the patient. Under these circumstances and where it is clinically appropriate to do so, patients may be referred back to their registered practice to be assessed by a clinician who knows the patient and can access their medical record.

Practices may still need to see patients face to face in certain circumstances and therefore register them as a temporary resident. In addition, all patients, even if not on the practice list and not a temporary resident, must still be provided with primary medical services in core hours for any immediately necessary treatment, which may include medication.

Practices should note that if a patient needs a prescription while away from home, that some (not all) prescribing systems allow a prescription to be sent to another pharmacy as a ‘one off’.

3. Staff risk assessments in Primary Care

A reminder to all practices that it is crucial that individual risk assessments are conducted for all staff in primary care, particularly for BAME staff, who have been disproportionately affected by Covid-19, and that these risk assessments are being prioritised and reviewed on a regular basis within practices.

4. Plans to ease guidance for shielding patients

Millions of people shielding from coronavirus (COVID-19) will be advised they can spend more time outside their homes from Monday 6 July July and that shielding will no longer be required from 1 August, the Health and Social Care Secretary has announced. Full details and the full government announcement.

Also today, the Guidance and updates for GPs managing highest clinical risk patients area of the NHS website has been updated with a letter from Professor Chris Whitty and Professor Stephen Powis on the shielding of patients. In addition, there is a copy of the letter for patients from Matt Hancock and Robert Jenrick advising of the changing situation.

5. GEH update

George Eliot Hospital Trust, with the support of local and regional NHS partners, Warwickshire County Council and Public Health England (PHE) is managing an increased number of COVID-19 cases in the hospital, and although understandably some people have been concerned about attending hospital during the pandemic, our staff have worked hard to minimise the spread of infection within the hospital. Our message is that our services remain open and operational, so patients should continue to attend their appointments unless specifically advised by the Trust not to.

“We are in contact with all individuals and their families who have tested positive for COVID-19, and we continue to take strict action to help prevent further spread of infection within the hospital, said David Eltringham, Managing Director of the Trust. Also available is a message from Shade Agboola, Director of Public Health, Warwickshire.

6. Join research investigating the psychological impact of COVID-19

Help shape how the NHS responds to future crises and share how COVID-19 has affected your mental health and wellbeing, in this global survey with Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) and Southern Health NHS Foundation Trust. Anyone over 16 can take part, follow the link to complete the survey online and say you heard about it from CPFT: bit.ly/30TRObE

More information on the CPFT website here: https://bit.ly/3e4siUC

7. Heatwave alert for Health, Care and Voluntary/Community Services

A heatwave alert has been issued by the Met Office for very hot weather to be experienced in the West Midlands from tomorrow Wednesday 24th June to Friday 26th June 2020, with temperatures of over 30 degrees. These temperatures are believe to reach levels that may pose a risk to vulnerable patients/residents.

Please find heatwave key messages and a leaflet plus checklist for residential settings. Thank you for circulating to staff and residents and for taking action now, as per the messages, and for the duration of the hot weather, paying particular attention to those most vulnerable to the heat, i.e. older people, the very young and those with long-term conditions. It is recognised that some people may be self-isolating and so may need to be virtually supported to find ways to keep themselves and their homes cool (using only their own personal outside space/garden if they have it, if cooler than inside).

UPDATES FOR Coventry and Rugby – 22 June 2020

No updates this issue.

UPDATES FOR South Warwickshire – 22 June 2020

No updates this issue.

UPDATES FOR Warwickshire North – 22 June 2020

No update this issue.

• As of 9am on 22 June, there have been 8,029,757 tests, with 139,659 tests on 21 June.

• 305,289 people have tested positive.

• As of 5pm on 21 June, of those who tested positive for coronavirus in the UK, across all settings, 42,647 have died.

• The latest advice is here

• Slides and datasets to accompany coronavirus press conference: 19 June 2020

• Coronavirus and the social impacts on young and older people in Great Britain: 3 April to 10 May 2020

• PPE portal: how to order emergency personal protective equipment

• Plans to ease guidance for over 2 million shielding

• New saliva test for coronavirus piloted in Southampton

• Coronavirus (COVID-19): guidance for local government

• Latest local figures published by GOV.uk and PHE are as of Monday 22 June 2020 at 4:00pm, there are a total of 16,923 cases in the West Midlands.

Please note all session are

8. Proxy Access for Care Homes - Medication Ordering FAQ on 24th June Time: 2PM - 3PM

This webinar is to support you during and after COVID-19 with successfully setting up proxy access for medication in care homes. The event follows on from the webinar we hosted on the 12th of May for Proxy Access for Care Homes - Medication Ordering. **Before joining the webinar, you will be sent supporting documents. Please read and bring any questions you have regarding the documents to this meeting**

What will be covered: Proxy access for care homes; NHS mail; Tips for implementing; Published Guidance and Q&A

9. Microsoft Team training

This training on Microsoft Team is provided by the ICT Team at SWFT. Session 1- Introduction and Session 2- Meetings. Dates include, 24 June, 26 June and 30 June. For further information please contact Emma.Fulham@swft.nhs.uk. The schedule, joining instructions and course content are both available.

10. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

11. Medical education sessions for all

12. NHS England Primary Care Bulletin - two new editions (19 and 22 June)

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin from 19 June and 22 June. The 19 June issue has a reminder about ordering personal protective equipment (PPE) and an article on temporary residents. The 22 June update focuses on mental health and Covid-19 antibody testing - indemnity arrangements. The regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

13. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

14. Media enquiries

15. Please review the shielding update.

Medical education sessions

Thu, 18 Jun 2020 09:52:33 GMT

Medical education sessions available to all to watch, including a session on IT and AccuRx on 3rd June on www.mededcoventry.com . Go to the GP section and then to presentations, log in using covgp for both GMC and password. The AccuRx information on 3rd June starts about 30mins in. Any queries please contact gpteachingadmin@uhcw.nhs.uk

Primary Care Coronavirus briefing – Coventry and Warwickshire – 18 June 2020 (Issue 50)

Thu, 18 Jun 2020 07:50:20 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 18.06.2020

• 2,391 cases now confirmed in Coventry and Warwickshire (+12 / +0.5% from Tuesday)

• 68 of these are currently admitted (+0 / +0.0% from Tuesday)

• 538 beds still available (+4 / +0.7% from Tuesday)

• 2 ITU beds occupied by Covid patients (+2 / from Tuesday)

• 495 reported deaths in a hospital setting (+3 / +0.6% from Tuesday)

Care Home current position as at 18.06.2020

• 252 Covid related deaths in care homes (+0 / +0.0% from Tuesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 610 Care home deaths in total (+0 / +0.0% from Tuesday)

• 779 confirmed cases (+1 / +0.1% from Tuesday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 420

o South Warwickshire: 239

o Warwickshire North: 120

1. Medical education sessions for all

2. EMIS Health Live - a fortnight of free online events led by industry experts.

EMIS is hosting a virtual event, EMIS Health Live: The New Normal. With a huge range of sessions spread across a fortnight, The New Normal aims to support professionals navigating the changing healthcare landscape emerging from the COVID-19 pandemic. From panel discussions to lunch & learn sessions, seminars to partner power ups, we’re hosting all our events online, for free.

The fortnight kicks off on 13 July, and they’ve already released some of the sessions, with more to be added. Session topics include Understanding GP Connect, The total triage model, Virtual MDT sessions with EMIS Web and Microsoft Team, and many more. To find out more and access the schedule of events, please visit the dedicated event page. Registrations are now open, and you can sign up to as many sessions as you’d like.

3. TRiM practitioner course

TRiM (Trauma Risk Management) Practitioners - a skills-based course, trained by experienced and skilled TRiM experts who have routinely worked with individuals affected by traumatic incidents. TRiM practitioners, working within organisations, do not require any specialist medical or psychological expertise, but will be able to look after small groups of personnel who may be at risk of developing psychological distress after traumatic events. This skills-based, interactive course is backed up by a series of lectures which covers the relevant theory underpinning the skills taught. The two day course (with dates in July) is currently being held online. If you are interested in participating on one of these courses, please email cwp-tr.trim@nhs.net to register. Download the course information.

4. Talk Cancer live online workshop: Thursday 25th June 10:30am-12:30pm

This cancer awareness workshop is suitable for anyone wanting to improve their skills and confidence to have conversations about making healthy changes to reduce cancer risk, as well as helping people understand of the importance of early detection and screening. Full details are online.

5. Warwickshire Community And Voluntary Action (CAVA) newsletter

Download the latest issue of the Warwickshire CAVA voluntary sector newsletter and includes details of COVID-19 support groups and resources for BAME communities.

6. FAO dispensing practices: SOP for community transport providers in Warwickshire

GP’s/GP dispensary services are advised that the agreed SOP for community transport providers in Warwickshire has been extended until 30/9/2020. This is in order to continue the service to collect and deliver prescriptions for those who are shielded and vulnerable by local community transport schemes across all districts and boroughs. The SOP has been updated to reflect further hygiene guidance, and amends are highlighted. This service is funded by WCC.

UPDATES FOR Coventry and Rugby – 18 June 2020

7. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

Please note that the education sessions taking place in the other localities are open to all.

UPDATES FOR South Warwickshire – 18 June 2020

8. SWFT diabetes hotline

SWFT Diabetes Service hotline access for worried patients with diabetes is available on 07775 012696, 7 days a week from 8am to 8pm. Additionally Diabetes UK offer a helpline for adults on insulin requiring immediate advice on 0345 123 2399 Monday to Friday 9am to 6pm.

Please note that the education sessions taking place in the other localities are open to all.

UPDATES FOR Warwickshire North – 18 June 2020

9. Warwickshire North GP & Clinician Virtual Education Programme

Please find details of next weeks education session around Mental Health & Wellbeing and Using Technology during COVID below:

Date: Tuesday 23 June 2020

Time: 1.00 - 2.00pm

Location: access via Microsoft Teams

If you are unable to join the session at the scheduled time , it will be recorded and available to view on the Care for Your Career website- https://careforyourcareer.co.uk/organisations/warwickshire-north-ccg/. We are also planning on posting future programming on this website for reference purposes.

Please note that the education sessions taking place in the other localities are open to all.

• As of 9am on 17 June, there have been 7,121,976 tests, with 140,359 tests on 16 June.

• 299,251 people have tested positive.

• As of 5pm on 16 June, of those who tested positive for coronavirus in the UK, across all settings, 42,153 have died

• Latest advice is here

• Oliver Dowden’s statement on coronavirus (COVID-19): 17 June 2020

• Slides and datasets to accompany coronavirus press conference: 17 June 2020

• PPE portal: how to order emergency personal protective equipment

• NHS test and trace: workplace guidance

• Latest local figures published by GOV.uk and PHE are as of Wednesday 17 June 2020 at 4:02pm, there are a total of 16,807 cases in the West Midlands.

10. NHS England Primary Care Bulletin – new edition – 17 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (17 June) and in this edition includes details of the #LookingAfterYouToo coaching sessions for primary care staff. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

11. GP Webinar with Nikki and Ed

Tonight's primary care webinar is from 5pm to 6pm. As part of this webinar, we would like to ask you to share ideas of innovative practice over the past few months.

12. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

13. Media enquiries

14. Do remember to join tonight's primary care webinar.

Want to change how you receive these emails?

You can update your preferences or unsubscribe from this list.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 16 June 2020 (Issue 49)

Tue, 16 Jun 2020 10:24:18 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit:

https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 16.06.2020

• 2,379 cases now confirmed in Coventry and Warwickshire (+40 / +1.7% from Wednesday)

• 68 of these are currently admitted (-4 / -5.6% from Wednesday)

• 534 beds still available (+29 / +5.7% from Wednesday)

• 0 ITU beds occupied by Covid patients (+0 / from Wednesday)

• 492 reported deaths in a hospital setting (+4 / +0.8% from Wednesday)

CareHome current position as at 16.06.2020

• 252 Covid related deaths in care homes (+1 / +0.4% from Wednesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 610 Care home deaths in total (+0 / +0.0% from Wednesday)

• 778 confirmed cases (+10 / +1.3% from Wednesday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 419

o South Warwickshire: 239

o Warwickshire North: 120

Download the weekly charts.

1. Use of PPE for Staff and Patients in Primary Care - PHE guidance

You will be aware from national coverage that Public Health England (PHE) has published the government policy recommendations, based on evidence presented to the Scientific Advisory Group for Emergencies, for hospital settings including use of face coverings for all those visiting hospitals and face masks for staff when in non-clinical areas.

Currently in primary care settings there are two relevant pieces of advice that should be followed.

• The advice published by Public Health England on the use of Personal Protective Equipment in primary care for staff

• Further Government advice on working safely in non-hospital settings

Please be assured that, when there is specific guidance related to primary care, it will be cascaded in due course.

2. Guidance for general practice ordering personal protective equipment

All GP practices can now register on the new online personal protective equipment (PPE) portal for ordering emergency PPE from a central inventory. This is to supplement (not replace) the orders that you make directly from the suppliers. The Department of Health and Social Care (DHSC) developed the portal in partnership with eBay UK, NHS Supply Chain, the Army, Clipper and Royal Mail. Throughout May and June 2020, DHSC has been emailing GP practices, inviting them to register with the PPE portal. The emails should be coming from PPE Dedicated Supply Channel - ppe.dedicated.supply.channel@notifications.service.gov.uk. Please ensure that you are regularly checking your email accounts registered with the CQC/MHRA in order to ensure that the invite is received and actioned.

The portal can be accessed via: https://www.nhs-ppe.co.uk/customer/authentication

The PPE Portal has been tested with the sector and is now being scaled up nationally over the coming weeks. During this phase of the roll-out, GPs and small residential and domiciliary social care services will be invited to register on the portal.

Current order limits mean GP practices can order one combined pack, containing 50 IIR masks, 200 aprons and 400 gloves (200 pairs), per week or up to this amount of separate items. These limits may change over time. Orders through the portal should arrive within 48 hours if placed before 1pm. Orders placed after 1pm will be subject to an additional 24-hours.

If providers have any queries, please contact our customer services on 0800 876 6802.

Further information can be found at https://www.gov.uk/government/news/government-significantly-boosts-uk-ppe-supply-with-more-than-100-new-deals

3. Antibody testing for GP practice staff

We are currently finalising the local process so we are able to offer antibody testing to all GP practice staff and locums in the very near future.

In the interim can we ask you to start preparing for this as we anticipate there will high levels of interest by staff for this test.

Preparations could include :-

1. Starting to plan a rota for staff testing - including the local capacity you have to complete the phlebotomy for these tests

2. Ensuring you have adequate supplies of yellow topped bottles for these additional staff tests

3. Ensuring staff are aware of what their NHS number is as this will be needed when requesting a test

We are not changing any local phlebotomy arrangements but are aware that some practices have kindly agreed to take the bloods of their staff for this purpose and have ordered adequate supplies in readiness – so please check what is happening in your practice.

Please note bloods MUST be sent to the lab on the same day.

NHS number can be found in the following places easily:

1. On your NHS registration card (if you have one)

2. On a prescription form/repeat prescription request from if you have one (on the right hand side of the scripts)

3. On any hospital correspondence

4. On the NHS App – which can be found in your smartphone App store – it's easy to register and gives access to a whole range of services

We would like to remind everyone that an antibody test needs to be taken ideally 40 days after a staff member has had or suspects they have had Covid 19. It is ineffective if taken less than 14 days after confirmed/suspected Covid.

There is NO clinical benefit in having the antibody test, it does not confirm any level of protection or immunity from getting the virus again. It is important to remember that anyone having this test should still adhere to the infection control guidance as directed by public health experts including appropriate use of PPE, hand washing and social distancing.

Further information will follow in the next few days.

4. Primary Care Covid-19 Response Financial Arrangements: Frequently Asked Questions

Available to download are a number of frequently asked questions (FAQ) about the financial arrangements for the Primary Care Covid 19 response that have been raised through local Primary Care teams. If your question is not listed , please send it through to your local team who will get back to you as soon as possible.

The FAQ document will be regularly updated based upon your queries.

5. NHS Crisis Support for Children and Young people

The Rise Crisis & Home Treatment team (Coventry & Warwickshire Partnership NHS Trust) provide multi-disciplinary support to children and young people (under 18s) who present in mental health crisis.

They assess those who are:

• an immediate and significant risk to others due to their mental health

• being considered for admission to a mental health inpatient unit

• at risk of immediate and significant self-harm

• in acute psychological or emotional distress that is causing

• them to not be able to go about their daily activities, such as going to school and looking after themselves

For urgent calls, for children and young people who are experiencing a mental health crisis contact the Rise Crisis team between 8am-8pm 02476 641799 or call 0300 200 0011 outside of these hours.

During the COVID-19 response, this is service is available 24-hours a day, 7-days a week, with an advice-only service outside the core hours of 8am-8pm. Download further information

6. New support package to help manage patients with long-term conditions

UCLPartners has launched a new package of digital resources and practical support to help primary care teams to continue providing proactive care to patients with long-term conditions during and post COVID-19. The support on offer can help stratify care for patients according to level of risk, using new models of care that are virtual by default, mobilise the wider workforce, draw on digital innovation and support patient self-management. The support package focuses on the management of asthma and COPD, with resources for the management of type 2 diabetes and cardiovascular disease being added soon. Dr Matt Kearney, GP and Programme Director for Primary Care Innovation at UCLPartners, explains more about the support package in a new blog.

7. Cervical screening week 2020

This takes place this week, with increased public awareness you may find patients contact you about the screening programme.

8. Patient discharge leaflets

Two NHS patient discharge leaflets have been produced, specifically for those patients with COVID-19. The first focuses on discharge from A&E, the second on discharge from a hospital stay.

9. AccuRx User guides

Some great resources from AccuRx which include how to make video calls from a mobile, how to make a video call from a desktop, their support website. These are excellent resources for optimising use of Accurx.

10. Talk Cancer live online workshop: Thursday 25th June 10:30am-12:30pm

11. GP Training

Please download the summer term programme schedule from UHCW.

UPDATES FOR Coventry and Rugby – 16 June 2020

12. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

Please note that the education sessions taking place in the other localities are open to all.

UPDATES FOR South Warwickshire – 16 June 2020

13. SWFT diabetes hotline

UPDATES FOR Warwickshire North – 16 June 2020

No updates in this issue

• As of 9am on 15 June, there have been 6,866,481 tests, with 93,163 tests on 14 June.

• 296,857 people have tested positive.

• As of 5pm on 14 June, of those who tested positive for coronavirus in the UK, across all settings, 41,736 have died.

• Latest advice is here

• Coronavirus press conference: 15 June 2020

• Slides and datasets to accompany coronavirus press conference: 15 June 2020

• Coronavirus (COVID-19): getting tested

• Support for the bereaved

• PPE portal: how to order emergency personal protective equipment

• NHS test and trace: workplace guidance

• Number of coronavirus (COVID-19) cases and risk in the UK.

• Regional breakdown of R number now published.

• Latest local figures published by GOV.uk and PHE are as of Monday 15 June 2020 at 4:32pm, there are a total of 16,742 cases in the West Midlands

14. NHS England Primary Care Bulletin – 14 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (14 June) and in this shorter edition includes setting out the latest guidance on the use of face masks. In primary care settings there are two relevant pieces of advice that should be followed.

• The advice published by Public Health England on the use of Personal Protective Equipment in primary care for staff

• Further Government advice on working safely in non-hospital settings

15. NHS England Primary Care Bulletin – new edition – 11 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (12 June) and in this edition includes details of supporting remote monitoring using pulse oximetry. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

16. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

17. Media enquiries

17. Please review the content on pulse oximetry and remote monitoring. Do action the latest update on the wearing of face masks and order of personal protective equipment.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 June 2020 (Issue 48)

183:820766164 (Ben Evans) — Fri, 12 Jun 2020 11:28:01 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit:

https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 10.06.2020

2,339 cases now confirmed in Coventry and Warwickshire (+10 / +0.4% from Monday)

72 of these are currently admitted (+10 / +16.1% from Monday)

505 beds still available (-87 / -14.7% from Monday)

0 ITU beds occupied by Covid patients (-1 / -100.0% from Monday)

488 reported deaths in a hospital setting (+3 / +0.6% from Monday)

CareHome current position as at 10.06.2020

251 Covid related deaths in care homes (+0 / +0.0% from Monday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

610 Care home deaths in total (+0 / +0.0% from Monday)

768 confirmed cases (+0 / +0.0% from Monday)

Confirmed care home cases broken down by CCG:

Coventry & Rugby: 410

South Warwickshire: 239

Warwickshire North: 119

1. Minimising nosocomial infections in the NHS

A letter has been issued by NHS England and Improvement on this read it here

If a member of staff develops symptoms of COVID-19 they should follow the stay at home guidance, and get tested as soon as possible. Go to www.cwcovid.support to book your test. If the result is negative, the advice from Public Health England states that they “can return to work when they are medically fit to do so, following discussion with their line manager and appropriate local risk assessment. Interpret negative results with caution together with clinical assessment.”

If they test positive, they can return to work after seven days, unless they still have symptoms other than a cough or loss of sense of smell/taste, in which case they must continue to self-isolate until they feel better. Where a member of NHS staff tests positive for coronavirus, the starting point is that the Test and Trace self-isolation rules apply as anywhere else, and close contacts must self isolate if the NHS test and trace service advises them to do so.

Please note that close contact excludes circumstances where PPE is being worn in accordance with current guidance on infection, prevention and control. In other circumstances, i.e. where a member of staff has come into contact outside work with someone who has subsequently tested positive for coronavirus, NHS staff are subject to the same test and trace protocols as all other members of the public. If a healthcare professional or another member of your team is contacted by the Test and Trace service and advised to self-isolate for 14 days, they must do so.

We are awaiting up to the minute guidance on the issue of face masks/coverings for staff and patients in primary care and will update this information on the website immediately we have and share through the primary care bulletin too.

You can download the letter from NHS England and Improvement here.

2. Updated guidance and standard operating procedures

This revised guidance applies to general practices operating under contract to the NHS in England, including those providers who operate outside core GP contract hours. Healthcare professionals are asked to use their clinical judgement when applying this guidance in what they appreciate is a highly challenging, rapidly changing environment.

You can download the guidance and standard operating procedure here.

3. Antibody testing for GP practice staff

Tests which determine if someone has had COVID-19 (coronavirus) are due to be rolled out across Coventry and Warwickshire imminently, for all practice clinical staff including locums.

We hope to have the booking process finalised in the next two days and will send a separate communication as soon as this is available. Once established you will need to ensure you have a copy of your consent form, your NHS number and your mobile number (so the results can be sent back to you by text) before ordering the test.

The antibody test tells the person if they have had the virus or not, but not about any level of protection or immunity from getting the virus again. It is important to remember that anyone having this test should still adhere to the infection control guidance as directed by public health experts including appropriate use of PPE, hand washing and social distancing.

4. Shielding patients

Since the start of the pandemic, you and your teams have devoted a great deal of time and effort identifying and advising patients who are clinically extremely vulnerable to COVID19, ensuring they are put on the Shielded Patient List (SPL), and most importantly of all, changing how the NHS provides care for this group of over 2 million people who were strongly advised to stay at home. The end date for shielding is currently 30 June 2020, however this is subject to change. We will keep you updated by way of this bulletin.

5. Post-CCT GP Fellowship Scheme

Coventry and Warwickshire Health and Care Partnership are offering fellowships in their Visionary, Transformation & Trailblazer programmes. More information is available on the flyer - download here.

Please could all trainers pass details on to their ST3s and any other newly qualified GPs that you know.

6. Important update regarding the NHS Diabetes Prevention Programme (DPP)

Due to the impact of COVID-19, many individuals who have previously been categorised with Non-Diabetic Hyperglycaemia following a blood test and are therefore eligible for the NHS Diabetes Prevention Programme, may not have access to a repeat blood test maintaining their eligibility (i.e. their last recorded blood test may now be 12 months + ago); for example because they are shielding, or because primary care are currently focusing on COVID-19 response.

In addition, many individuals with an eligible blood-reading have had their referral into the programme delayed due to COVID-19, and now have a blood test result more than 12 months old. This makes them technically ineligible for the service.

To ensure that individuals in these circumstances are not disadvantaged due to the impact of COVID-19, the requirement for a confirmatory blood test indicating NDH to be within 12 months will be temporarily increased to 24 months. This change will apply until 1st April 2021, at which point we plan to revert to 12 month eligibility.

Please direct any queries to england.cvdnetwork1@nhs.net

7. NHS Diabetes Advice Helpline - FAQs

NHS Diabetes Advice is provided by NHS England and NHS Improvement in response to disruption to normal services due to the COVID-19 pandemic and response. Frequently Asked Questions (FAQs) can be found here.

8. Diabetes Week Quiz

To mark National Diabetes Week which runs from 14 June to 20 June, the Community Diabetes Team from South Warwickshire Foundation Trust have put together a fun quiz - download it here.

9. Counter fraud newsletter

The latest counter fraud newsletter is now available for download, click here.

10. Changes to local NHS services due to COVID-19 in Birmingham

Download the briefing from University Hospitals Birmingham NHS Foundation Trust & NHS Birmingham and Solihull Clinical Commissioning Group.

UPDATES FOR Coventry and Rugby – 11 June 2020

11. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

Please note that the education sessions taking place in the other localities are open to all.

UPDATES FOR South Warwickshire – 11 June 2020

Please note that the education sessions taking place in the other localities are open to all.

UPDATES FOR Warwickshire North – 11 June 2020

12. COVID-19 Updates and Hot Topics

Date: Tuesday 16th June 2020

Time: 1.00 -2.00pm

Location: Microsoft Teams- joining details below:

Join Microsoft Teams Meeting

The session is open to all Clinicians as well as Practice Managers and any other staff, the agenda is to follow.

The programme is still being developed and we will advise you of future plans as soon as they are confirmed, the following session being planned is for Tuesday 23rd June 2020 , 1:00 – 2:00– Using Technology during the COVID-19 pandemic

If you are unable to join the session at the scheduled time , it will be recorded and available to view on the Care for Your Career website- https://careforyourcareer.co.uk/organisations/warwickshire-north-ccg/ . We are also planning on posting future programming on this website for reference purposes

Please note that the education sessions taking place in the other localities are open to all.

As of 9am on 10 June, there have been 6,042,622 tests, with 170,379 tests on 9 June.

290,143 people have tested positive.

As of 5pm on 9 June, of those tested positive for coronavirus in the UK, across all settings, 41,128 have died.

Latest advice is here.

Coronavirus press conference 10 June

Slides and datasets to accompany coronavirus press conference 10 June

Coronavirus (COVID-19): getting tested.

Number of coronavirus (COVID-19) cases and risk in the UK.

Regional breakdown of R number now published.

Latest local figures published by GOV.uk and PHE are as of Wednesday 10 June 2020 at 4:40pm, there are a total of 16,557 cases in the West Midlands.

13. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the Future NHS site:

https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required)

14. Media enquiries

15. Please review the changes in the minimising nosocomial infections in the NHS letter.

Twitter

Facebook

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Primary Care Coronavirus briefing – Coventry and Warwickshire – 9 June 2020 (Issue 47)

Tue, 09 Jun 2020 07:33:37 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information.

Latest local picture

Coventry and Warwickshire COVID position up to 08.06.2020

• 2,329 cases now confirmed in Coventry and Warwickshire (+44 / +1.9% from Thursday)

• 62 of these are currently admitted (-6 / -8.8% from Thursday)

• 592 beds still available (+13 / +2.2% from Thursday)

• 1 ITU beds occupied by Covid patients (-3 / -75.0% from Thursday)

• 485 reported deaths in a hospital setting (+4 / +0.8% from Thursday)

Care Home current position as at 08.06.2020

• 251 Covid related deaths in care homes (+1 / +0.4% from Thursday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 610 Care home deaths in total (+6 / +1.0% from Thursday)

• 768 confirmed cases (+18 / +2.4% from Thursday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 410

o South Warwickshire: 239

o Warwickshire North: 119

Download the weekly totals and predictions.

Local Updates

1. Temporary changes to the need for patient consent to maximise use of the electronic repeat dispensing (eRD) system

A letter has been issued to notify you of temporary changes to the need for patient consent (using the powers granted by the National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 during the COVID-19 response) to maximise use of the electronic repeat dispensing (eRD) system. The full text of the letter is available to download from the Updates and Guidance pages of the NHS website.

2. NHS Support for patients who are shielding

Since the start of the pandemic, you and your teams have devoted a great deal of time and effort identifying and advising patients who are clinically extremely vulnerable to COVID19, ensuring they are put on the Shielded Patient List (SPL), and most importantly of all, changing how the NHS provides care for this group of over 2 million people who were strongly advised to stay at home. We are hugely appreciative of your invaluable work in continuing to support these patients and helping to keep them safe and well. There has been a recent update to this in light of recent new guidance. Please review the new guidance.

3. Capturing clinical innovations - beneficial change

A letter from Steve Powis and Hugh Mcaughey has been shared which contains a survey link on innovation. The invitation is for you and your clinical teams to contribute to this survey by 30/6/2020. They want to ensure beneficial changes to care are captured and embedded in our services so that future patients benefit over the next 12 months and beyond. The letter is available to download.

4. Coventry and Warwickshire Primary Care Cancer Newsletter

The latest edition of the Coventry and Warwickshire Primary Care Cancer newsletter is now available to download and you will see that it is separated into Covid and Non-Covid updates. The aim of this newsletter is to keep you informed about the latest news, developments and future to help primary care in the delivery of excellence in cancer care across Coventry and Warwickshire.

5. West Midlands Cervical Screening Collections Update

Following on from the update in May, the Royal Wolverhampton Trust laboratory will recommence collection samples from GP practices daily Monday to Friday with immediate effect across the West Midlands. Please download a copy of the latest correspondence.

UPDATES FOR Coventry and Rugby – 9 June 2020

6. Lunchtime webinar: Treatment and support for non-dependent and dependent drinkers in Coventry on 3 July 2020 from 1pm to 1.30pm

UPDATES FOR South Warwickshire – 9 June 2020

7. Urgent / Emergency Ophthalmology Services

In the last update, we provided information on this service. We now understand that UHCW has successfully installed a dedicated phone line to their telephone triage team.

This is not to be in the public domain (please do not share with patients) and will be for clinician to clinician handover – it is intended for GPs/ Optoms and SWFT/GEH to improve call answering time. This should improve access by not having patients and clinicians trying to get through on the same line.

The line will be accessible from Wednesday 10 June and will be manned Monday to Friday 9am - 7pm and Saturday morning 9am -1pm. The dedicated number is:

024 7696 6333

The out of hours number remains the same: 07823 535863

In the event that you cannot get in touch with the clinician using the mobile number out of hours, please contact the on-call clinician via switchboard.

8. SWFT Dermatology Department update

When sending in a referral to the Dermatology department at Warwick and Stratford hospital, please can you ensure Photos of the complaint are included and sent in with the referral. It is paramount to the patients treatment at this time, due to the increase in virtual consultations.

If you are not able to do this during the appointment, patients can send in their own photos prior to the appointment to: dermatologyphotos@swft.nhs.uk please can patients name their pictures. All patients referred will be called prior to the appointment to ask for this information also. Many thanks ERS/Dermatology Department

UPDATES FOR Warwickshire North – 9 June 2020

No updates this issue.

Latest National Picture

• As of 9am on 8 June, there have been 5,731,576 tests, with 138,183 tests on 7 June.

• 287,399 people have tested positive.

• As of 5pm on 7 June, of those tested positive for coronavirus in the UK, across all settings, 40,597 have died.

• The latest advice is here.

• Slides, datasets and transcripts to accompany coronavirus press conference on 8 June,led by Matt Hancock.

• Coronavirus (COVID-19): getting tested.

• Number of coronavirus (COVID-19) cases and risk in the UK.

• Regional breakdown of R number now published.

• Latest local figures published by GOV.uk and PHE are as of Monday 8 June 2020 at 4:23pm, there are a total of 16,468 cases in the West Midlands.

Communications from NHS England

9. NHS England Primary Care Bulletin – *NEW* 9 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (9 June) and in this edition has details of GP Standard Operating Procedure updated: Staff risk assessments, guidance for general practice ordering personal protective equipment, collecting your examples of innovation, clinical negligence indemnity arrangements during the COVID-19 pandemic and a cervical screening update . This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

10. NHS England Primary Care Bulletin – 5 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (5 June) and in this edition has details of COVID-19 National Testing: Flowing results to GP records, the rapid deployment of online and video Consultations across London and NHS England and NHS Confederation announcment of the creation of a new centre to investigate the impact of race and ethnicity on people’s health.

11. Primary Care Improvement Community Newsletter

Download the latest version of the newsletter which includes reflections from a practice manager – three months on from COVID-19 and a report from Sovereign Health on their COVID-19 Transformation Journey. Download the newsletter.

12. Learning Disabilities Mortality Review (LeDeR) programme newsletter

The May 2020 bulletin is available to download. Topics in this programme include: NHS England continuing to support LeDeR at the University of Bristol, the latest COVID 19 data and the effect of COVID 19 on informal carers of people with learning disabilities.

13. Media enquiries

Actions for Primary Care

Please review the changes to the use of the electronic repeat dispensing system.

CAS ALERT - Results from laboratory-based tests for COVID-19 antibodies using capillary blood sample collection kits may not be reliable

Mon, 08 Jun 2020 11:33:33 GMT

This covers issues with both laboratory based tests for COVID-19 antibodies (unvalidated sample type) and capillary blood sample collection kits (unvalidated for home use)

Actions

Laboratories offering a COVID-19 testing service for the public, private healthcare or NHS:

Pause the service immediately if your service uses capillary blood samples. Do not process new samples. Before issuing any results for tests already processed, ensure that due consideration has been given to Article 15 of the GDPR and Data Protection Act 2018 Part 2 of Schedule 3

Contact all your customers within a week of receiving this alert to notify them that you have paused your service, at the request of MHRA, as the results from this sample type may not be reliable

Only use assays with the sample types covered by the CE mark

If you are offering the sample kit, you should undertake a usability study and a stability study to prove it can be used safely by the intended user. This is most important for home users. The sample collection kit should be additionally CE marked as an IVD kit

Verify that the sample collection kit used by your customer is CE marked and suitable for use by the intended user, your laboratory and with the manufacturer’s assay

All laboratories offering a COVID-19 testing service should apply to UKAS to include COVID-19 testing in their scope

Report suspected or actual adverse events involving these devices through your local incident reporting system and/or your national incident reporting authority as appropriate: England, Scotland, Northern Ireland, Wales. You should also report directly to manufacturers if your local or national systems do not

Action by

Biomedical scientists

Pathology managers

Medical directors

Deadlines for actions

Actions underway: 15 June 2020

Actions complete: 13 July 2020

Problem/background

MHRA is aware that some laboratories are providing COVID-19 testing service whereby the sample type has not been validated or verified by the manufacturer of the assay. This represents off label use and is therefore not covered under the CE mark of the assay.

The test involves collecting a capillary blood sample into a small container following a set of instructions. The container is then sent to a laboratory for analysis and the results are returned direct to the person who took the test or the person’s GP or healthcare professional, with an indication of the reliability of the result.

The laboratory tests are CE marked and safe for use on blood drawn from the vein by a healthcare professional but have not yet been validated by the manufacturer of the test to be used with a capillary blood sample. The sample collection kits have not yet been validated for home use. We can’t be sure that people collecting samples at home are able to do this in a way that the laboratory can process the sample to give reliable results.

All UKAS accredited laboratories offering a COVID-19 testing service should hold evidence of their sample type validation and verification data.

MHRA has updated our guidance for COVID-19 antibody testing services for industry and members of the public.

Distribution

If you are responsible for cascading these alerts in your organisation, these are our suggested distribution lists.

Distribution

If you are responsible for cascading these alerts in your organisation, these are our suggested distribution lists.

Trusts (NHS boards in Scotland) CAS and NICAS liaison officers for onward distribution to all relevant staff including:

Biomedical science departments

Chief pharmacists

Clinical governance leads

Clinical pathologists

Community children’s nurses

Community nurses

Microbiologists

NHS walk-in centres

Outpatient clinics

Outpatient theatre managers

Pharmaceutical advisors

Pharmacists

Phlebotomists

Point of care testing co-ordinators

School nurses

Virologists

Walk-in centres

Public Health England

Directors for onward distribution to:

Consultants in communicable disease control

Divisional directors

Heads of department

Laboratory managers

PHE laboratories

NHS England area teams

CAS liaison officers for onward distribution to all relevant staff including:

Community pharmacists

General practice managers

General practice nurses

General practitioners (for information only)

Occupational health departments

This Medical Device Alert is being sent to GPs for information only, in circumstances where patients may seek advice about the contents of this notice. GPs need take no further action on receipt of this alert.

Independent distribution

Establishments registered with the Care Quality Commission (CQC) (England only)

Care homes providing nursing care (adults)

Care homes providing personal care (adults)

Hospitals in the independent sector

Private medical practitioners

Please note: CQC and OFSTED do not distribute these alerts. Independent healthcare providers and social care providers can sign up to receive MDAs directly from the Central Alerting System (CAS) by sending an email to: safetyalerts@mhra.gov.uk and requesting this facility.

Enquiries

England

Send enquiries about this notice to the MHRA, quoting reference number MDA/2020/015 or 2020/006/001/210/002.

Technical aspects

Bina Mackenzie, MHRA

Tel: 020 3080 6000

Email: DSS-TM@mhra.gov.uk

Clinical aspects

Devices Clinical Team, MHRA

Tel: 020 3080 7274

Email: dct@mhra.gov.uk

Reporting adverse incidents in England

Through Yellow Card

Northern Ireland

Northern Ireland Adverse Incident Centre, (NIAIC), CMO Group, Department of Health (Northern Ireland),

Department of Health, Social Services and Public Safety

Tel: 028 9052 3868

Email: niaic@health-ni.gov.uk

https://www.health-ni.gov.uk/niaic

To report an adverse incident involving a medical device in Northern Ireland use the forms on our website.

Alerts in Northern Ireland are distributed via the NICAS system.

Scotland

Enquiries and adverse incident reports in Scotland should be addressed to:

Incident Reporting and Investigation Centre (IRIC),

Health Facilities Scotland,

NHS National Services Scotland

Tel: 0131 275 7575

Email: nss.iric@nhs.net

Reporting adverse incidents in Scotland

To report an adverse incident involving a medical device in Scotland, email IRIC to request a webform account. For more information, or if you can’t access the webform, visit the website: how to report an adverse incident

Wales

Enquiries in Wales should be addressed to:

Healthcare Quality Division,

Welsh Government

Tel: 02920 823 624 / 02920 825 510

Email: Haz-Aic@wales.gsi.gov.uk

Reporting adverse incidents in Wales

Report to MHRA through Yellow Card and follow specific advice for reporting in Wales in MDA/2004/054 (Wales).

Download document

Primary Care Coronavirus briefing – Coventry and Warwickshire – 4 June 2020 (Issue 46)

183:820766164 (Ben Evans) — Mon, 08 Jun 2020 09:16:37 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information.

Latest local picture

Coventry and Warwickshire COVID position up to 03.06.2020

• 2,285 cases now confirmed in Coventry and Warwickshire (+29 / +1.3% from Tuesday)

• 68 of these are currently admitted (-5 / -6.8% from Tuesday)

• 579 beds still available (-34 / -5.5% from Tuesday)

• 4 ITU beds occupied by Covid patients (-1 / -20.0% from Tuesday)

• 481 reported deaths in a hospital setting (+7 / +1.5% from Tuesday)

Care Home current position as at 03.06.2020

• 250 Covid related deaths in care homes (+24 / +10.6% from Tuesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 604 Care home deaths in total (+57 / +10.4% from Tuesday)

• 750 confirmed cases (+49 / +7.0% from Tuesday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 396

o South Warwickshire: 236

o Warwickshire North: 118

Local Updates

1. Antibody testing

You will be aware from national communications, that antibody testing is now becoming available; we are currently working through the local processes for accessing this testing for primary care staff and will communicate this as soon as it has been finalised. Testing is not yet available for patients as soon as the situation changes we will update via the bulletin.

2. Update to guidance for people who are clinically extremely vulnerable (shielding)

You will have seen that the Government has updated the guidance for people who are clinically extremely vulnerable to Covid 19 and have been advised to shield. The update from Government comes into effect from today. In summary the changes are:

• The advice for people identified as clinically extremely vulnerable is that they should continue to shield until at least the 30 June but from 1 June, they can spend a short period of time outdoors each day with members of their household, still maintaining 2m distance from others.

• If the shielded person lives alone, the Government is advising they can meet one other person from a different household, maintaining strict social distancing. The advice is that this be the same person each time.

• Important aspects of Government’s policy and guidance remain the same. Apart from going outside once per day, a shielded person should continue to avoid all non-essential face to face contact. This means they should still not go shopping or to pharmacies.

• The support for shielded people remains in place and unchanged.

The Government has also confirmed that it will be reviewing shielding guidance alongside wider changes to social distancing, including plans to write to those on the shielding patients list with information about next steps on shielding after the next review on 15 June.

3. Return of Original MCCD's

In an update to our previous note, please see details about where to post the original MCCDs (medical certification of cause of death). Any that have been sent directly to the registrar will be forwarded. For clarificaiton the certificates should be sent to the same office as the MCCD was scanned to originally:

Nuneaton and North Warwickshire - The Registration Office, Riversley Park, Coton Road, Nuneaton CV11 5HA

Rugby - The Registration Office, 5 Bloxam Place Rugby CV21 3DS

Warwick, Leamington, Stratford, Shipston, Alcester, Kenilworth - The Register Office, Shire Hall, Market Place, Warwick CV34 4RL

4. EMIS update: URGENT: Guidance on shielding patients defined as extremely vulnerable from COVID-19 (Update Weds 3rd June)

Despite changes announced by the government this weekend, the weekly Shielded Patient List (SPL) process continues, and as such we will be processing the latest cohort of SPL additions and subtractions later today. This latest SPL cohort is collectively referred to as SPL9.

As with previous updates, new additions have been identified centrally by NHS Digital and NHS England, and these patients will be contacted by NHS England; practices do not need to contact these patients unless clinical review indicates that they should be considered as either moderate- or low-risk instead. Visit the EMIS website for the full update.

5. NHS Test and Trace: Workplace Guidance

The NHS test and trace service forms a central part of the government’s coronavirus (COVID-19) recovery strategy, which seeks to help the nation return to normal as soon as possible for as many people as possible, in a way that is safe and protects the NHS and social care sector.

The recently issued government guidance explains how employers and businesses can play their part in the NHS test and trace programme to slow the spread of the virus, protect the health and care system and save lives.

Test and Trace: Campaign Resources Available

Along with the Government's launch of the NHS Test and Trace service, a number of materials have been produced to help support the key messages. There are now a range of materials available on the Campaign Resource Centre from Public Health England.

UPDATES FOR Coventry and Rugby – 4 June 2020

No updates this issue.

UPDATES FOR South Warwickshire – 4 June 2020

6. Urgent / Emergency Ophthalmology Services

Please download an updated roadmap for patients needing urgent or emergency ophthalmology treatment in south Warwickshire.

For low risk/routine patients please continue to refer to Community Health and Eye Care (CHEC) as normal for triage, virual assessments and the option of referral to a community optometrist where clinically necessary.

For urgent patients needing assessment quickly please call SWFT during the hours 9-5 Monday to Thursday on 01926 495321 ext 5804 where the patient will be triaged and either booked in for an urgent appointment in Warwick or Stratford, stepped up or down appropriately to CHEC or UHCW, or treated virtually as per clinical need.

For emergency patients please refer to UHCW as usual on 02476 964800 or 02476 964802 or 02476 964806 (Monday to Friday 9am to 7pm) (Saturday, Sunday and Bank Holidays 9am to 12pm) 07823 535 863 (Out of hours) Or email uhcw.eyecasualty@nhs.net Or for Advice and Guidance/ Consultant Connect.

Advice of which conditions are deemed urgent or emergency are detailed in the download.

If you have any queries or questions on this pathway please email megan.isaac@southwarwickshireccg.nhs.uk

This process will be fully audited and assessed over coming weeks and any necessary amendments will be made and communicated as promptly as possible.

7. CCG supporting the Warwickshire Multi Agency Safeguarding Hub (MASH)

South Warwickshire CCG is supporting the Warwickshire Multi Agency Safeguarding Hub (MASH) under mutual aid arrangements. The safeguarding named nurses (Bernie Bell and Fran Walsh) are assisting with the lateral checks that are required, by calling GP surgeries and asking for health information about children where a safeguarding concern has been reported to the MASH. The information is required in a timely fashion (within 4 hours), to ascertain whether a strategy meeting is required to look at protecting any children who are referred.

Bernie and Fran are working virtually but can be identified by their mobile numbers below- they are also able to confirm their legitimacy by their CCG email address, although they will only request identifiable information by nhs.net accounts. Your cooperation to assist the MASH, as lockdown restrictions are eased and referrals increase, is greatly appreciated.

Bernie Bell 07585 401 140, email: Bernadette.Bell@southwarwickshireccg.nhs.uk, secure email: bernadette.bell@nhs.net

Fran Walsh 07585 401 146, email: frances.walsh@southwarwickshireccg.nhs.uk, secure email: frances.walsh@nhs.net

UPDATES FOR Warwickshire North – 4 June 2020

No updates this issue.

Latest National Picture

• As of 9am on 3 June, there have been 4,786,219 tests, with 171,829 tests on 2 June.

• 279,856 people have tested positive.

• As of 5pm on 2 June, of those tested positive for coronavirus in the UK, across all settings, 39,728 have died.

• Press conference slides and datasets used by The Rt Hon Matt Hancock MP and Professor John Newton on 2 June are here.

• Latest advice is here.

• Public Health measures come into force next week,

• PM statement at the coronavirus press conference: 3 June 2020.

• Slides and datasets to accompany coronavirus press conference: 3 June.

• Latest local figures published by GOV.uk and PHE are as of Wednesday 3 June 2020 at 4:01pm, there are a total of 16,296 cases in the West Midlands.

Communications from NHS England

8. NHS England Primary Care Bulletin – new edition – 2 June

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (2 June) and in this edition has details of the GP Standard Operating Procedure recently published, principles of safe video consulting in general practice during COVID-19 and Personal Protective Equipment (PPE) portal access. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

9. Media enquiries

Actions for Primary Care

None this issue

Please note: the CCG has made the decision to use every email distribution list at its disposal in order to ensure as many people as possible receive these important updates. If you no longer wish to receive these updates, please reply to this email and we will remove you from the distribution list.

Our mailing address is:

NHS Arden & GEM CSU

Westgate House, Market Street

Warwick, CV34 4DE

United Kingdom

. This email has been scanned for viruses; however we are unable to accept responsibility for any damage caused by the contents. The opinions expressed in this email represent the views of the sender, not South Warwickshire GP Federation unless explicitly stated. If you have received this email in error please notify the sender. The information contained in this email may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed.

Coventry and Warwickshire Primary Care Cancer Newsletter

Fri, 05 Jun 2020 11:55:22 GMT

Welcome to the latest edition of the Coventry and Warwickshire Primary Care Cancer newsletter.

This newsletter will keep you informed about the latest news, developments and future to help primary care in the delivery of excellence in cancer care across Coventry and Warwickshire.

COVID-19 UPDATE

‘Help Us, Help You’ Campaign

You will probably be aware of the ‘Help Us, Help You’ campaign. This is a major national public information campaign that was recently launched, encouraging people to contact their GP if they are experiencing worrying symptoms or signs that may lead to cancer. Locally, we have developed a ‘Help Us, Help You’ communication strategy that seeks to remind people living in Coventry and Warwickshire that NHS services remain open to the public and that it is vitally important for people who have serious conditions or concerns that they continue to seek help.

You can access materials here from the ‘Help Us, Help You’ campaign that can be used on websites and social media pages to help get the message out that NHS services are still open.

Update to the Cervical screening Service

With effect from Thursday 28th May 2020, Royal Wolverhampton Trust laboratory has partially resumed its service and will collect samples from GP practices across the West Midlands. Initially there will be two collections per week; Tuesdays and Thursdays however this will return to 5 daily collections each week, once the service has fully resumed. Click here to read a copy of the latest correspondence.

Support for patients living with Cancer during COVID-19

A full list of cancer charities providing support for patients and their families is available, click here.

NHS Volunteer Responder Referrals

NHS healthcare professionals and social care staff can now refer people for help from NHS Volunteer Responders through an easy-to-use weblink: goodsamapp.org/NHSreferral. The service is for patients who need to self-isolate due to health reasons and need support to do so via collecting shopping/medication, transport home from hospital and to medical appointments, and ‘check-in and chat’ phone calls to prevent loneliness. Further details are available here: https://bit.ly/3e5vOPj.

NON-COVID UPDATE

Early Diagnosis for Cancer QOF QI 2020/21

There is enough for us all to be contending with now. Please don’t worry about the QOF QI for early diagnosis. We are producing a resource pack for Practices in Coventry and Warwickshire for this and this will be sent out to practices soon.

Metastatic Spinal Cord Compression (MSCC)

For patients with a cancer diagnosis and especially those with known bone metastases there is a risk of presentation of MSCC. The most common cancers where this occurs is breast, prostate, lung, lymphoma and myeloma. The importance of early recognition and treatment of MSCC is crucial in order to preserve function. Not only is preservation of mobility important, but preservation of continence makes a huge difference in maintaining dignity at the end of life. What do you do when you suspect a patient has MSCC? Click here to refer to the Coventry and Warwickshire pathway.

Death certificates for patients dying within 30 days of receiving chemotherapy A reminder that you must inform the coroner of all cancer patients who die within 30 days of receiving chemotherapy or immunotherapy regardless of the presumed cause of death. This includes unexpected deaths, deaths from a known medical problem or progressive disease. Holistic Cancer Care Local Enhanced Service Update Please be advised that the scheme is suspended until Autumn 2020, with the ability to bring forward earlier should it be safe to do so.

Smoking in Pregnancy Survey Update

Click here to read the findings of the Smoking in Pregnancy Staff Survey that some of you may have participated in. An education session based on the findings shall be developed in due course and will be led by Public Health colleagues. The Role of Tumour Markers in Cancer Diagnosis Please find further details here.

Cancer of Unknown Primary Services (CUP) Please find further details on CUP services in Coventry and Warwickshire, click here. Opportunities for Education around Cancer later in the year We are looking to pilot a virtual ‘speed dating’ approach to education over the coming months, so please keep an eye out for further information on this. We also continue to work with external providers and GP education leads to develop plans for online and face to face education, which is likely to commence towards the end of the year/early 2021.

Health and Care Partnership (H&CP) website and social media

We are pleased to say that we have been working on developing a Cancer page for the H&CP website which is now live. The page provides an overview of the system-wide Cancer programme that we have worked on so far and the future projects that we have planned.

We continue to work on the page and welcome any thoughts that you might have. The H&CP has also revamped its social media pages, so please feel free to follow us and stay up to date with the latest news and updates. You find us at:

Facebook: @healthyhappycw

Twitter: @healthyhappycw

Instagram: https://www.instagram.com/healthyhappycw/

LinkedIn: https://www.linkedin.com/company/healthyhappycw

Welcome and contact us

Finally, we would like to extend a welcome to the newest members of the Health and Care Partnership, Fatima Faysal, NHS Graduate Management Trainee who will be supporting the Cancer programme, Vimbayi Muzonde, Project Manager for Cancer and Diagnostics workstreams and Lucy Barratt, the H&CP’s new Social Media Content Executive.

If you have any suggestions regarding what we could include in future editions please contact us:

Hazel Blanchard Macmillan GP Facilitator for South Warwickshire: hazelblanchard@nhs.net

Kate Day Macmillan GP Facilitator for Coventry and Rugby: kate.day@nhs.net

Emma Marks Macmillan GP Facilitator for Warwickshire North: emma.marks@nhs.net

Jim McMorran NHS West Midlands/CRUK Primary Care Cancer Lead: jim@gpnotebook.co.uk

Lisa Hall Macmillan Primary Care Nurse Facilitator: lisa.hall23@nhs.net

Michelle Park System Lead Cancer: michelle.park@cwstp.uk

Suman Ghaiwal Communications Manager: suman.ghaiwal@coventryrugbyccg.nhs.uk

Alison Flynn Commissioning Support Officer: alison.flynn@coventryrugbyccg.nhs.uk Fatima Faysal (Assistant Project Manager for Cancer): FatimaFaysal@cwstp.uk

Primary Care Coronavirus briefing – Coventry and Warwickshire – 2 June 2020 (Issue 45)

183:820766164 (Ben Evans) — Wed, 03 Jun 2020 10:20:57 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Latest National Picture

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information.

Latest local picture

Coventry and Warwickshire COVID position up to 01.06.2020

• 2,256 cases now confirmed in Coventry and Warwickshire (+4 / +0.2% from Thursday)

• 73 of these are currently admitted (-13 / -15.1% from Thursday)

• 613 beds still available (-21 / -3.3% from Thursday)

• 5 ITU beds occupied by Covid patients (+2 / +66.7% from Thursday)

• 474 reported deaths in a hospital setting (+8 / +1.7% from Thursday)

Care Home current position as at 01.06.2020

• 226 Covid related deaths in care homes (+6 / +2.7% from Thursday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 547 Care home deaths in total (+8 / +1.5% from Thursday)

o 701 confirmed cases (+0 / +0.0% from Thursday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 352

o South Warwickshire: 231

o Warwickshire North: 118

Download the weekly totals and predictions.

Local Updates

Antibody testing

You will be aware from national communications that antibody testing is now becoming available; we are currently working through the local processes for accessing this testing for primary care staff and patients. We will provide more information on how practices access this testing in Thursday's bulletin.

Risk assessments for BAME and other staff

NHS Employers have published guidance on risk assessment, particularly for at risk and vulnerable groups within the workforce. This includes staff returning to work for the NHS, and existing team members who are potentially more at risk due to their race and ethnicity, age, weight, underlying health conditions, disability, or pregnancy. NHS Employers have taken an inclusive approach and have described that the guidance is applicable, with appropriate local adaptations, in all healthcare settings.

Principles of safe video consulting in general practice during COVID-19

This guidance is aimed at NHS general practice staff who are consulting via video with patients at home (although we expect the key principles to apply to practitioners across wider primary care). Practitioners are expected to have full access to the patient’s primary care medical record and to be consulting with patients in England.

Primary care wellbeing survey – reminder

NHS England is looking to understand the current wellbeing of the primary care workforce, and invites you to take part in a short survey undertaken by the Institute for Employment Studies to support this and to support the wider evaluation of the #lookingafteryoutoo primary care coaching offer. The survey will take no longer that five minutes to complete and will contribute to their ongoing response to support your wellbeing.

EMIS Update: NHS 111 Messages - Auto filing suspected COVID-19 code

EMIS has made an important enhancement to the incoming NHS 111 Post Event Message (PEM) report that checks for any COVID-19 disposition codes. If any of the tasks within the report have a COVID-19 disposition code, the mapped SNOMED CT code (2827381000000119 - Suspected COVID-19) is automatically filed into the care record.

This means the code is immediately included in the next Summary Care Record (SCR) upload, and via GP Connect, meaning anyone treating the patient with the appropriate access will be aware as quickly as possible and without the task having to be completed in Document Management.

The task should still be completed in the usual manner when appropriate.

Primary care webinars

Best in Practice webinar on Digital Nursing

Wednesday 3rd June 12:30 – 1:30pm

This session will look at key aspects of digital nursing, during covid and beyond. Nurses across the country are driving transformational change and adapting rapidly to new ways of working.

Achieving Diversity in the digital response during and beyond COVID-19

Thursday 4th June 12:00 - 1:30pm

Discussing 'Achieving Diversity in the digital response during and beyond COVID-19', and combatting health inequality by using digital to bridge the gaps in healthcare.

Keeping Your Patients Informed about Online Services

Thursday 4th June 4:30 - 5:00pm

This webinar is to help you make the most out of your digital services during the COVID-19 pandemic to protect your staff and patients.

If you are unable to attend these events please note that recordings, slide decks and other resources will be held on our FutureNHS workspace Digital Primary Care. This workspace is open to anyone who is registered with Future NHS, but if you need an invitation to get access then please contact england.digitafirstprimarycare@nhs.net with the request.

UPDATES FOR Coventry and Rugby – 2 June 2020

No updates this issue.

UPDATES FOR South Warwickshire – 2 June 2020

Two-week Referrals for Obstetrics and Gynaecology

Clinicians at South Warwickshire NHS Foundation Trust are kindly requesting that GP colleagues fill out the “important clinical information section” underneath the tick boxes on the 2 week Referral service Proforma. This additional information enables Consultants to make a clinical decision and minimises delays in processing urgent referrals.

COVID-19 Post Discharge Respiratory Therapy Support Team

Physiotherapy have set up this new service in response to Covid-19 for patients with ongoing issues as a result of having confirmed or suspected Covid 19 such as:

On-going breathlessness, airway clearance issues, reduced exercise tolerance, possible dysfunctional breathlessness, high anxiety/depression or requiring fatigue management.

For more information .

Email: RespiratoryPhysiotherapyReferrals@swft.nhs.uk

EMIS on VPN Remote Desktop

There are sporadic issues accessing EMISWeb via the Remote Desktop provided by SWFT. This is due to a new EMIS client release, which goes into an updating loop and locks access to EMIS. When you now logon to the VPN/Remote Desktop via your personal device you will be presented with a choice of 4 links. You are free to choose any, and if EMIS fails to run correctly – go back onto the VPN and choose a different link. We have updated the guidance to reflect instructions for Windows VPN and Apple Mac VPN

UPDATES FOR Warwickshire North – 2 June 2020

EMIS on VPN Remote Desktop

Latest National Picture

• As of 9am on 1 June, there have been 4,484,340 tests, with 128,437 tests on 31 May.

• 276,332 people have tested positive.

• As of 5pm on 31 May, of those tested positive for coronavirus in the UK, 39,045 have died. This new figure includes deaths in all settings not just in hospitals.

• Coronavirus press conference statement by Matt Hancock, Health Secretary on Monday 1 June 2020 is here

• Press conference slides and datasets used by The Rt Hon Matt Hancock MP and Professor John Newton are here

• The latest advice is here.

• Updated - Coronavirus (COVID-19): getting tested

• Coronavirus (COVID-19): advice on accessing green spaces safely

• Coronavirus (COVID-19): guidance for local government

• Updated - Coronavirus outbreak FAQs: what you can and can’t do

• Latest local figures published by GOV.uk and PHE are as of Monday 1 June 2020 at 5:09pm, there are a total of 16,193 cases in the West Midlands.

Communications from NHS England

NHS England Primary Care Bulletin – new edition – 29 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin(29 May) and in this edition has risk assessments for BAME and other staff and antibody testing, plus the PPE Portal update. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

Media enquiries

Actions for Primary Care

None this issue

Principles of safe video consulting in general practice

Tue, 02 Jun 2020 09:36:53 GMT

Principles of safe video consulting in general practice during COVID-19 Document

NHS 111 Messages - Auto filing suspected COVID-19 code

Mon, 01 Jun 2020 12:04:26 GMT

Click here to visit Emis NOW for the content on NHS 111 Messages - Auto filling suspected COVID919 Code

This functionality is part of version 9.7.12 , which will be released to our GP estate during May/June 2020.

We have made an important enhancement to the incoming NHS 111 Post Event Message (PEM) report that checks for any COVID-19 disposition codes . If any of the tasks within the report have a COVID-19 disposition code, the mapped SNOMED CT code (2827381000000119 - Suspected COVID-19) is automatically filed into the care record.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 May 2020 (Issue 44)

183:820766164 (Ben Evans) — Fri, 29 May 2020 15:40:19 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

· Item 2: EMIS update for EMIS users in relation to shielding patients: Guidance on shielding patients defined as extremely vulnerable from COVID-19 (Update Weds 27th May).doc

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 28.05.2020

· 2,252 cases now confirmed in Coventry and Warwickshire (+13 / +0.6% from Tuesday)

· 86 of these are currently admitted (+4 / +4.9% from Tuesday)

· 634 beds still available (-95 / -13.0% from Tuesday)

· 3 ITU beds occupied by Covid patients (+0 / +0.0% from Tuesday)

· 466 reported deaths in a hospital setting (+3 / +0.6% from Tuesday)

Care Home current position as at 28.05.2020

· 220 Covid related deaths in care homes (+2 / +0.9% from Tuesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

· 539 Care home deaths in total (-2 / -0.4% from Tuesday, note a reduction here, this is likely a timing or quality issues with the data and has been queried.)

· 701 confirmed cases (+32 / +4.8% from Tuesday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 349

o South Warwickshire: 232

o Warwickshire North: 120

LATEST LOCAL UPDATE

1. Government launches NHS Test and Trace service

New guidance means those who have been in close contact with someone who tests positive must isolate for 14 days, even if they have no symptoms.

An overview of the NHS test and trace service, including what happens if you test positive for coronavirus (COVID-19) or have had close contact with someone who has tested positive.

2. EMIS UPDATE: Guidance on shielding patients defined as extremely vulnerable from COVID-19 (Update Weds 27th May) from EMIS

On 26 May, there would have been an update to your EMIS Web system with the latest weekly Shielded Patient List (SPL) data, which as of last weeks’ update now includes patient subtractions (those who are being removed from the SPL) as well as new additions to the list. This latest cohort of SPL additions and subtractions is collectively referred to as SPL8. Further details are attached.

(Attachment: Guidance on shielding patients defined as extremely vulnerable from COVID-19 (Update Weds 27th May).doc)

3. Cervical Screening

You will be aware that the cervical screening testing service was paused from 25 March 2020 and you were advised to cancel any appointments made. The Public Health Commissioning Team have made us aware that Royal Wolverhampton Trust (RWT) testing lab and collections service have now been reinstated from today, 28th May 2020, collections will initially be provided on Tuesdays and Thursdays and this will return to 5 days per week once the service has fully resumed. Practices can therefore recommence cervical screening appointments now for any patients contacting the practice.

Invitations to call letters were paused from 9 April 2020 by CCAS, these letters will recommence from next week with the backlog being through a phased in approach so as not to overwhelm practices and the testing services. Discussions are ongoing with the Public Health Commissioners regarding sending reminder letters to all patients who received a letter pre 9 April but hadn’t booked an appointment.

Please also be aware that it is the national cervical screening awareness week 15- 21 June and the focus will be around cervical screening tests may have been cancelled and invitations paused recently due to coronavirus, and that the virus may have made the process more complicated. During the week the charity, Jo’s Trust, is going to highlight the changes with new information, videos and resources explaining what is happening across the UK and helping to answer questions from the public.

4. Health checks for people with a learning disability

Practices are reminded that the LD Health checks DES was suspended and GPs are reminded of the importance of proactive health checks for people with a learning disability at this time.

5. Equality and Diversity survey – deadline 31 May 2020

Please complete this online survey by EquIP to help capture and address the equality issues that affect both individuals and communities particularly during the Covid-19 outbreak.

EQuIP is the Equality and Inclusion Partnership, a charity working across Warwickshire to promote equality and diversity. They will use the results of this survey to work with key service providers to make sure any concerns are addressed.

6. Primary care wellbeing survey – reminder

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 28 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 28 May 2020

No updates this issue.

UPDATES FOR Warwickshire North – 28 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

· As of 9.00am on 27 May 2020, 3,798,490 tests have been carried out in the UK, (with 117,013 tests carried out on 26 May) and 267,240 have been confirmed as positive. The number of COVID-19 associated deaths in the UK is 37,460. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 30,177.)

· The daily coronavirus press conference was held on 27 May 2020 and was led by Health Secretary Matt Hancock. The focus was the new Test and Trace system being unveiled by the government. A copy is available to view here.

· Slides, datasets and transcripts from press conferences at 10 Downing Street here.

· Press conference slides and datasets used by Baroness Dido Harding, Executive Chair of NHS Test and Trace, and Professor Jonathan Van-Tam, Deputy Chief Medical Officer here.

· The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

7. Media enquiries

ACTIONS FOR PRIMARY CARE

None this issue.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 26 May 2020

Tue, 26 May 2020 15:00:12 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 26 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Item 3: A new Diabetes Advice helpline has been launched to support people living with insulin-treated diabetes during the COVID-19 pandemic: NHS Diabetes Advice helpline FAQs and materials.pdf

• Item 6: UHCW Radiology Unexpected Significant Findings Reporting – report will now be sent via email not fax: GP Communication Fax to e mail - USF reports Final.docx

• Item 7: A patient information leaflet from UHCW for patients attending for surgery: Enc. 03 - PIL Surgery during the COVID-19 Pandemic.pdf

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 26.05.2020

• 2,239 cases now confirmed in Coventry and Warwickshire (+39 / +1.8% from Friday)

• 82 of these are currently admitted (-18 / -18.0% from Friday)

• 729 beds still available (+44 / +6.4% from Friday)

• 3 ITU beds occupied by Covid patients (-3 / -50.0% from Friday)

• 463 reported deaths in a hospital setting (+9 / +2.0% from Friday)

Care Home current position as at 26.05.2020

• 218 Covid related deaths in care homes (+3 / +1.4% from Friday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 541 Care home deaths in total (+4 / +0.7% from Friday)

• 669 confirmed cases (+3 / +0.5% from Friday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 329

o South Warwickshire: 230

o Warwickshire North: 110

LATEST LOCAL UPDATE

1. RCGP and AHSN Network: Primary care in care homes during COVID-19 webinar

This webinar will share examples of current good practice and collaboration between primary care and care homes, including resources to support virtual ward rounds. Chaired by Dr Jonathan Leach OBE, RCGP Hon Sec and COVID lead, join Dr Gail Allsopp, RCGP Clinical Policy Lead, Anita Astle MBE, Managing Director of Wren Hall Nursing Home in Nottingham, and Dr Alison Tavaré, Primary Care Clinical Lead at West of England Academic Health Science Network (AHSN) to explore:

• RCGP ‘top tips’ for GPs caring for care homes

• Providing person-centred care in times of COVID-19

• COVID-19 virtual wards

• Resources to support virtual ward rounds

This will be followed by a Q&A session. The webinar will be held on Wednesday 27 May, 3-4pm and you can register here. It will be recorded and shared afterwards.

This is the second in a series jointly organised by the Royal College of General Practitioners and the AHSN Network. You can watch the first webinar here: COVID-19: Patient assessment and the role of physiology and oximetry.

2. Medical Certification of Cause of Death (MCCD) - Original Document

You may recall that when we requested that all MCCD's were scanned and emailed to our offices we asked you to keep safely the original document for collection later. Now that things appear to a bit quieter we would like to take the opportunity to request that you post the batch that you are holding to the relevant office so that we are able to collate ready to be sent to the General Register Office in the usual way - addresses below.

Although we are now in the recovery phase death registrations will continue to be completed by telephone for the foreseeable future, we would therefore ask that you continue to scan and email the MCCD as you are doing and when you have another batch please post them to the office.

We are very grateful for all your help and support in the last couple of months with the transmission of MCCD's. Families have greatly appreciated the simplicity of the telephone registration process which has enabled unnecessary contact at this time.

Thank you very much,

Diane Lampard

Registration Manager/SR, Warwickshire Registration District

Business and Customer Services

Resources Directorate

Warwickshire County Council

The Register Office

5 Bloxam Place

Rugby

CV21 3DS

3. New diabetes helpline promotional materials

A recent media release has highlighted the support available for people living with diabetes which you can find here. A new Diabetes Advice helpline has been launched to support people living with insulin-treated diabetes during the COVID-19 pandemic. The helpline offers clinical advice for people who cannot access their usual care teams due to local service disruption. It is designed to help take some pressure off local GP practices and NHS 111.

Please find attached a one page FAQ for local healthcare professionals along with promotional materials that local GP practices and diabetes specialist teams can share with potential helpline users; including social media content, newsletter copy, a template letter and email. (Attachment: NHS Diabetes Advice helpline FAQs and materials.pdf)

4. Equality and Diversity survey

Please complete this online survey by EquIP to help capture and address the equality issues that affect both individuals and communities particularly during the Covid-19 outbreak.

5. Primary care wellbeing survey – reminder

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 26 May 2020

6. UHCW Radiology Unexpected Significant Findings Reporting

UHCW Radiology Unexpected Significant Findings were previously highlighted to practices via Fax, this will be sent via a nhs.net–nhs.net communication from 1 June. The radiology team have contacted each practice to confirm appropriate email address. As with the fax process, practices are asked to acknowledge receipt of USF Report. As a safety net, practices will be followed up by telephone within 72 hours, if acknowledgement of USF report is not received. Full details are attached. (Attachment: GP Communication Fax to e mail - USF reports Final.docx)

7. UHCW Patient Information Leaflet (PIL): Surgery during the COVID-19 Pandemic

A patient information leaflet that was approved at UHCW to be sent out to patients before elective surgery. They have requested that this is shared with practices. (Attachment: Enc. 03 - PIL Surgery during the COVID-19 Pandemic.pdf).

UPDATES FOR South Warwickshire – 26 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9.00am on 25 May 2020, 3,532,634 tests have been carried out in the UK, (with 73,726 tests carried out on 24 May) and 261,184 have been confirmed as positive. The number of COVID-19 associated deaths in the UK is 36,914. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 29,830.)

• Prime Minister Boris Johnson made a statement at the daily coronavirus press conference on 25 May 2020 here

• Slides, datasets and transcripts from press conferences at 10 Downing Street here.

• Prime Minister Boris Johnson has set out a timeline for retail to reopen in June.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

8. NHS England Primary Care Bulletin – new edition – 26 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (26 May) and this edition has details of the RCGP and AHSN Network: Primary care in care homes during COVID-19 webinar. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

9. Media enquiries

ACTIONS FOR PRIMARY CARE

Please complete the primary care wellbeing survey.

Note the details of the upcoming Primary care in care homes during COVID-19 webinar.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 May 2020 (Issue 42)

Fri, 22 May 2020 09:55:50 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

· Item 4: Urgent mental health support information from CWPT: Urgent_Adult_Mental_Health_support_Flyer_A4_Final May 2020.pdf

· Item 7: EMIS Library COVID-19 searches, protocol, and alerts: EMIS Library COVID-19 searches, protocol, and alerts.docx

· Item 16: Access to primary care services – new public facing script: 00b__Primary_care_access_during_COVID19_public_script_FINAL.docx

LATEST LOCAL PICTURE

Please remember: we are issuing the briefing three times a week (Monday, Wednesday and Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. Please keep us updated with any issues that you may be having so we can try to address them.

Coventry and Warwickshire COVID position up to 22.05.2020

· 2,200 cases now confirmed in Coventry and Warwickshire (+33 / +1.5% from Wednesday)

· 100 of these are currently admitted (-5 / -4.8% from Wednesday)

· 685 beds still available (-9 / -1.3% from Wednesday)

· 6 ITU beds occupied by Covid patients (-1 / -14.3% from Wednesday)

· 454 reported deaths in a hospital setting (+6 / +1.3% from Wednesday)

Care Home current position as at 22.05.2020

· 215 Covid related deaths in care homes (+9 / +4.4% from Wednesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

· 537 Care home deaths in total (+15 / +2.9% from Wednesday)

· 666 confirmed cases (+16 / +2.5% from Wednesday)

· Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 328

o South Warwickshire: 228

o Warwickshire North: 110

LATEST LOCAL UPDATE

1. Bank Holiday Monday (25 May)

Thank you to all practices for working over previous bank holidays to continue to provide services to patients and the public during COVID-19. We are not expecting GP practices to open for the upcoming Whitsun Bank Holiday (25 May) and the normal Out of Hours service will be in place.

2. PCN deadlines approaching – actions needed

Following on from the publication of the Network DES for 2020/2021, the first of several key dates is fast approaching. By 31 May all existing PCNs must have informed their commissioner of any proposed changes to their PCN (eg the nominated payee, membership, network area or clinical director) or, importantly have confirmed that there will be no changes.

3. Joint statement on personalised approaches to care and treatment

A Joint Statement on personalised approaches to care and treatment has been issued and is available to read on the NHS England website: download the statement

4. Urgent Mental Health Support

An A4 flyer from CWPT outlining the mental health support available across Coventry and Warwickshire. They have a range of experienced NHS staff and clinicians who will be able to guide you to service offers available to you across Coventry and Warwickshire. (Attachment: Urgent_Adult_Mental_Health_support_Flyer_A4_Final May 2020.pdf)

5. Spring Bank Holiday (Monday, 25 May 2020) Pharmacy Opening

The pharmacy opening hours across the Midlands region can also be accessed by patients and healthcare professionals at www.england.nhs.uk/midlands/nhs-england-and-nhs-improvement-midlands-work/bank-holiday-pharmacy-opening times/

6. Flu vaccination programme

Concerns have been raised on the recently issued letter detailing the upcoming flu vaccination programme for this winter. We are awaiting further guidance from NHS England on the flu vaccination programme and this will be shared once received via this briefing.

7. EMIS Library COVID-19 searches, protocol, and alerts

Following a clinical review of our EMIS Library COVID-19 resources, we are changing the usage of one specific code within these to better support the care of patients with, or suspected of having, COVID-19.

From 20th May, our EMIS-authored searches and protocols will treat the code Detection of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) using polymerase chain reaction technique (Concept ID 1240511000000106) as the undertaking of a coronavirus test procedure, rather than a positive clinical finding as the result of such a test. Further information is attached. (Attachment: EMIS Library COVID-19 searches, protocol, and alerts.docx)

8. CPD module available – burnout

A New CPD Module from NB Medical on burnout is available. Our latest online learning module is on Burnout. This condition has had growing recognition within the medical community in recent years and has a particular relevance during the upheaval due to the coronavirus pandemic but we don’t often consider burnout in our patients.

In this module, we examine the causes of burnout, who it affects and why, how it manifests, and how we can help both our patients and ourselves.

If you are already subscribed to NB Learning, you will be able to view this module in your NB Dashboard or if you are new to NB Learning, subscribe here.

9. Lessons form Covid-19 – a free, virtual conference

Risky Business Events, in collaboration with The BMJ and Great Ormond Street Hospital, supported by the Medical Protection Society, have partnered to create this free, virtual conference for the multidisciplinary teams in the pandemic frontline. Taking place on Monday 2 June from 12pm to 3pm via Zoom.

The idea of the event is to provide front-line clinical professionals who have been working flat out and exhausted with a succinct latest update on the science, the medicine, the technology and the people (well being) with respect to the Covid-19 crisis.

We anticipate this event to be very popular so encourage you to book as soon as possible to guarantee your virtual seat. Further information.

10. E-learning from the LGBT Foundation

GP's can access a free e-learning course which has been developed by the LGBT Foundation with the RCGP. Access to the courses is available online. The LGBT Foundation also allows access to a wide range of resources around LGBT Health on their website.

11. Website update – now live

The new CWCovid website has been established to put the information sent via the daily updates into one convenient archive and reference site. We are still making some tweaks so if a link doesn’t quite work do let us know via warnoccg.covid19primarycarecommunications@nhs.net. If you have any comments we would love to hear them.

12. Primary care wellbeing survey – reminder

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 22 May 2020

13. Coventry Safeguarding Adults board posters on abuse and neglect

Safeguarding means protecting the health and wellbeing of adults with care and support needs enabling individuals to live safely, free from abuse and neglect. It is also about people and organisations working together to prevent and reduce both the risks and experience of abuse or neglect.

During this pandemic, the Coventry Safeguarding Adults Board has been highlighting the importance of safeguarding adults, particularly to members of the public who might be acting as volunteers within their community. The Board is pleased to share with you a new range of 10 posters focussing on different types of abuse and neglect, together with details on what to do if there is a concern around an adult with care and support needs.

You are encouraged to share these resources widely.

Find the posters and read more about safeguarding adults at our website here

UPDATES FOR South Warwickshire – 22 May 2020

14. Diabetes Update

South Warwickshire Foundation Trust is providing some extra Diabetes Specialist Nurse (DSN) support for any South Warwickshire patients with diabetes.

Patients with diabetes can contact a DSN 8am -8pm, 7 days a week for the next 3 months on 07775 012696. This service is also available for practice to use too should they have concerns regarding Diabetic patients.

The diabetic team will be holding the mobile on a rotational basis to ensure coverage.

The team recognise that many patients may be anxious about how COVID could affect their diabetes and/or their existing medications. The DSN can support patients with a range of queries including queries on their existing treatments, sick day rules and general concerns of COVID on their diabetes. Patients are not required to have been previously seen by the diabetic team to contact a DSN.

Please note as well as the mobile number above GPs still have access to Consultant Connect, which will now also be available 8am-8pm, 7 days a week.

Should the DSN need to make any changes to treatments/medications, SWFT will action the first prescription and will relay any changes to Primary Care via letter.

UPDATES FOR Warwickshire North – 22 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

· As of 9.00am on 21 May 2020, 3,090,566 people have been tested in the UK, (with 128, 340 tests carried out on 20 May) and 250,908 have been confirmed as positive. The number of COVID-19 associated deaths in the UK is 36,042. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 29,221.)

· Health and Social Care Secretary Matt Hancock gave the 21 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic, transcript available to view online.

· Slides and data sets used by used by The Rt Hon Matt Hancock MP and Professor Chris Whitty to accompany press briefing here.

· Government to offer antibody tests to health and social care staff and patients in England.

· Trial of rapid coronavirus test launched in Hampshire.

· Press conference: 20 May 2020 can be found here.

· Slides and data sets used by used by The Rt Hon Oliver Dowden CBE MP and Professor Stephen Powis to accompany press briefing here.

· Home office extends bereavement scheme to NHS support staff and social care workers.

· The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

15. NHS England Primary Care Bulletin – new edition – 22 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (22 May) and in this edition has details patients being redirected to NHS 111. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

16. NHS England Primary Care Bulletin – 21 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (21 May) and in this edition has details Legionella and Pseudomonas risks and GP contraceptive services for patients to continue during COVID-19 pandemic.

17. Access to primary care services – new public facing script

Attached is updated information to clearly set out to the public how primary care services are operating during covid-19. The update reflects the new symptomology for covid-19 and replace the previous script. (Attachment: 00b__Primary_care_access_during_COVID19_public_script_FINAL.docx)

18. COVID-19 – guidance

Public Health England continues to work with Government, Local Authorities and partners as the situation with COVID-19 evolves. This week, new information about the case definition of COVID-19 was announced. A loss of, or change in, normal sense of taste or smell (anosmia) has been added to the previous symptoms of COVID-19 of a new continuous cough and fever.

PHE has updated all guidance for all settings to reflect the change in the case definition. All new and existing PHE guidance can be accessed via the GOV.UK collection page.

19. Resources to help people with a learning disability or autism access NHS services

Two new documents about accessing NHS services during coronavirus are now available. One is in easy read for people with a learning disability and the other in plain English for those with autism.

20. Media enquiries

ACTIONS FOR PRIMARY CARE

Note the pharmacy opening times for the forthcoming Bank Holiday weekend.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care

Urgent - Briefing: Plans progressing for Solihull Hospital to be COVID-clear, inc. closure of MIU

183:820766164 (Ben Evans) — Fri, 22 May 2020 07:25:08 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Briefing from University Hospitals Birmingham NHS Foundation Trust and NHS Birmingham and Solihull Clinical Commissioning Group

Restoration of services at University Hospitals Birmingham NHS Foundation Trust (UHB): plans progressing for Solihull Hospital to be COVID-clear

Further to the briefing below, and as part of University Hospitals Birmingham NHS Foundation Trust’s Phase 2 COVID-19 response, plans are progressing at pace to turn Solihull Hospital into a site clear of COVID-19. This will enable as many local patients, as is safe and practical, to undergo surgery and procedures that have been ‘paused’ during the initial response to the pandemic.

Since May 8, GPs have been referring patients for medical assessment largely to Heartlands Hospital and all medical inpatients have been discharged to their usual place of residence, or transferred to Heartlands Hospital or the Queen Elizabeth Hospital Birmingham; as a result there are now no inpatients in Solihull Hospital.

The next step will be to deep clean and enable construction works, in readiness for the hospital to open its doors again to patients requiring surgery on 1 June 2020. To facilitate the maintenance of a COVID-clear hospital, the Minor Injuries Unit (MIU) at Solihull Hospital will be closed from 10pm on 21 May 2020, as part of the temporary measures being implemented.

These departments at Solihull Hospital will continue to provide services to patients and in ways that meet NHS England and NHS Improvement’s guidelines for managing COVID-19:

· Dialysis

· Pharmacy

· Pathology

· Outpatients

· Women’s Unit (inc. Birthing Unit)

· Cardiac Catheterisation Lab

· Cardiology Diagnostic Testing

· Physiotherapy

· Chronic Pain

· Dermatology

· Rheumatology

· Haematology/Oncology

· Imaging

· Ophthalmology

With the closure of the MIU from this 10pm today (21/05/2020), patients with a minor injury should seek treatment elsewhere. This could be: visiting a local pharmacy; visiting 111.nhs.uk or calling 111 (free and open 24/7); travelling to another local minor injuries unit or walk-in centre; contacting their GP; or for more serious issues (including suspected broken bones), travelling to Heartlands Hospital or Queen Elizabeth Hospital A&E departments.

Approximately 40 people currently attend the MIU at Solihull Hospital each day, between 8am and 10pm, for conditions such as:

· Sprained ankle: minor sprains can often be treated at home, by using RICE therapy: Rest, Ice, Compression and Elevate. The NHS website is a good and reliable source of self-care advice, or a pharmacist can also give advice about sprains and strains, including advice about painkillers

· Urinary tract infection (UTI): can often be treated by speaking to local pharmacist, or contacting their GP

· Cellulitis: patients would be advised to contact their GP if they are concerned they have cellulitis, or contact NHS 111

· Minor cuts: can often be treated at home, or with advice from a pharmacist

More information about local services can be found on the NHS website: www.nhs.uk

Options are currently being explored to ensure that patients have an urgent care service in the borough, whilst these temporary measures at Solihull Hospital are taken.

For more information, please contact University Hospitals Birmingham NHS Foundation Trust: communications@uhb.nhs.uk

University Hospitals Birmingham NHS Foundation Trust

NHS Birmingham and Solihull Clinical Commissioning Group

From: COMMS, Bsol (NHS BIRMINGHAM AND SOLIHULL CCG)

Sent: 01 May 2020 13:05

Subject: Briefing: Restoration of services at University Hospitals Birmingham NHS Foundation Trust (UHB)

Importance: High

Briefing from University Hospitals Birmingham NHS Foundation Trust and NHS Birmingham and Solihull Clinical Commissioning Group

Restoration of services at University Hospitals Birmingham NHS Foundation Trust (UHB)

Dear colleagues

As some of you may already be aware, there has been national guidance issued this week, with the aim to restore essential NHS non-COVID services.

Although some numbers may be going down, we are a long way from being free of COVID-19 and it still poses a significant threat to patients and our staff. Any move to the next phase of our local NHS response, we need to ensure that we protect patients and staff, through maintaining the measures that have brought about that reduction. This includes personal infection control via social distancing, hand washing and self-isolation. We need to protect those most at risk, including our staff who are more vulnerable. It also includes working remotely and using technology in ways we haven’t before. It also means repurposing healthcare facilities to reduce the risk of transmission.

University Hospitals Birmingham (UHB) has made a proposal about such changes to the use of their facilities, in particular in relation to Solihull Hospital becoming a COVID-free elective hospital, allowing patients to access routine care sooner and in a safer environment through being isolated from the other sites managing COVID cases at Heartlands, Good Hope and the Queen Elizabeth.

This is part of UHB working towards implementing phase two of their response to the COVID-19 pandemic; this is the gradual restoration of a number of ‘paused’ services across their sites.

Back in March, early signs and the stark modelling prompted a change in the NHS approach to COVID-19. In response, UHB ramped up its operational response (phase one). Over the last 10 days, UHB has seen COVID-19 admissions and inpatient numbers begin to reduce and ITU numbers plateau, however they are still at 150% capacity in ITU.

Phase 2 is therefore about balancing these core requirements in a moderated, proportionate and flexible way over the next 12 to 18 months, to handle the prevailing COVID-19 situation, and still ensuring the safety of patients and staff.

For UHB to start to increase access to elective care, it will require:

· Continuing to make full use of the Independent Sector and other NHS providers

· Providing more UHB non COVID-19 theatre, recovery, ITU and inpatient capacity

· From 01 June 2020, creating a COVID-19 free elective hospital for mainstream elective inpatient activity for Birmingham and Solihull patients at Solihull Hospital – which will mean:

o The temporary removal of the Minor Injuries Unit, Acute Medical Unit and six medical inpatient wards

o With regards to the removal of the MIU, the CCG is currently exploring options at pace to the provision of urgent care services locally. The CCG will be working in partnership with local GP providers to design a solution and ensure that adequate urgent care provision is in place for local people

o From 8am on Friday 8 May 2020, all acute medical patients from the east Birmingham/Solihull area will be redirected to Heartlands

o Staff will be able to remain working at Solihull, or another UHB hospital

o Re-purposing the Ambulatory Care Unit at the Queen Elizabeth Hospital into inpatient facility including theatres, recovery, ward and ITU. A standalone full service surgical unit will be implemented to re-commence the complex and tertiary activity

o The potential use of Good Hope Hospital for elective care will be kept under close review

o Clearly, logistical issues such as patient transport, will need to be properly worked through and addressed.

Whilst it seems that this will require some significant change to how the system currently operates, and won’t be without it challenges, it may present the local NHS with the opportunity to redesign local services, to meet the needs of patients better.

In partnership with the CCG, UHB has prepared plans to communicate and engage with the public and all relevant stakeholders, at appropriate times. This is in line with NHS England and NHS Improvement’s emergency service change protocol.

For more information, please contact University Hospitals Birmingham NHS Foundation Trust: communications@uhb.nhs.uk

University Hospitals Birmingham NHS Foundation Trust

NHS Birmingham and Solihull Clinical Commissioning Group

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 May 2020 (Issue 41)

183:820766164 (Ben Evans) — Thu, 21 May 2020 10:46:11 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

· Item 1: FAQs to help with practice claim forms for the financial arrangements primary care has put in place in support of Covid-19: Covid Finances FAQ V1.4.docx

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 20.05.2020

· 2,167 cases now confirmed in Coventry and Warwickshire (+18 / +0.8% from Monday)

· 105 of these are currently admitted (+2 / +1.9% from Monday)

· 694 beds still available (-106 / -13.3% from Monday)

· 7 ITU beds occupied by Covid patients (+0 / +0.0% from Monday)

· 448 reported deaths in a hospital setting (+1 / +0.2% from Monday)

Care Home current position as at 20.05.2020

· 206 Covid related deaths in care homes (+9 / +4.6% from Monday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

· 522 Care home deaths in total (+11 / +2.2% from Monday)

· 650 confirmed cases (+37 / +6.0% from Monday)

· Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 314

o South Warwickshire: 227

o Warwickshire North: 109

LATEST LOCAL UPDATE

1. Finance FAQs

We have developed a series of FAQs which have been put together to help with practice claim forms for the financial arrangements primary care has put in place in support of the Covid-19 response. (Attachment: Covid Finances FAQ V1.4.docx)

2. Testing for Coronavirus open to the general public – now including over 5s.

Testing is now open to any member of the public with COVID-19 symptoms by visiting nhs.uk/coronavirus or calling 119 to book a test. The tests are not suitable for children under 5 years old.

3. GPES Data for Pandemic Planning & Research (COVID-19) service

GPES Data for Pandemic Planning & Research (COVID-19) has been centrally offered to GP Practices in CQRS and is available for practices to accept.

The purpose of the data collection is to respond to the intense demand for General Practice data to be shared in support of vital planning and research for COVID-19 purposes, including under the general legal notice issued by the Secretary of State under Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 (COPI).

The England General Practitioners Committee (GPC England), of the British Medical Association (BMA) and the Royal College of General Practitioners (RCGP) requested support from General Practitioners for these data collections. They have made the following statement:

The RCGP and BMA support this initiative. The collection set out in this DPN was designed by NHS Digital, with the support of NHSX in response to concerns raised by representatives of the GP profession regarding the current pressure on General Practice to respond to multiple requests to release data in support of COVID-19 planning and research. 

NHS Digital as the data controller for nationally extracted data will ensure that due diligence is carried out regarding any applications made to NHS Digital for access to the data that is being collected. NHSX will be responsible for a single point of contact (SPOC) COVID-19 request process that will triage and prioritise those applications that are applicable to this data set and pass those applications to NHS Digital who will be responsible for assessing and fulfilling the applications; these applications will only be successful if they pass the appropriate ethical, legal and Information Governance requirements to ensure that data is only shared where it is secure, lawful and appropriate to do so. NHS Digital will do this through the Data Access Request Service (DARS) with advice on requests for data from this collection from the Independent Group Advising on the Release of Data (IGARD) along with consultation with profession representatives at RCGP and the BMA.

Once this data collection has been established, all organisations, including CCGs and Integrated Care Services, are to be re-directed when requesting data from your GP practice for any COVID-19 non-direct care purposes, into the NHSX SPOC for COVID-19 requests process, thereby reducing your workload’.

A Data Provision Notice had been issued directly to practices and can be found here.

4. COVID-19 - Temporary changes to Summary Care Record (SCR)

EMIS has been working closely with NHS Digital to agree a process to temporarily amend what information is sent as part of a patient’s Summary Care Record. This change will remain until the end of the pandemic. There will be no changes to the way a practice records their consent preferences.

For further information click here.

5. Bank Holiday Monday (25 May)

6. Website update – now live

7. Eid and mental health materials

You will be aware that Eid al-Fitr is due to take place this weekend, between the evening of Saturday 23 May and the evening of Sunday 24 May.

Public Health England has released materials to support the message “celebrate Eid at home”. You can find these assets, here: https://coronavirusresources.phe.gov.uk/eid/resources/

8. Primary care wellbeing survey – reminder

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 20 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 20 May 2020

No updates this issue.

UPDATES FOR Warwickshire North – 20 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

· As of 9.00am on 19 May 2020, 2,772,552 people have been tested in the UK, (with 89,784 tests carried out on 18 May) and 248,818 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 35,341. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 28,754.)

· The Rt Hon George Eustice MP gave the 19 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic, available to view online.

· Press conference slides and datasets used by The Rt Hon George Eustice MP and Professor Angela McLean, Deputy Chief Scientific Adviser on 19 May 2020 are available here.

· The Secretary of State for Health and Social Care Matt Hancock updated Parliament on the government’s response to coronavirus on 18 May, the transcript is available online.

· The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

9. NHS England Primary Care Bulletin – new edition – 19 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (19 May) and in this edition has details around testing for coronavirus, NHS People Health and Wellbeing Support, domestic abuse during COVID-19 and the upcoming Bank Holiday on Monday 25 May. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

10. GP Preparedness Webinar

The next primary care webinar is tomorrow, 21 May between 5pm and 6pm and will have a focus on care homes. The link to join, via Microsoft Teams, is here. To submit any questions you have for the general practice webinar in advance using, please use this online form (login required).

11. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the attached COVID finances FAQs.

Do note the times for this next week’s GP preparedness webinar.

Please take time to participate in the primary care wellbeing survey.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Possible scam - Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

183:820766164 (Ben Evans) — Tue, 19 May 2020 14:26:19 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

We have been alerted by Public Health England of reports they have received this week of a possible scam. Some women are being contacted by text message, claiming to be from the call and recall service to advise they are overdue for screening. The message asks them to call a mobile number and provide personal details.

The national position is: “These messages are not from the NHS Cervical Screening Programme. The Action Fraud Line has been contacted.”

All services should ensure that staff dealing with queries from general practices and the public are aware of the situation. Suspicious calls and concerns should be:

• reported according to local organisational policies

• alerting the screening and immunisation team (SIT) ( england.wmid-imms@nhs.net ) and the screening quality assurance service (SQAS) ( PHE.MidsAndEastQA@nhs.net or 0333 014 2478 ).

Primary Care Coronavirus briefing – Coventry and Warwickshire – 18 May 2020

Mon, 18 May 2020 13:43:49 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 18 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Local picture updated charts and projections 2020-05-18.pdf

• Item 10: The Stroke Association has provided an update on their Stroke Recovery Services: Stroke Recovery Services - Stroke Association.docx

• Item 3: Sexual Assault Referral Centre update: SARC Services - COVID-19 - West Mids CYP.pdf

• Item 4: Age UK Coventry and Warwickshire update: CORONAVIRUS SERVICES UPDATE.docx

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 18.05.2020

• 2,149 cases now confirmed in Coventry and Warwickshire (+32 / +1.5% from Friday)

• 103 of these are currently admitted (-12 / -10.4% from Friday)

• 800 beds still available (+104 / +14.9% from Friday)

• 7 ITU beds occupied by Covid patients (+2 / +40.0% from Friday)

• 447 reported deaths in a hospital setting (+11 / +2.5% from Friday)

Care Home current position as at 18.05.2020

• 197 Covid related deaths in care homes (+6 / +3.1% from Friday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 511 Care home deaths in total (+13 / +2.6% from Friday)

• 613 confirmed cases (+37 / +6.4% from Friday)

• Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 307

o South Warwickshire: 199

o Warwickshire North: 107

• (Attachment: Local picture updated charts and projections 2020-05-18.pdf)

LATEST LOCAL UPDATE

1. New information about coronavirus (COVID-19) symptoms has been announced

Statement from the UK Chief Medical Officers on an update to coronavirus symptoms issued on 18 March 2020. From today, all individuals should self-isolate if they develop a new continuous cough or fever or anosmia. Anosmia is the loss of or a change in your normal sense of smell. It can also affect your sense of taste as the two are closely linked. Full details in the statement.

2. Domestic abuse during COVID-19: a reminder of advice for NHS staff

Domestic violence, also called domestic abuse, includes physical, emotional and sexual abuse in couple relationships or between family members. Domestic violence can happen against anyone, and anybody can be an abuser. During the COVID-19 pandemic, domestic abuse charities and other organisations are reporting an increase in cases.

The DHSC website has a resource that looks at how health professionals can support adults and young people over 16, and dependent children, who are experiencing domestic abuse. The document helps health staff to identify potential victims, initiate sensitive routine enquiry, respond effectively to disclosures of abuse. Full details are online.

3. SARC Services

Our SARC (Sexual Assault Referral Centre) services are still available during the COVID-19 pandemic. Mountain Healthcare provides Sexual Assault Referral Centre (SARC) for children and young people across the West Midlands. We are still operating during the COVID-19 pandemic, with all services being carried out in line with current guidance and with additional health and safety measures in place. Full details are attached. (Attachment: SARC Services - COVID-19 - West Mids CYP.pdf)

4. Age UK Coventry and Warwickshire

The briefing is an update on the services being provided during the current pandemic. (Attachment: CORONAVIRUS SERVICES UPDATE.docx)

5. Website update – now live

6. Bank Holiday Monday (25 May)

We understand that, as announced in the recent primary care webinars that it is anticipated treating 25th May as a normal Bank Holiday. This is dependent and conditional on local arrangements being made as normal to provide cover.

7. Primary care wellbeing survey – reminder

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 18 May 2020

8. Update from the Referral Support Service

Due to us receiving numerous queries from GP’s and Practices regarding referrals we wanted to confirm the current position which we would ask you to share with others within your Practice.

The Referral Support Service is still operational during this challenging time. We continue to review referrals ensuring patients are referred into appropriate services with the relevant information to support the referral.

Now that we have entered into Phase 2 of the NHS’s response to COVID, we hope you are aware that Routine referrals (along with all other referrals) can now be processed and should not rejected or deferred until a later date (as per previous communications sent out on the 1st May from NHS England and our local provider- University Hospital Coventry and Warwickshire NHS Trust). The Referral Support service is prepared to receive these referrals and will process referrals as normal.

Following the impact of COVID-19, we would encourage you to ensure any previous referrals that were rejected by a provider are now referred, if they still require clinical input from our Secondary Care colleagues.

If you are a Practice that does not currently use the Referral Support Service but wish to do so during this time, please contact me on natalie.fuller@coventryrugbyccg@nhs.uk and we can put the relevant access in place to support you.

Should any Practices/ referrer experience any issue with referrals not being accepted please make contact with us and we will provide the relevant support.

If you have any questions regarding any of the information please use the above email address.

UPDATES FOR South Warwickshire – 18 May 2020

9. X-ray department update:

Due to current social distancing rules and the need to protect both our patients and our staff, we cannot offer any walk-in appointments for x-ray’s at any of our sites (Warwick or Stratford). Please advise patients to call the following number to make an appointment at Stratford Hospital only until further notice – 01926 600007.

Should you have any queries please contact the Radiology Department on the same number as above. Many thanks for your cooperation.

UPDATES FOR Warwickshire North – 18 May 2020

10. Stroke Association Stroke Recovery Service - Warwickshire North

In Warwickshire North, the Stroke Association is working closely with local partners to ensure that our Stroke Recovery Services are complimenting the local system response to Covid-19. We have adapted our support to provide telephone based assessments, e mailing information and fact sheets and additional, regular follow up wellbeing check telephone calls. Full details are attached. (Attachment: Stroke Recovery Services - Stroke Association.docx)

LATEST NATIONAL PICTURE

• As of 9.00am on 17 May 2020, 1,818,712 people have been tested in the UK, (with 91,206 tests carried out on 16 May) and 243,695 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 34, 636. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 28,417.)

• Business Secretary Alok Sharma gave the 17 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic, available to read online.

• Slides to accompany the press briefing on 17 May are here.

• Prime Minister's article in the Mail on Sunday: 17 May 2020 is here.

• New guidance for spending time outdoors has been issued here.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

11. NHS England Primary Care Bulletin – new edition – 18 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (18 May) and in this issue ahs detail on the Government’s recently published update on the COVID-19 care home support package which builds on the Adult Social Care Action Plan, information on referring patients for COVID-19 tests and the letter detailing groups eligible for the flu vaccination this autumn. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

12. GP Preparedness Webinar

The next primary care webinar is on 21 May between 5pm and 6pm and will have a focus on care homes. The link to join, via Microsoft Teams, is here. To submit any questions you have for the general practice webinar in advance using, please use this online form (login required).

13. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the information about coronavirus (COVID-19) symptoms that have been announced.

Do note the times for this next week’s GP preparedness webinar.

Please take time to participate in the primary care wellbeing survey.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 15 May 2020

Fri, 15 May 2020 08:54:10 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 15 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. A brand new website!

We are very pleased to announced that we have created a new Coventry and Warwickshire COVID-19 portal for practices.

The brand new CWCovid website has been established to put the information sent via the daily updates into one convenient archive and reference site. On this new site you will see all the previous bulletins issued to date, plus all attachments that been shared previously. It has been a massive effort to get this working in a short space of time so huge thanks to the teams responsible. All the past information is archived and readily accessible in one easy to search place. Our ultimate aim is to reduce the content of the daily briefings with the majority of the content sitting on the website. This will help when attachments get blocked too. We are still making some tweaks so if a link doesn’t quite work do let us know via warnoccg.covid19primarycarecommunications@nhs.net. If you have any comments we would love to hear them.

COVID-19 Primary Care bulletin

Wed, 13 May 2020 09:42:39 GMT

COVID-19 Primary Care bulletin

12 May 2020

COVID-19: today's round-up for primary care

Dear colleagues,

Today is International Nurses Day celebrated around the world every year. This year's theme is 'Nursing the World of Health'. We’d like to thank all nurses working in primary care for all you are doing during this time stepping up and leading with innovative solutions to keeping patients safe. Follow and join in using #InternationalNursesDay and #IND2020 on social media.

Yesterday, the UK Government published its COVID-19 recovery strategy. See the Dentistry and Optometry sections below for clarifications.

It’s Mental Health Awareness week this week, and we’d like to encourage all NHS staff to access the mental health and wellbeing support offers available to them. More than 108,000 downloads of the free mental health self help apps have been made so far, showing just how important this type of support is to our NHS staff. You can also access our free staff support line and the confidential bereavement line. Please visit our website for more information or to download the apps.

Recognising that it is an incredibly tough time for many of us at the moment, we have put together a suite of bereavement resources that aim to help NHS staff access support during what will be a difficult time, given the restrictions and changes to normal grieving patterns and processes for staff who come from diverse backgrounds. You can find a selection of resources that will support you during a bereavement, be that practical next steps to take as a line manager or confidential bereavement support staffed by a team of specialists. You can access the bereavement support online or call the confidential bereavement support line, operated by Hospice UK, on 0300 303 4434, free to access from 8am – 8pm, seven days a week.

Nikki and Ed

Dr Nikki Kanani

GP and Medical Director for Primary Care

NHS England and NHS Improvement Ed Waller

Director for Primary Care Strategy and NHS Contracts

NHS England and NHS Improvement

General practice

An update on total triage and remote consultations

General practice has rapidly moved to triaging patient contacts and remote management of patients’ needs in response to COVID-19. In the last few weeks we have seen an amazing level of change in general practice from carrying out most work face-to-face, to now providing the majority of services to patients remotely.

To support total triage (remote total triage) and remote management, practice and commissioners were asked to have an online and video consultation system procured and live by 30 April 2020. With this date now in the past, we wanted to share with you how far we’ve come:

· Video consultations are now available in 97% of practices, covering 98% of the population. Prior to COVID-19 only 5% of practices were live with video consultations. By the end of March 2020, it was approximately 66%.

· Online consultations are available in 75% of practices, covering 77% of the population. Another 20% of practices are currently implementing an online consultation solution and we expect them to be live in the next couple of weeks. At the end of March less than 30% of practices were live with an online consultation system.

As you can see, from prior to COVID-19 starting until now, remarkable progress has been made. This has helped protect both patients and staff by reducing footfall and ensuring general practice remains open and available to anyone who needs it.

Thank you to all of you who have contributed to these efforts – these achievements would not have been possible without you. We understand that these remain challenging times, so want to reassure you that we are committed to continuing to support practices to optimise digital solutions and gain benefits for patients and for staff – contact your NHS England and NHS Improvement regional team or the NHSX Implementation Team for more information.

Digital support for care home providers

Work is ongoing across the NHS and social care sector to support social care providers and the lives of those they care for, during the COVID-19 pandemic. This includes:

· The rollout of NHSmail to over 8,000 care homes and over 2,500 domiciliary care providers;

· Supporting remote consultations, and reducing social isolation and loneliness for care home residents by working with suppliers to provide tablet devices capable of secure video calling;

· Improving care home connectivity and WIFI access by negotiating a number of offers from telecomms providers;

· Increased digital implementation support to care providers though the new Digital Social Care helpline;

· Increased access to up-to-date and accurate information for care professionals through the new Care workforce app and promotion of the care home capacity tracker.

Community pharmacy

Examples of good practice

The General Pharmaceutical Council has identified over 60 examples of how pharmacies are meeting their professional standards during the COVID-19 pandemic. Read the examples on the Knowledge Hub.

Dentistry

On 10 May 2020, the Prime Minister announced the conditional plan to ease restrictions. All dental guidance and Standard Operating Procedures currently in force remain unchanged. The temporary cessation of routine dentistry addresses the safety of patients and of dental teams as well as supporting the public health measures required to slow community transmission of COVID-19. This advice has not changed.

The most recent guidance letter and standard operating procedure for oral health professionals is available on our website.

Optometry

On 10 May 2020, the Prime Minister announced the conditional plan to ease restrictions. All optical guidance remains unchanged. The temporary cessation of routine optical services addresses the safety of patients and of optical teams as well as supporting the public health measures required to slow community transmission of COVID-19. This advice has not changed.

The most recent guidance letter for optical staff is available on our website.

Dates for your diary

Wednesday 13 May 1-2pm - Digital Nurse Network, Webinar Thirteen will look at video consultations and network updates. Helen Crowther RN and Ann Gregory RN, Clinical Nurse Advisors at NHSX are joined by Alison Taylor RN who is leading on a project putting devices into care homes to allow residents to connect with their families during COVID19. We will also be discussing video consultations to manage Long Term Conditions and minor illnesses in primary care. Book to join online. Direct link to the LIVE webinar is here. Click 5 minutes before the session to join.

Wednesday 13 May 1.30-2.30pm - Starting out as a social prescribing link worker. This webinar aims to help new link workers understand the basics of their social prescribing link worker roles within PCNs.

Thursday 14 May 5-6pm GP webinar with Nikki and Ed

Thursday 14 May 8-9pm PCPA webinar: Managing COVID in Care Homes - Delivering Care

To catch up on previous primary care webinars visit Future NHS.

Nikki and Ed's link of the day

Highlighting the amazing work of practice nurses during COVID-19 and beyond The Power of Practice Nursing: the future of general practice nursing in London – part 1 is the first in the new ‘The Power of Practice Nursing – The Future of General Practice Nursing in London’ series, a collaborative project from Health Education England, the Healthy London Partnership and NHS England and NHS Improvement.

Publishing Approval Reference: 001559

Primary Care Coronavirus briefing – Coventry and Warwickshire – 13 May 2020

Wed, 13 May 2020 08:06:32 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 13 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Information around referrals – a reminder

As advised in the second phase of the NHS response to COVID-19, a reminder that GPs should make ALL two-week wait cancer, urgent and routine referrals to secondary care as normal now, using ‘advice and guidance’ and Consultant Connect options where appropriate.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Practice nurse communications - updated

TODAY’S ATTACHMENTS

• Item 2 Documents and FAQs to support NHS111/CCAS Slots on EMIS:

• Direct_booking_in_primary_care_using_NHS_111_or_CCAS_via_GP_connect.pdf

• Appendix 2 - EMIS Guidance CCAS V8.0.pdf

• 111 Direct Booking FAQs Part 1.pdf

• 111 Direct Booking FAQs Part 2.pdf

• Item 3: Professor John Newton, the National Testing Co-ordinator, has drafted a letter advising NHS organisations against the purchase and use of antibody tests: Letter from Professor John Newton.pdf

• Item 14: A request from GEH around weight bearing x-rays: Weight bearing X-rays in Foot and Ankle.docx

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 13.05.2020

• 2,080 cases now confirmed in Coventry and Warwickshire (+2 / +0.1% from Tuesday)

• 115 of these are currently admitted (-7 / -5.7% from Tuesday)

• 706 beds still available (+43 / +6.5% from Tuesday)

• 5 ITU beds occupied by Covid patients (+0 / +0.0% from Tuesday)

• 433 reported deaths in a hospital setting (+8 / +1.9% from Tuesday)

Care Home current position as at 13.05.2020

• 188 Covid related deaths in care homes (+0 / +0.0% from Tuesday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 493 Care home deaths in total (+0 / +0.0% from Tuesday)

• 512 confirmed cases (+0 / +0.0% from Tuesday)

• Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 230

o South Warwickshire: 185

o Warwickshire North: 97

LATEST LOCAL UPDATE

2. NHS111/CCAS Slots on EMIS

The below information is being shared to clarify the requirements from the numerous updates regarding EMIS slots for NHS111 and the new CCAS service.

Requirement

• Practices must make 1 appointment per 500 patients available to CCAS / NHS111 to 30/6/2020

• Page 10 of the attached guidance makes it clear that:

o The increased slots (1 in 500) replace and are not in addition to 1 in 3000 appointments contractually required for NHS111 under our GMS contract

o The practice should use its judgement when calculating the number of slots for each

EMIS Setup

It is important to note that CCAS is provided by South Central Ambulance Service (SCAS) and NHS111 by West Midlands Ambulance Service (WMAS). You therefore need to setup two organisation groups in EMIS – one for each provider.

EMIS guidance on how to do this can be found at https://www.emisnow.com/csm?id=kb_article&sysparm_article=KB0064483&sys_kb_id=c4f7d0d41bd4d4107937a8a4bd4bcbfa

The codes for each ambulance service are:

• South Central Ambulance Service = RYEA3

• West Midlands Ambulance Service = RYA06

You then need to use filters in the EMIS appointment book to ‘reserve’ appointment slots for each ambulance service. Please note: you can only apply one filter per session meaning you need to setup separate sessions for SCAS CCAS and WMAS NHS111.

(Attachments: Direct_booking_in_primary_care_using_NHS_111_or_CCAS_via_GP_connect.pdf; Appendix 2 - EMIS Guidance CCAS V8.0.pdf; 111 Direct Booking FAQs Part 1.pdf; 111 Direct Booking FAQs Part 2.pdf)

3. Guidance on antibody testing

Professor John Newton, the National Testing Co-ordinator, advises NHS organisations against the purchase and use of antibody tests that have not been verified in a laboratory setting. The results of an inaccurate test are potentially misleading and can put people at risk of contracting the disease and transmitting it to others. The Chief Medical Officer’s advice is that he strongly discourages the use of unvalidated tests. Please find letter attached (Letter from Professor John Newton.pdf)

4. COVID-19: management of exposed healthcare workers and patients in healthcare settings

Guidance has been produced on the management of healthcare staff and patients who have been exposed to COVID-19. The page also includes Flow chart for return to work following a SARS-CoV-2 test which is very useful.

5. Bank Holiday Monday (25 May)

Thank you also for the additional efforts made to support the additional Bank Holiday provision last week and over Easter. We understand that, as announced in the primary care webinars last week, that it is anticipated treating 25th May as a normal Bank Holiday. This is dependent and conditional on local arrangements being made as normal to provide cover.

6. Our plan to rebuild: The UK Government’s COVID-19 recovery strategy

Published by the Cabinet Office on 11 May 2020. This document is the Government’s roadmap for how and when the UK will adjust its response to the COVID-19 crisis.

7. Translated messaging re: COVID-19 testing & treatment for overseas visitors

Messaging around NHS entitlements in relation to COVID-19 for overseas visitors, including anyone living in the UK without permission, has been translated into 40 languages. There is also translated advice and guidance on social distancing and shielding. You can find them online: https://www.gov.uk/guidance/nhs-entitlements-migrant-health-guide#main-messages

8. Cancer Research UK

Cancer Research UK has developed a short film reminding patients to see a GP should they show symptoms. There is also a leaflet aimed at GPs and other health professionals found here.

9. Individual coaching support for primary care staff - reminder

The coaching offer has generated considerable interest since launch on 24 April, with 570 bookings and 190 coaching sessions having taken place by 11 May. Feedback has been overwhelmingly positive, with almost all respondents saying that they had felt listened to and that the session had enabled them to move forward. A reminder that this coaching service is open to ALL frontline primary care workforce, clinical and non-clinical and whether directly employed by the NHS or working on an NHS contract. To find out more and book a 1:1 coaching session at a time and in a way that suits you, go to the Look After You Too webpage.

With such positive comments as “This session made a huge difference to me and I am very grateful.”; My coach was encouraging and managed the session well to ensure it was of benefit throughout and achieving what I was aiming for.”; “Discussed some useful tips to use in certain scenarios that I think may help me.” This is a free offer that you are encouraged to take up.

10. Primary care wellbeing survey – updated link

11. HMRC Announcement - UK PPE Zero Rate - 1st May 2020

As you will be aware the government has announced that specified PPE can be zero rated from 1st May 2020 when supplied in the UK. This is a temporary measure which will last until the end of July 2020 and complements HMRC’s previous announcement that no VAT will be chargeable on imports of the same types of PPE.

It is the suppliers obligation to get this right, there is no remedy in the VAT return process to be able to stop VAT being charged. VAT which is charged on goods will not be recoverable through COS and this will present a cost to NHS bodies if the supplier charges VAT in error. Where VAT is charged where it should not be, you should ask for a credit note, from the supplier, for the VAT charged in error.

It is therefore vital that you, your budget holders and your procurement teams are fully aware of the temporary rules. To support in communicating this to your teams and to your suppliers, we provide the following (highlighted in yellow):

HMRC has announced that certain types of PPE supplied in the UK can be zero rated from 1st May. The goods involved are those specified by Public Health England as recommended for use in connection with protection from coronavirus, more information is available by accessing the link below:

https://www.gov.uk/government/publications/revenue-and-customs-brief-4-2020-temporary-vat-zero-rating-of-personal-protective-equipment-ppe/revenue-and-customs-brief-4-2020-temporary-vat-zero-rating-of-personal-protective-equipment-ppe

The 1st of day cut off means that where goods have not been delivered, invoiced or paid for after the 1st May they must be supplied as zero rated and not subject to VAT.

HMRC have also stated that if any further information is required by suppliers on this they can email HMRC at: ppe@hmrc.gov.uk

This information will also be shared on our external website on COVID information for suppliers and on our Intranet FAQs.

The SBS VAT team are fully aware of this change and should any anomalies be identified as part of the normal review process, we will raise them with you in order that you can investigate further with your supplier.

Should you have any questions, please do not hesitate to get in touch.

NHS Shared Business Services

12. Daily bulletin updates – updated timings

We are moving the daily briefing to three times a week to match the reduction in the primary care IMT meetings. If there are urgent updates to be issued these will be sent out in between. After today, the bullet will be issued on Monday, Wednesday and Friday.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 13 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 13 May 2020

13. Electronic GP Discharges

Dear Practice Managers,

The maternity department at South Warwickshire NHS Foundation Trust is introducing a new electronic GP discharge summaries from maternity care. This will enable us to send mother and baby discharge summaries directly to the named GP surgery. These documents will be sent via our secure Docman account from the maternity unit to each surgery and will include the ‘maternal and neonatal transfer of care to community’ summaries which were previously printed and handed in by new mothers after they were discharged from the maternity unit.

They will be sent using GP practice codes so there is nothing you have to do to activate this.

We are hoping to go live with this on the 01/06/2020 please get in touch before this date if you have any questions.

Best wishes,

Maria Rich, Quality Improvement Midwife, South Warwickshire Foundation Trust

UPDATES FOR Warwickshire North – 13 May 2020

14. Weight bearing X-rays in Foot and Ankle at GEH

The foot and ankle department at George Elliot Hospital are requesting all the GPs to request weight bearing x-rays when the referrals are made to be seen in the hospital. Full details are attached (Weight bearing X-rays in Foot and Ankle.docx)

LATEST NATIONAL PICTURE

• As of 9.00am on 12 May 2020, 1,460,517 people have been tested in the UK, (with 85,293 tests carried out on 11 May) and 226,463 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 32,692. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 27,171.)

• Business Secretary Alok Sharma gave the 12 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic and the transcript is available to read online. The address can also be viewed on YouTube.

• Press conference slides and datasets used by The Rt Hon Alok Sharma MP and Professor Stephen Powis during the briefing on 12 May 2020

• The latest government advice on coronavirus is available online and has been update to reflect the new Stay Alert messaging.

COMMUNICATIONS FROM NHS ENGLAND

15. NHS England Primary Care Bulletin – new edition – 13 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (13 May) and in this issue is detail around individual coaching support for primary care staff and a revised link to the Health and wellbeing survey. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

16. NHS England Primary Care Bulletin – 12 May

You may have missed the NHS England Primary Care Bulletin (12 May) which features a leading piece celebrating International Nurses Day, plus an update on total triage and remote consultations and digital support for care home providers.

17. GP Preparedness Webinar

The next primary care webinar is tomorrow, 14 May between 5pm and 6pm. The link to join, via Microsoft Teams, is here. To submit any questions you have for the general practice webinar in advance using, please use this online form.

18. Media enquiries

ACTIONS FOR PRIMARY CARE

Do note the times for this week’s GP preparedness webinar.

Take advantage of the coaching offer from NHS England.

Do participate in the primary care wellbeing survey.

PRACTICE NURSE COMMUNICATIONS

19. Digital Nurse Network

Of interest to GP practice nurses and those working in nursing roles across the NHS, the Digital Nurse Network is a free online community supporting nursing teams within general practice and other care settings to learn more about digital services available to them and their patients. This webinar is to increase your awareness of the network and the support on offer to nursing teams throughout the COVID-19 pandemic. Why? To reduce the pressure on primary care, improve medical outcomes and provide better patient and staff experience.

This webinar is on 14 May, between 4.30pm and 5.00pm will consist of a 15 minute presentation and 15 minute Q&A.

If you have any questions you would like answering during the webinar please email england.empowertheperson@nhs.net quoting Digital Nurse Network Webinar Register Here

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 May 2020

Mon, 11 May 2020 08:21:34 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 May 2020

**Please find below the latest primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Daily bulletin updates – updated timings

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Practice nurse communications - updated

TODAY’S ATTACHMENTS

• Item 1: Documents to support the urgent provision of drugs for rapidly deteriorating patients with Covid 19:

• Community Pharmacy Participation.xlsx;

• BandaAgreedPalliative Care Chart Vs5.1b May19 part complete for COVID period use.pdf;

• EoL Kit SOP (V3) Final April 2020.pdf;

• Flow Chart accessing COVID EOL packs Final.pdf

• Supporting charts for the local position update:

• Chart for Daily Comms 2020-05-11.pdf

LATEST LOCAL PICTURE

Please remember: we are issuing the briefing three times are week (Monday, Wednesday and Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. Please keep us updated with any issues that you may be having so we can try to address them.

Coventry and Warwickshire COVID position up to 11.05.2020

• 2,055 cases now confirmed in Coventry and Warwickshire (+28 / +1.4% from yesterday)

• 122 of these are currently admitted (-8 / -6.2% from yesterday)

• 620 beds still available (-38 / -5.8% from yesterday)

• 5 ITU beds occupied by Covid patients (+0 / +0.0% from yesterday)

• 420 reported deaths in a hospital setting (+4 / +1.0% from yesterday)

Care Home current position as at 11.05.2020

• 185 Covid related deaths in care homes (+0 / +0.0% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 471 Care home deaths in total (+0 / +0.0% from yesterday)

• 492 confirmed cases (+0 / +0.0% from yesterday)

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 216

o South Warwickshire: 181

o Warwickshire North: 95

The attached chart includes confirmed cases and numbers for acute bed occupancy, plus predictions for the next seven days. (Attachment: Chart for Daily Comms 2020-05-11.pdf)

LATEST LOCAL UPDATE

1. End of Life Drug packs available for rapidly deteriorating patients with Covid 19

End of Life drug packs are now available from a number of pharmacies across Coventry and Warwickshire and the pharmacies and opening times are detailed here.

CWPT has also made end of life drug packs available 24/7 from a central source in Coventry for patients being its community service, these can be accessed using the following:

a) the PDF of the MAR chart printed (B+W acceptable) and the doses written next to the pre-printed drugs and the prescriptions signed

b) a current recordable episode of care by CWPT i.e. be referred to a service most probably the DN or specialist pall care service. It is known that DNs go into care homes but they do not usually go into nursing homes so the vulnerable group there will not benefit as much as intended.

Also included are detail of the community pharmacy sign-ups to the EOL scheme with their opening times.

(Attachments: Community Pharmacy Participation.xlsx; BandaAgreedPalliative Care Chart Vs5.1b May19 part complete for COVID period use.pdf; EoL Kit SOP (V3) Final April 2020.pdf; Flow Chart accessing COVID EOL packs Final.pdf)

2. Verification of death in a period of emergency

The online guidance is designed to clarify existing practice for the verification of death outside of hospitals and to provide a framework for safe verification of death in this coronavirus (COVID-19) emergency period. The page includes standard operating procedures and a number of useful resources and the below process:

Process of verification in this period of emergency

1. Check the identity of the person – for example photo ID.

2. Record the full name, date of birth, address, NHS number and, ideally, next of kin details.

3. The time of death is recorded as the time at which verification criteria1 are fulfilled.

For remote clinical support

During core practice hours, call the person’s registered general practice.

Outside core practice hours, call NHS 111 where a clinician will provide remote support to work through the verification process (further details in the page’s annex).

PRACTICE NURSE COMMUNICATIONS – updated

3. Pertussis Vaccination in Pregnancy update

Prevention of vaccine related illnesses remains a priority, pertussis vaccination in pregnancy is a time sensitive vaccine which should take place from ideally from 20 to 32 weeks of pregnancy (but can be offered from 16 weeks and after 32 weeks).

Vaccination of pregnant women offers protection to newborns during the first two months of life when the risk of complications from pertussis are greatest and before infants can be directly protected through routine primary vaccination.

Please ensure that your practice prioritises pertussis vaccination for your pregnant women.

Please note that this enhanced service should still be prioritised as an essential requirement and has not been paused due to Covid?.

This vaccination continues to also be offered in a supporting capacity at the 20-week anomaly scan.

The recommended vaccine(s) for this programme is Boostrix®-IPV (containing diphtheria, tetanus, acellular pertussis and inactivated polio antigens – dTaP/IPV. Currently Boostrix®-IPV is not available, and a request in the March Immunisation Newsletter advised use and ordering of Repevax® (dTaP/IPV) as an alternative until the autumn programme commences. (https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/873961/Vaccine_Update_306_March_2020.pdf)

Vaccines for this programme can be ordered via ImmForm.

If you have any concerns regarding your services ability to deliver the vaccine during this time, please contact england.wmid-imms@nhs.net

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 11 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 11 May 2020

No updates this issue.

UPDATES FOR Warwickshire North – 11 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As reported at 9.00am on 10 May 2020, 1,334,770 people have been tested in the UK, (with 92,837 tests carried out on 9 May) and 219,183 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 31,855. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 26,568.)

• The transcript for the coronavirus briefing to the nation by the Prime Minister, Boris Johnson on 10 May 2020 is available to read online. The address can also be viewed on YouTube.

• Transport Secretary's statement on coronavirus. Announcing a £2 billion package to support active travel to help the country emerge from coronavirus crisis. More details here.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

4. NHS England Primary Care Bulletin – new edition – 11 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (11 May) and in this issue is an update on NHS 111 referring into general practice and COVID-19 tests. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

5. GP Preparedness Webinar

The next primary care webinar is on Thursday 14 May between 5pm and 6pm. The link to join, via Microsoft Teams, is here.

6. Media enquiries

ACTIONS FOR PRIMARY CARE

Do note the times for this week’s GP preparedness webinar.

Note the community pharmacy sign-ups to the EOL scheme which are attached.

Warwickshire deaths verification, certification and registration

Mon, 11 May 2020 07:57:13 GMT

Dear all,

Following feedback from Silver last week I have added last comments.

The key one being care for vulnerable adults and children. This is:

Be aware of vulnerable adults or children unaccompanied after a death:

If a death has occurred in the community, those responding to the death should be alert for vulnerable adults or children who would be left without a responsible adult or carer.

Where an adult is unable to look after themselves, due to the level of their care and support needs, contact Adult Social Care on: 01926 410410. Our adult social care teams can offer advice and support to you and, where necessary, arrange appropriate services.

Where a child/ren is left without a supervising adult, you need to call the MASH on 01926 414144. Lines are open: Monday to Thursday - 9.00am – 5:30pm, Friday - 9.00am – 5:00pm

Out of hours - if you need to get in touch out of usual office hours, please contact the Emergency Duty Team immediately on 01926 886922

Please circulate this final version.

Kindest Regards,

Liann Brookes-Smith

Associate Director of Public Health

Mapping system of pharmacy, dental and optometry provision across the West Midlands

Fri, 08 May 2020 08:01:37 GMT

Dear colleague,

In order to provide details of pharmacy, dental and optometry provision across the West Midlands we have developed a mapping system.

Below is the link to the map as of 05/04/20 and attached is a guide for your information:

https://drive.google.com/open?id=18nOIKcl9_vOwN-SBLXEWMKaMR9uXtCFP&usp=sharing

As the situation continues to change, we are continually updating the map and will be circulating an updated link via this route, every Tuesday and Thursday until further notice. Please note that each new link and spreadsheets provided must be used to access the most up to date map and information.

We are sure you can appreciate, in terms of accuracy we are reliant on contractors advising us of their status.

As this is an ongoing piece of work at an extraordinary time, please be advised that change of hours /closures reported to us in between the data cut off periods will be included on the next version of the mapping and the corresponding spreadsheets.

*Please note that this map is a work in progress and further information will be added as and when it is available

Kind regards

Darren Plant

Commissioning Manager – Pharmacy/Optometry

NHS England and NHS Improvement – West Midlands

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 May 2020

Thu, 07 May 2020 08:18:29 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 May 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. COVID-19 – UPDATED WORKFORCE TESTING GUIDANCE FOR PRIMARY CARE AND CCG STAFF

Dear colleagues,

You may have become aware that COVID-19 testing for NHS and care workers is now more widely available.

There are now two options:

1. Booked locally via www.cwcovid.support – this is locally administered system that provides next day appointments at the Ricoh Arena ONLY.

2. Via the national site https://self-referral.test-for-coronavirus.service.gov.uk/ - whereby you are able to book an appointments slot at any drive through or ‘pop up’ centre in England or apply for a home testing kit.

For each the above, please be prepared to provide the following information (you may not be required to supply all of these):

1. Your full name – and those of your household if you wish them to be tested too

2. Your mobile number

3. Your car registration

4. Your email address

5. Your employers name

6. Your national insurance number

It is most important to note that all testing is strictly by appointment only.

Which members of the workforce can get a test?

All primary care and CCG staff who are symptomatic* (please note we are waiting for an announcement this week about testing being expanded to those who are asymptomatic).

*symptomatic is having developed a fever and/or a new and persistent cough in the last 3 to 5 days

What about family members?

Anyone symptomatic and over the age of 5 who is living in a family with primary care and /or CCG staff.

What process do I follow?

For a guaranteed local test (RICOH ONLY) – booked via your employer:

1. If booking a local test please go to www.cwcovid.support and then to the Staff Testing page. If you meet the criteria please complete and submit the form by 1pm each day. (If you find the above link does not work, as we appear to have a couple of teething problems, please try this link.

2. You will then receive a text message to your mobile which gives you a link to then book your appointment time for the next working day. You will then receive a text message to your mobile which gives you a link to then book your appointment time for the next working day. It is advisable to book your slot the same evening you receive your text

3. Your results will be sent to you by text within 72 hours.

Please note you should be fever free for at least 48 hours before returning to work

Using the national self-referral process:

1. Book a test online by visiting https://self-referral.test-for-coronavirus.service.gov.uk/

2. You will be asked to choose between being sent a home test kit OR attending a drive through test centre.

3. The drive through option is ‘first-come-first-served’ and you may be required to attend a testing centre outside your area.

4. If you opt for a home testing kit this will be supplied by Amazon. You must register for collection by the Royal Mail BEFORE undertaking the your own swab testing.

Please note availability for both home testing kits and drive through appointments are limited and whilst capacity is increasing so too is the amount of people eligible for self-testing.

How is the test carried out

The test takes just a few seconds and involves taking a swab of the nose and the back of the throat. For children aged between 5 and 12 years old swabbing will need to be undertaken by a family member.

Results

You will be automatically notified of your test result within 72 hours.

Help

For the local booking service at the Ricoh, please raise any questions/queries via sowaccg.cwcovvidstaffreq@nhs.net.

For technical support in accessing the national self-referral online booking service call 0300 303 2713. Please note you CANNOT book an appointment via this number.

2. Information for GP practices on antibody tests

Antibody tests are not yet validated or approved for use and GP practices are advised against purchasing tests that are not PE validated.

Antibody tests offer the hope that people who think they have had the disease will know they are immune. So far, the antibody tests that have gone through the validation process have not proven accurate enough to be rolled out for public use, which is why the government is backing efforts to develop a homegrown test. These antibody tests are brand new. They are still being developed and there is not yet one that has been proven to work as we would require. No government in the world has yet rolled out a full COVID-19 antibody testing programme.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Item 3: Updated NHSD guidance: NHS 111 CCAS-GP: Direct_booking_in_primary_care_using_NHS_111_or_CCAS_via_GP_connect.pdf

• Item 5: Maternal Mental Health Awareness Week updates from Dr Lucy Blunt: Maternal Mental Health Awareness Week - Dr Lucy Blunt.docx; Pregnancy and breastfeeding advice- Antidepressant medication.pdf

• Item 8: Caring for your dying relative at home with COVID-19 guidance: COVID19 Practical tips for care at home for Carers -short guide SWCCG v1.2.docx

• Item 9: Documents relating to the Warwickshire North Hot Hub Referral Process Reminder: Hot hub 1 referral and consulting report.xlsx; Pathway for WN Practices 7.4.2020.pdf; FAQ Working Doc 23 04 20.xlsx

LATEST LOCAL PICTURE

Please remember: we are issuing daily (Monday to Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. Please keep us updated with any issues that you may be having so we can try to address them.

Coventry and Warwickshire COVID position up to 07.05.2020

• 1,975 cases now confirmed in Coventry and Warwickshire (+25 / +1.3% from yesterday)

• 138 of these are currently admitted (-4 / -2.8% from yesterday)

• 662 beds still available (+6 / +0.9% from yesterday)

• 8 ITU beds occupied by Covid patients (+0 / +0.0% from yesterday)

• 408 reported deaths in a hospital setting (+2 / +0.5% from yesterday)

Care Home position as at 07.05.2020

This information is based on data recorded since Mid-March 2020

• 169 Covid related deaths in care homes (+0 / +0.0% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

454 Care home deaths in total (+3 / +0.7% from yesterday)

465 confirmed cases (+0 / +0.0% from yesterday)

Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 203

o South Warwickshire: 170

o Warwickshire North: 92

LATEST LOCAL UPDATE

3. Updated NHSD guidance: NHS 111 CCAS-GP bookings

The recommendation is now to have a single, national prioritisation list for NHS 111 and CCAS to book patients.

GP Practices are asked to configure their system as per the guidance attached to allow NHS 111 and CCAS to transfer patients into their care either through:

• A single NHS 111 CCAS prioritisation list - preferred solution

• Additional slots in routine appointment lists

To note the guidance includes commentary for VISION practices unable to link to GP Connect.

As before NHS 111/CCAS referrals need to be regularly reviewed by the GP Practice and appropriate action taken.

This guidance supersedes the previous EMIS v8 guidance. Relevant updates will be made to the next version of the General Practice SOP.

(Attachment: Direct_booking_in_primary_care_using_NHS_111_or_CCAS_via_GP_connect.pdf)

4. EMIS update: Guidance on shielding and protecting patients defined on medical grounds as extremely vulnerable from COVID-19 (Update Wednesday 6th May)

The NHS program to identify and flag patients most at-risk of complications from COVID-19 (those who should be shielding) is continuing, and EMIS has received an additional list of patients identified centrally by the NHS using national algorithms and hospital data.

Yesterday, (6th May) they performed a background process to add the approved code to these patient’s records, flagging them as within the high-risk category:

High risk category for developing complication from COVID-19 infection

Concept ID: 1300561000000107

Description ID: 2601331000000112

Further information and full text update is available on the EMIS now website.

5. Maternal Mental Health Awareness Week – an update from Dr Lucy Blunt

Dr Blunt discusses the week and an FAQ leaflet for patients that she has created for those who are concerned about taking medication for mental illness during the perinatal period. The update and the leaflet are attached.

(Attachment: Maternal Mental Health Awareness Week - Dr Lucy Blunt.docx; Pregnancy and breastfeeding advice- Antidepressant medication.pdf)

6. Primary care wellbeing survey

7. Equality and Diversity Network

We’d like to invite you to a national webinar taking place on Tuesday 12th May 2pm-4pm on Teams entitled COVID-19 & BME: A conversation with the experts.

The webinar will focus on the disproportionate impact the COVID-19 outbreak continues to have amongst BME staff, patients and communities. Join the webinar here.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 7 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 7 May 2020

8. Caring for your dying relative at home with COVID-19

Guidance has been produced by South Warwickshire Clinical Commissioning Group, designed to support those relatives or carers, when they are looking after their loved one at home. The information has been adapted from an original by Hospice UK and is attached.

(Attached: COVID19 Practical tips for care at home for Carers -short guide SWCCG v1.2.docx)

UPDATES FOR Warwickshire North – 7 May 2020

9. Warwickshire North Hot Hub – revised opening times

Please note the revised opening time for the Warwickshire North Hot Hub currently operating at Galley Common. The Hot hub booking telephone number is: 07585927901, please use this as the only method for referring.

Opening Times:

Monday to Friday (GP Surgery staff)

Hub open from 12:30

Session:

13:00- 17:00 – 25mins appointments (14 appointments, 7 per clinician staggered)

17.45 -18.30 - Cleaning

18.30 – 21.30 - Monday to Friday (extended hours)

• Please do not send referral etc. until an appointment has been allocated

• Please send referral excel (attached) not PDF – the GP needs to be able to write into the original referral

• Please ensure patient is given the correct instructions for arrival at the hub, i.e. wait in the car and ring

• Please ensure patient is given the phone number to ring on arrival

• Please make sure the person making the appointment has all the relevant information, ringing without clinical information is not acceptable

(Attachments: Hot hub 1 referral and consulting report.xlsx; Pathway for WN Practices 7.4.2020.pdf; FAQ Working Doc 23 04 20.xlsx)

LATEST NATIONAL PICTURE

• As reported at 5.30pm on 6 May 2020, 1,448,010 people have been tested in the UK and 201,101 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 30,076. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 25,148.)

• The transcript for the coronavirus press conference on 6 May 2020 delivered by Robert Jenrick, the Communities Secretary on the government’s response to COVID-19 and the work being done locally. is available to read online. The press conference can also be viewed on YouTube.

• The press conference slides and datasets used by Professor Yvonne Doyle, Medical Director for Public Health England are available to read.

• A dedicated app for social care has been launched, details are here.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

10. NHS England Primary Care Bulletin – new edition – 7 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (7 May) and in this issue there an update on shielding patients for primary care and direct booking into primary care from NHS 111 and CCAS via GP Connect. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

11. Primary Care Webinar

The next primary care webinar is on tonight, 7 May between 5pm and 6.30pm with a focus on an extended question and answer session. Please do send in any questions you have in advance using this online form. You can also use this form to submit examples of good practice so that they can share learning with others The link to join, via Microsoft Teams, is here.

12. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the revised staff testing information which is the main topic of this briefing.

Do join tonight’s primary care webinar, details above.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 6 May 2020

Wed, 06 May 2020 11:54:30 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 6 May 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Item 1: Attachments relating to the update on Shielding Patients for Primary Care, an updated version of the “At Risk Patient” Letter, and GP Supporting info for shielding and non-shielding patients: MIDS4374 - Cascade to all GPs - Updates on Shielding Patients for Primary Care, At Risk Patient Letter and GP Supporting info for shielding and non-shielding patients; C0429_GP supporting info for shielding and non-shielding patients (002).pdf; At Risk_patient letter_CEV1c_ FINAL DRAFT3.docx

• Item 2: Bereavement support pack during COVID-19: Bereavement pack_v1.pdf

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 06.05.2020

• 1,950 cases now confirmed in Coventry and Warwickshire (+43 / +2.3% from yesterday)

• 142 of these are currently admitted (-2 / -1.4% from yesterday)

• 656 beds still available (-83 / -11.2% from yesterday)

• 8 ITU beds occupied by Covid patients (-1 / -11.1% from yesterday)

• 406 reported deaths in a hospital setting (+5 / +1.2% from yesterday)

Care Home position as at 06.05.2020

(based on data recorded since Mid-March 2020)

• 169 Covid related deaths in care homes (+9 / +5.6% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 451 Care home deaths in total (+30 / +7.1% from yesterday)

465 confirmed cases (+37 / +8.6% from yesterday)

Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 203

o South Warwickshire: 170

o Warwickshire North: 92

LATEST LOCAL UPDATE

1. An update on Shielding Patients for Primary Care, an updated version of the “At Risk Patient” Letter, and GP Supporting info for shielding and non-shielding patients

The latest update of the Shielded Patient List, based on the NHS Digital GP Extraction Service, has identified a small number of patients who will be advised to shield via a centrally generated letter and text message. Flags will be added to the GP records for these patients along with patients identified by hospital clinicians this week. The addition of flags and distribution of central letters is expected to be complete by Thursday 7 May. You may also receive information relating to this from your system supplier.

The full notification is attached: MIDS4374 - Cascade to all GPs - Updates on Shielding Patients for Primary Care, At Risk Patient Letter and GP Supporting info for shielding and non-shielding patients; C0429_GP supporting info for shielding and non-shielding patients (002).pdf; At Risk_patient letter_CEV1c_ FINAL DRAFT3.docx

2. Bereavement support pack during COVID-19

A pack has been designed to support people with bereavement during COVID-19, it includes a lot of useful links to organisations, support services and further information. (Attached: Bereavement pack_v1.pdf)

3. Primary care wellbeing survey

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 6 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 6 May 2020

No updates this issue.

UPDATES FOR Warwickshire North – 6 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As reported at 5.30pm on 5 May 2020, 1,383,842 people have been tested in the UK and 194,990 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 29,427. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 24,735.)

• The transcript for the coronavirus press conference on 5 May 2020 delivered by Dominic Raab, Foreign Secretary, on the government's response to the COVID-19 pandemic is available to read online. The press conference can also be viewed on YouTube.

• The press conference slides and datasets used by Professor Angela McLean, Deputy Chief Scientific Adviser are available to read.

• UK condemns cyber actors seeking to benefit from global coronavirus pandemic

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

4. NHS England Primary Care Bulletin – new edition – 6 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (6 May) and in this issue there is further information on the request for CCGs, PCNs and practices to coordinate pharmacy teams (including CCG employed pharmacists, PCN pharmacists and pharmacists working as part of the Medicines Optimisation in Care Homes programme) to provide support to care homes residents and staff. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

5. Digital Primary Care Webinars this Week

Using EPS in response to COVID-19

Thursday, 7 May 2020, 4:30 to 5:00

This webinar from NHSX is to help you make the most out of the Electronic Prescription Service during the COVID-19 pandemic.

We hope you can join this webinar. If you would like to keep up to date with further webinars you can do so from our FutureNHS workspace Digital Primary Care. If you are not already a member and would like to be please email england.digitalfirstprimarycare@nhs.net and request an invitation.

6. Primary Care Webinar

The next primary care webinar is on tomorrow, 7 May between 5pm and 6.30pm with a focus on an extended question and answer session. Please do send in any questions you have in advance using this online form. You can also use this form to submit examples of good practice so that they can share learning with others The link to join, via Microsoft Teams, is here.

7. Media enquiries

ACTIONS FOR PRIMARY CARE

Please review the shielded patients update in Item 1.

Verification of death in a period of emergency

Wed, 06 May 2020 07:33:36 GMT

Verification of death in a period of emergency

Dear Colleague

Please find a link below to the above guidance. Please can you circulate this guidance to all Clinical leads and cascade to out of hours providers. Please can you also ensure this is shared with your AO, and STP/ICS Primary Care leads for information.

This guidance is designed to clarify existing practice for the verification of death outside of hospitals and to provide a framework for safe verification of death in this coronavirus emergency period. It is to be applied in all cases outside hospital when verification of death may be completed by people who have been trained to do so in line with their employer's policies.

https://www.gov.uk/government/publications/coronavirus-covid-19-verification-of-death-in-times-of-emergency

Kind Regards

Sue

Midlands Region Incident Co-Ordination Centre SPOC

Primary Care Coronavirus briefing – Coventry and Warwickshire – 5 May 2020 (Issue 34)

183:820766164 (Ben Evans) — Tue, 05 May 2020 16:17:31 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 5 May 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Item 1: Briefing from University Hospitals Birmingham NHS Foundation Trust and NHS Birmingham and Solihull Clinical Commissioning Group centres around the restoration of services at University Hospitals Birmingham NHS Foundation Trust: Briefing from UHB and BSOL CCG.docx

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 05.05.2020

• 1,907 cases now confirmed in Coventry and Warwickshire (+31 / +1.7% from yesterday)

• 144 of these are currently admitted (+3 / +2.1% from yesterday)

• 739 beds still available (-4 / -0.5% from yesterday)

• 9 ITU beds occupied by Covid patients (-1 / -10.0% from yesterday)

• 401 reported deaths in a hospital setting (+6 / +1.5% from yesterday)

Care Home position as at 05.05.2020

• 160 Covid related deaths (note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 421 Care Home deaths in total

• 428 confirmed cases

Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 180

o South Warwickshire: 163

o Warwickshire North: 85

LATEST LOCAL UPDATE

1. Restoration of services at UHB

The attached briefing from University Hospitals Birmingham NHS Foundation Trust and NHS Birmingham and Solihull Clinical Commissioning Group centres around the restoration of services at University Hospitals Birmingham NHS Foundation Trust (UHB). (Attachment: Briefing from UHB and BSOL CCG.docx)

2. Coventry GP lunchtime meeting – all welcome

Despite this being a Coventry GP session, GPs from all localities are welcome to join.

On Wednesday 6 May 2020 at 1.00 pm via Zoom. Session topics include: Gastroenterology changes in times of Covid-19 with Dr Nicola Burch, Consultant Physician Gastroenterology, UHCW who will discuss the new pathway for triaging 2WW GI pathways at UHCW during the pandemic period with time for questions and Renal changes in times of Covid-19 with Dr Sarah Grieve, Consultant Nephrologist, UHCW who will then discuss how Covid-19 is involved in acute kidney injury and other renal issues. The meeting can be accessed by Zoom at the following link.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 5 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 5 May 2020

No updates this issue.

UPDATES FOR Warwickshire North – 5 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As reported at 5.30pm on 4 May 2020, 1,291,591 people have been tested in the UK and 190,584 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 28,734. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 24,332.)

• The coronavirus press conference on 4 May 2020 delivered by Matt Hancock, Health Secretary on the government's response to the COVID-19 pandemic can be viewed on YouTube.

• The press conference slides and datasets used by Professor Jonathan Van-Tam, Deputy Chief Medical Officer for England are available to read.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

3. NHS England Primary Care Bulletin – new edition – 5 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (5 May) and in this issue includes an update on shielding patients for general practice, the role of physiology and oximetry webinar and details of a letter sent to all primary care from the United Kingdom’s CMOs and Medical Directors of Public Health England and NHS England thanking all healthcare staff for their efforts in responding to the COVID-19 epidemic. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

4. Digital Primary Care Webinars this Week

Digital Primary Care Webinars – CCAS

Tuesday, 5 May 2020, 17:00 to 18:00

The Digital Primary Care Team at NHSX are delivering a series of webinars detailing the different digital and transformational programmes being rolled out across the NHS during COVID-19 and beyond. This first webinar will look at the COVID Clinical Assessment Service (CCAS).

Using EPS in response to COVID-19

Thursday, 7 May 2020, 4:30 to 5:00

This webinar from NHSX is to help you make the most out of the Electronic Prescription Service during the COVID-19 pandemic.

We hope you can join these webinars. If you would like to keep up to date with further webinars you can do so from our FutureNHS workspace Digital Primary Care. If you are not already a member and would like to be please email england.digitalfirstprimarycare@nhs.net and request an invitation.

5. Primary Care Webinar

The next primary care webinar is on Thursday, 7 May between 5pm and 6.30pm with a focus on an extended question and answer session. The link to join, via Microsoft Teams, is here.

6. Media enquiries

ACTIONS FOR PRIMARY CARE

Please note the dates for the upcoming webinars.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 4 May 2020 (Issue 33)

183:820766164 (Ben Evans) — Mon, 04 May 2020 16:49:18 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 4 May 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Item 2: Details of to access dental services during the COVID-19 pandemic: ACCESSING DENTAL SERVICES IN COVENTRY AND WARWICKSHIRE.docx

• Item 4: an update from Myton Hospices on their response to the impact of Covid-19: STAKEHOLDERS 15.04.20.docx.

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 04.05.2020

• 1,876 cases now confirmed in Coventry and Warwickshire (+25 / +1.4% from yesterday)

• 141 of these are currently admitted (+3 / +2.2% from yesterday)

• 743 beds still available (+29 / +4.1% from yesterday)

• 10 ITU beds occupied by Covid patients (+2 / +25.0% from yesterday)

• 395 reported deaths in a hospital setting (+4 / +1.0% from yesterday)

Care Home current position as at 04.05.2020

New Dashboard is now available based on the Capacity Tracker and is based on data recorded since Mid-March 2020

• 116 Covid related deaths (note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 316 Care Home deaths in total

• 340 confirmed cases

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 111

o South Warwickshire: 150

o Warwickshire North: 79

LATEST LOCAL UPDATE

1. Primary care and community health support care home residents

A letter, issued on Friday, details the request for primary care and community health services to work together to build on what practices are already providing to support care homes. Each CCG is working closely with its Out of Hospital colleagues to finalise and agree a local proposal for the delivery of a co-ordinated approach. Further information will be shared shortly.

2. Accessing dental services in Coventry and Warwickshire

In line with national guidance issued in response to the Covid-19 pandemic, dental practices in Coventry and Warwickshire are currently closed for routine “face to face” dental appointments. People seeking help with dental problems should not visit local dental practices in person but instead contact their usual practice by phone, between the hours of 9am -5pm, Monday to Friday, for information for advice on alternative arrangements in place. Outside normal hours or if a patient does not have a dentist they should contact NHS 111.

People seeking help should not visit A&E departments or GP surgeries for dental care. There are currently three operational urgent dental centres (UDCs) in North Warwickshire, Coventry and South Warwickshire for patients who are showing no Covid-19 symptoms. More local sites may be opened as necessary in the future depending on the demand. Further information is attached: ACCESSING DENTAL SERVICES IN COVENTRY AND WARWICKSHIRE.docx.

3. Managing COVID-19 symptoms (including at the end of life) in the community: summary of NICE guidelines

This downloadable article from the BMJ summarises key points from the National Institute for Health and Care Excellence (NICE) COVID-19 rapid guideline on managing symptoms (including at the end of life) in the community. The guideline is part of a series of rapid guidelines on COVID-19, developed in collaboration with NHS England and NHS Improvement using interim process and methods. Download here.

4. Update from Myton Hospices

Myton Hospices has shared some information on their response to the impact of Covid 19. (attachment: Myton update STAKEHOLDERS 15.04.20.docx).

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 4 May 2020

5. Update for practices with Vision systems

Please see below for the latest updates including:

· NHS 111 messages

· Clinical Audit

· SCR

· GP Connect Appointments

· Digital Health Webinar – COVID-19 One Month On

· eConsultations and EPS4

NHS 111 messages

COVID-19 related messages are now coming into Mail Manager:

http://help.visionhealth.co.uk/PDFs/Consultation_Manager/England/Handling%20Coronavirus%20NHS111%20Messages.pdf

Clinical Audit – Version 7

Latest version released earlier this week and include thee changes listed here:

https://blog.visionhealth.co.uk/hive-news/coronavirus-covid-19-clinical-audit-update-27nd-april-2020

SCR – Implied Consent override for additional clinical data to be viewable

https://blog.visionhealth.co.uk/hive-news/england-summary-care-record-temporary-additional-information-for-implied-consent

GP Connect Appointments for NHS 111

We’re working with practices who are using new Appointments within Vision so that GP Connect can be enabled over the coming weeks.

There is a webinar on the 12th May which you can register for.

https://blog.visionhealth.co.uk/news/re-imagining-gp-appointments-to-reflect-the-new-patient-interaction

Digital Health Webinar

A webinar was hosted earlier today which highlighted the many changes that have come into Primary Care in the last few weeks.

For those of you who missed this, details will be made available next week.

The highlights included:

· Sharing Best Practice

· Clinical Suppliers working together post COVID-19

· Contact tracing and patient groups

· Disrupted care*

*See Safety Netting for guidance around this. A practice level report and extract will also be available for all practices early next week.

http://help.visionhealth.co.uk/PDFs/General/Safety_Netting_in_Vision.pdf

UPDATES FOR Coventry and Rugby – 4 May 2020

6. Update from the Referral Support Service

Now that we have entered into Phase 2 of the NHS’s response to COVID, you will be aware that Routine referrals can now be processed and should not rejected or deferred until a later date (as per previous communications sent out on the 1st May from NHS England and our local provider- University Hospital Coventry and Warwickshire NHS Trust). The Referral Support service are prepared to receive these referrals and will process referrals as normal.

Should any Practices/ referrer experience any issue with referrals not being accepted please make contact with us and we will provide the relevant support.

If you have any questions regarding any of the information please use the above email address.

7. Coventry GP lunchtime meeting

Session topics include: Gastroenterology changes in times of Covid-19 with Dr Nicola Burch, Consultant Physician Gastroenterology, UHCW who will discuss the new pathway for triaging 2WW GI pathways at UHCW during the pandemic period with time for questions and Renal changes in times of Covid-19 with Dr Sarah Grieve, Consultant Nephrologist, UHCW who will then discuss how Covid-19 is involved in acute kidney injury and other renal issues. The meeting can be accessed by Zoom at the following link.

UPDATES FOR South Warwickshire – 4 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As reported at 5.30pm on 3 May 2020, 1,206,405 people have been tested in the UK and 186,599 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 28,446. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 24,097.)

• The transcript for the Coronavirus press conference on 3 May 2020 delivered by Michael Gove, Chancellor of the Duchy of Lancaster on the government's response to the COVID-19 pandemic can be viewed on YouTube.

• The press conference slides and datasets used by Professor Stephen Powis, Medical Director for the NHS are available to read.

• Health and Social Care Secretary Matt Hancock gave the 1 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic. The transcript is available to view online.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

8. NHS England Primary Care Bulletin – new edition – 4 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (4 May) and in this issue includes paediatric multisystem inflammatory syndrome, New Birth Registrations and remote caring for registered patients stranded abroad. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

9. NHS England Primary Care Bulletin – 1 May

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (1 May) and in this issue includes the letter asking primary care and community health services to help provide the best possible care for our care home residents, Bank Holiday opening, and remote total triage in general practice.

10. Digital Primary Care Webinars this Week

COVID-19 - Digital Contractual Targets

Tuesday, 5 May 2020, 12:30 to 13:00

This webinar from NHSX is designed to help practice staff understand the digital related commitments in line with the GP contract in light of COVID-19, as well as the new commitments that have gone live in April 2020.

Digital Primary Care Webinars – CCAS

Tuesday, 5 May 2020, 17:00 to 18:00

Using EPS in response to COVID-19

Thursday, 7 May 2020, 4:30 to 5:00

This webinar from NHSX is to help you make the most out of the Electronic Prescription Service during the COVID-19 pandemic.

11. Primary Care Webinar

The next primary care webinar is on 7 May between 5pm and 6.30pm with a focus on an extended question and answer session. The link to join, via Microsoft Teams, is here.

12. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the content of the letter around primary care and community health support for care home residents.

Note dates for the digital primary care webinar series.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 1 May 2020 (Issue 32)

183:820766164 (Ben Evans) — Mon, 04 May 2020 08:54:08 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 1 May 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Practice nurse communications - new

TODAY’S ATTACHMENTS

• Item 3 – Details of CWPT services that are impacted by COVID-19: (Sent on behalf of Coventry and Warwickshire Partnership Trust.docx).

• Item 6 – Safeguarding newsletter, the latest version includes parent and children COVID-19 guides (Safeguarding Newsletter No.3 - April 2020 v5.pdf)

• Item 7 – Details of how to access the Compass Stars Hidden Harm Service: (CompassStarsHiddenHarmService.pdf)

Attachments from yesterday

A number of systems blocked the attachments from yesterday, these can be downloaded directly, apologies for any inconvenience.

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 01.05.2020

• 1,795 cases now confirmed in Coventry and Warwickshire (+30 / +1.7% from yesterday)

• 172 of these are currently admitted (-2 / -1.1% from yesterday)

• 733 beds still available (-10 / -1.3% from yesterday)

• 8 ITU beds occupied by Covid patients (-1 / -11.1% from yesterday)

• 385 reported deaths in a hospital setting (+7 / +1.9% from yesterday)

Care Home current position as at 01.05.2020

*Today’s data is unavailable*

LATEST LOCAL UPDATE

1. Patient explanation of total triage animation

A free animation has been put together for GP practices, which helps explain to patients how care can be accessed during COVID-19. With many changes to the way primary care services are delivered at this time, this video helps encourage patients to continue to seek medical attention where required, as well as outlining the total triage model in simple terms. The free animation is available to download and it is recommend you make use of it. The animation is hosted on the EMIS Now website but can be used regardless of what clinical system is employed in the practice, as the animation does not mention any particular system. Practices could consider adding it to their websites.

2. UHCW telephone advice and guidance

Many thanks for your support during the COVID-19 response by only forwarding the more urgent referrals to UHCW. It has been enormously helpful to support our COVID-19 response.

UHCW has been continuing to provide urgent and emergency surgery in most service areas and delivering all cancer support services through this time. All clinical areas for patients with and without COVID-19 symptoms have been physically separated so that the hospitals can flex up and down other clinical services depending on the changing demands.

For outpatient appointments, during April 2020 over 50% of UHCW’s outpatient appointments were able to be delivered through telephone appointments or virtual clinics. Only patients who absolutely needed to be seen in person were prioritised, ensuring the service can be delivered within social distancing requirements. The feedback from those patients receiving services in this way has been very positive and is being formally evaluated to inform future services.

Next Steps Second Phase Response

UHCW are now planning to step up non-COVID services:

1. Restore services in a phased way which supports all our system health service capacity, promoting messages to the public that they will be contacted when their hospital appointment is being reinstated, to help minimise a likely surge in telephone calls to our hospitals and GPs.

2. Encourage those with worrying symptoms to access services – nationally it is clear that there are patients with other symptoms who have been holding back during this time and they have been encouraged to contact appropriate services.

3. Retain some of the ways of working during Lockdown e.g. virtual outpatients

Routine Referrals

As part of this next phase, UHCW accepts all routine referrals. All referrals will be prioritised and processed by our Specialists based on clinical need. Outcomes for referrals may fall into the following categories:

1. Clinically urgent and booked into an urgent slot (this will be either be virtually or in some cases face to face).

2. Placed on a monitoring list and flagged (each speciality will be reviewing this list regularly)

3. Provide patient and GP with advice

UHCW Pre-Referral Advice and Guidance Telephone Service

A number of Pre-Referral Advice and Guidance telephone service areas are available directly from UHCW, supported by Consultant Connect and these are listed in detail below:

Specialty Times Days available

Acute Medicine GP Liaison 8.30 am - 5pm Monday to Friday

Ophthalmology 9 am - 7pm Monday to Friday

Tele-dermatology* 8.30am - 5pm Monday to Friday

Updates for how to access these services are available on the Coventry and Rugby CCG GP Gateway.

3. CWPT services impacted by COVID-19

There are a number of services that CWPT provide that are impacted by the recent Covid-19 pandemic. Please find details attached. It is appreciated that this is a fast-changing environment and they will continue to update practices as required. (Attachment: Sent on behalf of Coventry and Warwickshire Partnership Trust.docx)

4. COVID Resilience Funding and Reimbursement

Yesterday’s attachments including the reimbursement forms are available to download online.

5. Cervical Screening

We are aware that a number of concerns and issues have been raised at a number of forums. Please be advised given the clinical risk concerns this has been escalated to NHSEI via the established quality routes. As soon as we receive a response we will write to you further with additional information.

6. Safeguarding newsletter

This Safeguarding Newsletter is for General Practices to provide you with current safeguarding guidance and information. Supporting you to protect children, young people and adults. The latest version includes parent and children COVID-19 guides and is attached. (attachment: Safeguarding Newsletter No.3 - April 2020 v5.pdf)

7. Treasury cuts taxes to reduce PPE costs

From today (1 May 2020), PPE purchased by care homes, businesses, charities and individuals to protect against Covid-19 will be free from VAT for a three-month period. Full details.

8. COMPASS hidden harm service access details

Are you concerned about a child or young person from age 5 upwards, living in Warwickshire who may have been exposed to someone else’s drug and/or alcohol misuse? Do you feel the child or their family would benefit from support with these issues? Compass can help with a range of services outlined in their leaflet, this also contains full contact details. (attachment: CompassStarsHiddenHarmService.pdf)

9. Warwickshire CAVA coronavirus update (issue 14)

The latest copy of the newsletter is available to download.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 1 May 2020

No updates this issue.

UPDATES FOR South Warwickshire – 1 May 2020

No updates this issue.

UPDATES FOR Warwickshire North – 1 May 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As reported at 5.30pm on 30 April 2020, 901,905 people have been tested in the UK and 171,253 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 26,771. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the old measure there would have been 22,791.)

• The transcript for the Coronavirus press conference on 30 April 2020 delivered by the Prime Minister, Boris Johnson on the government's response to the COVID-19 pandemic is available online. A copy can also be viewed on YouTube.

• The press conference slides and datasets used by Sir Patrick Vallance, Chief Scientific Advisor on 30 April are available to read.

• The latest government advice on coronavirus is available online.

COMMUNICATIONS FROM NHS ENGLAND

10. PHE update

Public Health England is working with partners to share key public health messages, and continues to produce and update guidance on COVID-19 for the following audience:

• Guidance for the public

• Guidance for non-clinical settings

• Guidance for health professionals

Specifically, PHE has published resources to help social care staff ensure they are working safely in the current situation, including How to work safely in care homes, as well as, PPE Resource for care workers delivering homecare (domiciliary care) during sustained COVID-19 transmission in the UK.

The resources help to describe how PPE might be used in different scenarios in care homes and people’s own homes, and includes:

• tables showing when different PPE items are recommended for use in social care settings

• a list of FAQs about PPE and working safely in social care

• case studies

• video guide to putting on and removing Personal Protective Equipment (PPE)

• two posters for care homes showing how to put on PPE and how to take it off safely

11. Media enquiries

ACTIONS FOR PRIMARY CARE

Download the total triage animation explain to patients how care can be accessed during COVID-19 and make use in your practices.

Review the latest update from PHE.

PRACTICE NURSE COMMUNICATIONS

12. Vaccine update now available

The April edition of Vaccine Update is now available to view and download.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 30 April 2020 (Issue 31)

183:820766164 (Ben Evans) — Fri, 01 May 2020 08:09:29 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 30 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Letter from Sir Simon Stevens and Amanda Pritchard – second phase of NHS response to COVID-19

By now you should have seen sight of the letter published yesterday outlining the second phase of NHS response to COVID-19 and it’s been raised again in the primary care bulletin issued today. A summary of the key points are:

• Ensuring patients have clear information on how to access primary care services

• Enabling patients to benefit from digital and video consultations

• Stratify and proactively contact high risk patients to ensure appropriate and ongoing care, particularly those classified as shielded

• To further support our care homes including a weekly virtual ‘care home round’

• Make two-week wait cancer, urgent and routine referrals to secondary care as normal, using ‘advice and guidance’ options where appropriate

• To continue to deliver routine and preventative work including vaccinations immunisations, and screening.

Do join today’s primary care extended webinar tonight from 5pm to 6.30pm. Joining details are in item 6 below.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Item 2 – COVID Resilience Funding and Reimbursement offer reimbursement forms: (Claim Proforma Template C&R and WN CCG.XLSM; Claim Proforma Template SWCCG.XLSM).

• Item 3: Attachments detailing how to refer in to the Rise (formally known as CAMHS) service, a leaflet introducing the service and details of their neurodevelopment service (Rise info_21 April 20.docx; Introducing_RISE_A5_Leaflet.pdf, RISE_Neuro_DL_Leaflet_Final_WEB.pdf)

• Item 4 documentation is provided in two attachment detailing the West Midland and Warwickshire regional funeral protocol and the Warwickshire death verification and registration guidance (West Midlands Regional Funeral Protocol plus Warwickshire adaptations 21.4.20 v2 RED.docx; Warwickshire Death Verification and Registration Guidance v3 23042020.docx)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 30.04.2020

• 1,765 cases now confirmed in Coventry and Warwickshire (+39 / +2.3% from yesterday)

• 174 of these are currently admitted (+1 / +0.6% from yesterday)

• 743 beds still available (+21 / +2.9% from yesterday)

• 9 ITU beds occupied by Covid patients (-3 / -25.0% from yesterday)

• 378 reported deaths in a hospital setting (+14 / +3.8% from yesterday)

Care Home current position as at 30.04.2020

Note: this is a current, not cumulative position. Numbers may go up or down

• 101 confirmed cases (-12 / -10.6% from yesterday)

o Confirmed care home cases broken down by Area (not CCG):

o Coventry: 45

o South Warwickshire: 28

o North Warwickshire & Rugby: 28

LATEST LOCAL UPDATE

2. COVID Resilience Funding and Reimbursement

This update is further to the information shared with Primary Care on 8th April 2020, in respect of additional costs incurred by practices resulting from COVID-19.

COVID Resilience Funding and Reimbursement:

An initial UP FRONT payment was made to all practices on or around 26th/ 27th March 2020 based on list sizes as of 1st January 2020:

• £3,000 – Small Practice less than 7,000 list size

• £5,000 – Medium Practice 7,001 -10,000 list size

• £10,000 – Large Practice 10,000+ list size

Practices were requested to submit the attached claim form to the CCG to retrospectively identify the actual costs incurred (email to Martin Smith for SWCCG martin.Smith@southwarwickshireccg.nhs.uk and Michael Hau for CR & WNCCGs michael.Hau@warwickshirenorthccg.nhs.uk).

A number of practices have submitted a claim for initial costs incurred, but all practices are now asked to either:-

• Submit this form with costs to 30 April (or a second claim where initial costs have already been claimed), or

• Confirm the practice has not incurred any additional costs related to COVID-19 this month.

•

The CCG will then pay any additional balance due (where costs claimed exceed the up-front payment), or (where costs are less than the up-front payment) will continue to monitor future claims from practices and where appropriate will recover any over-payment post the COVID-19 recovery period. (Attachments: Claim Proforma Template C&R and WN CCG.XLSM; Claim Proforma Template SWCCG.XLSM)

3. Rise (previously CAMHS) services in Coventry and Warwickshire

Rise (formerly known as CAMHS) continues to strive to deliver child-centred care and the best possible outcomes for children, young people and their families under the current circumstances. It is their intention to cause as little disruption as possible and they apologise in advance for any inconvenience that you may experience during this time. They have provided three documents detailing the service and referral information, a leaflet introducing the service and a leaflet on their neurodevelopmental service. (Three attachments: Rise info_21 April 20.docx; Introducing_RISE_A5_Leaflet.pdf, RISE_Neuro_DL_Leaflet_Final_WEB.pdf)

4. Death certification pathway documentation

The provided documentation includes the West Midlands and Warwickshire Regional Funeral Protocol April 2020 and the latest Warwickshire Death Verification and Registration Guidance. (attachments: West Midlands Regional Funeral Protocol plus Warwickshire adaptations 21.4.20 v2 RED.docx; Warwickshire Death Verification and Registration Guidance v3 23042020.docx)

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 30 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 30 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 30 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As reported at 5.30pm on 29 April 2020, 818,539 people have been tested in the UK and 165,221 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 26,097. (Please note: there is now an improved daily reporting system for deaths, so that deaths in all settings are included, wherever the individual has tested positive for COVID-19, rather than just those in hospitals. On the new measure there has been recorded an additional 3,811 deaths in total, these are spread over the period from the 2 March to 28 April. The figures also show an additional 765 deaths compared to yesterday.)

• The latest government advice on coronavirus is available online.

• The transcript for the Coronavirus press conference on 29 April 2020 delivered by Foreign Secretary Dominic Raab on the government's response to the COVID-19 pandemic is available online. A copy can also be viewed on YouTube.

• The press conference slides and datasets used by Professor Yvonne Doyle, Medical Director at Public Health England, on 29 April are available to read.

COMMUNICATIONS FROM NHS ENGLAND

5. NHS England Primary Care Bulletin – new edition – 30 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (30 April) and today includes the letter published yesterday outlining the second phase of NHS response to COVID-19, direct booking from NHS 111 to support the COVID-19 response and COVID-19 Clinical Assessment Service (CCAS) and the Coronavirus Job Retention Scheme (“furlough”). This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

6. Primary Care Webinar

The next primary care webinar is today, 30 April between 5pm and 6.30pm with a focus on an extended question and answer session. The link to join, via Microsoft Teams, is here.

7. Media enquiries

ACTIONS FOR PRIMARY CARE

Join this evening’s extended primary care webinar.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 29 April 2020 (Issue 30)

183:820766164 (Ben Evans) — Wed, 29 Apr 2020 15:29:42 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 29 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Early May Bank Holiday 2020 Reimbursement Sheet.xlsx (item 1)

• Operation Shield Service Information for recipients FINAL 0420.pdf (item 6)

• Useful info to support you in self-isolation and social distancing.docx (item 6)

• NEWS RELEASE seek help for cancer symptoms.docx (item 4)

• SPOTLIGHT ON TRAINING 1-5-2020.docx (item 3)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 29.04.2020

• 1,726 cases now confirmed in Coventry and Warwickshire (+43 / +2.6% from yesterday)

• 173 of these are currently admitted (-4 / -2.3% from yesterday)

• 722 beds still available (-82 / -10.2% from yesterday)

• 12 ITU beds occupied by Covid patients (-5 / -29.4% from yesterday)

• 364 reported deaths in a hospital setting (+11 / +3.1% from yesterday)

Care Home current position as at 29.04.2020

Note: this is a current, not cumulative position. Numbers may go up or down

• 113 confirmed cases (+0 / +0.0% from yesterday)

o Confirmed care home cases broken down by area (not CCG):

o Coventry: 48

o South Warwickshire: 22

o North Warwickshire & Rugby: 43

LATEST LOCAL UPDATE

1. May Day Bank Holiday

In the briefing yesterday the reimbursement form was not attached. Please note that reimbursement for practices will be available as per the national rates paid for the Easter Bank Holiday weekend, and the attached claim form is to be completed. (Attachment: Early May Bank Holiday 2020 Reimbursement Sheet.xlsx)

2. Ramadan: Risk stratification by body condition/disease

With the ongoing COVID-19 pandemic, the British Islamic Medical Association (BIMA) has undertaken a series of rapid evidence reviews. The risk stratification table, produced by them summarises the risks/recommendations of fasting in patients during Ramadan. The table is especially useful if primary care professionals are asked about fasting during the pandemic.

3. Spotlight on (virtual) training

Virtual safeguarding is being developed as a result of need whilst we have COVID restrictions. Whilst ideally 50% training should be face to face, professionals should feel free to access e learning to support safeguarding knowledge and practice at the current time. Links to relevant courses are included in the attachment. (Attachment: SPOTLIGHT ON TRAINING 1-5-2020.docx)

4. Press release: NHS warning to seek help for cancer symptoms, as half of public report concerns with getting checked (issued today)

England’s top cancer doctor has urged people not to hesitate to get checked as new research revealed that nearly half of the public have concerns about seeking help during the coronavirus pandemic.

One in 10 people would not contact their GP even if they had a lump or a new mole which did not go away after a week, the survey found. The full press release is attached (attachment: NEWS RELEASE seek help for cancer symptoms.docx).

5. BMA PPE helpline – please note this is an advice line not an ordering helpline

The BMA has established an emergency PPE (personal protective equipment) advice line that is open 24 hours a day, 7 days a week. The number is 0300 123 1233. The dedicated hotline provides advice to doctors with concerns about PPE went live of the 24 April, as part of a BMA support initiative. Further information is on the BMA website.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 29 April 2020

6. Information around the Coventry Hub for coordination of support to people on the shielded list

There are approximately 4,800 people on the current shielding list for Coventry. Anyone on the shielded list who cannot access support from their local networks or online sources can register for additional support with food, medicines or social contact by signing up at the national web portal https://www.gov.uk/coronavirus-extremely-vulnerable.

The Coventry Operation Shield Hub is based at the Alan Higgs Centre with support coordinated by CV Life, our local leisure provider. Hub staff are in the process of contacting people on the list to identify those that need support and assist them signing up to the national platform where relevant. Local information on sign ups to the platform is shared with the Hub by the national team on a daily basis. In addition the letters attached have been sent out to those on the shielded list as a prompt to encourage sign ups and highlight support available. Over 800 people in Coventry have already flagged themselves through the national portal as requiring our support and the Hub team are working hard to deliver support as required.

(Attachments: Operation Shield Service Information for recipients FINAL 0420.pdf, Useful info to support you in self-isolation and social distancing.docx).

UPDATES FOR South Warwickshire – 29 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 29 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 28 April 2020, 763,387 people have been tested in the UK and 161,145 were confirmed as positive. As of 5pm on 27 April 2020, of those hospitalised in the UK, 21,678 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The latest government advice on coronavirus is available online.

• The full Coronavirus press conference 28 April 2020 delivered by Health Secretary Matt Hancock on the government's response to the COVID-19 pandemic can be viewed on YouTube. In the briefing he announced that they would be reporting on deaths in hospitals, care homes and in the community as well. He confirmed there would be no relaxation of the rules around social distancing until the five tests have been met. And in addition, he unveiled an expansion to the current testing programme.

• The press conference slides and datasets used by Professor Angela McLean, Deputy Chief Scientific Adviser on 28 April are available to read.

COMMUNICATIONS FROM NHS ENGLAND

7. NHS England Primary Care Bulletin – new edition – 29 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (29 April) and includes the letter published today outlining the second phase of NHS response to COVID-19 including key points for primary care and an update on the COVID-19 Clinical Assessment Service (CCAS). This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

8. Weekly Webinar with Professor Keith Willett – joining instructions

Please see below for joining instructions for this week's webinar on the NHS response to the coronavirus hosted by Professor Keith Willett.

This weeks’ briefing will take place at 11:00 – 12:00 on Thursday 30 April.

For those unable to join at this time, a recording of the webinar will be available for a short period which you can access using the same joining link provided below.

Please note there is no option to dial in via phone line. Details on how to join the webinar using the Microsoft Teams App on a mobile device is included below.

Joining the webinar on your computer/laptop: Please click on this link: NHS response to the coronavirus – Thursday 30 April 11:00 – 12:00

You will then be given the choice of watching the webinar using Microsoft Teams (if installed on your device) or using your web browser.

Joining by mobile phone or tablet: The webinar will be on Microsoft Teams. There is no option to dial in via phone, however you can join via the Microsoft Teams app on a mobile device.

If you are accessing Teams from a mobile phone or tablet, make sure you have the Microsoft Teams app installed, via the App Store or Google Play. You do not have to sign in to the app, just click the link above to go straight into the event.

For more information on joining the briefing via Microsoft Teams please refer to this guide: Guidance for external parties joining a meeting

9. Primary Care Webinar

The next primary care webinar is tomorrow, 30 April between 5pm and 6pm with a focus on an extended question and answer session. The link to join, via Microsoft Teams, is here.

10. Media enquiries

ACTIONS FOR PRIMARY CARE

Note the date for the Keith Willet’s webinar tomorrow at 11am.

Note the date of the next primary care webinar to your diaries.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 April 2020 (Issue 29)

183:820766164 (Ben Evans) — Wed, 29 Apr 2020 13:16:32 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. May Day Bank Holiday

A reminder that the May Day Bank Holiday is on Friday, 8 May this year. It was moved to coincide with a celebration of 75th anniversary of VE day.

Like Easter, practices are asked to remain open and operating “normally”. This would include operating a doctor led service for their routine contractual hours, with patients being able to contact the surgery for queries, completing telephone triage, non-face to face consultations and face to face appointments, if necessary. Hot Hubs will be open for patients who may have Covid19 and we will confirm the opening times next week.

It is anticipated that it may be slightly busier than the Good Friday Bank Holiday, so please consider the recommendations below when you are planning your staffing requirements:

• Plan staffing based on the number of patient calls and consultations that you had on Good Friday plus 20% (as patients become more aware of practices being open).

• Necessary clinical staff and reception are required with medical secretaries or other ancillary staff not essential.

All pharmacies are open at least 2pm – 5pm, and the Coventry and Rugby and Warwickshire North Pharmacy Hub (POD service) will be open from 9am – 3pm. Dispensing practices will need to ensure that the dispensing side is open at least between 2pm and 5pm but the usual core hours is encouraged.

The Out of Hours service will be stood down during the day and will commence at 6.30pm on Friday 8th May and Extended Access will operate as usual during the evening and over the rest of the weekend (May 9th and 10th)

Please note that reimbursement for practices will be available as per the national rates paid for the Easter Bank Holiday weekend, and the attached claim form is to be completed.

The CCGs will once again communicate out via social media and local press that practices will be open, which will coincide with the new national “open for business” campaign being run by NHS England. Please update your website and telephone systems to reflect your opening hours.

If you have any queries please contact;

For Coventry and Rugby CCG: PrimaryCare@coventryrugbyccg.nhs.uk

For South Warwickshire CCG: PrimaryCareContracts@southwarwickshireccg.nhs.uk

For Warwickshire North CCG: WarwickshireNorthPrimaryCare@warwickshirenorthccg.nhs.uk

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Practice Nurse Communications - updated

TODAY’S ATTACHMENTS

• Primary Care Transport Request for medical appointments COVID 19 (003) (002).doc (item 5)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 28.04.2020

• 1,683 cases now confirmed in Coventry and Warwickshire (+31 / +1.9% from yesterday)

• 177 of these are currently admitted (-2 / -1.1% from yesterday)

• 804 beds still available (-15 / -1.8% from yesterday)

• 17 ITU beds occupied by Covid patients (+1 / +6.3% from yesterday)

• 353 reported deaths in a hospital setting (+8 / +2.3% from yesterday)

Care Home current position as at 28.04.2020

The change in data source for the care home data shows only the current position – not cumulative

• 113 confirmed cases

o Confirmed care home cases broken down by Area (not CCG):

o Coventry: 48

o South Warwickshire: 22

o North Warwickshire and Rugby: 43

LATEST LOCAL UPDATE

2. Shielded patients

Thank you for your ongoing support to identify patients who should be advised to shield as they are at highest clinical risk from COVID-19. The updates you are providing are ensuring that the patients you identify are added to the Shielded Patient List so that they can receive shielding advice, and additional support should they need it. The NHS England and NHS Improvement Primary Care Bulletin issued yesterday indicated that the Chief Medical Officer has now confirmed that renal dialysis patients are to be added to the shielded patients list. The patients’ renal unit will get in touch with patients, send them a letter and add them to the Shielded Patient List via the regular trust submissions to NHS Digital.

GPs are asked to note this update, but no further action is required at this point.

Please note: support is available from local authorities, NHS Volunteer Responders and charities for anyone who needs it, whether they are on the Shielded Patient List or not.

3. COVID-19 and children

We are aware of a number of communications circulating around the impact of Covid on Children and draw your attention to the statement from the Royal College of Paediatrics and Child Health. Commenting on reports of a COVID-19-related condition emerging in children, Professor Russell Viner, President of the Royal College of Paediatrics and Child Health, said:

“We already know that a very small number of children can become severely ill with COVID-19 but this is very rare - evidence from throughout the world shows us that children appear to be the part of the population least affected by this infection.

New diseases may present in ways that surprise us, and clinicians need to be made aware of any emerging evidence of particular symptoms or of underlying conditions which could make a patient more vulnerable to the virus.

However our advice remains the same: parents should be reassured that children are unlikely to be seriously ill with COVID-19 but if they are concerned about their children's health for any reason, they should seek help from a health professional.”

Also to note, Paediatric Intensive Care Society Statement: Increased number of reported cases of novel presentation of multi-system inflammatory disease.

4. RCGP e-learning resource

RCGP has produced an e-learning resource about shielding vulnerable patients from COVID-19. The module identifies the group of shielded patients and discusses the differences between shielding and social isolation, as well as the actions that GPs need to take now to identify this group, and inform those patients who have been wrongly told to shield.

5. Patient transport to medical appointments – in Warwickshire

Patients are encouraged to use/arrange their own transport to undertake hospital appointments, GP and Dental visits during COVID-19 outbreak.

West Midlands Ambulance Services (WMAS) continues to operate patient transport for those who qualify for transport services to essential secondary care appointments, and this can be arranged via the usual route.

If patients are not eligible for WMAS services, or require transport to primary care appointments, and are at very high risk from coronavirus ('Shielded' group), they can contact the WCC hub to arrange transport to their appointments on the following number: 0800 4081447.

For other vulnerable patients, transport can be arranged directly via the WCC transport operations generic email: st@warwickshire.gov.uk. The attached form needs completing including the triage questions at the top of the form (attachment: Primary Care Transport Request for medical appointments COVID 19 (003) (002).doc). Alternatively If these patients live in the Stratford or Warwick districts there is also the option of contacting VASA on 01789 262889, or email transport@vasa.org.uk having completed a Transport Referral Form.

We are still finalising the Coventry specific information and will share tomorrow.

6. The impact of COVID-19 on people from BME communities

This new briefing from the NHS Confederation's BME Leadership Network considers the evidence on the impact of COVID-19 on black and minority ethnic communities and health and care staff. It explores potential underlying factors, recommends areas for improvement, and offers practical advice on how to mitigate risks.

It follows mounting concerns over the disproportionately high number of BME health and care staff among coronavirus deaths. The NHS Confederation is contributing to a number of NHSEI workstreams to address this issue. If you have any comments around this please do get in touch via office@nhscc.org.

7. Coronavirus (COVID-19): fraud and cyber crime

Government advice and guidance on how to protect yourself and your business from fraud and cyber crime.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 28 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 28 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 28 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 27 April 2020, 719,910 people have been tested in the UK and 157,149 were confirmed as positive. As of 5pm on 26 April 2020, of those hospitalised in the UK, 21,092 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The latest government advice on coronavirus is available online.

• The full Coronavirus press conference 27 April 2020 delivered by Health Secretary Matt Hancock on the government's response to the COVID-19 pandemic can be viewed on YouTube.

• The press conference slides and datasets used by Professor Chris Whitty, Chief Medical Officer on 27 April are available to read.

• The Chancellor’s statement to Parliament on 27 April 2020 is available here

• New guarantee on death in service benefits for frontline health and care staff during pandemic is available here.

COMMUNICATIONS FROM NHS ENGLAND

8. NHS England Primary Care Bulletin – new edition – 28 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (28 April) and includes total triage and remote consultations. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

9. NHS England Primary Care Bulletin – issued– 27 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (27 April) and includes details on the new NHS campaign - Help us to help you and patients advised to shield, more of which is in a separate section in this update.

10. Primary Care Webinar

The next primary care webinar is on 30 April between 5pm and 6pm with a focus on an extended question and answer session. The link to join, via Microsoft Teams, is here.

11. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the update around the May Day Bank Holiday.

Review the new shielded patients update.

Review the advice from the Royal College of Paediatrics and Child Health.

Note the date of the next primary care webinar to your diaries.

PRACTICE NURSE COMMUNICATIONS

12. The Digital Nurse Network will discuss the role of remote working at Health at Home during COVID-19

The next Digital Nurse Network webinar will take place on 30 April 2020 from 1-2pm. Our Clinical Nurse Advisors Helen Crowther and Ann Gregory will be discussing #remoteworking and the role of the network during #COVID19. Nicola Fulton will also give an overview of the Health at Home campaign and how it can positively impact nurses and their patients. Register here.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Education on what to do with shielded patients

Tue, 28 Apr 2020 07:38:58 GMT

Shielding vulnerable patients from Covid-19

Advice on Covid-19 is changing day by day. A significant change was the recommendation that a group of high-risk patients should begin to shield. This means not leaving the house for any reason for a period of 12 weeks. In this short module we identify this group and discuss the differences between shielding and social isolation, as well as the actions that GPs need to take now to identify this group, and inform those patients who have been wrongly told to shield. The resources and references page gives links to relevant public health and NHSE sites as well as information to help identify which patients on immunosuppressants should shield.

This resource was developed by RCGP Learning.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 27 April 2020 (Issue 28)

183:820766164 (Ben Evans) — Mon, 27 Apr 2020 17:33:49 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 27 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

TODAY’S ATTACHMENTS

• Primary Care Safety Netting Letter 1 (item 1)

• EMIS Top 5 tips creating deferred treatment (item 2)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 27.04.2020

• 1,652 cases now confirmed in Coventry and Warwickshire (+42 / +2.6% from yesterday)

• 179 of these are currently admitted (+1 / +0.6% from yesterday)

• 819 beds still available (+16 / +2.0% from yesterday)

• 16 ITU beds occupied by Covid patients (-2 / -11.1% from yesterday)

• 345 reported deaths in a hospital setting (+7 / +2.1% from yesterday)

LATEST LOCAL UPDATE

1. Department of Health and Social Care release statement on “out of date” PPE

Issue: PPE recently deliver to the combined Warwickshire and West Midlands LRF labelled out of date.

A spokesperson for the Department of Health & Social Care said: “The equipment is safe to use as it is from a recognised supplier. This stock was tested to make sure it was still compliant before it was delivered. However, the labels were not changed to avoid delaying distribution. Some products may appear to have out-of-date ‘use by/expiration’ dates or have relabelled ‘use by/expiration’ dates. Please be assured products being issued have passed stringent tests that demonstrate they are safe. The PPE is exposed to extreme conditions for prolonged periods, to see how the product deteriorates. All that are not up to standard are destroyed and not distributed to Trusts. We have been working with independent test facilities and the Health and Safety Executive who, after being provided with scientific evidence, were content with our assessment that these are safe to use by NHS staff.”

2. GP and Locum sickness reimbursement now being managed by NHS England

You will be aware that Practices are entitled to claim locum reimbursement for the first two weeks of sickness absence, in instances where a GP is self-isolating due to COVID-19. It has been agreed that the reimbursement for this two week period will now be paid to practices upon receipt of an application to NHS England. Applications for COVID-19 related sickness will be sent to the CCG for noting, but will not require approval. Reimbursement for the initial two week period will be paid at the full weekly rate of £1,751.52 per week (a total payment of £3,503.04). Practices will be required to submit locum invoices for this two week period, and any reconciliation (if necessary) will then be carried out in due course, upon receipt of the corresponding claim form and locum invoices. All sickness claims relating to COVID-19 will be saved separately for ease of reference, and a full breakdown of COVID-19 related claims can be provided to each CCG, as and when requested. In light of the current circumstances, and with the importance of maintaining practice cashflow during this challenging time, it has been agreed that this is the best way forward with specific regard to locum reimbursement for COVID-19 related sickness.

NOTE: that this process now replaces the local process so please don’t add locum costs for sickness onto your CCG monthly covid claim forms now

To make a claim, please contact:

For Coventry and Rugby claims: England.candrfinancehub@nhs.net

For South Warwickshire claims: ENGLAND.swarksfinancehub@nhs.net

For Warwickshire North claims: England.nwarksfinancehub@nhs.net

3. Important: Local Enhanced Service payments April - June

The CCGs have made arrangements to pay all practices their usual monthly sum as per 2019/20 values for April to June 2020 to maintain practice cash flow. This will approach will be reviewed as we progress.

4. Minute’s silence to take place tomorrow (Tuesday 28 April)

A minute’s silence is set to take place tomorrow (Tuesday 28 April) at 11am to honour key workers who have lost their lives due to coronavirus. Tuesday's silence will coincide with International Workers' Memorial Day.

5.Top tips on leading or joining virtual meetings

As more and more of you are leading or taking part in virtual meetings, we thought you might like to read some “top tips”, presented here by the Kings Fund. Although it references Zoom rather than MS Teams, all of the tips apply to Teams as well. These tips have been prepared based on the work of Ghislaine Caulat (2012) – “Virtual leadership: learning to lead differently”. https://www.kingsfund.org.uk/publications/leading-virtual-meetings-top-tips

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 27 April 2020

Safety Netting in Vision (attachment item 1 and 2)

As you know Safety netting is a management strategy used in patient care to ensure patients are monitored until their signs and symptoms are explained or resolved. In a situation where normal referral and treatment plans cannot be adhered to, for example, the Coronavirus pandemic, within Vision, a task management system is included that enables you to monitor any disrupted events. The Vision integrated task management system, whether you have Daybook or the new Vision Tasks app, you should create a group of staff to manage these tasks.

http://help.visionhealth.co.uk/PDFs/General/Safety_Netting_in_Vision.pdf

Please note: for completeness, we have included the EMIS guidance again as a document. This was originally shared last week as a link.

UPDATES FOR South Warwickshire – 27 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 27 April 2020

Safety Netting in Vision (attachment item 1 and 2)

http://help.visionhealth.co.uk/PDFs/General/Safety_Netting_in_Vision.pdf

Please note: for completeness, we have included the EMIS guidance again as a document. This was originally shared last week as a link.

LATEST NATIONAL PICTURE

• As of 9am on 26 April, 669,850 tests have concluded, with 29,058 tests carried out on 25 April.

• 543,413 people have been tested, of whom 152,840 have tested positive.

• As of 5pm on 25 April, of those hospitalised in the UK who tested positive for coronavirus, 20,732 have died.

• Environment Secretary's statement on coronavirus (COVID-19): 26 April 2020 is available here

• Latest advice is here

COMMUNICATIONS FROM NHS ENGLAND

6. Webinars for social prescribing link workers, Wednesday 29th April

NHS England weekly webinar

Registration for the next weekly webinar on ‘Supporting people with bereavement’, which will take place on Wednesday 29th April 2020 at 1.30-2.30pm, is now open:

Please find the registration link here: https://nhsiq.webex.com/nhsiq/onstage/g.php?MTID=e94b13565c52f69c49df2c9351a5146ee

This webinar will help Link Workers feel more confident during conversations around bereavement and to learn more about some of the resources and guidance available for people in their local area.

By the end of this webinar, participants should be able to:

• Understand more about some of the resources and information available around bereavement

• Signpost people to some of the support and resources available in their local area

• Feel more confident in having conversations with people who are experiencing bereavement

The webinar will be recorded and a copy will be uploaded, along with a copy of the slides, to the coronavirus webinars section of the Social Prescribing Collaboration platform, shortly after the live webinar has taken place.

7. Salford Social Prescribing Hub

As a part of the work within the hub, we have been developing a free webinar to offer link workers in social prescribing some support during these difficult circumstances. The focus of the webinar will be on occupation focused strategies to preserve and protect well-being, whilst continuing to support the vulnerable public.

We have planned the initial session from next Wednesday 29th April onwards from 6-7pm (for 4 weeks).

https://www.eventbrite.co.uk/e/refocusing-strategies-to-a-new-normal-a-covid-19-response-for-link-workers-tickets-103499578024

Please also see the Twitter link below!

https://twitter.com/SalfordSPx/status/1253313479278309376

8. NHS England Primary Care Bulletin – new edition – 22 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (22 April) and includes details on updating the NHS Directory of Services to ensure it reflects your capacity status and the opening of the NHS workforce feedback hub. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

9. Media enquiries

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

This email has been scanned for viruses; however we are unable to accept responsibility for any damage caused by the contents. The opinions expressed in this email represent the views of the sender, not that of the South Warwickshire CCG, Coventry & Rugby CCG or Coventry & Warwickshire Partnership Trust unless explicitly stated. If you have received this email in error please notify the sender. The information contained in this email may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 April 2020 (Issue 26)

183:820766164 (Ben Evans) — Fri, 24 Apr 2020 11:58:33 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• STP Master.xlsx (item 5)

• DA CoVID partner comms publications.docx (item 2)

• WMAS HPF Version 3.docx (item 3)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 23.04.2020

• 1,445 cases now confirmed in Coventry and Warwickshire (+25 / +1.8% from yesterday)

• 205 of these are currently admitted (-16 / -7.2% from yesterday)

• 822 beds still available (+20 / +2.5% from yesterday)

• 22 ITU beds occupied by Covid patients (+0 / +0.0% from yesterday)

• 303 reported deaths in a hospital setting (+14 / +4.8% from yesterday)

Care Home current position up to 23.04.2020

The change in data source for the care home data shows only the current position – not cumulative

• 202 confirmed cases (-43 / -17.6% from yesterday)

o Confirmed care home cases broken down by area (not CCG):

o Coventry: 97

o South Warwickshire: 64

o North Warwickshire and Rugby: 41

LATEST LOCAL UPDATE

1. EMIS and SystmOne practices

For those on EMIS and SystmOne, this may be very useful, CEG has a suite of clinical system resources including template / protocols / documents and searches. These resources are available for EMIS and SystmOne Practices and can be accessed online.

2. CoVID-19 and domestic abuse – don’t suffer in silence

A message from Warwickshire Police has been issued which is urging people not to suffer in silence during the CoVID-19 pandemic. The ongoing restrictions mean some people may feel trapped at home in a violent or abusive relationship and isolated from support while others who have not previously been victims could find themselves subject to domestic abuse. The force is committed to tackling domestic abuse and our officers continue to be proactive every day by arresting perpetrators and supporting victims. Further information is attached. (Attachment: DA CoVID partner comms publications.docx)

3. Integrated Urgent Care Health Professional Feedback Form

As GP connect is used more and 111 book into our clinics we may have feedback - this form can be used for that. WMAS welcome feedback from Health and Social Care Professionals to help them to learn and continually improve the NHS 111 service. Please use the attached form to record any feedback you wish to provide them. Please note the form is not suitable to register Complaints or Incidents. (Attachment: WMAS HPF Version 3.docx)

4. Staff testing – results helpdesk

If you have recently attended the Edgbaston site for staff testing and have not had your results a helpline has now been set up:

The contact details are Helpdesk Number – 0300 303 2713.

Please be prepared to give the following information:

a. details of the site attended

b. your name

c. the date you went for testing

d. car registration

e. mobile phone number

5. Staff testing – how to access

You may have heard that a national test booking is going to implemented but this is not up and running yet so the local process, outlined below, will continue. The drive-through coronavirus testing facility at the Ricoh Arena in Coventry will be open for primary care staff testing on Saturday and staff will no longer be sent to Edgbaston Cricket Ground. The referral process remains the same, please send you details to www.cwcovid.support.

The home testing option is ONLY for those staff and families that CANNOT travel or have children aged 5 to 18 in the household that are symptomatic, this service is a national pilot and is currently only available until Sunday 26th April 2020.

The eligibility criteria is as follows:

NHS worker is symptomatic

Over 18 in same household as key worker

Child (5-18) in same household as key worker is symptomatic

UNDER 5s CANNOT BE TESTED

Symptomatic is having a fever and/or a new persistent cough within 5 days or less

This test includes 5 to 18 year olds.

Please read the criteria above and then IF you have staff who meet the criteria can you please send the following information to sowaccg.cwcovidstaffreq@nhs.net by 12 noon daily.

Please use HOME TESTING REQUEST in your email header

Please provide the following information for the key worker within the household:

1. First Name

2. Surname

3. National Insurance Number (KEY WORKER NI NUMBER REQUIRED, REQUESTS WITHOUT NI NUMBER WILL NOT BE PUT FORWARD)

4. Email address (please ensure the one you are monitoring - this can be a personal account, as this will be used to send instructions)

5. Employer Organisation

The availability of staff testing can be summarised below:

Location Eligibility Availability

Edgbaston Over 18s only (this may change, if it does, we will advise) Now – accessed via via www.cwcovid.support

Ricoh Arena (Coventry) To be confirmed To go live this week

CQC An email has been shared with practices

Home testing for families Up to 5 in the household, for ages 5 years and over To be offered for one week only (see attachment: STP Master.xlsx)

The following criteria must be applied before returning to work:

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 23 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 23 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 22 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 22 April 2020, 559,935 people have been tested in the UK and 133,495 were confirmed as positive. As of 5pm on 21 April 2020, of those hospitalised in the UK, 18,100 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The latest government advice on coronavirus is available online.

• Foreign Secretary Dominic Raab gave the 22 April 2020 daily press briefing on the government's response to the COVID-19 pandemic. The transcript of the briefing can be read online and can be viewed on YouTube.

• The press conference slides and datasets used by Professor Chris Whitty, Chief Medical Officer on 22 April are available to read.

COMMUNICATIONS FROM NHS ENGLAND

6. NHS England Primary Care Bulletin – new edition – 22 April

7. GP Preparedness webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, is tonight, 23 April from 5pm and 6pm (via Microsoft Teams), the link to access is here. It will feature a range of updates including a focus on homeless and inclusion health with Olivia Butterworth, Lead on Homeless Health COVID-19 response for NHS England and NHS Improvement and Dr Caroline Shulman, GP in Homeless and Inclusion Health Kings Health Partnership Pathway Homeless team & Honorary Senior Lecturer, UCL.

8. Coaching webinar – tomorrow

Some of you may have heard in last week’s general practice webinar that an individual coaching support offer will be made available by the end of this week to the frontline primary care workforce, both clinical and non-clinical, to proactively support staff through Covid-19 and beyond. The aim is that this will provide staff with opportunities to process experiences, develop coping skills, deal with difficult conversations and develop strategies for self-management in difficult circumstances.

This service is being developed in collaboration with the Royal College of General Practitioners and will complement the wider range of health and wellbeing resources that was launched at www.people.nhs.uk. Primary care staff will be able to easily register via an online platform at www.people.nhs.uk and book individual coaching from an experienced coach in a way and at a time of day that suits them.

A launch webinar is taking place tomorrow, Friday 24 April 3pm, to share specific details about the service

9. Ramadan communications

The Chief People Officer launched a staff health and wellbeing package last week that included guidance on COVID-19 and Ramadan. This was produced by the NHS Islamic Network in collaboration with the British Islamic Medical Association, that represents over 3,000 Muslim clinicians across the UK. It can be accessed here. The NHS has issued a reminder to those who observe Ramadan to avoid social gatherings because of the risk of coronavirus. A press notice was issued yesterday containing key messages about social distancing and shielding vulnerable people, and you can also read a blog from PHE online.

10. Media enquiries

ACTIONS FOR PRIMARY CARE

Share details of staff testing sites that are available.

Review the message around phlebotomy for shielded patients and others.

Note details of today’s primary care webinar.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 April 2020 (Issue 25)

183:820766164 (Ben Evans) — Wed, 22 Apr 2020 16:23:09 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• STP Master.xlsx (item 2)

• Coventry and Warwickshire changes to local hospital services due to Covid-19 v07 22nd April 2020.pdf (item 3)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 22.04.2020

• 1,420 cases now confirmed in Coventry and Warwickshire (+63 / +4.6% from yesterday)

• 221 of these are currently admitted (+4 / +1.8% from yesterday)

• 802 beds still available (+58 / +7.8% from yesterday)

• 22 ITU beds occupied by Covid patients (-1 / -4.3% from yesterday)

• 289 reported deaths in a hospital setting (+15 / +5.5% from yesterday)

Care Home cumulative position up to 22.04.2020

Please note: Care home data is now taken from single source system, so should be live data, and removes duplication and designation of homes – it does however not report deaths or affected cases – this was taken previously from the other sources but wasn’t updated dynamically, and included deaths in hospital – so has been taken off the report.

You will see that confirmed cases have increased significantly – particularly for Coventry. This has been double-checked and is due to the switch to the single source system which will be the source used from now on and should remain consistent.

• 245 confirmed cases (+78 / +46.7% from yesterday, note this number will always be lower than residents affected as once a care home has two cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

o Confirmed care home cases broken down by area (not CCG):

o Coventry: 108

o South Warwickshire: 81

o North Warwickshire and Rugby: 56

LATEST LOCAL UPDATE

1. Staff testing – results

If you have recently attended the Edgbaston site for staff testing and have not had your results a helpline has now been set up:

The contact details are Helpdesk Number – 0300 303 2713.

Please be prepared to give the following information:

a. details of the site attended

b. your name

c. the date you went for testing

d. car registration

e. mobile phone number

2. Staff testing – how to access

Don’t forget the drive through testing option remains in place for Edgbaston Cricket Ground and you can apply for that option via www.cwcovid.support – the home testing pilot is for those that CANNOT travel or have children aged 5 to 18 in the household that are symptomatic.

There are lot of slots available at the Edgbaston facility. Access to the Ricoh is coming very soon and will include 5 to 18 year olds.

If you are too ill to travel or whole family symptomatic here is a home testing option and is available until Sunday 26th April 2020.

The eligibility criteria is as follows:

NHS worker is symptomatic

Over 18 in same household as key worker

Child (5-18) in same household as key worker is symptomatic

UNDER 5s CANNOT BE TESTED

Symptomatic is having a fever and/or a new persistent cough within 5 days or less

This test includes 5 to 18 year olds.

Please read the criteria above and then IF you have staff who meet the criteria can you please send the following information to sowaccg.cwcovidstaffreq@nhs.net by 12 noon daily.

Please use HOME TESTING REQUEST in your email header

Please provide the following information for the key worker within the household:

1. First Name

2. Surname

3. National Insurance Number (KEY WORKER NI NUMBER REQUIRED, REQUESTS WITHOUT NI NUMBER WILL NOT BE PUT FORWARD)

4. Email address (please ensure the one you are monitoring - this can be a personal account, as this will be used to send instructions)

5. Employer Organisation

The availability of staff testing can be summarised below:

Location Eligibility Availability

Edgbaston Over 18s only (this may change, if it does, we will advise) Now – accessed via via www.cwcovid.support

Ricoh Arena (Coventry) To be confirmed To go live this week

CQC An email has been shared with practices

Home testing for families Up to 5 in the household, for ages 5 years and over To be offered for one week only (see attachment: STP Master.xlsx)

The following criteria must be applied before returning to work:

3. Changes to local hospital services due to Covid-19

Current version: v07.5, Correct as of 22nd April 2020. Please disregard previous versions.

Your local NHS is working hard to tackle the ongoing COVID-19 situation. However, in order to ensure we are doing everything we can to protect our population, our staff and our NHS, and ensure we have enough staff where they’re needed most, we have had to make some difficult decisions about our non-urgent services, including cancelling appointments or temporarily closing services.

Please note: all providers are committed to contacting patients affected by these temporary service changes and you do not need to contact the hospital booking officers unless it is urgent. (Attachment: Coventry and Warwickshire changes to local hospital services due to Covid-19 v07.5 22nd April 2020.pdf)

4. Cyber Security support

We have heard reports that a cyber attack on a large scale is now rated at “Highly Likely” with cyber criminals using Covid-19 as an angle to cause damage. With this in mind, we ask that you beware of emails with attachments for free things for members of the NHS or even some Covid related information. You should make you are only looking to interact with information from trusted sources only and be particularly cautious when on work computers.

The cyber security mailbox can be reached via cybersecurity@nhs.net or Victoria Axon, NHS Digital Regional Cyber Lead at Victoria.axon1@nhs.net / 07712 693195.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 22 April 2020

5. Coventry Safeguarding Newsletter

Coventry Safeguarding Children Partnership (CSCP) has shared their April Newsletter with us asking that is distributed to Primary Care please. The newsletter is available to download.

UPDATES FOR South Warwickshire – 22 April 2020

6. Ophthalmology Contacts

The number below is for patients to use should they have an ophthalmic problem (that does not require A&E).

The direct number for patients to call for ophthalmology triage is 0330 100 4730.

Our community provider (CHEC) will triage and assess all patients that call with an ophthalmology concern and either give them self-care advice, conduct a remote consultation with a qualified optometrist/doctor or, where absolutely necessary, arrange a face to face appointment with one of a few optometrists operating in the community with appropriate processes including PPE etc.

Where a secondary care referral is necessary, they will arrange this directly or signpost to Eye Casualty if appropriate.

UPDATES FOR Warwickshire North – 22 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 21 April 2020, 535,342 people have been tested in the UK and 129,044 were confirmed as positive. As of 5pm on 20 April 2020, of those hospitalised in the UK, 17,337 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The latest government advice on coronavirus is available online.

• The Health Secretary, Matt Hancock spoke at a press conference on 21 April outlining the governments response to coronavirus. The briefing can viewed on YouTube.

• The press conference slides and datasets used by Professor Jonathan Van-Tam, Deputy Chief Medical Officer on 21 April are available to read.

COMMUNICATIONS FROM NHS ENGLAND

7. NHS England Primary Care Bulletin – new edition – 21 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (21 April) and includes an update on reducing the burden of fit notes during Covid-19. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

8. GP Preparedness webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, is tomorrow, 23 April from 5pm and 6pm (via Microsoft Teams), the link to access is here. It will feature a range of updates including a focus on homeless and inclusion health with Olivia Butterworth, Lead on Homeless Health COVID-19 response for NHS England and NHS Improvement and Dr Caroline Shulman, GP in Homeless and Inclusion Health Kings Health Partnership Pathway Homeless team & Honorary Senior Lecturer, UCL.

9. Media enquiries

ACTIONS FOR PRIMARY CARE

Share details of staff testing sites that are available.

Review the guidance on reducing the burden of fit notes during Covid-19 in the primary care bulletin.

Note details of tomorrow’s webinar.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Integrated Urgent Care Health Professional Feedback Form

Wed, 22 Apr 2020 09:06:44 GMT

We welcome feedback from Health and Social Care Professionals to help us to learn and continually improve the NHS 111 service. Please use this form to record any feedback you wish to provide us. This form is not suitable to register Complaints or Incidents.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 21 April 2020 (Issue 24)

183:820766164 (Ben Evans) — Tue, 21 Apr 2020 17:39:19 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 21 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Charts for Daily Comms.pdf (local update)

• shielded pts guide nhs e 20 april 20.pptx (item 2)

• Large cylinders user guide FEB20 v1 (1).pdf (item 5)

• 22 April Acute Illness flyer.doc (item 4)

• EMIS update 20 April 2020 (item 3)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 21.04.2020

• 1,357 cases now confirmed in Coventry and Warwickshire (+59 / +4.5% from yesterday)

• 217 of these are currently admitted (-11 / -4.8% from yesterday)

• 744 beds still available (-65 / -8.0% from yesterday)

• 23 ITU beds occupied by Covid patients (+1 / +4.5% from yesterday)

• 274 reported deaths in a hospital setting (+2 / +0.7% from yesterday)

Care Home cumulative position up to 21.04.2020

• 524 Care Home residents affected (+0 / +0.0% from yesterday)

• 167 confirmed cases (+30 / +21.9% from yesterday, note this number will always be lower than residents affected as once a care home has 2 cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

o Confirmed care home cases broken down by area (not CCG):

o Coventry: 34

o South Warwickshire: 70

o North Warwickshire and Rugby: 63

• 72 Covid related deaths (+0 / +0.0% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 132 Care Home deaths in total (+0 / +0.0% from yesterday)

Three charts have also been included which we will update on a weekly basis which show confirmed cases, acute beds occupied by COVID-19 patients and daily deaths in hospitals across the city and county. (Attachment: Charts for Daily Comms.pdf)

LATEST LOCAL UPDATE

1. Temporary removal of routine D4 medical for renewal of HGV licences

The government has announced a temporary relaxation of the requirement for bus and lorry drivers to provide a doctor’s medical report in order to renew their licence. Under the scheme, drivers will be able to receive a temporary 1-year licence, providing they do not have any medical conditions that affect their driving and their current licence expires in 2020. This will help to reduce workload for doctors whilst ensuring that drivers can still have licences renewed.

Drivers with health issues will still need to declare these, and those with health issues that prevent them from driving safely will not have their licence renewed. This temporary change will only apply to those drivers whose licences are due to expire or have expired since 1 January 2020 and not for those making their first application for a Group 2 bus or lorry licence.

2. Shielded patients guide

We know that General Practice is dealing with queries from patients who require support over and above the care and treatment they are receiving for their medical condition.

Included in the attached slide deck is information, provided by the Government and the NHS, to support you in answering queries from patients in both the shielded and non-shielded groups who may require additional support during the COVID-19 outbreak. (Attachment: shielded pts guide nhs e 20 april 20.pptx)

3. COVID-19 Self-referring shielding patients for EMIS practices only

As you may be aware, as part of the ongoing efforts to identify patients who may be at highest clinical risk of severe illness from a coronavirus or COVID-19 infection, the government allowed patients who felt they may fall into this category to self-identify via a website.

EMIS has now received the details of those patients at your practice that have registered in this manner, and they will be importing that list into your EMIS Web system tonight, 20th April. Further detail are attached: (Attachment: EMIS update 20 April 2020.docx).

4. Acute Illness during Covid-19 Pandemic

During the session (Wednesday 22 April 2020, 13:00 – 14:00) Mr Rob Simpson, Clinical Director (UHCW), will update on the latest guidance and changes made by A+E during this pandemic. Dr Sarah Griffiths, consultant paediatrician, will give a paediatrician’s perspective and remind us of the latest guidance for children. The CCG is also invited to conclude the meeting. This meeting is brought to you by ZOOM. Please log in using the following link: https://zoom.us/j/95941418271 Meeting ID: 95941418271. If you have any queries, please contact via e mail: gpteachingadmin@uhcw.nhs.uk (Attachment: 22 April Acute Illness flyer.doc)

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 20 April 2020

5. Hot Hubs at WNCCG & CRCCG

If hot hubs in CRCCG & WNCCG have ordered oxygen from Baywater attached is an easy to use guide for using the products. (Attachment: Large cylinders user guide FEB20 v1 (1).pdf)

UPDATES FOR South Warwickshire – 20 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 20 April 2020, 501,379 people have been tested in the UK and 124,743 were confirmed as positive. As of 5pm on 19 April 2020, of those hospitalised in the UK, 16,509 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The latest government advice on coronavirus is available online.

• The Chancellor Rishi Sunak spoke at a press conference with Professor Angela McLean, Deputy Chief Scientific Adviser and Yvonne Doyle, Medical Director at Public Health England on 20 April. The transcript is available to view online and the briefing can viewed on YouTube.

• The press conference slides and datasets used by Professor Angela McLean, Deputy Chief Scientific Adviser on 20 April are available to read.

COMMUNICATIONS FROM NHS ENGLAND

6. NHS England Primary Care Bulletin – new edition – 20 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (20 April) and includes Shielding patients - guidance for GPs and temporary removal of routine D4 medical for renewal of HGV licences. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

7. GP Preparedness webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, is on 23 April from 5pm and 6pm (via Microsoft Teams), the link to access is here.

8. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the updated guide around the shielding of patients.

Note details of this week’s webinar.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 April 2020 (Issue 23)

183:820766164 (Ben Evans) — Tue, 21 Apr 2020 08:20:17 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. **URGENT** PLEASE NOTE: COVID TEST RESULTS

CWPS and UHCW have kindly agreed to send a daily list of all Covid results (positive and negative) to you via your usual pathology reporting system. The result will have the attached comment ‘Hospital requested CoVid-19 test copied to GP. Result provided to patient by hospital’

This will start tomorrow (21 April 2020).

The initial transmission will be a historical one and will include all historic tests and after that results will be issued daily.

The results do not come through coded so please use the following SNOMED Codes:

For negative tests: Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 excluded by laboratory test code 1321111000000101

For positive tests: Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 confirmed by laboratory test code 1300721000000109

For borderline/insufficient sample: Detection of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) using polymerase chain reaction technique code 1240511000000106

Please note the following:-

1. You do not have to notify patients of the results

2. Patients will not be contacting the practice for these results

3. These results will still form part of the discharge information and will also be in your usual pathology database e.g. ICE or CRRS

This information is simply to help you manage patient care and support you and your teams in practice.

Results are from all testing done in all local Acute Trusts/community services and from Care Homes.

2. Staff testing update

We have once again been offered the opportunity to pilot a ‘home testing’ service for staff and their families who cannot access the Edgbaston (too ill/do not have transport/have children) for a week (i.e. TODAY until Sunday 26th April).

The eligibility criteria is as follows:

NHS worker is symptomatic

Over 18 in same household as key worker

Child (5-18) in same household as key worker is symptomatic

UNDER 5s CANNOT BE TESTED

Symptomatic is having a fever and/or a new persistent cough within 5 days or less

This test includes 5 to 18 year olds.

Please read the criteria below and then IF you have staff who meet the criteria can you please send the following information to sowaccg.cwcovidstaffreq@nhs.net by 12 noon daily.

Please use HOME TESTING REQUEST in your email header

Please provide the following information for the key worker within the household:

1. First Name

2. Surname

3. National Insurance Number (KEY WORKER NI NUMBER REQUIRED, REQUESTS WITHOUT NI NUMBER WILL NOT BE PUT FORWARD)

4. Email address (please ensure the one you are monitoring - this can be a personal account, as this will be used to send instructions)

5. Employer Organisation

The availability of staff testing can be summarised below.

Location Eligibility Availability

Edgbaston Over 18s only (this may change, if it does, we will advise) Now – accessed via via www.cwcovid.support

Ricoh Arena (Coventry) To be confirmed To go live this week

CQC An email has been shared with practices

Home testing for families Up to 5 in the household, for ages 5 years and over To be offered for one week only (see attachment: STP Master.xlsx)

The following criteria must be applied before returning to work

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Practice nurse communications

Today’s attachments

• COVID-19 COMMS on Services 02.04.20.LW.xlsx (item 10)

• NHS England and NHS Improvement cervical screening letter 170420 v1.pdf (item 14)

• Maintaining-the-National-Immunisation-schedule-during-COVID-19.pdf (item 15)

• 4. TRIAGE IN HOT CLINICS GUIDANCE_NORTH Warwickshire DRAft - highlights.....docx (item 9)

• CEM-CM0-2020-018.pdf (item 4)

• Updated NOIDS April 2020.doc (item 3)

• GP Shielded Patient GP Message v2.docx (item 5)

• STP Master.xlsx (item 2)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 20.04.2020

• 1,298 cases now confirmed in Coventry and Warwickshire (+24 / +1.9% from yesterday)

• 228 of these are currently admitted (-22 / -8.8% from yesterday)

• 809 beds still available (+17 / +2.1% from yesterday)

• 22 ITU beds occupied by Covid patients (-2 / -8.3% from yesterday)

• 272 reported deaths in a hospital setting (+14 / +5.4% from yesterday)

Care Home cumulative position up to 20.04.2020

• 524 Care Home residents affected (+10 / +1.9% from yesterday)

• 137 confirmed cases (+18 / +15.1% from yesterday, note this number will always be lower than residents affected as once a care home has 2 cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

o Confirmed care home cases broken down by area (not CCG):

o Coventry: 30

o South Warwickshire: 44

o North Warwickshire and Rugby: 63

• 72 Covid related deaths (+20 / +38.5% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 132 Care Home deaths in total (+22 / +20.0% from yesterday)

LATEST LOCAL UPDATE

3. Notifiable Disease Update to now incl. COVID-19

The Secretary of State has made amendments to the Health Protection (Notification) Regulations 2010 to now include COVID-19.

As you will be aware Registered Medical Practitioners have a statutory duty to notify the local health protection team of suspected cases of infectious diseases. Please complete the attached notification form immediately on diagnosis of a suspected notifiable disease (see attached document for full list of notifiable diseases).

With immediate effect completed forms should be submitted to Health Protection by email to phe.wmnoids@nhs.net. To ensure patient confidentiality and to comply with GDPR this form should only be sent from an nhs.net address. (Attachment: Updated NOIDS April 2020.doc).

4. Central Alerting System: Considerations For Personal Protective Equipment

This alert aims to highlight the sessional use and reuse of personal protective equipment (PPE) when there are severe shortages of supply. The considerations are to ensure that health and care workers are appropriately protected from COVID-19, where items of PPE are unavailable and should be considered as temporary measures until the global supply chain is adequate to meet the UK’s needs. The reuse of PPE should be implemented until confirmation of adequate re-supply is in place. The attached alert contains further information. (Attachment: CEM-CM0-2020-018.pdf)

5. Phlebotomy Services for ‘shielded’ patients and others

Message sent from Beth Harrison, Consultant Haematologist and CWPS Clinical Lead for Phlebotomy outlining what they are doing to optimise access to safe blood tests for patients who are the most vulnerable to COVID-19. They are doing this through developing “Pop Up” clinics and maximising the availability of Home Visits. (Attachment: GP Shielded Patient GP Message v2.docx)

6. Coaching support

A launch webinar is taking place on Friday 24 April 3pm to share specific details about the service.

7. Children and Young People 24/7 Crisis Line

With the current Covid-19 situation we are all facing, this has certainly been challenging for us all. It has also been challenging for our children and young people and the impact this lockdown has had on their emotional wellbeing and mental health . To support, and under the request of NHS England, a 24/7 mental health crisis line for children and young across Coventry and Warwickshire is now operational, effective from Friday 10 April 2020.

Childrens (0-18)

Time from Time to Number Service

08:00am 20:00pm 024 7664 1799 Childrens Crisis

20:00pm 08:00am 024 7693 8000 Coventry Crisis Team

Adults (18+)

Time from Time to Number Service

08:00am 20:00pm 0300 200 0011 Central Booking System

20:00pm 08:00am 024 7693 8000 Coventry Crisis Team

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 20 April 2020

8. Gateway updates

Here is a link to various Gateway updates mostly to do with COVID-19. On the site there are now links to electronic ReSPECT forms and palliative guidance. To access visit: http://www.coventryrugbygpgateway.nhs.uk/news/headlines-recent-updates/

UPDATES FOR South Warwickshire – 20 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 20 April 2020

9. Hot clinics guidance

The document has been developed as general guidance to provide support to clinicians working within the Hot Clinic. It is not intended to override clinical acumen. This is directed at assessment of possible Coronavirus patients for further management and particularly at assessment for admission to George Eliot Hospital. (Attachment: 4. TRIAGE IN HOT CLINICS GUIDANCE_NORTH Warwickshire DRAft - highlights.....docx)

10. Information for GPs regarding UHL Service Update

The attached list of service and pathway changes at UHL due to the COVID situation shows services grouped by:

1. Suspended

2. Partially Suspended

3. Continuing

(Attachment: COVID-19 COMMS on Services 02.04.20.LW.xlsx)

LATEST NATIONAL PICTURE

• As of 9am on 19 April 2020, 482,063 people have been tested in the UK and 120,067 were confirmed as positive. As of 5pm on 18 April 2020, of those hospitalised in the UK, 16,060 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The latest government advice on coronavirus is available online.

• The Education Secretary, Gavin Williamson, gave the press conference on the government’s response to COVID-19 on 19 April, which is available to view online.

• The press conference slides and datasets used by Dr Jenny Harries, Deputy Chief Medical Officer on 19 April are available to read.

• The Communities Secretary, Robert Jenrick, gave a press conference on the government’s response to COVID-19 and additional funding for local government on 18 April 2020. Read the transcript online. The press conference slides and datasets used by Professor Stephen Powis are available to read.

• Business Secretary Alok Sharma gave the 17 April 2020 daily press briefing on the government’s response to the COVID-19 pandemic. A transcript of the briefing can be read online. The press conference slides and datasets used by Sir Patrick Vallance are available to view.

COMMUNICATIONS FROM NHS ENGLAND

11. NHS England Primary Care Bulletin – new edition – 17 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (17 April) and includes updates on coaching support and testing of staff. This regular COVID-19 Primary Care Bulletin is from Dr Raj Patel and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

12. GP Preparedness webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, is on 23 April from 5pm and 6pm (via Microsoft Teams), the link to access is here.

13. Media enquiries

ACTIONS FOR PRIMARY CARE

Staff testing is still available, details above.

Review the coaching information.

Note details of this week’s webinar.

PRACTICE NURSE COMMUNICATIONS

14. Cancellation of cervical screening appointments

Please see attached communication regarding Cervical Screening and the delay currently with further guidance on management. (Attachment: NHS England and NHS Improvement cervical screening letter 170420 v1.pdf)

15. Maintaining the National Immunisation Programme during the COVID-19 Pandemic

The RCN has provided information relating to childhood immunisation and vaccinations with further guidance available. (Attachment: Maintaining-the-National-Immunisation-schedule-during-COVID-19.pdf)

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Coronavirus Social care update - Message from the Minister for Care - 20.04.2020

Mon, 20 Apr 2020 09:27:04 GMT

The independent regulator of health and social care in England

A message from the Minister for Care

"Last week, we published a new national action plan to further support the adult social care sector in England throughout the coronavirus outbreak.

“This virus has brought many challenges to the sector and through this plan, we have set out how we will ensure care staff have all they need to do their jobs safely, while reducing outbreaks in care homes and maintaining independence for those receiving care.

“At its heart, the action plan includes better access to testing and millions of additional Personal Protective Equipment (PPE) items, expansions to the workforce and the launch of a new unifying identity for the care sector.

“On testing, you will have seen the Health Secretary’s announcement last week that all care workers who need a test will receive one, and all symptomatic care home residents will be tested to prevent outbreaks. Nearly 12,500 social care workers have already been referred for testing so far.

“The plan also gives guidance to help minimise the spread of infection within all care settings, including advice on safe discharge from the NHS, testing prior to discharge and when isolation is recommended.

“This new plan also further sets out how the government will ensure PPE supplies reach those who need it in care homes, including immediately through Local Resilience Forums and piloting direct dispatches via Royal Mail, a 24/7 hotline and a new website. Over one hundred and fifty social care providers have already been invited to test out this new pilot.

"As set out in the action plan, Public Health England has issued an explainer video and case studies showing how the PPE guidance works in practice for the social care sector.

“Beyond this, to give the care sector the boost it needs at this challenging time, we are keen to get as many people on the care frontline as possible. That is why we’re launching a campaign to attract people to the sector to support the national effort. I am urging former social workers, occupational therapists and nurses to return to the sector and for anyone furloughed interested in care to step forward and join the fight to protect our most vulnerable.

“Finally, you, the care workforce, are playing an essential role in the fight against COVID-19, and as such, you deserve the same recognition and support as your colleagues in the NHS. That’s why we plan to help unify everyone in our existing care workforce under an NHS-style identity - a new ‘care’ brand for care workers. This will ensure all care staff, everywhere, get recognition and access to key benefits during the outbreak.

"I am incredibly proud of our care sector and I will make sure we do everything we possibly can to support you."

- Helen Whately, Minister for Care

PPE plan published

The government has published a cross-government UK-wide plan to ensure that critical PPE is delivered to those on the frontline responding to coronavirus, incorporating three strands on guidance, distribution and delivery and securing a future supply.

Scaling up testing programmes

The government has set out plans on how we intend to scale up coronavirus testing programmes to provide a test to anyone who needs one.

Testing is a key pillar of our strategy to protect the NHS and save lives and our ultimate ambition is that anyone who needs a test should have one. The government’s testing strategy lays out how we intend to scale up our testing programmes to deliver on this ambition.

Tech firms helping connect care home residents with loved ones

Thousands of isolated residents and patients will be able to connect with their family and friends with video call devices as part of NHS work with technology firms to help some of society’s most at-risk and isolated people access vital emotional support and companionship during COVID-19.

As part of this work, Facebook will provide up to 2,050 of its Portal video calling devices for free to care homes, as well as hospitals, hospices and other care settings. Fifty of the devices have already been deployed to pilot sites in Surrey, with Manchester, Newcastle and London and other areas to follow, with support from Accenture.

As well as providing solutions to reducing social isolation among residents and patients, the NHS is working with a range of technology companies to support the NHS and social care system in these unprecedented times. Additional solutions include enabling health and care staff to work remotely when they may be advised to work at home, improving communication between clinical and care teams and shifting hospital outpatients to virtual appointments.

New blog post on Covid-19 and safeguarding

Right now, in the heart of a coronavirus pandemic, we are all feeling vulnerable, but even now, when we all need protection, people receiving social care services are often seen as being at additional risk.

Hugh Constant, Practice Development Manager for the Social Care Institute for Excellence (SCIE) has written a post for DHSC's Social Care blog considering the challenges of maintaining familiar safeguarding processes in an unfamiliar situation, including links to further resources on the issue.

Coronavirus mental health campaign launched

Public Health England’s Every Mind Matters platform has launched new advice, focused on looking after people’s mental wellbeing during the coronavirus pandemic. It has been updated after new data shows over 4 in 5 people are worried about the effect that coronavirus is having on their life, with over half saying it was affecting their well-being and nearly half reporting high levels of anxiety.

With many feeling worried, anxious or isolated during these challenging times, Every Mind Matters highlights that there are lots of things we can all do to look after our mental wellbeing and help others to prevent these concerns from becoming more serious.

The range of new resources, designed specifically to help manage our mental wellbeing during coronavirus, include a tailored COVID-19 Mind Plan, COVID-19 specific content for individuals and their loved ones, and support for specific mental wellbeing issues such as anxiety, stress, low mood and trouble sleeping. The website signposts people to activities such as mindful breathing exercises, help reframing unhelpful thoughts, and muscle relaxation.

To help get this vital message out there, The Duke and Duchess of Cambridge are supporting Every Mind Matters and have narrated a new short film which is set to be broadcast across national TV channels from Monday 20th April.

Home Care webinars

The NHS is hosting interactive webinars for anyone working in the Home Care sector to support providers in protecting staff and the people they care for while ensuring each person is getting the right care in the most appropriate setting for their needs.

The webinar will consist of an overview of the guidance through short presentations, followed by an opportunity to ask questions.

This communication has been sent by the Care Quality Commission on behalf of the Department of Health and Social Care.

We are England's independent health and adult social care regulator.

Join our digital participation platform for providers and professionals to get involved in CQC's work - help inform policies, take part in discussions and test new products.

COVID-19 Primary Care Bulletin - 20/04/2020

Mon, 20 Apr 2020 07:52:46 GMT

COVID-19 Primary Care bulletin 20 April 2020

COVID-19: today's round-up for primary care

Dear primary care colleagues,

We hope you managed to get some rest over the weekend.

As you may be aware, there have been pressures on stocks of gowns used for staff involved in aerosol-generating procedures and other high risk areas. Public Health England have now published additional advice, in line with World Health Organisation advice, on PPE alternatives staff can use in the event of shortages within existing organisations.

Below we have included some information on resources being made available to pharmacy colleagues to support public messaging, details of upcoming webinars and information about managing locally held vaccine stock in primary care.

Nikki and Ed

Dr Nikki Kanani

GP and Medical Director for Primary Care

NHS England and NHS Improvement Ed Waller

Director for Primary Care Strategy and NHS Contracts

NHS England and NHS Improvement

Community pharmacy

Marketing and communications support for pharmacies

We wanted to give you an update on our progress with our public facing work and resources to support pharmacies during the pandemic.

1. New resources for pharmacies were added to the PHE Campaign Resource Centre on 10 April and are available for download here, these include versions optimised for printing locally on site.

2. We are mailing out a package of resources to all community pharmacies via the Royal Mail which will be delivered by the end of this week. All pharmacies will receive the following posters: ‘Do not enter if you have symptoms of coronavirus’, ‘Keep a safe distance’ - reminding people to keep 2 metres apart; and ‘We may be closed to the public during certain times’ - with white space for them to add their opening hours.

3. Our public facing messaging for relevant pages on the NHS website www.nhs.uk is being updated.

4. Digital resources for pharmacies are being developed and include a digital screen, social media assets (optimised for Facebook, Twitter and Instagram) in the national look and feel used for coronavirus public facing marketing messages. These will be available this week.

5. We will also be launching a national public facing PR shortly.

General practice

Temporary removal of routine D4 medical for renewal of HGV licences

Shielding patients - guidance for GPs

We know that general practice is dealing with queries from patients who require support over and above the care and treatment they are receiving for their medical condition. Included in this slide deck on the FutureNHS portal is information, provided by the Government and the NHS, to support you in answering queries from patients in both the shielded and non-shielded groups who may require additional support during the COVID-19 outbreak.

Dentistry

The most recent guidance letter and standard operating procedure for oral health professionals is available on our website.

Optometry

The most recent guidance letter for optical staff is available on our website.

Additional information

Remote prescribing guidance for health and justice sites

During the COVID-19 pandemic, it is expected that some aspects of healthcare in health and justice sites may need to be delivered by remote technology, for example, using video appointments. Prescribers should be aware of the processes for prescribing responsibly remotely. Processes have been described separately for controlled drugs (CDs) and non-CDs. Providers should have written procedures underpinning how remote prescribing is undertaken.

Managing locally held vaccine stock in primary care and the use of Patient Group Directions in Primary Care Networks

Immunisation services have not been identified as activities that can be suspended within the GP contract and it is important to ensure the continued delivery of vital NHS services.

While there are no central supply issues of vaccine stock, it may be necessary for CCGs and/or Primary Care Networks to facilitate the transfer of locally held vaccine stock from one provider to another to ensure the continued delivery of immunisation programmes. To support this, the Medicines and Healthcare Products Regulatory Agency (MHRA) has now confirmed that it would not prevent the transfer of locally held vaccine stock from the NHS routine immunisation services during COVID-19, provided that:

• the CCG, PCN or General Practice believes the transfer of vaccine(s) is necessary to support the continued delivery of routine immunisations in primary care during the COVID-19 response and will ensure the effective use of available resource;

• the CCG, PCN or General Practice that is holding the vaccine stock has assurance that the vaccine has been stored in the correct temperature-controlled conditions;

• confirmed daily record keeping of temperature monitoring is available;

• the CCG, PCN or General Practice that requires locally held vaccine supply can verify the assurances given; and

• the vaccine(s) can be transported appropriately under the right cold chain conditions.

Regional NHSEI commissioners should be informed of any incidents including cold chain breaches during transfer of vaccines. CCGs, PCNs and Primary Care providers should refer to Public Health England’s protocol for the ordering, storing and management of vaccines.

Community Pharmacies are already able to transfer medicines to other healthcare providers without a wholesalers licence under specific circumstances, and should refer to the relevant guidance.

The NHS Specialist Pharmacy Service has made available guidance on the use of Patient Group Directions in Primary Care Networks.

Dates for your diary

Digital First webinars on practical steps that practices should take to establish a total triage model:

• 21 April, 12.30-1pm: COVID19 Digital Nurse Network

• 23 April, 4.30-5pm: using accuRx throughout COVID19 for video consultations

Regular primary care webinars

• 22 April, 7-8pm: Community pharmacy webinar with Keith Ridge and Ed Waller

• 23 April, 5-6pm: Primary care webinar with Nikki Kanani and Ed Waller

Coaching support webinars

• 24 April, 3pm: Coaching support launch webinar

Nikki and Ed's Link of the Day

Prof Mike Holmes, GP Partner Haxby Group and Practice Nurse Louise raise awareness of behaviour that can be perceived as being discriminatory

Primary Care Coronavirus briefing – Coventry and Warwickshire – 17 April 2020 (Issue 22)

183:820766164 (Ben Evans) — Fri, 17 Apr 2020 15:35:06 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 17 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Staff testing is available this weekend

PLEASE NOTE STAFF TESTING IS AVAILABLE OVER THE WEEKEND. To request Staff testing (for you and your household as long as you have been symptomatic for five days or less and are over 18), please go to the Staff Testing section on the new Primary Care support website www.cwcovid.support and following the instructions.

You will be notified if your request is accepted and provided with appointment details.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• RCGP COVid coding flowchart.pdf (item 3)

• Covid coding prompt cards.docx (item 3)

• Cyber and COVID19 Letter and Attachment 20200416.pdf (item 4)

• 2020 04 09 Primary Care Safety Netting Letter1.pdf (item 6)

• COVID-19 bowel FAQs 20200409 FINAL.docx (item 6)

• Charity-support-lines-for-patients.pdf (item 6)

• COVID-19 - Updated Maternity Advice V1 FINAL.PDF (item 10)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 17.08.2020

• 1,291 cases now confirmed in Coventry and Warwickshire (+210 / +19.4% from yesterday, note that whilst this is a sizeable jump compared with previous days, this likely due to increased pillar 2 testing of key workers.)

• 266 of these are currently admitted (-15 / -5.3% from yesterday)

• 818 beds still available (+37 / +4.7% from yesterday)

• 22 ITU beds occupied by Covid patients (-8 / -26.7% from yesterday)

• 228 reported deaths in a hospital setting (+21 / +10.1% from yesterday)

CareHome cumulative position up to 17.08.2020

• 486 Care Home residents affected (+71 / +17.1% from yesterday)

• 109 confirmed cases (+16 / +17.2% from yesterday, note this number will always be lower than residents affected as once a care home has 2 cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

o Confirmed carehome cases broken down by area (not CCG):

o Coventry: 30

o South Warwickshire: 26

o North Warwickshire and Rugby: 53

• 44 Covid related deaths (+12 / +37.5% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 90 Care Home deaths in total (+38 / +73.1% from yesterday)

LATEST LOCAL UPDATE

2. Shielding patients

Thank you all for the work you have already completed in checking the patients flagged in your clinical system as very high risk who require shielding and for identifying any additional patients that fall into this category who hadn’t already been flagged.

As you are aware, a number of people have self-identified as being at highest clinical risk themselves by registering on the government’s website prior to the 29th March 2020. You will shortly receive this list for your practice via tasks in your IT system between the 17 - 24 April 2020. Once received please could you check this list and confirm and flag the patients as high risk as appropriate, where possible please could complete your reviews 28 April so the data extraction (starting every Tuesday evening) can be completed and patients offered the support they need.

3. COVID Clinical Codes are now available

Clinical codes have been synchronised with both EMIS and TPP systems and codes are now available for reception/triage teams as well as staff responsible for clinical coding within practices. There are two attachments – a flowchart and a COVID prompt card which also links to NHS England guidance.

4. Cyber-security

Please be extra vigilant with opening emails and attachments that are unsolicited or that you don’t recognise and please be patient if attachments are held up by the IT providers while they check they are safe. COVID has not been deterred cyber criminals If you are in any doubt about an email or website please contact the IT provider. (Attachment: Cyber and COVID19 Letter and Attachment 20200416.pdf)

5. Resource on difficult conversations

An online resource has been created to provide some practical advice on how to talk about some difficult topics related to COVID-19.

6. Cancer information

National guidance issued by West Midlands Cancer Alliance has been circulated in a previous bulletin. Please find detailed below an update on a number of issues pertinent to primary care.

Primary Care Management and Safety Netting

National guidance sets out recommendations for primary care. A significant number of patients are choosing to defer their referral due to fear of Coronavirus. The following documents will provide guidance and support for primary care, ensuring patients do not slip through the net.

• West and East Midlands Cancer Alliance letter (Attachment: 2020 04 09 Primary Care Safety Netting Letter1.pdf)

• EMIS Tips 5: Creating Deferred Treatment Workflow (download here – WeTransfer link will expire on 23 April)

Vision have confirmed that a similar document will be made available over the next couple of days. As soon as this is available arrangements will be made to circulate information to practices with the Vision system.

Secondary Care Management

Local Trusts are working hard to ensure patients are reviewed in line with guidance released by the West Midlands Cancer Alliance. This includes clinical triage of referrals, establishing virtual clinics and straight to test where appropriate. Please provide as much appropriate clinical information about the referral as possible to avoid delay and to ensure nominated secondary care clinicians are able to undertake a comprehensive clinical triage of referrals. Please ensure patient demographics including the patient’s preferred contact number are included on the referral form.

Bowel Cancer Screening COVID-19 response

You will already be aware that the Bowel Screening Hub in Rugby are no longer sending screening invitations to patients and will be suspended for 12 weeks with effect from 24th March. The NHSE/I National Team has issued the following Bowel FAQs (Attachment: COVID-19 bowel FAQs 20200409 FINAL.docx) to local commissioning teams. A summary of the primary care FAQs is summarised below:

a. What is the advice for patients with a positive bowel cancer screening test result (further tests needed) who have not been offered a follow up appointment?

If the person is not symptomatic, please advise them to contact the bowel screening helpline (0800 707 6060) for advice. You may want to warn them that the helpline may be very busy and they may have to wait before their call is answered.

b. What action should I take if a patient with a positive bowel cancer screening test result (further tests needed) has symptoms but no appointment for further tests?

In the first instance you should advise the patient to speak to the screening centre for further clinical advice. If they do not know the contact number of the screening centre, they should call the screening helpline 0800 707 60 60 who will get someone to call them back. Please only refer a patient who has a positive bowel cancer screening test to the 2-week wait urgent referral pathway if the patient has specific symptoms of obstruction, such as a pain or lump in their abdomen after eating.

Macmillan Coventry and Warwickshire Benefits Advice Service

Please note that while the Coventry Citizens Advice office is currently closed the COVENTRY AND WARWICKSHIRE BENEFITS ADVICE SERVICE is OPEN, with advisers working from home. Face to face appointments are not available at this time however they are able to support cancer patients and their families via telephone, email or Zoom. Please phone 024 7625 2050 (Heather or Pat) for more information or alternatively email macmillan@coventrycab.org.uk

Charity Support Lines for patients living with Cancer

Please find further information attached (Attachment: Charity-support-lines-for-patients.pdf)

Health and Care Partnership Website

You may already be aware that a new website has been launched. We are working closely with colleagues to ensure the cancer page is developed over the coming weeks and will continue to review and add patient information where appropriate. The website link can be found here https://www.happyhealthylives.uk/our-priorities/cancer/

7. Directory of COVID-19 Community-Led Support Groups

The new-look "Covid-19 Community-led Support Group Directory" has been compiled by the Localities Team and is now live on the WCC website. The team are still building up the information in this directory. A full list of the groups contained in the directory can also be found on the WCC coronavirus pages at https://www.warwickshire.gov.uk/information-coronavirus/coronavirus-volunteering/1 . This list is updated on a regular (usually daily) basis.

8. Warwickshire CAVA Community and Voluntary Action

An update on voluntary support available within the area, including a searchable database of groups that are supporting people during the crisis is available here

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 17 April 2020

9. SNOMED codes for identified C19 at risk pts for Vision Practices

Vision uses SNOMED CT Term 443999008 Risk of exposure to communicable disease to record this data, this displays as Read term 9d44.00 Risk of exposure to communicable disease in Vision 3. If you add this Read code manually it displays as 9d44.00 Potential infectious contact. Further information is available on the Vision website.

UPDATES FOR South Warwickshire – 17 April 2020

10. COVID-19 Updated Maternity Advice

South Warwickshire Hospital Trust have issued some very useful information on their maternity services through the pandemic. (Attachment: COVID-19 - Updated Maternity Advice V1 FINAL.PDF)

LATEST NATIONAL PICTURE

• As of 9am on 16 April 2020, 417,649 people have been tested in the UK and 103,093 were confirmed as positive. As of 5pm on 15 April 2020, of those hospitalised in the UK, 13,729 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Foreign Secretary Dominic Raab gave the 16 April 2020 daily press briefing on the government’s response to the COVID-19 pandemic. A transcript of the briefing can be read online and viewed here.

• The press conference slides and datasets used by Sir Patrick Vallance, Chief Scientific Adviser, in the daily coronavirus press conference on 16 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

11. NHS England Primary Care Bulletin – new edition – 16 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (16 April) and includes a request for support with shielded patients, referrals to secondary care and the GP retention scheme. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

12. GP Preparedness webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, is on 23 April from 5pm and 6pm (via Microsoft Teams), the link to access is here.

13. Media enquiries

ACTIONS FOR PRIMARY CARE

Staff testing is available this weekend, details above.

Review the actions around the shielded patients outlined above.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 16 April 2020 (Issue 21)

183:820766164 (Ben Evans) — Thu, 16 Apr 2020 15:18:21 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 16 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Brief COVID 19 and DV West Midlands Final.docx (item 2)

• covid19_advice_for_parents_when_child_unwell_or_injured_poster.pdf (item 5)

• Eye Emergencies Poster GP.pdf (item 6)

• Eye Emergencies Poster Internal.pdf (item 6)

• Coventry and Warwickshire changes to local hospital services due to Covid-19 v04 16th April 2020.pdf (item 7)

LATEST LOCAL PICTURE

Coventry and Warwickshire COVID position up to 16.04.2020

• 1,081 cases now confirmed in Coventry and Warwickshire (+33 / +3.1% from yesterday)

• 281 of these are currently admitted (-7 / -2.4% from yesterday)

• 781 beds still available (+40 / +5.4% from yesterday)

• 30 ITU beds occupied by Covid patients (+1 / +3.4% from yesterday)

• 207 reported deaths in a hospital setting (+10 / +5.1% from yesterday)

CareHome cumulative position up to 16.04.2020

• 415 Care Home residents affected (+0 / +0.0% from yesterday)

• 93 confirmed cases (+0 / +0.0% from yesterday, note this number will always be lower than residents affected as once a care home has 2 cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

• 32 Covid related deaths (+0 / +0.0% from yesterday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 52 Care Home deaths in total (+0 / +0.0% from yesterday)

LATEST LOCAL UPDATE

1. Staff Testing for Primary Care

To avoid cluttering up your in boxes we have now developed a simple online process to apply for staff testing.

Please go to the following website www.cwcovid.support where you will find a Staff Testing section.

Please read the eligibility criteria and instructions carefully and then complete the questions as instructed.

Please note this DOES not automatically mean you will get an appointment. You will receive an email/text later in the afternoon if your application has been accepted.

Please note if you do get tested your results will be sent by text to you within four working days.

If you have any questions please contact sowaccg.cwcovidstaffreq@nhs.net.

The following criteria must be applied before returning to work

We are still awaiting confirmation of testing for under 18s and the opening of the Ricoh site. This will be communicated as soon as confirmation is received.

2. Domestic Violence and Abuse Professional Briefing in Response to COVID-19

The attached briefing has been prepared in response to the potential increase in domestic abuse incidents as a result of the lockdown caused by COVID19. It is aimed at professionals working to prevent and support people experiencing domestic abuse. (Attachment: Brief COVID 19 and DV West Midlands Final.docx)

3. Care Companion resources to support individuals with a caring role during the COVID-19 pandemic

As someone involved in providing support to informal carers, you will understand the pressures on those who are looking after loved ones, neighbours or friends, particularly during the COVID-19 pandemic. At present, these are being heightened by a reduction in support services available in the community, together with greater feelings of isolation and loneliness due to social distancing and self-isolation.

Many people are finding themselves with new caring responsibilities for vulnerable friends and family, and are in need of information and support that is relevant and tailored to their needs.

Care Companion’s resources are designed to help carers cope with these pressures, tailored to the individual needs of the person they are caring for.

4. Reminder of current services within Imaging Dept at UHCW

Please only refer into the UHCW Imaging Department urgent and emergency cases via:

uhc-tr.radiology.referrals@nhs.net

There is no direct access/walk in X-ray Service, all patients must be referred via email.

All imaging referrals are being triaged by the Consultant radiologists, and if urgent are being booked into the next available appointment.

5. Advice for parents when a child is unwell

Whilst coronavirus is infectious to children it is rarely serious. If your child is unwell it is likely to be a non-coronavirus illness, rather than coronavirus itself. The attached document is a patient poster which summarises the advice for parents.

Patients should always be advised to go to A&E in an emergency. (Attachment: covid19_advice_for_parents_when_child_unwell_or_injured_poster.pdf)

6. Eye Casualty UHCW

The PDF Eye Emergencies Poster GP attached gives guidance for referring clinicians, and highlights that in addition to telephone triage, the department are now utilising consultant connect for photo advice and guidance for eye conditions. (Attachment: Eye Emergencies Poster GP.pdf)

The PDF Eye Emergencies Poster internal can be printed and given to patients with eye emergencies to contact the triage team at UHCW. (Attachment: Eye Emergencies Poster Internal.pdf)

Please do not advise patients to attend eye casualty without having spoken to, and accepted by, our clinical triage team.

7. Changes to local hospital services due to Covid-19 *updated*

Current version: v04, Correct as of 16th April 2020. Please disregard previous versions.

Please note: all providers are committed to contacting patients affected by these temporary service changes and you do not need to contact the hospital booking officers unless it is urgent.

8. Safety netting templates – reissued with blocked zip file

The COVID-19 pandemic means that GPs and patients may decide that a test or referral is not warranted at this time and would benefit from a delay until the worst of the pandemic has passed. This safety netting template is an excellent way to keep track of those patients. It is accompanied by an easy search which can be run at intervals to find those patients who can then be reviewed and a decision made about when to refer/investigate at a date chosen by the clinician and the patient together.

If you do decide to still make a test request or referral, please put as much clinical detail as possible in each referral to enable clinicians at the acute trusts to triage these if required. As you know the 2ww pathway is still very much active and should be used when required. However, if a patient cannot be referred on this or another pathway for any reason such as patient choice, this template can be used to keep track of them.

Download documents (via WeTransfer) which are useful templates to manage these delayed treatments safely in EMIS (the link will be removed on 23 April 2020).

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 16 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 16 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 16 April 2020

9. Mary Ann Evans Hospice

Services provided on site at Mary Ann continue to be paused to comply with social distancing, shielding cohorts and enhancing our home services offer. However, we are maintaining telephone contacts with existing patients across all services including our Family Support and Bereavement clients. We also continue to accept new bereavement referrals via our nhs.net email for telephone assessment and support – geh.maryannclinical@nhs.net

• Rapid Response at night service – for the coming weeks in conjunction with our partners SWFT we have been able to ensure there are two teams of staff available for most nights each week – this is of course staff health dependent. We continue to cover Rugby at night too whilst SWFT assemble a substantive team for this area.

• Rapid Response – day service – continues to be available now for all of Warwickshire North CCG GP’s – the team can verify expected deaths, provide EOLC symptom control interventions, and has access to a INP to change directives or write new prescriptions where necessary.

• Hospice at Home services hours are extended to work flexibly up to 8pm in the evening where necessary and with our increased team has capacity to care for many more people at home with EOLC needs including those being discharged from acute settings whom are either imminently dying or meet the CHC Fast track 6 week criteria.

LATEST NATIONAL PICTURE

• As of 9am on 15 April 2020, 398,916 people have been tested in the UK and 98,476 were confirmed as positive. As of 5pm on 14 April 2020, of those hospitalised in the UK, 12,868 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Health Secretary spoke at a press conference on 15 April 2020 and included a coronavirus action plan for adult social care. The briefing is available to view online.

• The press conference slides and datasets used by Professor Angela McLean, Deputy Chief Scientific Adviser, in the daily coronavirus press conference on 15 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

10. NHS England Primary Care Bulletin – new edition – 15 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (15 April) and includes total triage and remote consultation and the dedicated page set up on their website on how health and social care services can access PPE. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

11. Primary care webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, is tonight, between 5pm and 6pm (via Microsoft Teams), the link to access is here. Do note that webinars will now take place weekly. The session will be an opportunity for you to ask your questions. Tonight, Nikki and Ed will be joined by Professor Mike Holmes, Vice Chair of the Royal College of General Practitioners (RCGP) and Heather Simpson, Primary Care Networks Programme Lead who will share the work they are doing on the wellbeing support offer for staff across Primary Care.

12. Media enquiries

ACTIONS FOR PRIMARY CARE

Join tonight’s primary care webinar starting at 5pm, details above.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Primary Care Coronavirus briefing – Coventry and Warwickshire – 15 April 2020 (Issue 20)

183:820766164 (Ben Evans) — Wed, 15 Apr 2020 15:56:04 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 15 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Preparedness letter for general practice

The latest guidance letter for general practice was published yesterday and contains updates on changes to the GP Contract Regulations, NHS immunisations and child health surveillance as well as details on other guidance that has recently been published.

Contracting updates:

Update on changes to the GP Contract Regulations

The GMS & PMS Regulations, and APMS Directions, have been amended to formalise the arrangements announced in the letter dated 19 March 2020 to free up capacity in general practice. The changes to the Regulations:

• enable NHS England and NHS Improvement to suspend specific terms of the GP contracts during a pandemic with the agreement of the Secretary of State

• temporarily amend the definition of “core hours” so that it may include Good Friday and Easter Monday and bank holidays.

• increase the minimum number of appointments that practices must make available for 111 direct booking: From the date of the letter until 30 June 2020, all practices in England must make available a minimum of 1 appointment per 500 patients for direct booking from 111. The letter dated 27 March has further details.

Network Contract DES

Recognising the impact of COVID-19 on practices, and following the letter of 19 March 2020 setting out changes to the Network Contract Directed Enhanced Service (DES), they have published the Network Contract DES for 2020/21 alongside a cover note and associated guidance.

NHS immunisations

While preventing the spread of COVID-19 and caring for those infected is a public health priority, it is very important to maintain good vaccine uptake and coverage of immunisations. The routine immunisation programme will continue to play a critical role in preventing ill-health through diseases other than COVID-19.

Child Health Surveillance (NIPE Infant Check)

The Newborn and Infant Physical Examination (NIPE) infant check can be delayed until 8 weeks of age to coincide with the first primary childhood immunisations so they can be done in one visit

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Practice Nurse Communications - new

Today’s attachments

• Coventry and Warwickshire changes to local hospital services due to Covid-19 v02 8th April 2020.pdf (item 3)

• Safeguarding Newsletter No.2 - April 2020.pdf (item 5)

• EMIS Tips 5 Creating Deferred Treatment.pdf (item 6)

LATEST LOCAL PICTURE

Local picture up to 15 April

• 1048 cases now confirmed in Coventry and Warwickshire (+29 / +2.8% from yesterday)

• 288 of these are currently admitted (-14 / -4.6% from yesterday)

• 741 beds still available (-62 / -7.7% from yesterday)

• 29 ITU beds occupied by Covid patients (-1 / -3.3% from yesterday)

• 197 reported deaths in a hospital setting (+8 / +4.2% from yesterday)

Care Home Cumulative Position up to 15 April

• 415 Care Home residents affected

• 93 confirmed cases note this number will always be lower than residents affected as once a care home has 2 cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected

• 32 Covid related deaths note these are in addition to the hospital deaths detailed above

• 52 Care Home deaths in total

LATEST LOCAL UPDATE

2. GP Connect

Information for EMIS sites: All sites should now be able to activate GP Connect HTML and Appointments in Organisation Configuration.

All practices are asked to not tick the structured capability as this capability has not yet received FRA and will not work.

A useful guide for practices to follow is available online.

Any individual issues please report via EMIS now so that they can be investigated further.

Vision practices are not able to use GP Connect as the development work has not been completed, if we hear of the situation changing we will update.

3. Changes to local hospital services due to Covid-19

Current version: v03, Correct as of 15th April 2020. Please disregard previous versions.

4. Update on QOF aspiration payments in April 2020

We have received some queries from commissioners about the timing of QOF aspiration payments in April 2020. We would like to reassure you that all practices will have received a QOF aspiration payment by the end of April 2020. The value of this payment will be the same as the March 2020 payment, as previously communicated. The timing of this payment will vary between practices based upon the date of their usual contractual payment.

For practices who receive their usual contractual payment on or before the 15th April, we will be making an ad-hoc separate payment for their QOF aspiration before the end of April.

For practices who receive their usual contractual payment on or after the 16th April, this will include their QOF aspiration payment.

5. Safeguarding newsletter

The Safeguarding Newsletter is for General Practices to provide you with current safeguarding guidance and information. Supporting you to protect children, young people and adults. Issue 2 is attached. (Attachment: Safeguarding Newsletter No.2 - April 2020.pdf)

6. Safety netting templates – reissued from yesterday as some systems blocked the attachment

This attached documents are useful templates to manage these delayed treatments safely in EMIS. (Attachment: EMIS Tips 5 Creating Deferred Treatment.pdf)

7. Warwickshire CAVA update – issue 8

The latest issue of the Warwickshire CAVA update is now available to view online.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 15 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 15 April 2020

8. SWFT – cancer diagnostic service

We remain committed to providing as efficient a cancer diagnostic service to the local population as possible. To support this, 2ww referrals will be added to the waiting list in line with standard process and managed in line with the clinical decision made following triage / assessment. However, we currently have very limited access to diagnostic endoscopy given the risk aerosol generating procedures (AGPs) pose to both patients and healthcare professionals. Access restrictions are in a keeping with national and international best practice and guidelines. We therefore will not able to offer diagnostic gastroscopy (OGD) or lower GI endoscopy to symptomatic patients for a number of months. We will update you when timescales for resuming endoscopy become clearer.

We kindly ask you to remind referring doctors to be aware of this practical challenge when making any referral to our gastrointestinal services.

Patients who choose to defer assessment, will be asked to re-present to their referrer (GP) when they are willing to attend at the hospital. The responsibility to return to their referrer will remain with the patient. If the referral does not meet the 2WW criteria, the GP will be consulted to discuss downgrade / discharge in line with the standard cancer waiting time rules.

If there are any particular queries or challenges regarding out-patient referrals during this time please contact Dr Jeremy Shearman, clinical director of endoscopy (jeremy.shearman@swft.nhs.uk) or the relevant cancer lead (upper GI - Bernhard Usselmann, lower GI – Sean Ramcharan).

For any patient who may need an emergency assessment please continue to contact the on-call general surgeon for lower GI or the on-call gastroenterologist for upper GI concerns – available via switchboard.

9. DESMOND courses

For all patients with type 2 diabetes who have had a group session (DESMOND) cancelled and those that have been referred since the sessions have been cancelled, SWFT is offering the option of:

• 1:1 video or telephone call with an educator

• access to MyDESMOND e-learning

• access to Pocket Medic Video’s

UPDATES FOR Warwickshire North – 15 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 14 April 2020, 382,650 people have been tested in the UK and 93,873 were confirmed as positive. As of 5pm on 13 April 2020, of those hospitalised in the UK, 12,107 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Chancellor Rishi Sunak spoke at a press conference with Steve Powis, Medical Director of the NHS and Yvonne Doyle, Medical Director at Public Health England. The briefing is available to view online and a transcript can be read here.

• The press conference slides and datasets used by Professor Stephen Powis, Medical Director of the NHS, in the daily coronavirus press conference on 14 April 2020 can be accessed online.

• Government to offer testing for “everyone who needs one” in social care settings. All care home residents and social care staff with coronavirus (COVID-19) symptoms will be tested as capacity is built up, the government is announcing today Details.

COMMUNICATIONS FROM NHS ENGLAND

10. NHS England Primary Care Bulletin – new edition – 14 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (14 April) and includes the latest preparedness letter for general practice and the importance of maintaining the routine immunisation programme as part of the Child Health Information Services (CHIS). This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

11. Primary care webinar

The next primary care webinar, with Dr Nikki Kanani and Ed Waller, will be tomorrow, Thursday 16 April between 5pm and 6pm (via Microsoft Teams), the link to access is here. Do note that webinars will now take place weekly.

12. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the details in the latest preparedness letter.

Make a note in your diaries for tomorrow’s primary care webinar.

PRACTICE NURSE COMMUNICATIONS

Information below and included in this Communication relates to our General Practice Nurses and the services they provide.

This initial communication collates all the information to date, and further GPN Communications will be included in a sub-section of the daily Covid-19 Comms sent to Primary care, your Nurse Leads will be able to share these with you in the first instance.

Should you have any specific information requests, or wish to include information, please can this be directed to your Nurse Lead in the first instance.

In this edition:

• BSH B12 Supplement advice

• Compression Therapy information for patients

• Diabetes Newsletter

• FSRH Pregnancy Planning during Covid 19

• FSRH Provision of Contraception during Covid 19

• FSRH Recommendation on extension of impant during Covid 19

• RCGP Workload Guidance

• Remote Contraceptive advice – for telephone consultations

• PPE Information and links to current guidance

• Additional information – containing links to Gov.co.uk information pages

• Information relating to Questionnaire regarding support to other areas during Covid-19

The above files available to download via the following WeTransfer link. The link will expire on 22 April 2020.

Immunisation and Vaccination

The current guidance is that these must continue as part of our routine work, please do discuss with parents and alleviate any concerns they may have, and identify the importance of the programme at this current time. Advise them that only one parent should accompany the child for their appointment to reduce infection risk.

Cervical Screening

The current programme is awaiting further guidance from PHE and NHSE, The Royal Wolverhampton service stopped the collections of cervical screening samples from primary care due to the required laboratory response for processing of Covid-19 samples. Please be reassured that we are continually requesting guidance for the follow up and treatment of our high risk ladies, and will communicate this as soon as possible.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

CQC update for primary medical and dental services

Wed, 15 Apr 2020 08:44:11 GMT

The independent regulator of health and social care in England

COVID-19 Update

15 April 2020

A weekly update for providers and professionals working in primary medical and dental services, sharing the latest guidance on COVID-19 and CQC's approach during this period.

Updated deaths notification form: clarification

We have been hearing feedback that an article we published in last week's bulletin advising on an update to our notification of deaths online form, has been a source of some anxiety to some practices. Please be assured that our position with regards to notifications of deaths has not changed and we do not require practices to notify us of all suspected or confirmed COVID-19 related deaths. Instead, practices should continue to notify us of deaths as they would do under normal circumstances.

Deaths that are subject to notification are those that occur while regulated activity is actually being delivered. By this we mean those deaths that occurred:

• while a patient was in consultation with a healthcare professional

• while at your health centre, practice or surgery

• during a home visit

You must also notify us of deaths that occurred within two weeks of a clinical interaction with practice staff if the death:

• was, or may have been, as a result of the care or how it was provided, and

• could not be attributed to the course which the illness or medical condition would naturally have taken if the deceased had been receiving appropriate care and treatment

We have now updated our online notification of deaths form so that practices notifying us of any death that meets the above criteria are able to indicate whether that death was the result of either suspected or confirmed coronavirus at the same time. This information will help us to work with system partners to mobilise the right level of support and to inform the government response.

Further guidance on notifications to CQC during the coronavirus outbreak is available via our website in our recently published edition of Nigel’s Surgery: Responding to coronavirus (COVID-19).

Stay up to date with the latest CQC COVID-19 information

We're making changes to the way we work during the COVID-19 outbreak. We've developed a dedicated area on our website so that you can stay up to date with the latest information. Find out more.

NHS England Primary Care bulletin

NHS England publishes a regular bulletin providing updates for teams across general practice, dentistry, community pharmacy and optometry.

Update for dental providers

We wrote to you on 3 April to address concerns you had raised with us around Local Urgent Dental Care Centres and provided advice on how dental care should be delivered until these are operational.

Being vigilant against fraud

Law enforcement, government and private sector partners are working together to encourage members of the public and those providing support and care to be more vigilant against fraud – particularly about sharing financial and personal information – as criminals seek to capitalise on the COVID-19 pandemic.

The Take five to stop fraud campaign offers advice to help everyone protect themselves from preventable financial fraud. Information, advice and resources are also available on the Friends Against Scams website.

Tell us about your good practice and innovations!

Thank you to those people who have contacted us with their examples of good practice and innovations so far.

We're still looking for examples of where providers are innovating in various ways to meet the challenge of responding to COVID-19.

We will share these with providers and other stakeholders so that they can consider if there are any ideas or innovations that would be suitable for their organisation. Please send examples to C19innovation@cqc.org.uk

Contacting CQC

All Care Quality Commission offices are now closed. This means that we have stopped communicating by post, and ask that you do not send post to us. Please use other methods to contact us, details of which are available on our website.

Mental health providers that need to send section 61 reports should do this by email. If you have an nhs.net or CJSM secure email account, reports can be sent to s61.audit@cqc.cjsm.net. If you do not have an nhs.net or CJSM email account, please email reports as encrypted attachments to SOAD_Requests@cqc.org.uk. Visit our website for more information on mental health notifications.

In the event that we have to issue a formal notice, we will contact the provider by phone to discuss this and to confirm the approach for further contact. Providers are also reminded of their duty of care to people using their services. For those detained under the Mental Health Act, this may mean supporting people to access the internet or make telephone calls if they ask to contact us.

Free refresher training for health and care professionals returning to work

Blue Stream Academy are offering a set of 'Essential Refresher Training' modules, available free of charge, to any professionals returning to work within the health and social care sectors. These modules are available to both clinical and non-clinical staff, and are designed to refresh returning staff members on the essential training required to safely deliver patient-centred care at this difficult time.

For more information please visit the Blue Stream Academy website, or register for access by getting in touch.

Guidance for primary care and dental services professionals

• NEW: Revisit the latest message from Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services, in which she shares how we've changed our regulatory approach so we're supportive of providers and provides information and advice around questions providers have raised with us

• NEW: Joint statement from CQC and the GMC on community based prescribing for COVID-19 symptoms

• Briefing from NHS England on the Coronavirus Act - excess death provisions: information and guidance for medical practitioners

• NICE COVID-19 rapid guidelines

• Advice and information on looking after your mental health and wellbeing during the coronavirus outbreak from NHS England and the Mental Health Foundation

• Latest updates and guidance for dental practice

• Webinars for community pharmacy, dental, digital primary care and general practice staff, including links to recordings of past webinars

• Guidance from the Department of Health and Social Care on how local authorities can use the new Care Act easements

• Investigation and initial clinical management of possible cases

• Guidance for primary care

• Guidance on the supply and use of personal protective equipment

• Letters for providers and professionals from NHS England/Improvement

• Guidance for health professionals

• Guidance from NHS England and Improvement

• Guidance for health professionals who have diagnosed a case within their facility

• Infection prevention and control

• Rapid tests for use in community pharmacies or at home

• Guidance for sampling and for diagnostic laboratories

• Department of Health and Social Care's coronavirus action plan

• NHS England has published measures for people who might be at greatest risk from coronavirus. Guidance (including an easy read version) is available on its website. People who are classed as extremely vulnerable are being asked to register for support.

Accessibility resources to help you communicate about COVID-19

• Signhealth is providing a videos of summaries of key coronavirus guidance in BSL

• The handwashing rap, produced to help people who have a learning disability

• Public Health England stay at home guidance, translated and in easy read

• Public Health England guidance on social distancing, translated.

• NHS guidelines translated into 32 languages by Doctors of the World

• Easy read information on COVID-19 from Mencap

• Public Health England resources in accessible formats

• COVID-19 guidance for providers of services for people experiencing rough sleeping

Further information

• Public Health Matters blog from Public Health England

• Number of COVID-19 cases in the UK

Follow @CQCProf on Twitter to get regular updates about the work we are doing with professionals and provider organisations in England.

We are England's independent health and adult social care regulator.

Join our digital participation platform for providers and professionals to get involved in CQC's work - help inform policies, take part in discussions and test new products.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 14 April 2020 (Issue 19)

183:820766164 (Ben Evans) — Tue, 14 Apr 2020 15:26:28 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 14 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Attachment 1- COVID ReSPECT FAQs .pdf, Attachment 2- sample forms April2020.pdf, Respect form v2.0.docx, Attachment 3 -Final Flow chart options for completion of ReSPECT forms during COVID v1.3.pdf (item 5)

• EMIS Tips 5 Creating Deferred Treatment.docx (item 4)

• EOLC drug list.png (item 7)

LATEST LOCAL PICTURE

Local picture (up to 14 April)

• 1,019 cases now confirmed in Coventry and Warwickshire (+74 / +7.8% from yesterday)

• 302 of these are currently admitted (-3 / -1.0% from yesterday)

• 803 beds still available (+111 / +16.0% from yesterday)

• 30 ITU beds occupied by Covid patients (+3 / +11.1% from yesterday)

• 189 reported deaths in a hospital setting (+8 / +4.4% from yesterday)

Care Home Cumulative Position up to 14 April

• 416 Care Home residents affected (+121 / +41.0% from yesterday)

• 100 confirmed cases in care homes (+39 / +63.9% from yesterday, note this number will always be lower than residents affected as once a care home has 2 cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

• 56 Covid related deaths in care homes (+4 / +7.7% from yesterday, note these are in addition to the hospital deaths detailed above)

• 88 Care Home deaths in total (+26 / +41.9% from yesterday)

LATEST LOCAL UPDATE

1. Urgent and emergency musculoskeletal conditions in children (under 16) requiring onward referral

The guidance will help primary or community care practitioners recognise serious pathology which requires urgent or emergency referral to secondary care in children who present with new or worsening musculoskeletal symptoms.

2. Pathology Update for Primary Care

Pathology Courier Service

The Pathology Courier, QE Transport, continues to collect samples from practices. Please note the service is stretched and there is no capacity for additional or changed routes or collections at this time.

3. Phlebotomy Update

CWPS Phlebotomy Clinics which remain open for appointments

Patients can book appointments at www.uhcw.nhs.uk/bloodtests or through their usual channels. Patients from practices across Coventry and Warwickshire are able to attend any of the clinics:

• Atherstone Memorial Hall

• Bedworth Health Centre (accessed by church side door, not the main entrance)

• Newtown Centre, Nuneaton

• Rugby St Cross

• Stratford Hospital

• UHCW

• City of Coventry Health Centre – this site implemented appointments for blood tests on 9 April – bookable through the website above, patients who attend without an appointment will be slotted into the next available appointment

Approx. 50% of the phlebotomy clinics in GP/Pharmacies in Coventry continue to operate. Information is updated on the map at www.uhcw.nhs.uk/bloodtests.

Domiciliary Phlebotomy (Warwickshire)

The domiciliary service continues to operate for essential blood tests only for housebound patients.

4. Safety netting templates

This attached documents are useful templates to manage these delayed treatments safely in EMIS. (Attachment: EMIS Tips 5 Creating Deferred Treatment.docx)

5. Advance Care Planning (ACP) and ReSPECT

The importance of patients and families having the opportunity to share their priorities for their future care is crucial at this time. To assist you with this an electronic ReSPECT has been developed (see details below). Also please find some helpful updates/reminders that may be of use.

Training

Remember if you would like some reminders about ACP there is some helpful information on the CASTLE website: http://www.c-a-s-t-l-e.org.uk/planning-ahead/what-is-advance-care-planning.aspx

RCUK statement on COVID19: https://www.resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/covid-crisis-conversations/

Online training under EOLC COVID tab: https://portal.e-lfh.org.uk/Catalogue/Index?HierarchyId=0_45016&programmeId=45016

ReSPECT online training: https://www.resus.org.uk/respect/learning/

Useful Resources

Having conversations around ReSPECT regarding COVID19 is clearly very difficult when an aim could be to get a cohort of vulnerable patients with significant multi-morbidities to agree to no hospital /hospice admission even though non-invasive ventiliation (NIV) and oxygen might save them. Please see some FAQs from the Resuscitation Council for further details and guidelines (Attachment: Attachment 1- COVID ReSPECT FAQs .pdf).

Following these conversations what to write on ReSPECT forms can be tricky as well.

To help you, some examples of wording on forms see (Attachment: Attachment 2- sample forms April2020.pdf).

Electronic ReSPECT Forms

To assist you all an electronic version of the ReSPECT form has been developed for both EMIS and VISION. (Attachment: Respect form v2.0.docx). For support on importing a document into EMIS: https://www.emisnow.com/csm?id=kb_article_view&sysparm_article=KB0018662

We are looking to increase the amount of EOLC planning wherever possible so please consider undertaking a ReSPECT discussion during a remote consultation. Then the new electronic form can be completed remotely with an electronic signature (this is simply a typed name) and your GMC number. In order to be IG compliant the document needs to be saved as a PDF in the patient notes. For EMIS the process is this: https://screencast-o-matic.com/watch/cYfi6Xa2aJ

If required the pdf version can then be printed at the practice (or in the future in one of the resilience hubs) to then send on to a patient/Care Home. Alternatively the completed electronic PDF form could be emailed to a Care home using a secure NHS.net account.

A suggested flow diagram explaining the process is attached. (Attachment: Attachment 3 -Final Flow chart options for completion of ReSPECT forms during COVID v1.3.pdf)

We will be informing other key stakeholders regarding the use of electronic ReSPECT forms and that forms will also be in black and white with an electronic name on them.

6. Patients who need support whilst staying at home

In yesterday’s bulletin we highlighted the NHS Volunteer Responders and how primary care can access this service. With that in mind, we wanted to bring to your attention a section in yesterday’s COVID-19 Primary Care bulletin which has details on the wider help and support that is available to patients whether they are in the shielding group or note.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 13 April 2020

7. Pharmacy agreement to carry extended EOLC drugs

Coventry SPCT has negotiated with two local pharmacies to carry extended stocks of EOLC drugs enabling all GP prescriptions for the drugs attached to be fulfilled. This will operate for the duration of the pandemic only. The pharmacies are Lloydspharmacy at Stoney Stanton Road (City of Coventry Health Centre) and Lloydspharmacy at Kenpas Highway. Community nursing have already been informed of the service which is up and running. (Attachment: EOLC drug list.png)

8. Coventry GP lunchtime meeting

UHCW Update and Microbiology Update on Wednesday 15 April between13:00 – 14:00. Deepika Yadav, Clinical Director of Integrated care UHCW and CRCCG and Justine Richards, Chief Strategy Officer, UHCW will update on the changes that have happened at UHCW in response to the Covid-19 pandemic. Natasha Ratnaraja, Consultant Microbiologist, UHCW will then guide attendants through the use of antibiotics in respiratory illness at this time. This meeting is brought to you by ZOOM, please log in using the following link: https://zoom.us/j/91114560653 Meeting ID: 911 1456 0653.

UPDATES FOR South Warwickshire – 13 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 13 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 13 April 2020, 367,667people have been tested in the UK and 88,621 were confirmed as positive. As of 5pm on 12 April 2020, of those hospitalised in the UK, 11,329 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Foreign Secretary, Dominic Raab, statement on coronavirus (COVID-19) delivered via a press conference on 13 April 2020, detailing the government’s response to coronavirus. The briefing is available to view online and a transcript can be read here.

• The press conference slides and datasets used by Sir Patrick Vallance, Chief Scientific Advisor, in the daily coronavirus press conference on 13 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

9. NHS England Primary Care Bulletin – new edition – 13 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (13 April) and includes GPs in practice supporting NHS 111 and dates for the next primary care webinar. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

10. Primary care webinar

If you missed the last webinar, it is available to view online (login required). The next primary care webinar, with Dr Nikki Kanani and Ed Waller, will be this Thursday 16 April between 5pm and 6pm (via Microsoft Teams), the link to access is here.

11. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the details of the staff testing procedure.

Familiarise yourself with the details of the electronic ReSPECT forms.

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The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

EMIS Now - Guidance on shielding and protecting extremely vulnerable patients

Tue, 14 Apr 2020 13:38:57 GMT

Please check the below link regularly – Latest update 10th April

Guidance on shielding and protecting patients defined on medical grounds as extremely vulnerable from COVID-19

https://www.emisnow.com/csm?id=kb_article_view&sysparm_article=KB0064137&sys_kb_id=0e5ce5921b809490acae2f06bd4bcb7f

Primary Care Coronavirus briefing – Coventry and Warwickshire – 13 April 2020 (Issue 18)

183:820766164 (Ben Evans) — Mon, 13 Apr 2020 14:39:21 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 13 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Action required – Shielding our Vulnerable Patients - GP Practices – Action required by 14 April 2020

We remain grateful for all the work that is ongoing in general practice in relation to all the changes and actions that practices are undertaking at this time. We recognise the pressure that you are all under but need to draw your attention to some urgent actions that are required from practices to support our most vulnerable patients.

You will have all seen this alert via CAS on 9 April 2020 that provides an update on the management and shielding of patients who are at the highest risk of severe morbidity and mortality from COVID-19 following the letters issued on 21 March and 3 April. This accompanying letter now confirms the specific tasks that GPs are asked to complete in this process, unfortunately the timescales in this letter are extremely short and this is acknowledged by both the national team and the CCGs.

The letter asks all practices to complete the work involved for them in parts 1-3 of the patient identification process, as set out in the letter as soon as possible, and by no later than 17:00 Tuesday 14 April.

The key actions for the shielded list are:

1. Run the search for patients flagged as “Patients at high risk of complications from Covid-19 infection” within your system

2. Review this list and identify any patients who you feel are medium or low rather than high risk

3. Flag any additional patients that you are aware of that are high risk but have not been identified with the high risk code.

The aim of reviewing this list is to ensure that our vulnerable patients can access the Local Authority support offer and now the new pharmacy delivery service. The sooner flags are applied the faster individuals can be offered shielding support. We are aware that this is very short timescale and we have escalated this nationally to the NHS Digital Hub who have confirmed that updates will be processed daily and so additional updates received after 14 April will still be processed.

Frequently asked Questions on this matter are also available for practices (updated 11 April) and also patients (updated 11 April).

EMIS Health has now updated most sites with new searches that identify the shielded patients that are outlined above. Ardens Health Informatics has developed this guide for the EMIS system. We are aware that the Vision codes may not be available until later this afternoon.

Once again we thank you for all that you are doing to support these very high risk patients.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• 20200410 A letter to General Practice from Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care.pdf (item 1)

LATEST LOCAL PICTURE

Local picture (as of 12 April)

• 945 cases now confirmed in Coventry and Warwickshire (+34 / +3.7% from yesterday)

• 305 of these are currently admitted (+8 / +2.7% from yesterday)

• 692 beds still available (-17 / -2.4% from yesterday)

• 27 ITU beds occupied by Covid patients (-2 / -6.9% from yesterday)

• 181 reported deaths in a hospital setting (+18 / +11.0% from yesterday).

Care Home Cumulative Position up to 12 April

• No. of residents affected: 295

• No of confirmed cases: 61 (note this number will always be lower than residents affected as once a care home has two cases confirmed testing stops and residents with symptoms are assumed positive and reported in the number of residents affected)

• Covid related deaths: 52 (note these are in addition to the hospital deaths detailed above)

• Total deaths in care homes: 62

LATEST LOCAL UPDATE

2. PPE Guidance

An updated video showing users how to safely don (put on) and doff (take off) PPE, an FAQ, and a series of tables that the use of recommended PPE for different settings, are now available on the PHE website. These include:

• Healthcare workers by secondary care clinical context

• Primary, outpatient, and community care

• Ambulance, paramedics and pharmacists

• Plus additional considerations for COVID-19

3. Home delivery of medicines and appliances service during the COVID-19 outbreak

A letter and updated guidance published on April 10 announces that, while patients meeting the COVID-19 shielding criteria need to stay at home and away from community pharmacy and dispensing doctor premises, they must be offered a home delivery option for their prescription items unless a family member, friend, relative or volunteer can collect the medicine for them.

4. A letter to General Practice

Please find attached a letter to general practice from Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care (shared Thursday evening, 9 April). It addresses a range of issues and concerns related to providing care during the COVID-19 pandemic, including:

• CQC’s regulatory approach during COVID-19 outbreak, and

• what good looks like in the current climate, including prioritisation of clinical care and leadership and governance.

(Attachment: 20200410 A letter to General Practice from Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care.pdf)

5. NHS Volunteer Responder referrals

6. Microsoft Teams

NHS Digital has introduced Microsoft Teams for all NHSmail users, to support new ways of working during the Covid-19 response. Teams is a secure communication tool to allow instant messaging and audio and video calling. If you want some more guidance / help, please visit the NHSmail support site, where you’ll find lots of handy guides to help you make the most of this tool.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 13 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 13 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 13 April 2020

7. Rapid Response Service

The Rapid Response service which was a pilot service in the rural area of North Warwickshire is now a 24 hour service across the whole of the area. This service is contactable on 07584 557366.

We would like to advise that we offer GPs advice and support for End of Life Patients, we are able assist with bolus doses of medication and we can complete the verification of death procedures. If you require any further information please contact me 02476 865441.

Bernadette Evans, Clinical Services Referrals Co-Ordinator

Mary Ann Evans Hospice

LATEST NATIONAL PICTURE

• As of 9am on 12 April 2020, 350,575 people have been tested in the UK and 84,279 were confirmed as positive. As of 5pm on 11 April 2020, of those hospitalised in the UK, 10,621 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Health Secretary, Matt Hancock, statement on coronavirus (COVID-19) delivered via a press conference on 12 April 2020, detailing the government’s response to coronavirus. The briefing is available to view online.

• The press conference slides and datasets used by Dr Yvonne Doyle in the daily coronavirus press conference on 12 April 2020 can be accessed online.

• More than £14 billion from the Coronavirus emergency response fund will go towards public services, including the NHS and local authorities involved in the fight against Coronavirus, HM Treasury confirms today (13 April 2020), full release.

• UK leads global fight to prevent second wave of coronavirus, further details online.

COMMUNICATIONS FROM NHS ENGLAND

8. NHS England Primary Care Bulletin – new edition – 10 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (10 April) and contains the action required to Identify highest risk patients, COVID-19 staff absence tracker and right to work verification for returning doctors. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Gabi Darby and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/.

9. Primary care webinar

If you missed the last webinar, it is available to view online (login required).

10. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the details of the shielding letter contained in item 1 and action accordingly.

Midlands Cancer Hub - letter from Alison Tonge, Regional Director of Commissioning & Rob Gornall, Clinical Director - 13/04/2020

Mon, 13 Apr 2020 09:48:00 GMT

Dear All,

Re: Midlands Cancer Surgical Hub

Firstly, thank you for participating in the call on Friday regarding the Midlands response to management of essential cancer surgery during the coronavirus pandemic document and the principles therein.

We believe that capacity is not at a level to support current, and future activity over the next six months. We have proposed a single central administrative reference point within the Midlands (the Hub) for registration of cases where provider MDTs have agreed treatment plans and prioritisation status against the indicative list of conditions noted in the appendix.

This will be aligned as close as possible to established operational reporting systems within providers to minimise administrative burden. With the identification of safe haven ring fenced operating facilities described in the clinical guide, this is intended to be a simple sign off process but will provide system assurance for equity together with real time intelligence to balance activity against variable available capacity. We are aware that a number of providers have already developed highly functioning processes and where possible we wish to build on these further. An example utilised by University Hospitals Birmingham and partners is provided for reference.

Where a treatment plan is agreed by an MDT but no local solution is available for a single or cohort groups of patients it is intended that the Hub will coordinate the mutual aide to achieve resolution which is intended to be local where achievable.

Fundamental to the principles of the guidance is the identification and consolidation of surgical activity through ‘clean’ surgical facilities. We urgently invite STP and NHS/IS collaborations to review current provision against the new recommendations and report whether with the introduction of testing they would fulfil all criteria and whether there is additional potential capacity availability by surgical specialty.

As colleagues are aware, the Midlands is without a non-acute tertiary referral cancer treatment centre. There are limited high dependency facilities within IS providers and we are trying to establish whether a clean surgical facility with ITU support following the principles once again within the document can be delivered within current established specialist tertiary providers. Where identified it may be used to consolidate site specific complex surgery activity. For a small number of cases where capacity restrictions may limit the ability to deliver specialist treatment a second clinically led prioritisation process may be required.

We are working with representatives from University Hospitals of Leicester; Nottingham University Hospitals; University Hospitals Birmingham; University Hospitals Coventry and Warwickshire and University Hospitals North Midlands to ensure we are able to achieve the aims of the national document and in particular are aligned to our requirements for the Midlands. We are not seeking to destabilise current developments but also wish to consider capacity available at other tertiary cancer providers.

Thank you for your support and should you require any further information kindly contact Belinda Dooley bdooley@nhs.net

Yours sincerely

Alison Tonge Rob Gornall

Regional Director Commissioning - Midlands Clinical Director

Arden GEM Corona virus briefing - 12 April 2020

Sun, 12 Apr 2020 13:13:50 GMT

Coronavirus briefing for Coventry and Warwickshire on Sunday 12 April 2020

LATEST NATIONAL PICTURE

• As of 9am 11 April, 334,974 people have been tested, of whom 78,991 tested positive. The tests concluded figure excludes data from Northern Ireland.

• As of 5pm on 10 April, of those hospitalised in the UK who tested positive for coronavirus, 9,875 have died.

• Boris Johnson has said he owes his life to the NHS staff treating him for coronavirus. The prime minister, 55, thanked medics at St Thomas' hospital in London, where he continues to recover after spending three nights in intensive care.

• A statement from Downing Street by the Home Secretary on 11 April 2020 can be found here. During the speech the Home Secretary outlined support for domestic abuse victims.

• The latest health advice is available here

LATEST LOCAL PICTURE

The latest figures published by GOV.uk and PHE are: As of 9am on 11 April 2020, there are a total 10,368 cases in the Midlands. In Coventry and Warwickshire this is broken down as follows:

• Coventry: 357 (previous day 335)

• Warwickshire: 554 (previous day 513)

CORONAVIRUS LOCAL MEDIA HEADLINES

19 heroes from the NHS have died fighting coronavirus

Coventry Telegraph (Web), 11/04/2020, Unattributed

A total of 19 health workers have died so far fighting Covid-19 on our behalves. The tragic figure was revealed by Health Secretary Matt Hancock after England's Chief Nursing Officer Ruth May declined to give a figure. It comes as Coventry and Warwickshire continues to fight against coronavirus, with more than 800 confirmed cases and 140 deaths. Ms May told reporters: "It would be inappropriate for me right now to go into listing them and numbering them because we haven't got necessarily all of the position across England with all of the people's families giving us permission to talk about them."

Coronavirus: Remembering the NHS workers who have died

BBC (Web), 11/04/2020, Unattributed

FALLEN HEROES Matt Hancock says 19 NHS staff have died during coronavirus pandemic

The Sun Online, 11/04/2020, p.1, Unattributed

Hancock pays tribute to `members of NHS family'' who have died

North Wales Chronicle (Web), 11/04/2020, Unattributed

These are the NHS workers who have died from coronavirus

The Daily Telegraph Online, 11/04/2020, p.1, Unattributed

NHS worker based at St Cross Hospital in Rugby dies

Coventry Telegraph (Web), 11/04/2020, Unattributed

A staff member who worked at the Hospital of St Cross in Rugby has passed away. The NHS frontline worker's death has been announced by University Hospitals Coventry and Warwickshire NHS Trust. Though the trust did not give any information about how the death occurred, it comes amid widespread concern about hospital and healthcare staff on the frontlines of the battle against Covid-19. Professor Andy Hardy, Chief Executive Officer at University Hospitals Coventry and Warwickshire NHS Trust, said: "It is with great sadness that I can confirm that a member of staff at the Hospital of St Cross, Rugby, has sadly passed away."

NHS worker based at St Cross Hospital in Rugby dies

Coventry Telegraph (Web), 11/04/2020, Unattributed

Coronavirus: Rugby hospital nurse dies of suspected Covid-19

BBC (Web), 11/04/2020, Unattributed

MATRON'S JOB COST HER LIFE

Sunday Mirror, 12/04/2020, p.6, John Siddle, Patrick Hill; John Kelly

Matt Hancock pays tribute to ''members of the NHS family'' who have died

Lancashire Evening Post (Web), 11/04/2020, Unattributed

Tragic death of nurse who met PM

The People, 12/04/2020, p.9, John Siddle; Patrick Hill; john Kelly

Tragic mother of miracle quads was 'infected working at Heathrow job'

The Mail on Sunday, 12/04/2020, p.21, Abul Taher

Selfless NHS nurse known as ''Mummy Lei''dies after contracting coronavirus

Coventry Telegraph (Web), 11/04/2020, Unattributed

HAIL YOUR HEROES Sun readers thank unsung heroes making a difference during coronavirus crisis

The Sun Online, 12/04/2020, p.1, Unattributed

Tributes paid to three more nurses as NHS death toll rises

Reading Chronicle (Web), 12/04/2020, Unattributed

TRAGIC NHS VICTIMS

The Sun, 12/04/2020, p.9, Amir Razavi

New warning as NHS Trusts forced to deploy CCTV after thefts of masks and sanitiser

Coventry Telegraph, 26/03/2020, p.7, Josh Layton

A fresh warning has been issued about the thefts of hand-sanitisers and face masks from hospitals - with CCTV being deployed to catch the culprits. Essential kit and toilet rolls have gone missing from already stretched wards since the outbreak of the coronavirus epidemic. Warwick and University Hospital in Coventry have both been hit, with gels vital to preventing the spread of Covid-19 being blatantly ripped off walls in corridors. However, a sterner warning has now been issued by South Warwickshire NHS Foundation Trust (SWFT), which runs Warwick Hospital, "While we understand that people are concerned, it is extremely disappointing that hand-sanitiser and other equipment that helps to keep our staff and patients safe is being stolen from our Trust."

The location of the 163 coronavirus deaths in Coventry and Warks

Coventry Telegraph (Web), 11/04/2020, Unattributed

60 people have died from Covid-19 in the Coventry region in the last seven days. The number of people who have died after contracting coronavirus in Coventry and Warwickshire has risen to 163. George Eliot Hospital NHS Trust reported 32 deaths, South Warwickshire NHS Foundation Trust reported 42 deaths and University Hospitals Coventry and Warwickshire NHS Trust reported 89 deaths.

BORIS' TRIBUTE Boris Johnson told NHS medics ‘I owe you my life’ and gave them ovation from hospital bed after leaving intensive care

The Sun Online, 11/04/2020, p.1, Unattributed

Boris Johnson has spoken for the first time of his virus ordeal telling medics: “I owe you my life.” The PM showed appreciation by clapping his medics just two hours after being wheeled out of intensive care and back to a normal ward at St Thomas’ Hospital. Former Tory communications chief Carrie, 32, printed out news images of doctors and nurses — including one from George Eliot Hospital in Nuneaton, Warks, which showed medics spelling out “Get well soon Boris”.

Doctors only realised Boris wasn't coming into hospital when they saw him clapping the NHS on TV

The Mail on Sunday, 12/04/2020, p.8, Harry Cole

They were HORROR AT HOME: PAGES 6 AND 7 exemplary blessed Easter. ELIZABETH R.

The Sun, 12/04/2020, p.4, David Wooding; michael Hamilton

Coronavirus cases in Birmingham and the Midlands, mapped

The Daily Telegraph Online, 11/04/2020, p.1, Unattributed

Accident and Emergency department at Coventry's University Hospital is no longer treating minor injuries or illness for adults, while Birmingham's NEC is preparing in case it is required to double as a field hospital. Elsewhere, Birmingham Airport could serve as a mortuary if the need for the facility arose. Sandwell Council said it was working "with and on behalf of" local authorities in the West Midlands and Warwickshire "on mortuary provision across the region".

Hospital: We have plans to cope with surge in demand

Coventry Telegraph, 26/03/2020, p.10, Claire Harrison

A Coventry resident, who did not want to be named, claimed that the intensive care unit at the George Eliot Hospital is full and patients are being treated in operating theatres. A Trust Spokesperson said: "As in hospitals across the country, George Eliot staff are pulling out all the stops to care for patients with coronavirus and to plan and prepare for the surge in cases we know is coming."

CORONAVIRUS BROADCAST HEADLINES

Warwick Hospital featured

BBC Radio Coventry and Warwickshire, Breakfast, 11/04/2020, 08:10:20, 5:0

University hospitals in Coventry and Warwickshire recorded two deaths through Corona virus on Friday. There were nine at the George Eliot hospital and three at Warwick hospital.

CORONAVIRUS NATIONAL MEDIA HEADLINES

Cancer deaths set to soar

The Sunday Express, 12/04/2020, p.8, Lucy Johnston

Cancer deaths caused by the indirect effects of Covid-19 on the NHS will outstrip the number predicted to die from the virus, experts have warned. The eventual figure will be far higher than the 20,000 projected UK fatalities caused by coronavirus, researchers said. Leading medics are conducting analysis to work out the exact impact of the UK's lockdown on cancer patients. They believe the findings will show an urgent need to rethink the current pandemic health policy, citing major disruptions to cancer services and care.

Our NHS heroes pay a heavy price virus

The Sunday Express, 12/04/2020, p.6, Jon Coates

Health Secretary Matt Hancock has paid tribute to the NHS workers who have died from coronavirus. Yesterday's death toll was a drop from 980 on Friday, which remains Britain's worst day so far. With total fatalities reaching 9,875 yesterday, Britain is set to hit the 10,000-¬death milestone today. Thirty¬ three of the 823 new fatalities in England had no known underlying health conditions. They were aged 29 to 94. Scotland yesterday confirmed a further 47 deaths, Wales had 32 and Northern Ireland 15.

MATRON'S JOB COST HER LIFE

Sunday Mirror, 12/04/2020, p.6, John Siddle, Patrick Hill; John Kelly

Worcestershire nurse dies while self-isolating at home with coronavirus symptoms

ITV.com (Web), 11/04/2020, Unattributed

Tributes paid to three more nurses as NHS death toll rises

ITV.com (Web), 11/04/2020, Unattributed

GONE TOO SOON

The Sun, 12/04/2020, p.9, Amir Razavi

Death of consultant who lived for NHS

The Sunday Telegraph, 12/04/2020, p.9, Victoria Ward

Tragic death of nurse who met PM

The People, 12/04/2020, p.9, John Siddle; Patrick Hill; john Kelly

TRAGIC NHS VICTIMS

The Sun, 12/04/2020, p.9, Amir Razavi

PATEL VOWS TO ACT OVER FEARS ON PPE

The Sunday Express, 12/04/2020, p.6, David Williamson

Home Secretary Priti Patel said yesterday she was "sorry" if people felt there were failures supplying NHS staff with vital coronavirus safety kit. She said there was "exponential" demand for personal protective equipment (PPE) amid the global health pandemic and the Government was working to address this. NHS England's national medical director Professor Stephen Powis said it was "absolutely critical" PPE was distributed to all frontline workers "so that they not only are protected but they feel safe". He said the Government was "working night and day to ensure we procure the PPE that we need".

Priti Patel 'apology' over PPE falls short, Labour says

The Independent Daily Edition, 12/04/2020, p.3, Andrew Woodcock

'I'm sorry if people feel there have been failings'

The Independent Daily Edition, 12/04/2020, p.1, Andrew Woodcock

I can't thank them enough ... I owe them my life

The Sunday Express, 12/04/2020, p.1, David Maddox

Boris Johnson has paid a heartfelt tribute to the NHS staff who looked after him in intensive care, saying: "I can't thank them enough, I owe them my life." Friends said the Prime Minister was "euphoric" after starting his recovery from coronavirus - and told them the care he received had been "exemplary".

It was 50-50 with Boris. An aide said: 'I'm going to pray'

The Sunday Times, 12/04/2020, p.8, Tim Shipman

'We all think we're invincible': how PM's illness shocked the Cabinet

The Sunday Telegraph, 12/04/2020, p.2, Unattributed

Doctors only realised Boris wasn't coming into hospital when they saw him clapping the NHS on TV

The Mail on Sunday, 12/04/2020, p.8, Harry Cole

Boris: the NHS saved my life

The Mail on Sunday, 12/04/2020, p.1, Harry Cole

PM praises NHS for saving his life as nurses told to refuse to work over PPE

ITV.com (Web), 12/04/2020, Unattributed

PM praises the NHS for saving him

Sunday Mirror, 12/04/2020, p.21, Karen Rockett

Doctors put faith in WhatsApp groups for treatment advice

The Sunday Telegraph, 12/04/2020, p.5, Unattributed

As the NHS grapples with the most acute challenge in its 72-year history, doctors have begun to reveal the crucial role the Facebook-owned free messaging service is playing in fighting the virus. Prof Mike Grocott, vice president of the Royal College of Anaesthetists, is a member of "at least" four NHS-related groups, some of which have 256 members, the maximum allowed by WhatsApp. In normal times, treatment guidelines are set out in carefully considered protocols published by the medical royal colleges, NHS England and the National Institute of Health and Care Excellence, based on "gold standard" peer-reviewed evidence published in scientific journals.

Malaria drug championed by Trump used on NHS wards

The Sunday Telegraph, 12/04/2020, p.4, Unattributed

Coronavirus patients in NHS hospitals have begun receiving a controversial anti-malarial drug, as leaks reveal fear among staff that global stocks will run out. Barts in London and the Royal Devon and Exeter are among trusts handing out hydroxychloroquine, described by US President Donald Trump as a "game-changer", in a bid to keep seriously ill Covid-19 patients alive. The medication has been incorporated into the Chinese guidance for the management of the virus. However, the NHS has so far "strongly discouraged" use of the drug other than in the hospital trials because evidence of usefulness is so limited.

Ex-health minister Darzi mastering new skills to join intensive care unit

The Sunday Telegraph, 12/04/2020, p.9, Unattributed

Lord Darzi, the eminent surgeon and former health minister, has joined doctors on the coronavirus front line, after taking part in online training to prepare for the switch to working on an intensive care unit (ICU). Lord Darzi, who holds the Paul Hamlyn chair of surgery at Imperial College, London, began work at the ICU at Imperial College NHS trust's St Mary's Hospital, on Tuesday. He wanted to "set an example" to other medics amid "a lot of fear" about treating Covid-19 patients. He is also a member of the NHS England board.

Biotech feels the pinch as crisis proves a trial for clinical research

The Sunday Telegraph, 12/04/2020, p.6, Unattributed

As scientists across the world scramble to develop a vaccine for coronavirus, swathes of pharmaceutical companies have been forced to press pause on clinical trials. Hundreds of trials in the UK have either been cancelled or delayed as laboratories refocus their resources to prioritise front-line care for Covid-19 patients. "Covid has had a devastating effect on everything that we do, the way we work, our personal lives and it's had a devastating effect on the NHS, which provides the facilities in which the clinical research is undertaken," says William van't Hoff, chief executive of the National Institute for Health Research (NIHR).

NHS phone app holds key to lifting lockdown

The Sunday Times, 12/04/2020, p.1, Tim Shipman; Nick Rufford

Ministers have ordered the creation of an NHS mobile phone app the government hopes will help end the coronavirus lockdown. The app would allow mobile phones to trace users who have come into contact with infected people, alerting them to get tested. This would make it possible to start lifting the most stringent social-distancing measures from late next month, ministers hope. Senior sources say NHSX, the health service's technology arm, has been working on the app with Google and Apple at "breakneck speed". Matt Hancock, the health secretary, is considering how to incentivise people to install the app. Experts say the "track and trace" concept only works effectively if 60pc of people adopt it.

Experts fear spike in cases when families gather for Ramadan

The Sunday Times, 12/04/2020, p.2, Nicholas Hellen; Andrew Gregory; Christina Lamb

A doctor at an NHS trust where about four out of 10 patients admitted for Covid-19 are from a black, Asian or minority ethnic (Bame) background, has warned of the risk of a "big spike" in cases as Britain's three million Muslims prepare for the holy month of Ramadan. The warning comes after the British Medical Association called for an inquiry into why people from such backgrounds - including the first 10 doctors to be named as fatalities - appear more vulnerable to the coronavirus.

AIR AID FOR NHS HEROES

The Sun, 12/04/2020, p.48, Unattributed

Airline crews from across the travel industry have come together to launch Project Wingman - a scheme to ease the pressure on frontline NHS staff during the coronavirus crisis. The project creates an atmosphere of a small airline lounge in hospitals for doctors, nurses and other NHS staff, where they can unwind, de-stress, off-load problems or simply have a chat with airline staff. There are currently more than 1,200 volunteer crew from different airlines in the UK, including Norwegian, easyJet, British Airways, Virgin Atlantic, TUI, Flybe, Jet2 and Loganair on hand to help NHS staff during and after their shifts throughout the day.

'It's beyond frustrating': overseas medics blocked from helping UK fight emergency

The Observer, 12/04/2020, p.11, Nosheen Iqbal

A petition co-ordinated by RefuAid and Help Refugees is lobbying the GMC to apply its emergency powers to hundreds of refugee doctors who have already passed English language and written exams with the GMC, but are unable to work on the frontline as their final exams in clinical care have been cancelled. Last Thursday, NHS England announced it was recruiting medical support workers, a new role aimed at deploying medical students and refugee doctors in auxiliary roles. The GMC permits these doctors to help as part of clinical care teams, but not as registered doctors able to appropriately use their skills and experience.

Red tape stops 21 stranded doctors helping the NHS

The Sunday Times, 12/04/2020, p.7, Dipesh Gadher

FAILING THE TEST

The Sun, 12/04/2020, p.8, Nick Parker; Nick Pisa; Graeme Culliford

NHS heroes are still being tested for coronavirus at a snail's pace at shambolic drive-through centres. Health Secretary Matt Hancock's pledge of 100,000 tests a day by the end of April looks unlikely with a current daily rate of 18,000, just 7,000 more than a week earlier.

Deep-sea divers move in to help hospitals

The Sunday Times, 12/04/2020, p.1, Andrew Gregory

More than 500 deep-sea divers with experience of coping with breathing difficulties have been drafted in to help the NHS treat critically ill coronavirus patients. The divers are all medical technicians who are experts in managing oxygen flow. A two-page alert notice sent by NHS England to medical directors said some hospitals were "drawing more oxygen from their tanks than the maximum flow for which they were designed". This increases the risk of tanks freezing, which could "cause flow to drop unexpectedly, compromising supply to patients". The divers' experience of the use of oxygen in tanks may help doctors identify and rectify any problems in supply before they become serious.

GPs tell patients to buy their own oxygen amid NHS shortages

The Sunday Times, 12/04/2020, p.4, Gabriel Pogrund; tim Ripley

GPs are advising patients with respiratory diseases to buy oxygen privately amid shortages of the gas across the NHS. Last week hospitals were warned to urgently consider limiting how many patients were given oxygen simultaneously. Hospitals usually have a pipeline to pump liquid oxygen from a central store to the wards, but most do not have the capacity to meet the demand from the number of patients they are treating with Covid-19. BOC Group, a German owned industrial gas company, which is thought to be the largest oxygen supplier to the NHS, said on Friday night it had been training military drivers, but that it currently had a "sufficient" number of staff available.

One in five dental practices going down the tube

The Sunday Times, 12/04/2020, p.4, Andrew Gregory

Millions of patients face being left without a dentist as one in five practices are on the brink of collapse this month. A sharp loss of income since the government banned all routine dental care during the coronavirus crisis has crippled practices, with many poised to close permanently. Some have already been forced out of business. A British Dental Association (BDA) survey of 2,800 practices found 71.5pc said they could stay "financially sustainable" for only three months at the most.

Staff must expose scandal says hero heart doc

Sunday Mirror, 12/04/2020, p.4, John Siddle

A doctor who lost his job for speaking out about NHS failings urged coronavirus whistle blowers not to be bullied into silence. Heart consultant Kevin Beatt, won GBP907,000 in damages last month after being unfairly sacked for exposing staffing shortages, run-down equipment and workplace bullying. The Department for Health said: "Whistle blowers perform a vital and courageous service." NHS England would not comment.

Give our NHS heroes reward they deserve

The Mail on Sunday, 12/04/2020, p.122, Unattributed

In many hospitals, doctors and nurses are being asked to treat Covid-19 patients without adequate protection. And it appears that the bigger the load carers are exposed to, the worse their own illnesses turn out to be. Retired doctors and nurses who have answered the call to help are being likened to kamikaze pilots. The overwhelming majority of NHS staff will do what they have been trained to do. This is their time to shine and be applauded. However, let's not resurrect that corny old label 'angels'. They are more like soldiers being instructed to go over the top, armed only with masks, gloves and flimsy aprons against an invisible enemy.

Distressed, unable to sleep - how much longer before our NHS workers burn out?

The Independent Daily Edition, 12/04/2020, p.28, Alison Leary

Comment: The UK is currently caught in a pandemic which is putting an enormous demand on the NHS and social care. The NHS is its workforce and its reach extends from intensive care units in acute hospitals to community pharmacy. It's a big complex system with a very diverse yet purposeful workforce of more than one and a half million people with a commitment to a common mission that many other sectors can only dream of.

Hospitals on brink of running out of gowns

The Sunday Telegraph, 12/04/2020, p.3, Edward Malnick and Laura Donnelly

Some NHS trusts are resorting to flying in supplies of personal protective equipment from China because of a UK shortage. The disclosures emerged alongside a new Government plan to tackle low supplies PPE, with any company that can produce such kit now asked to sign up. NHS Providers yesterday issued an alert about "critically low levels of stock of clinical gowns in some trusts". It came hours after Public Health England relaxed its guidance, saying that medical staff could wear coveralls if gowns were not available. Separately, The Telegraph can disclose that Public Health England and the NHS took four years to publish updated guidance on controlling the spread of infections in hospitals after the New and Emerging Respiratory Virus Threats Advisory Group suggested that intensive care units should be designated as "hot spots" in the event of an influenza pandemic.

ACTIONS TAKEN

• Sharing further messages around GP and pharmacy opening over the Easter Bank Holiday

• Preparing new messages for extension of lockdown

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice is ongoing

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

Primary Care Coronavirus briefing – Coventry and Warwickshire – 10 April 2020 (Issue 17) HOT HUBS UPDATE

183:820766164 (Ben Evans) — Fri, 10 Apr 2020 17:05:41 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 10 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Hot hubs - update

In order to better support primary care with the COVID-19 situation, the CCGs have been working closely with the relevant Primary Care Networks and Federations/Alliance and LMC at Place to finalise the details of the “hot hubs” assessment centres. There are now a number of hubs in each place: Coventry, Rugby, South Warwickshire and Warwickshire North.

The are available to be referred in to and referrals are being accepted over the Bank Holiday weekend and across the weekend.

Also extended access is available.

Place Area Practice Live from

Coventry Coventry Navigation 1 Malling Health at Foleshill Surgery

Monday – Friday: 11:00-14:00, 15:00-18:00 and 18:30-21:30

Saturday 08:00-13:00 and 14:00-19:00

Sunday 08:00-13:00 and 14:00-19:00

Bank Holidays as per times above Live

Coventry Sowe Valley Woodend Health Centre

Monday – Friday: 11:00-14:00, 15:00-18:00 and 18:30-21:30

Saturday 08:00-13:00 and 14:00-19:00

Sunday 08:00-13:00 and 14:00-19:00

Bank Holidays as per times above Live

Rugby Brownsover Brownsover Medical Practice

Monday – Friday: 09:30-12:00 and 14:00-17:00

Bank Holidays as per times above Live

South Warwickshire Stratford

Rother House Surgery

Monday – Friday: 12:00-15:00 and 18:30-21:00

Saturday 09:00-13:00

Sunday 09:00-12:00

Bank Holidays Friday and Monday: 09:00-21:00 Live

Leamington North and South

Crown Way

Monday – Friday: 15:30-18:00 and 18:30-21:00

Saturday 09:00-13:00

Sunday 09:00-12:00

Bank Holidays Friday and Monday: 09:00-21:00 Live

East PCN Southam Clinic

Monday – Friday: 18:30-21:00

Tuesday – 14:30 – 16:00

Bank Holiday Monday: 12:00-21:00 Live

Warwick Brese Avenue Branch Surgery

Monday – Friday: 14:00-17:00 and 18:30-21:00

Saturday 09:00-13:00

Sunday 09:00-12:00

Bank Holidays Friday and Monday: 09:00-21:00 Live

Kenilworth Smalley Place

Monday – Friday: 15:00-17:00 and 18:30-21:00

Saturday 09:00-13:00

Sunday 09:00-12:00

Bank Holidays Friday and Monday: 09:00-21:00 Live

Arden PCN Henley-in-Arden Asthetics Clinic

Monday – Friday: 15:00-18:00 and 18:30-21:00

Saturday 09:00-13:00

Sunday 09:00-12:00

Bank Holidays Monday: 15:00-21:00 Live from Monday 13th April

Warwickshire North Polesworth Polesworth Health Centre Live from Thursday 16th April subject to Demand

Galley Common Galley Common Medical Centre

Monday – Friday: 13:00-17:30 and 18:30-21:30

Saturday 13:00-18:00

Sunday 13:00-18:00

Bank Holidays Friday 10th April: 13:00-17:30

Monday 13th April: 13:00-17:30 and 18:30-21:30 Live

Bank Holiday cover:

South Warwickshire Place:

Please note that all the South Warwickshire CCG 18:30-21:00 Good Friday and Easter Monday and all day Saturday 11th and Sunday 12th April Hot Hub sessions are covered by Extended Access and therefore any Hub is available to all patients across South Warwickshire – not just to those within that PCN, although in line with social distancing we are encouraging patients to attend their local base.

LATEST LOCAL PICTURE

Local picture (as of 9 April)

• 757 cases now confirmed in Coventry and Warwickshire (+23 / +3.1% from yesterday)

• 304 of these are currently admitted (-2 / -0.7% from yesterday)

• 668 beds still available (+7 / +1.1% from yesterday)

• 138 reported deaths in a hospital setting (+28 / +25.5% from yesterday)

Note – ITU figures not available in today’s daily report, hence not included above.

2. Staff testing - update

There has been a separate email on staff testing for the bank holiday sent to a lead at each practice.

3. UHCW Outpatient Guidance for Primary Care during COVID-19

2 Week Wait Referrals

ALL 2 week wait referrals will be accepted. Referrals will be triaged by a consultant as normal.

We are aware there have been issues with this, we are urgently following up on any 2WW referrals that have been identified as being rejected.

All other new referrals

We very much appreciate the support of Primary Care in ensuring that routine patients do not get referred during this time, however we will continue to accept ALL other referrals. They will fall into the following category:

1. Clinically urgent and booked into an urgent slot (this will be either virtually or in some cases, face to face).

2. Placed on a monitoring list and flagged (each speciality will be reviewing their monitoring list on a regular basis). No re-referral required for this group of patients by GP.

3. Managed with advice and guidance to the GP and patient

4. Assessed as low priority and referred back to their GP (we are expecting these to be low in volume). These will need to be re-referred at a later date, as needed.

All Appointment Cancellations

We are holding a central log of all appointments that have been cancelled (including those on the NHS eReferral Service). We will rebook patients into either virtual or face to face appointments via our booking team. We do not expect patients who have been cancelled by the hospital to be re referred. We have texted all patients that had an appointment booked, asking them not to attend the hospital and to confirm we will be in contact with them by phone.

We are currently working with primary care colleagues in the RSS team to review how we can support the management of routine referrals and communication will be sent out in due course.

Remote working in primary care - Guidance for GP practices during COVID-19 emergency - 10/04/2020

Fri, 10 Apr 2020 09:59:36 GMT

Please see the attached Remote working in primary care - Guidance for GP practices during COVID-19 emergency response.

This will be added to our website shortly https://www.england.nhs.uk/coronavirus/publication/preparedness-letters-for-general-practice/

Please can you cascade this to the following in your organisation:

• Heads of primary care commissioning – with an action request for them to send to All GPs in England.

• CCG Covid-19 leads – to share with AOs and Clinical leads for information

• ICS primary care leads – for information

• STP primary care leads – for information

Please can you make sure that each of the above is aware of who else this has been sent to.

Please note that this has also been shared with the Ministry of Defence for cascade out to military GPs

Kind Regards

Siobhan Carlton

Midlands Region Incident Co-Ordination Centre SPOC

For the latest information on Covid-19 visit:

• NHS: https://www.england.nhs.uk/ourwork/eprr/coronavirus/

• Public Health (incl all government advice): https://www.gov.uk/guidance/wuhan-novel-coronavirus-information-for-the-public

• Patients/public: https://www.nhs.uk/conditions/coronavirus-covid-19/

CAS Alert and recall for drugs and medical devices -10/04/2020

Fri, 10 Apr 2020 08:56:50 GMT

COVID-19: All haemofiltration systems including machines and accessories – serious risks if users don’t follow manufacturer instructions for set-up (MDA/2020/013)

All manufacturers – there have been reports of off-label modifications to haemofiltration systems when treating Covid-19 patients leading to serious injury and death.

Published 10 April 2020

From: Medicines and Healthcare products Regulatory Agency - Issued: 10 April 2020

Alert type: Medical device alert - Medical specialty: Anaesthetics, Critical care, Renal medicine, Vascular and cardiac surgery

Action

Patients are at risk of serious injury or death if the manufacturer’s instructions on set-up are not followed.

Healthcare professionals must be aware of the following manufacturer advice:

Do not connect additional extension lines between the machine and patient as the machine will not be able to monitor pressure or blood loss accurately. Haemofiltration machines must be set up in line with the manufacturer’s instructions.

All filters used for haemofiltration treatments must be checked prior to use to ensure the function is appropriate for planned treatment.

Haemo filters must be stored separately from plasma filters. The storage location should be clearly labelled and include a WARNING to check the right device is being selected.

There is further information in the ‘background’ section

Action by

Intensive care physicians, intensive care nurses, theatre managers, renal departments.

Deadlines for actions

Actions underway: as soon as possible

Actions complete: as soon as possible

Note: We won’t be collecting responses

Medical Device Safety Officers (in England): ask the manufacturer to add you to their distribution list for field safety notices (FSNs). This is to help with reconciliation.

Remember: if your organisation receives an FSN from a manufacturer, always act on it. Do not wait for a communication from MHRA.

Background

Haemofiltration machines

Baxter Healthcare has published safety advice (FSN 1 & FSN 2) after identifying that off-label modifications (such as the use of extension sets and connectors) were being made to their machines in order to minimise cross-contamination of SARS-CoV-2.

However, this introduces a number of new risks to the patient such as undetected blood loss, air embolism, infection and hypothermia.

This advice applies to all manufacturers’ haemofiltration machines.

Filters used during haemofiltration therapy

We are also aware of reports where incorrect filters have been selected for use during haemofiltration treatment e.g. a plasma filter incorrectly used instead of a haemofilter.

The filters look similar but serve different specialised functions, which are clearly labelled.

Using the wrong filter can lead to patient death if it’s not identified prior to use.

Distribution

If you are responsible for cascading these alerts in your organisation, these are our suggested distribution lists.

Trusts (NHS boards in Scotland) CAS and NICAS liaison officers for onward distribution to all relevant staff including:

Adult intensive care units

Biomedical engineering staff

Haemodialysis units

Health and safety managers

Intensive care medical staff/paediatrics

Intensive care nursing staff (adult)

Intensive care nursing staff (paediatric)

Intensive care units

Intensive care, directors of

Medical directors

Medical libraries

Nursing executive directors

Paediatric intensive care units

Renal medicine departments

Renal medicine, directors of

Risk managers

Independent distribution

Establishments registered with the Care Quality Commission (CQC) (England only)

Hospitals in the independent sector

Independent treatment centres

Nursing agencies

Enquiries

England

Send enquiries about this notice to the MHRA, quoting reference number MDA/2020/013 or 2020/004/002/291/009.

Technical aspects

Roopa Prabhakar or Eliz Mustafa, MHRA

Tel: 020 3080 6000

Email: DSS-TM@mhra.gov.uk

Clinical aspects

Devices Clinical Team, MHRA

Tel: 020 3080 7274

Email: dct@mhra.gov.uk

Reporting adverse incidents in England

Through Yellow Card

Northern Ireland

Northern Ireland Adverse Incident Centre, (NIAIC), CMO Group, Department of Health (Northern Ireland),

Department of Health, Social Services and Public Safety

Tel: 028 9052 3868

Email: niaic@health-ni.gov.uk

https://www.health-ni.gov.uk/niaic

To report an adverse incident involving a medical device in Northern Ireland use the forms on our website.

Alerts in Northern Ireland are distributed via the NICAS system.

Scotland

Enquiries and adverse incident reports in Scotland should be addressed to:

Incident Reporting and Investigation Centre (IRIC),

Health Facilities Scotland,

NHS National Services Scotland

Tel: 0131 275 7575

Email: nss.iric@nhs.net

Reporting adverse incidents in Scotland

Wales

Enquiries in Wales should be addressed to:

Healthcare Quality Division,

Welsh Government

Tel: 02920 823 624 / 02920 825 510

Email: Haz-Aic@wales.gsi.gov.uk

Reporting adverse incidents in Wales

Report to MHRA through Yellow Card and follow specific advice for reporting in Wales in MDA/2004/054 (Wales).

Download document

MDA/2020/013

Published 10 April 2020

Primary Care Coronavirus briefing – Coventry and Warwickshire – 9 April 2020 (Issue 16)

183:820766164 (Ben Evans) — Thu, 09 Apr 2020 15:51:29 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 9 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Easter - updated

We have now received clarification about the requirements and reimbursement rates for practices that are open over Easter.

Practices opening on Good Friday and Easter Monday are able to seek reimbursement for additional staffing costs incurred on these days, in line with the respective rates as set out below. That includes:

• Sessional GPs: up to a maximum of £250 a session or £500 per day;

• Overtime for salaried GPs in line with the individual’s contractual arrangements;

• Additional capacity from GP Partners to recognise up to two additional sessions on each of Good Friday and Easter Monday at a rate of £289 per session plus applicable employer National Insurance and pension costs;

• Overtime for non-GP practice staff in line with the individual’s contractual arrangements.

Our expectation is that practices should be providing a doctor led service for their routine contractual hours, this will include patients being able to contact the surgery for queries, completing telephone triage, non-face to face consultations and face to face appointments for cold patients after triage, if necessary. The minimum staffing expected within the practice is one GP, plus any administration support required for reception and telephone triage. If practices are intending to provide over and above this, they are asked to contact the CCG with their proposed staffing levels for this to be formally agreed. Please contact your local Head of Primary care (Roma Holland / Nicola Temperley-Smith or Sarah Johnson)

CCGs will need to provide NHSEI evidence of the number of practices open over the two bank holidays and the staffing levels deployed, this information will be collected from practices w/c 13th April if not previously provided..

Those practices that also dispense should ensure that the dispensing side is open the usual core hours as per the practice requirement.

Local Hot Hubs remain open over the Easter period for hot cases.

Attachment: Letter re Easter Opening TT 09 04 2020.pdf

2. PPE

Confirmation around PPE. Practices must ensure that they continue to order the PPE they require from their usual suppliers. We appreciate that most suppliers have depleted stock, but some are seeing this change and do have stock coming through.

Practices need to order PPE as per the latest guidance. This can be found at https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe

For immediate short-term issues around PPE, the National Supply Disruption Response (NSDR) are able to issue ‘pre-packed kits’ with a minimum of (100 Type IIR face masks; 100 aprons and 100 pairs of gloves) within 72 hours. Practices who raise requests for kits through NSDR must to be able to make arrangements to receive emergency delivery of these ‘pre-packed kits’ outside of business hours.

The NSDR 24/7 telephone helpline is 0800 915 9964 or supplydisruptionservice@nhsbsa.nhs.uk. Practices will need to ensure that they have the relevant information to hand.

The CCG does not hold a stock of PPE. If practices are having difficulty in obtaining PPE and have exhausted all of the above options, then please notify the CCG and we will help where we can.

If you have any further concerns about PPE, please contact us on the COVID-19 email.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Letter re Easter Opening TT 09 04 2020.pdf (item 1)

• Coventry and Warwickshire COVID Primary Care Patient Monitoring.docx (item 3)

• Coventry ^0 Warwickshire Pharmacies Opening Hours - April 2020 vs1.xlsx (item 4)

• EPAU Referral Pathway-COVID.docx, Revised 2ww information in light of COVID.docx (item 6)

LATEST LOCAL PICTURE

Local picture (as of 7 April)

There are 734 cases now confirmed in Coventry and Warwickshire

306 of these are currently admitted (+0 / +0.0% from yesterday)

661 beds still available (-7 / -1.0% from yesterday)

21 ITU beds still available (-11 / -34.4% from yesterday)

110 reported deaths in a hospital setting (+8 / +7.8% from yesterday)

LATEST LOCAL UPDATE

3. Coventry and Warwickshire COVID-19 Patient Telephone Monitoring Standard Operating Procedure

The attached operating procedure has been developed based on the guidance set out in the GP preparedness letter issued on the 27th March 2020 and Guidance and standard operating procedures, General practice in the context of coronavirus (COVID-19) guidance and details how practices in Coventry and Warwickshire should deliver telephone monitoring to their patients and details the interface between practices and NHS 111. Assessment Service and Covid patient monitoring requirements. (Attachment: Coventry and Warwickshire COVID Primary Care Patient Monitoring.docx)

4. Coventry and Warwickshire Pharmacies Opening hours

Community Pharmacy phone numbers & opening hours – normal and Easter and any known change due to Covid. (Attachment: Coventry ^0 Warwickshire Pharmacies Opening Hours - April 2020 vs1.xlsx). Please note the Easter hours are correct as at time of sending

5. GP Teaching Palliative Care and COVID19 teaching session

A Zoom presentation of the session is available to view here

6. Oxford University Hospitals – referral updates

Referral to Early Pregnancy Assessment Unit

Revised 2ww information in light of COVID- 19

Both are attached (Attachment: EPAU Referral Pathway-COVID.docx, Revised 2ww information in light of COVID.docx)

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 9 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 9 April 2020

No updates this issue.

UPDATES FOR Warwickshire North – 9 April 2020

7. Cancellation of Warwickshire North PLT Events

The decision has been taken yesterday to stand down all future Warwickshire North PLT sessions until further notice at such time that we can re-start the sessions again. To clarify the out of hours cover by Care UK has also been cancelled - practice Managers please ensure that your surgery phone lines do not have a message directing patients to care UK.

We are aware that education is important around Covid-19 during this time and also non-Covid-19 pathology. All relevant guidance and webinars will be disseminated through the daily Primary Care Coronavirus briefing from the generic address-warnoccg.covid19primarycarecommunications@nhs.net.

LATEST NATIONAL PICTURE

• As of 9am on 8 April 2020, 282,074 people have been tested in the UK and 60,733 were confirmed as positive. As of 5pm on 7 April 2020, of those hospitalised in the UK, 7,097 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Chancellor of the Exchequer, Rishi Sunak statement on coronavirus (COVID-19) delivered via a press conference on 8 April 2020, detailing the government’s response to coronavirus and centred on the support for the charity sector in response to coronavirus. The briefing transcript is available to view online.

• The press conference slides and datasets used by Professor Angela McLean, Deputy Chief Scientific Adviser in the daily coronavirus press conference on 8 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

8. NHS England Primary Care Bulletin – new edition – 8 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (8 April) and contains details on Good Friday and Easter Monday reimbursement rates, maintaining standards and quality of care in pressurised circumstances and an update on identifying highest risk patients. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Gabi Darby and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

9. Primary Care Webinar

The next GP Preparedness webinar for primary care will be on tonight from 5-6pm. Join via the Microsoft teams link.

10. New mental health hotline to benefit Midlands staff tackling Covid-19

NHS workers in the Midlands can now benefit from a new mental health hotline as they continue their vital work in helping people deal with the coronavirus. NHS England and NHS Improvement has launched the new service as part of a package of measures to support NHS staff in the Midlands. Full details here.

11. How primary care professionals can access NHS volunteer responders

NHS Volunteer Responders have been mobilised to help support vulnerable individuals who are self-isolating, particularly those most at risk from COVID-19 and those considered vulnerable by health practitioners and local authorities. The volunteer initiative is being delivered by NHS England and NHS Improvement in partnership with Royal Voluntary Service and enabled by the GoodSam Responders app. An explanation of the scheme and how to access it can be found here.

12. Whatsapp scam

We are aware of a voice message circulating about the ambulance response to coronavirus, as well as restrictions on movement and predicted case numbers, which claims to have come from PHE. This is fake news, and we would urge people to ignore the message and not share it further.

13. Media enquiries

14. Daily briefing – next issue

Issue 17 will be sent out on Tuesday 14 April.

ACTIONS FOR PRIMARY CARE

Review the changes to Bank Holiday opening on Good Friday and Easter Monday including the reimbursement rates.

Note the date for the next primary care webinar, tonight (9 April) from 5pm – 6pm.

----------------------------------------------------------------------------------------------------------------------------

The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

CQC update for primary medical and dental services - 09/04/2020

Thu, 09 Apr 2020 08:36:03 GMT

9 April 2020 update on CQC's COVID-19 response

The independent regulator of health and social care in England

COVID-19 Update

9 April 2020

A weekly update for providers and professionals working in primary medical and dental services, sharing the latest guidance on COVID-19 and CQC's approach during this period.

A message from Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care

Rosie shares how we've changed our regulatory approach so we're supportive of providers and provides information and advice around questions providers have raised with us

Joint statement on community based prescribing for COVID-19 symptoms

CQC has issued a joint statement with the General Medical Council (GMC) in response to questions around how recently produced NICE guidelines align with GMC and MHRA advice about the use of medicines that are unlicensed or outside the terms of their existing license (‘off-label’).

Stay up to date with the latest CQC COVID-19 information

We're making changes to the way we work during the COVID-19 outbreak. We've developed a dedicated area on our website so that you can stay up to date with the latest information. Find out more.

Update for dental providers

We wrote to you on 3 April to address concerns you had raised with us around Local Urgent Dental Care Centres and provided advice on how dental care should be delivered until these are operational.

Notifications to CQC

There are no changes to requirements for you to make notifications to us, and notifications should be made in the same way as usual.

This may mean letting us know if your service is being negatively affected by coronavirus, it does not mean that you need to notify us of every single coronavirus related issue.

We've published new guidance to help you understand how and when to notify us. This guidance also includes information registration applications and notifications for 'hot hubs / red sites'

Updated Regulation 16 (death notification) form

We would like to understand the numbers of deaths that are occurring due to COVID-19, whether suspected or confirmed. To do this, we have updated the Regulation 16 (death notification) form so you can indicate whether the death was a result of coronavirus (either confirmed or suspected).

The information you provide will help us develop a more accurate picture of the number of deaths due to COVID-19, which in turn will help us to work with system partners to mobilise the right level of support. It will also help the inform the government response, so it can put in place appropriate measures to support the health and social care system during this time.

Visit our website to access the updated form.

Contacting CQC

NHS Volunteer Responders: open to referrals from health professionals

An incredible 750,000 volunteers have signed up for NHS Volunteer Responders since it was launched on 24 March. NHS England and NHS Improvement has published guidance for health professionals to explain how the programme works and how to refer patients for support. We are encouraging health and social care professionals to start using the service to refer patients for support who you consider to be vulnerable.

Royal Voluntary Service, the charity delivering the volunteer effort, will have completed security checks for the 750,000 applications by the end of Tuesday. Thousands of these approved volunteers will be offered tasks via the GoodSAM app and will start helping people safely, with more expected to get requests over the coming weeks as referrals ramp up.

Health professionals, pharmacists and local authorities can upload requests for help on the NHS Volunteer Responders referrer’s portal and volunteers pick the job they want to do that day and close the task once complete. Requests for support for individuals or organisations can be made by submitting details online via the NHS Volunteer Responders referrers’ portal. You can also call 0808 196 3382 to refer patients.

Tell us about your good practice and innovations!

We're looking for examples of where providers are innovating in various ways to meet the challenge of responding to COVID-19.

These may be, for example, as ‘simple’ as providing an iPad to help people in a care home communicate with their family, something more radical such as using staff in different ways or reorganising services, or introducing technological solutions.

Free refresher training for health and care professionals returning to work

For more information please visit the Blue Stream Academy website, or register for access by getting in touch.

Interim methodology for Mental Health Act monitoring visits

We have written to providers of mental health services to update them on the interim methodology for Mental Health Act monitoring visits during the COVID-19 pandemic.

We will be introducing new remote monitoring methods to continue our monitoring of the use of the Mental Health Act. This will include collecting data from a range of sources via phone, email or video calls. If we believe there to be a risk of harm, ill-treatment or human rights breaches for people detained in services then we will, with oversight from the Chief Inspector, carry out additional activity which may include a site visit.

We will focus on carrying out monitoring where there are known or emerging concerns, for example, allegations or complaints from people who are detained in the service. Our primary objective at this time continues to be to support providers and keep people safe.

For more information read the letter from Kevin Cleary, Deputy Chief Inspector (Mental Health) and Kevin Cleary’s blog on protecting people’s safety, equality and rights during the COVID-19 outbreak.

Guidance for primary care and dental services professionals

• NEW: Briefing from NHS England on the Coronavirus Act - excess death provisions: infor-mation and guidance for medical practitioners

• NEW: NICE COVID-19 rapid guidelines

• NEW: Advice and information on looking after your mental health and wellbeing during the coronavirus outbreak from NHS England and the Mental Health Foundation

• Latest updates and guidance for dental practice

• Webinars for community pharmacy, dental, digital primary care and general practice staff, in-cluding links to recordings of past webinars

• Guidance from the Department of Health and Social Care on how local authorities can use the new Care Act easements

• Investigation and initial clinical management of possible cases

• Guidance for primary care

• Guidance on the supply and use of personal protective equipment

• Letters for providers and professionals from NHS England/Improvement

• Guidance for health professionals

• Guidance from NHS England and Improvement

• Guidance for health professionals who have diagnosed a case within their facility

• Infection prevention and control

• Rapid tests for use in community pharmacies or at home

• Guidance for sampling and for diagnostic laboratories

• Department of Health and Social Care's coronavirus action plan

• NHS England has published measures for people who might be at greatest risk from corona-virus. Guidance (including an easy read version) is available on its website. People who are classed as extremely vulnerable are being asked to register for support.

Accessibility resources to help you communicate about COVID-19

• Signhealth is providing a videos of summaries of key coronavirus guidance in BSL

• The handwashing rap, produced to help people who have a learning disability

• Public Health England stay at home guidance, translated and in easy read

• Public Health England guidance on social distancing, translated.

• NHS guidelines translated into 32 languages by Doctors of the World

• Easy read information on COVID-19 from Mencap

• Public Health England resources in accessible formats

• COVID-19 guidance for providers of services for people experiencing rough sleeping

Further information

• Public Health Matters blog from Public Health England

• Number of COVID-19 cases in the UK

Follow @CQCProf on Twitter to get regular updates about the work we are doing with professionals and provider organisations in England.

We are England's independent health and adult social care regulator.

Join our digital participation platform for providers and professionals to get involved in CQC's work - help inform policies, take part in discussions and test new products.

CQC update for adult social care providers - 09/04/2020

Thu, 09 Apr 2020 08:30:51 GMT

9 April 2020 update on CQC's COVID-19 response

The independent regulator of health and social care in England

COVID-19 Update

9 April 2020

A weekly update for providers and professionals working in adult social care, sharing the latest guidance on COVID-19 and CQC's approach during this period.

Stay up to date with the latest CQC COVID-19 information

We're making changes to the way we work during the COVID-19 outbreak. We've developed a dedicated area on our website so that you can stay up to date with the latest information. Find out more.

Updated Regulation 16 (death notification) form

Please use this updated form to provide all Regulation 16 notifications from now on. We are aware that providers may have copies of the form saved locally on their computers – please check to make sure you are using the updated version. You can also bookmark the notification pages, or add them to your favourites, to ensure you are always able to access the most up-to-date form.

Visit our website to access the updated form.

Interim guidance on DBS and other recruitment checks

We have published interim guidance on DBS and other recruitment checks, for providers recruiting staff and volunteers to health and social care services in response to coronavirus.

We have issued this interim guidance in response to temporary changes being made by the Disclosure and Barring Service (DBS) to DBS applications and processes. It will be in operation for the period the Coronavirus Act 2020 remains in force. We will review it on a regular basis.

Providers should read the whole of this guidance, which is available on our website.

Interim methodology for Mental Health Act monitoring visits

We have written to providers of mental health services to update them on the interim methodology for Mental Health Act monitoring visits during the COVID-19 pandemic.

Tell us about your good practice and innovations!

We're looking for examples of where providers are innovating in various ways to meet the challenge of responding to COVID-19.

Contacting CQC

NHS Volunteer Responders: open to referrals from health and care professionals

An incredible 750,000 volunteers have signed up for NHS Volunteer Responders since it was launched on 24 March. NHS England and NHS Improvement has published guidance for health professionals to explain how the programme works and how to refer patients for support. Health and social care professionals are encouraged to start using the service to refer people who use services for support.

Health professionals, pharmacists and local authorities can upload requests for help on the NHS Volunteer Responders referrer’s portal and volunteers pick the job they want to do that day and close the task once complete. Social care providers can also make referrals directly if they have an nhs.net or gov.uk email address. Without one, they will need to await approval which may take up to 72 hours, or they can make referrals via their local authority.

Requests for support for individuals or organisations can be made by submitting details online via the NHS Volunteer Responders referrers’ portal. You can also call 0808 196 3382 to refer people who use services.

Tell Us Once

Tell Us Once is a service that lets you report a death to most government organisations in one go.

If you are registering a death with a registrar in your capacity as an official informant, care home manager, next of kin or relative, the registrar will issue you with a unique Tell Us Once service reference number. You can then use this reference number to access Tell Us Once to complete the service to notify central and local government departments.

The system is easy to use and once completed departments are notified instantly, which means there is no need for you, or relatives, to contact them separately via telephone or in writing. Visit the website for more information, including a list of the details you will need to use the service.

Updated guidance on COVID-19 prioritisation within community health services

Guidance from NHS England details which community health services should stop, partially stop or continue so that providers can release capacity to support the COVID-19 response, and has recently been updated in line with developing clinical advice. To easily identify the most significant changes, it is accompanied by a change log which records additions, removals and changes to categorisation of services. The guidance will be discussed as part of a webinar for colleagues involved in community health services on Friday 3 April. For details on this webinar please email: england.ageingwell@nhs.net

Free refresher training for health and care professionals returning to work

For more information please visit the Blue Stream Academy website, or register for access by getting in touch.

Useful guidance

• NEW: Guidance on admission and care of people in care homes

• NEW: The Enhanced health in care homes framework has been expanded to include oral health; falls, strength and balance; mental health; wound care; continence promotion and management; and flu prevention and management. The framework can be used to support your engagement with your aligned primary care network.

• NEW: NICE COVID-19 rapid guidelines

• NEW: Advice and information on looking after your mental health and wellbeing during the coronavirus outbreak from NHS England and the Mental Health Foundation

• Guidance from Skills for Care on training staff during the COVID-19 pandemic

• Investigation and initial clinical management of possible cases

• NICE COVID-19 rapid guideline on critical care: updated following concerns raised by patient groups

• Ethical framework for adult social care

• Guidance for residential care, supported living and home care

• Guidance on the supply and use of personal protective equipment

• Guidance for health professionals

• Guidance for health professionals who have diagnosed a case within their facility

• Infection prevention and control

• Rapid tests for use in community pharmacies or at home

• Guidance for sampling and for diagnostic laboratories

• Department of Health and Social Care's coronavirus action plan

Accessibility resources to help you communicate about COVID-19

• Signhealth is providing a videos of summaries of key coronavirus guidance in BSL

• Public Health England stay at home guidance, translated and in easy read

• Public Health England guidance on social distancing, translated.

• NHS guidelines translated into 32 languages by Doctors of the World

• Easy read information on COVID-19 from Mencap

• Public Health England resources in accessible formats

• COVID-19 guidance for providers of services for people experiencing rough sleeping

• The handwashing rap, produced to help people who have a learning disability

Further information

• Public Health Matters blog from Public Health England

• Number of COVID-19 cases in the UK

Keep up with our work with professionals and provider organisations in England by following us on Twitter @CQCProf.

We are England's independent health and adult social care regulator.

Join our digital participation platform for providers and professionals to get involved in CQC's work - help inform policies, take part in discussions and test new products.

CQC updates for healthcare professionals - 09/04/20

Thu, 09 Apr 2020 08:24:12 GMT

9 April 2020 update on CQC's COVID-19 response

The independent regulator of health and social care in England

COVID-19 Update

9 April 2020

A weekly update for providers and professionals working in healthcare services, sharing the latest guidance on COVID-19 and CQC's approach during this period.

Stay up to date with the latest CQC COVID-19 information

We're making changes to the way we work during the COVID-19 outbreak. We've developed a dedicated area on our website so that you can stay up to date with the latest information. Find out more.

Interim methodology for Mental Health Act monitoring visits

We have written to providers of mental health services to update them on the interim methodology for Mental Health Act monitoring visits during the COVID-19 pandemic.

Updated Regulation 16 (death notification) form

Visit our website to access the updated form.

Tell us about your good practice and innovations!

We're looking for examples of where providers are innovating in various ways to meet the challenge of responding to COVID-19.

Administration of radioactive substances

Guidance on working under Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) has been updated to include advice on the administration of radioactive substances. Visit our website for more information.

Any transfer of services, for example independent healthcare providers taking on NHS nuclear medicine services, needs careful consideration and risk assessment before changes are implemented, as there are other regulatory requirements that need to be satisfied as well as the employer's license.

Under IR(ME)R, sites where radioactive substances are administered bust be licensed for each specific purpose. Therefore, the Administration of Radioactive Substances Advisory Committee (ARSAC) support unit should be contacted where there is a plan to transfer a service to a site where it is currently not performed.

Please notify the CQC IR(ME)R inspectorate if you plan to take on a service where radioactive substances are administered. Possible examples include technetium inspections for sentinel node localisation, seed localisation for breast lesions, and radium-223 therapy for metastatic prostate disease.

Interim guidance on DBS and other recruitment checks

We have published interim guidance on DBS and other recruitment checks, for providers recruiting staff and volunteers to health and social care services in response to coronavirus.

Providers should read the whole of this guidance, which is available on our website.

Contacting CQC

NHS Volunteer Responders: open to referrals from health professionals

Free refresher training for health and care professionals returning to work

Each topic has been summarised and presented on the quickest and easiest eLearning platform in the UK, all of which can be accessed on any device that is connected to the internet.

For more information please visit the Blue Stream Academy website, or register for access by getting in touch.

Useful guidance and updates

• NEW: Briefing from NHS England on the Coronavirus Act - excess death provisions: information and guidance for medical practitioners

• NEW: Guidance for ambulance trusts

• NEW: NICE COVID-19 rapid guidelines

• NEW: Advice and information on looking after your mental health and wellbeing during the coronavirus outbreak from NHS England and the Mental Health Foundation

• Investigation and initial clinical management of possible cases

• NICE has updated its rapid COVID-19 guideline on critical care following concerns raised by patient groups

• Letters for providers and professionals from NHS England/Improvement

• Guidance for health professionals

• Guidance for health professionals who have diagnosed a case within their facility

• Infection prevention and control

• Rapid tests for use in community pharmacies or at home

• Guidance for sampling and for diagnostic laboratories

• Department of Health and Social Care's coronavirus action plan

Accessibility resources to help you communicate about COVID-19

• Signhealth is providing a videos of summaries of key coronavirus guidance in BSL

• Public Health England stay at home guidance, translated and in easy read

• Public Health England guidance on social distancing, translated

• NHS guidelines translated into 32 languages by Doctors of the World

• Easy read information on COVID-19 from Mencap

• Public Health England resources in accessible formats

• COVID-19 guidance for providers of services for people experiencing rough sleeping

• The handwashing rap, produced to help people who have a learning disability

Further information

• Public Health Matters blog from Public Health England

• Number of COVID-19 cases in the UK

Follow @CQCProf on Twitter to get regular updates about the work we are doing with professionals and provider organisations in England.

Did this bulletin work for you?

We are England's independent health and adult social care regulator.

Join our digital participation platform for providers and professionals to get involved in CQC's work - help inform policies, take part in discussions and test new products.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 8 April 2020 (Issue 15)

183:820766164 (Ben Evans) — Wed, 08 Apr 2020 15:47:33 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 8 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Easter - updated

As one NHS team, primary care colleagues are being asked to work together and boost the help to our colleagues in hospitals and other care settings as we all prepare for the surge in cases we expect to start to see locally from this weekend, with increasing care needs for our population and impact on staff.

This has been realised in the exceptional steps taken this Easter with changes to the GP contract regulations meaning that Friday 10 and Monday 13 April 2020 are defined as core hours. This means that they are normal working days for general practice as they are for the whole NHS so practices should be open from 8.00am – 6.30pm.

Out of Hours provision will be provided as per a normal weekend from 6.30pm Friday to Monday 8.00am and they are re-purposing their usual bank holiday capacity into maximising their clinical triage home visiting services to manage the weekend surge.

It can’t be denied that right across the NHS a lot is being asked of you and your colleagues and this will continue as Covid and its effect on the population gathers pace. There is incredible pressure on the health system, but in a short space of time a huge amount of work has been done to ensure we are prepared to face this massive challenge. For what has already been completed and for the undertaking that is yet to come, we are grateful to you all.

Dr Sarah Raistrick, Dr David Spraggett, Dr Imogen Staveley

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Oxford University Hospitals - Referrals during Covid 19 situation.docx (item 2)

LATEST LOCAL PICTURE

Local picture (as of 7 April)

There are 677 cases now confirmed in Coventry and Warwickshire

306 of these are currently admitted (+3 / +1.0% from yesterday)

668 beds still available (+18 / +2.8% from yesterday)

32 ITU beds still available (+0 / +0.0% from yesterday)

102 hospital deaths with Covid reported (+22 from yesterday).

LATEST LOCAL UPDATE

2. Oxford University Hospitals Outpatient Appointments, Surgery & Referrals

As part of Oxford University Hospitals (OUH) planning to postpone non-urgent work due to Covid-19 and keeping staff and patients as safe as possible, we have taken the decision to put on hold referral of any new routine referrals to the Trust. The OUH understand primary care is under pressure too so we appreciate your support with this decision. Full details of how this affects outpatient appointment, surgery and referrals is attached. (Attachment: Oxford University Hospitals - Referrals during Covid 19 situation.docx).

3. COVID-19: ethical issues: Guidance for doctors on ethical issues likely to arise when providing care and treatment during the COVID-19 outbreak

This guidance from the BMA is produced to support the easy read FAQs on the same topic. It explores in more detail the ethical issues likely to be encountered during the COVID-19 outbreak and what good decision making requires.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 8 April 2020

No updates this issue.

UPDATES FOR South Warwickshire – 8 April 2020

No updates this issue.

LATEST NATIONAL PICTURE

• As of 9am on 7 April 2020, 266,694 people have been tested in the UK and 55,242 were confirmed as positive. As of 5pm on 6 April 2020, of those hospitalised in the UK, 6,159 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Foreign Secretary's statement on coronavirus (COVID-19) delivered via a press conference on 7 April 2020, detailing the government’s response to coronavirus. The briefing transcript is available to view online.

• The press conference slides and datasets used by Sir Patrick Vallance, Chief Scientific Adviser in the daily coronavirus press conference on 7 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

4. NHS England Primary Care Bulletin – new edition – 7 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (7 April) and has a large amount of information on bank holiday preparations and access to primary care services (the main change being Friday 10 April (Good Friday) and Monday 13 April (Easter Monday) are defined as core hours). Also included are making use of the volunteer responders service and secure messaging available in the NHS App. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Gabi Darby and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

5. Primary Care Webinar

The next GP Preparedness webinar for primary care will be on Thursday 9 April from 5-6pm. Join via the Microsoft teams link.

6. PPE guidance

As part of the PPE guidance which went out recently, there were helpful communications materials which may not have been picked up. These include an FAQ document and a poster on the how to use PPE correctly. The guidance and other supporting documents can be found here.

7. Media enquiries

ACTIONS FOR PRIMARY CARE

Review the changes relating to changes to Bank Holiday opening on Good Friday and Easter Monday.

Note the date for the next primary care webinar: Thursday 9 April at 5pm – 6pm.

----------------------------------------------------------------------------------------------------------------------------

The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

Arden and GEM CSU Coronavirus briefing - 08.04.20

Wed, 08 Apr 2020 12:13:13 GMT

Coronavirus briefing for Coventry and Warwickshire on Wednesday 8 April 2020

LATEST NATIONAL PICTURE

• As of 9am 7 April, 213,181 people have been tested, of whom 55,242 tested positive.

• As of 5pm on 6 April, of those hospitalised in the UK who tested positive for coronavirus, 6,159 have died.

• Prime Minister Boris Johnson remains in Intensive Care. His condition is said to be stable.

• Foreign Secretary Dominic Raab gave the 7 April 2020 daily press briefing on the government's response to the COVID-19 pandemic. Read it here

• Slides and dataset that accompanied the briefing can be found here

• The latest health advice is available here

LATEST LOCAL PICTURE

The latest figures published by GOV.uk and PHE are: As of 9am on 07 April 2020, there are a total 7,806 cases in the Midlands. In Coventry and Warwickshire this is broken down as follows:

• Coventry: 277 (previous day 263)

• Warwickshire: 400 (previous day 361)

CORONAVIRUS LOCAL MEDIA HEADLINES

NHS chief in tribute to staff

Stratford-Upon-Avon Herald, 02/04/2020, p.1, Unattributed

Glen Burley, chief of the South Warwickshire NHS Foundation Trust, has issued an official "thank you" to NHS staff as they deal with the coronavirus crisis. He said: "Despite the pressure, our staff are continuing to provide vital care day in, day out. They should be incredibly proud of the contribution they are making - I know I am."

Rugby MP welcomes move to write off GBP112m of historic debt for St Cross and UHCW

Rugby Advertiser (Web), 07/04/2020, Unattributed

University Hospitals Coventry and Warwickshire NHS Trust has had historic debt worth GBP112 million written off. This move was welcomed by Rugby MP Mark Pawsey, who said: "This decision to write off historic debt is game-changing and will enable the Trusts to plan for the future and invest in vital services."

Britain sends message of hope to battling Johnson

The Times, 08/04/2020, p.1, Francis Elliott; steven Swinford; chris Smyth

Britain's battle against coronavirus "could be moving in the right direction" but ministers will not even consider lifting the lockdown until at least next week, it emerged yesterday. Boris Johnson remains in intensive care amid cautious optimism in Downing Street over his recovery as he continued to breathe without assistance. Staff at George Eliot Hospital in Nuneaton, Warwickshire, sent a message of support to Boris Johnson yesterday.

HANG ON IN THERE BORIS

The Sun, 08/04/2020, p.4, Shaun Wooler; Matt Dathan

'DEEPENS OUR COMPASSION' Archbishop of Canterbury urges prayers for coronavirus-hit Boris Johnson and thanks NHS

The Sun Online, 07/04/2020, p.1, Unattributed

''Get well soon Boris''- our NHS heroes' heartfelt message to Prime Minister

Coventry Telegraph (Web), 07/04/2020, Unattributed

The Papers: ''Boris is a fighter'' and ''PM power vacuum fears''

BBC (Web), 07/04/2020, Unattributed

The day Brita prayed for Boris

Daily Mail, 08/04/2020, p.2, Mario Ledwith

BORIS 'WILL PULL THROUGH'

Daily Express, 08/04/2020, p.1, Macer Hall

CORONAVIRUS NATIONAL MEDIA HEADLINES

Students step up to help NHS workers during the coronavirus pandemic

ITV.com (Web), 07/04/2020, Unattributed

Hundreds of students have stepped up to help NHS workers in Greater Manchester during the coronavirus pandemic. Food shopping, baby-sitting and manning GPs' receptions are just some of the tasks students are taking on to ease the burden on health workers. The 'army of students'was the brainchild of Saif Khan, a fourth year medical student at the University of Manchester. Saif noticed the concerns of NHS workers on social media, with many worried about balancing their home life with the demands of their job during the coronavirus outbreak.

Lockdown 'should apply to gambling adverts'

The Times, 08/04/2020, p.26, Unattributed

Letter cosigned by Dr Chaand Nagpaul, chairman, BMA Council: Sir, Businesses big and small have incurred significant losses during the lockdown to help the population to stay safe. The gambling industry must now do its bit by stopping all advertising during this crisis to protect people from financial harm. Gambling adverts online and on television can drive people to gamble in the erroneous belief that they may then overcome financial hardship.

New analysis points to hundreds more deaths than official stats reveal

Evening Standard, 07/04/2020, p.3, Nicholas Cecil; Ross Lydall

Second home owners 'seen sneaking into towns at night'

The Daily Telegraph, 08/04/2020, p.9, Hayley Dixon; Charles Hymas

Second home owners have been accused of sneaking into the West Country under the cover of darkness as plans emerged for the closure of tourist hotspots over the Easter weekend. Amid warnings that the Government could introduce tougher measures including a ban on exercise if social distancing rules are flouted, some local authorities have called for roadblocks to prevent people flooding their areas over the bank holiday weekend.

NHS Nightingale takes first patients as PM spends second night in intensive care

ITV.com (Web), 07/04/2020, Unattributed

Boris Johnson was spending a second night in intensive care as the NHS Nightingale Hospital built in London to boost capacity during the coronavirus pandemic admitted its first patients. The Prime Minister's condition on Tuesday night remained "stable" as he stayed in St Thomas's for "close monitoring", according to Downing Street. While he was said to be still in "good spirits", concerns were raised over when the lockdown measures will be reviewed – and England's chief medical officer admitted the UK has "a lot to learn" from Germany's expansive testing scheme.

EXCLUSIVE pictures of NHS Nightingale Birmingham at the NEC

ITV.com (Web), 07/04/2020, Unattributed

First patients fill beds at new Nightingale Hospital in London

ITV.com (Web), 07/04/2020, Unattributed

Hospitals warned oxygen tanks are pushed to limit

The Independent Daily Edition, 08/04/2020, p.21, Shaun Lintern

The number of coronavirus patients now needing oxygen is pushing hospital infrastructure across the country beyond its limits - with supply pipes at risk of permanent damage from the strain on the system. Hospitals have been told to have portable oxygen cylinders on standby in case piped oxygen is cut off, and to consider how they would move patients out of hospital if they run out of capacity. With a week to go before the expected peak in patient numbers, incidents have been reported at multiple hospitals across London and elsewhere in the UK, with NHS trust bosses told on Monday not to try to push oxygen systems beyond their limits, saying "unapproved procedures may cause permanent damage".

One in 20 deaths linked to virus as rate gathers pace

The Daily Telegraph, 08/04/2020, p.10, Laura Donnelly

One in 20 deaths in England and Wales is linked to coronavirus - up from one in 100 last week, official figures show. The statistics came as UK records found that a total of 6,159 patients have died in hospital after testing positive with the virus - up 786 from the day before, in the largest jump yet. Yesterday, Sir Patrick Vallance, the Government's Chief Scientific Adviser, said: "We are roughly a couple of weeks behind France, a few weeks behind Italy in terms of the numbers."

DOCTORS and nurses on the frontline in Hero NHS staff drive up demand for wills

Daily Mail, 08/04/2020, p.45, Ben Wilkinson

Doctors and nurses on the frontline in the fight against coronavirus are behind a surge in demand for wills. The country's largest online will-writing firm has reported a 12-fold increase in customers who work for the NHS. It comes as the legal industry last month said it had seen at least a 70 pc rise in queries. The Law Society said it had seen a 'huge spike', but mainly from elderly and vulnerable people.

Helpline for NHS staff The [...]

The Times, 08/04/2020, p.7, Unattributed

The NHS has opened a free mental health hotline to offer support to workers on the front line in the fight against the coronavirus. Those needing help to cope with the pressures will be able to speak to one of more than 1,500 trained volunteers.

Covid-19 mental health hotline set up for NHS staff

ITV.com (Web), 08/04/2020, Unattributed

Helpline dedicated to stressed NHS staff

The Daily Telegraph, 08/04/2020, p.10, Laura Donnelly

THE NHS has launched a [...]

Metro, 08/04/2020, p.6, Unattributed

Medics work calmly in face of intense pressure

i (The paper for today), 08/04/2020, p.4, Tom Bawden

Tom Bawden reports on the conditions inside British intensive care units during the coronavirus outbreak. Doctors in full protective gear will be clustered around the vulnerable patients, most of whom have pneumonia and require ventilation. Much of the communication is done by walkie talkies as the visors mean intensive care workers are unable to use mobile phones. Staff at intensive care wards like this in London say they have never experienced anything close to this level of pressure. Unsurprisingly, staff find themselves simply unable to cope with the pressure at times.

Queen praises selfless NHS heroes as 'an example to all'

Evening Standard, 07/04/2020, p.1, Unattributed

The Queen has thanked Britain's NHS heroes for their "selfless commitment and diligence" as the country battles coronavirus. She paid tribute to their work "during testing times" in a message to mark World Health Day, describing them as "an example to us all". In a statement, she said: "On the occasion of World Health Day, I want to thank all those in the healthcare profession for your selfless commitment and diligence as you undertake vitally important roles to protect and improve the health and wellbeing of people across the Commonwealth, and across the world.

QUEEN'S TRIBUTE TO SELFLESS NHS

Daily Star, 08/04/2020, p.5, Unattributed

Reporting for duty...750,000 NHS helpers

Metro, 08/04/2020, p.3, Unattributed

An army of 750,000 NHS volunteers reported for duty yesterday to help in the fight against coronavirus. The NHS Volunteer Service received three times the amount of applications it had hoped for in the largest voluntary call-up since World War II. Applications were halted while officials ran checks on the 750,000 who signed up.

What to expect as an NHS volunteer working through the coronavirus crisis

ITV.com (Web), 07/04/2020, Unattributed

Tragedy of NHS medical experts lost to Covid-19

The Daily Mirror, 08/04/2020, p.10, Unattributed

A doctor who specialised in treating the elderly has died after testing positive for Covid-19. Anton Sebastianpillai, who had a long association with Kingston Hospital in South West London, died on Saturday, four days after being admitted to the intensive care unit. The consultant geriatrician, who qualified as a doctor in Sri Lanka in 1967, finished his last shift on March 20. A spokeswoman for the hospital said: "We would like to extend our sincere condolences to his family." In an obituary notice, he was called a "distinguished alumnus".

ACTIONS TAKEN

• New leaflet published by PHE on coronavirus. To be added to websites and links to translation versions

• Preparing Easter communications for media, website and social media.

• Review any new assets from PHE

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice is ongoing

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

Healthwatch Warwickshire- information on Service Provision during the Covid-19 outbreak

Wed, 08 Apr 2020 12:02:11 GMT

Healthwatch Warwickshire have gathered together information on Service Provision during the Covid-19 outbreak which you can view here: https://www.healthwatchwarwickshire.co.uk/covid-19/how-are-services-affected/

We are emailing you to inform you of this, and give you the opportunity to update us with any information links or resources if you can.

We will be endeavouring to keep this information and advice as up to date as possible using links to your websites and information where possible.

Please get in touch if you have any questions

Kind regards

Poonam

Primary Care Coronavirus briefing – Coventry and Warwickshire – 07.04.20 but resent 08/04/2020

Wed, 08 Apr 2020 08:23:35 GMT

Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

PLEASE NOTE: THIS WAS FIRST SENT 07/04, BUT IS BEING RESENT 08/04 DUE TO REPORTS OF IT NOT REACHING EVERYONE AND A HIGH NUMBER OF BOUNCEBACKS.

Dear Colleagues,

The three CCGs have come together under a COVID Incident Management structure and are working together with system partners in response to the COVID Pandemic. As part of this arrangement the Primary Care Incident Management Team (IMT) has worked alongside the COVID Finance Group to agree a package of resilience support measures and reimbursement funding to ensure that we provide a comprehensive package of financial support alongside a workforce welfare offer, to support our primary care workforce at this challenging time.

Whist we have already communicated through the daily Communications Cascade briefings many of the key features of this support. We appreciate that our front line primary care workforce is exposed to a significant amount of information, consequently we felt it important to provide a specific focused briefing setting out the reimbursement and funding arrangements that have been made available to practices all in one place. These arrangements include upfront funding which practices will have already received directly from their respect CCG, as well as mechanisms to easily access additional reimbursement going forward as and when necessary to support practices to continue to deliver essential general practice services adapted set out in the Primary Care Standard Operating Processes (updated as of 5th April 2020)

COVID Resilience Funding and Reimbursement:

An initial UP FRONT payment made to all practices on or around 26th/ 27th March 2020 based on list sizes as of 1st January 2020:

· £3,000 – Small Practice less than 7,000 list size

· £5,000 – Medium Practice 7,001 -10,000 list size

· £10,000 – Large Practice 10,000+ list size

Mechanism going forward for any additional costs incurred by practices to be submitted to their respective CCGs via the attached proforma at the end of each subsequent month.

Sickness and Self Isolation Claims:

In relation to COVID-19 payments for those GPs who are required to isolate, GPs can claim locum costs reimbursement through the general claim form for COVID related items, claims can be submitted from week 1.

Funding for the mobilisation of designated Hot Hubs:

Consistent financial framework of delivery of designated ‘Hot Clinics’ focused on providing a co-ordinated response to the management of all febrile or COVID-19 symptomatic patients who require face to face assessment. Providing compensated costs over and above core GMS arrangements.

The financial package consists of three elements including;

1. Set-up Costs,

2. Consumable equipment,

3. Additional essential workforce costs to run designated Hot Hub sites, agreed with the CCG for each Place.

Claim forms have been provided to the mobilisation team for each designated Hot Hub.

COVID Contract Flexibilities:

Extended Hours: All CCGs have advised, through the daily Communications Cascade, a clear commitment that contractual levers and reporting requirements for PCN Extended Hours will not be applied during the period of the COVID pandemic. PCNs and their constituent practises should work together to utilise this contract flexibility to repurpose capacity and funding to provide resilience and business continuity to retain flexible access to essential primary care provisions following national guidance. Guidance issued by the BMA on work load prioritisation and guidance issued by NHSE sets out the expectations on general practice during the COVID period, including triage and remote consultations alongside clinically essential face to face consultations where required (following appropriate infection control procedures and triage to maintain the safety of patients and primary care workforce at all times).

PCN funding entitlements will continue through the period of the COVID pandemic. Practices are however required to confirm their intentions to continue to sign up to the PCN DES to enable the PCN funding entitlements to be available to their PCN and for practice engagement payments to be made available from April.

Welfare and Support Offer:

There is a comprehensive welfare support offer available to our Primary Care Workforce – the details of this offer are attached. We are currently seeking to enhance this offer by providing additional occupational health support through an arrangement with our local commissioning support unit.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 April 2020 (Issue 14)

183:820766164 (Ben Evans) — Tue, 07 Apr 2020 17:52:30 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Easter - updated

Further to yesterday’s update on Easter opening to clarify Good Friday and Easter Monday are now normal working days which means that each practice should provide the usual practice service as per usual in week service provision including usual phone lines, reception staff and GP availability. It is expected that normal planned work will not have been booked in and the usual courier services are not running. These arrangements could still change if further guidance is issued.

The EMIS support desk will be open as usual on Good Friday and Bank Holiday Monday.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Operation Shield Service Information for recipients FINAL 0420.pdf; Useful info to support you in self-isolation and social distancing.docx (item 3)

• COVID 19- UHB 2WW breast criteria.docx; Cancer Services at UHB 20200330.docx (item 5)

• Ophthalmology Telephone and Photo Advice - April 2020.pdf (item 9)

• COVID-19 Safeguarding is Frontline.docx (item 6)

• FHLS offer.pdf (item 11)

LATEST LOCAL PICTURE

Local picture (as of 6 April)

There are 624 cases now confirmed in Coventry and Warwickshire

303 of these are currently admitted (+16 from yesterday)

650 beds still available (+99 from yesterday)

31 ITU beds still available (+1 from yesterday)

80 hospital deaths with Covid reported.

LATEST LOCAL UPDATE

2. Guidance and standard operating procedures: General practice in the context of coronavirus (COVID-19) – updated to 2.1

Version 2.1 of the SOP is now available and is available to download. All changes made between version 2 and version 2.1 have been highlighted for ease of reference.

Two key links have been updated since the document was cascaded to the system on 5 April 2020.

• For guidance on death certification published on 31 March 2020

• NICE guidance on hospital admission and management in the community for patients with symptoms of COVID-19

3. Information around the Coventry Hub for coordination of support to people on the shielded list

(Attachments: Operation Shield Service Information for recipients FINAL 0420.pdf, Useful info to support you in self-isolation and social distancing.docx)

4. UHCW Ultrasound Department

After careful consideration, a clinically led review has been undertaken with consideration of the current situation with COVID-19.

The decision has been made to cancel non-urgent outpatient ultrasound scans.

The reason for this action is to reduce the amount of patient flow and associated community infection risk for our patients and staff within the hospital environment.

It is very difficult for us to gauge how urgent your request is based on the available clinical information. If you feel that a particular scan you have requested is not routine and needs to be performed as a matter of urgency, please contact us as soon as possible on the below email address and we will re-instate the appointment as soon as we feasibly can.

We apologise for this inconvenience. However patient and staff health and safety is our primary concern during this period of COVID-19 pandemic.

Thank you for your co-operation in this matter.

Radiology Department

UHCW Trust

uhc-tr.radiology.referrals@nhs.net

5. Cancer services at University Hospitals Birmingham (UHB) during COVID-19 pandemic

Following the release of NHSEI Specialty guide on Cancer for patient management during the coronavirus pandemic (Clinical guide for the management of non-coronavirus patients requiring acute treatment: Cancer https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/specialty-guide-acute-treatment-cancer-23-march-2020.pdf- ) a series of changes to cancer services is taking place.

Amid a very fluid situation, UHB is attempting to manage cancer services as optimally as possible with the redeployment of staff, loss of operating capacity and the need for surge capacity in respiratory support in order to cope with the expected number of COVID19 related patients.

Therefore:

• Two week wait services will be managed as long as possible with the caveats that as long as the benefits outweighs the risks:

o Patient will have an initial remote assessment.

o Some tests if clinically appropriate may be deferred.

o Prioritisation for urgent assessment and tests.

• MDTs will be flexed according to the availability of the team members.

• Treatment including surgery and systemic will be prioritised taking into account the six categories outlined in the guidance.

o This may include a change to the order of treatment - systemic before surgery.

o This will involve internal patient tracking.

• Patients who choose to defer assessment following a 2WW referral will be asked to re-present to their referrer when are willing to attend secondary care.

Tertiary Referrals

For Tertiary referrals, only Children and urgent referrals are being accepted. There is currently no change to the radiotherapy pathway. Referring organisations should send the referral to the relevant MDT inbox, and there will be an automated message that states to only refer if clinically urgent or if referring a child. If the referring centre deem the patient to be urgent and cannot wait for up to 3 months, then the MDT lead should be contacted for a clinical discussion.

Cancer Surgery

For patients awaiting surgery, patients will only have surgery at present if they go through the clinical prioritisation process that has been implemented by the Trust. Any patient that is currently in the system is being kept on a PTL and reviewed by the Speciality MDT. The Trust currently only have the capacity to carry out 3-4 operations a day. Theatre capacity is severely depleted as a result of theatre teams being re-purposed to manage additional critical care capacity.

Additional Capacity

Private sector capacity is currently being scoped to bring in additional capacity, however, there is limited availability as much of the private sector work is currently carried out by NHS surgeons and anaesthetists. The Trust have however managed to move some Breast, Skin and plastic procedures out into the private sector (around 50 cases so far).

Specific Service Changes (as at 2.4.20)

GHH Oncology Unit

Patients currently receiving systemic chemotherapy treatments at Good Hope Hospital Chemotherapy Unit will now be asked to attend Solihull Chemotherapy Unit.

Breast 2ww Services

From Monday 6th April all Breast 2ww clinics will be centralised on the Queen Elizabeth Hospital site.

A Breast patient pathway for all primary care referrers has been communicated on 1st April 2020 and this will be in place from that date (communication enclosed).

Bowel Scope and Bowel Cancer Screening at UHB

Both services have been suspended at UHB until further notice.

Systemic Chemotherapy

C-art T Cell therapy service at QEH has suspended services until further notice.

Communication

Any patient who is already under a UHB cancer service currently and has concerns regarding delayed or suspended treatment should contact either their Clinical Nurse Specialist, or the PAL’s team at UHB (Email: PALS@uhb.nhs.uk Tel: 0121 424 0808) Their concern will be logged and passed onto a senior member of the Cancer team or MDT who will respond as soon as possible.

(Attachments: COVID 19- UHB 2WW breast criteria.docx; Cancer Services at UHB 20200330.docx)

6. Covid-19 Safeguarding is Frontline

Leads for Warwickshire and Coventry have asked for the attached document to be disseminated to all Primary Care practices within Coventry and Warwickshire

In addition to information contained therein it has the contact numbers of available staff, as some of the GP’s usual contacts will be unavailable as they are being redeployed to the Nightingale Hospital. (Attachment: COVID-19 Safeguarding is Frontline.docx)

7. Covid - rapid NICE guidelines

NICE has published a number of new COVID-19 rapid guidelines over the weekend, of which the following are of interest to primary care:

a. COVID-19 rapid guideline: Guidance on EoL care (which includes a section on anticipatory prescribing):

https://www.nice.org.uk/guidance/ng163

b. COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community:

https://www.nice.org.uk/guidance/ng165

c. COVID-19 rapid guideline: severe asthma

https://www.nice.org.uk/guidance/ng166

8. Coventry and Warwickshire LPC update

Community Pharmacy Status Update for Stakeholders is available to download and includes information on Easter opening, prescriptions, and supply chain. Please note that this information is for use inside your own organisations only.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby and Warwickshire North – 7 April 2020

9. Ophthalmology Telephone and Photo Advice

The Ophthalmology telephone and photo advice line has now gone live. Details are attached. (Attachments: Ophthalmology Telephone and Photo Advice - April 2020.pdf)

Coventry Mental Health Service information

The service information can be downloaded from https://www.coventry.gov.uk/info/1/council_and_democracy/3551/covid-19_coronavirus/8

10. Warwickshire North Hot hub open for referral

The Hot Hub based at Galley Common Medical Practice is now open and ready to receive referrals.

UPDATES FOR South Warwickshire – 7 April 2020

11. Family Health and Lifestyles Services

South Warwickshire NHS Trust would like to inform all partners of the revised Family Health and Lifestyle Services offer, due to the Covid19 Pandemic in line with current NHSE Guidance. The full update is attached. (Attachment: FHLS offer.pdf)

12. Consultant Connect Extended Hours Telephone Advice & Guidance Now Available

We are pleased to inform you that you now have access to Consultant Connect Extended Hours Telephone Advice & Guidance for Cardiology, Diabetes, Care of the Elderly and the Frailty Unit from South Warwickshire NHS Trust consultants. The service is commissioned by NHS South Warwickshire CCG, provided by Consultant Connect and is available from Monday 6th April. The newly extended hours will be:

Cardiology: 8am – 8pm Mon-Sun

Diabetes: 8am – 8pm Mon-Sun

Care of the Elderly: 8am-8pm Mon-Fri

Frailty Unit: 8am-8pm Mon-Fri

The Consultant Connect App is the quickest way to get Telephone Advice & Guidance from these extended hours specialties and all other specialties available to you. To access Phone Advice & Guidance, download the free Consultant Connect App from the App Store or Google Play. Alternatively, you can call your surgery’s unique Dial-In Number from a landline phone.

If you do not know your Dial-Number or have any other questions, please contact Lucy Sammons at lucy.sammons@consultantconnect.org.uk. You can also find out more about the service and the app by reading this start-up guide.

LATEST NATIONAL PICTURE

• As of 9am on 6 April 2020, 208,837 people have been tested in the UK and 51,608 were confirmed as positive. As of 5pm on 5 April 2020, of those hospitalised in the UK, 5,373 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Foreign Secretary's statement on coronavirus (COVID-19) delivered via a press conference on 6 April 2020, detailing the government’s response to coronavirus. The briefing transcript is available to view online.

• The press conference slides and datasets used by Professor Angela McLean, Deputy Chief Scientific Adviser in the daily coronavirus press conference on 6 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

13. NHS England Primary Care Bulletin – new edition – 6 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (6 April) and contains the Revised Standard Operating Procedure for general practice (version 2.1), supporting NHS 111 and details of upcoming webinars. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Gabi Darby and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

14. New PHE guidance issued

New guidance on admission and care of people in care homes has been published by PHE. It is for care homes, local health protection teams, local authorities, clinical commissioning groups (CCGs) and registered providers of accommodation for people who need personal or nursing care. It sets out how to admit and care for residents safely and how to protect care home staff.

15. Coronavirus (COVID-19) information leaflet

Leaflet has been produced and published today on what to do to help stop the spread of coronavirus, including information on symptoms and government support.

16. COVID-19 assets

The following COVID-19 campaign assets are now available on the PHE Campaign Resource Centre:

Act Like You’ve Got It, Anyone Can Spread It – additional resources

A1, A3, A4 posters of all three versions, print ready and web friendly

Email Signature

Banner 3500 x 1350

Additional social statics

*Still to come are print friendly posters

Alternative Resources for Stay Home, Save Lives

BSL version of Stay at Home Prof Chris Whitty 30s Social/TV Ad (mp4)

BSL version of Stay at Home media animation social film 18s (mp4)

Stay at Home audio/radio ad 40s (mp3)

Updated Alternative Resources for Home Isolation

Easy read poster/handout of the standard poster (pdf)

Audio version (using radio ad) 40s (mp3)

17. Media enquiries

If you are approached by the media please forward on to your local communications team: agem.communications@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

ACTIONS FOR PRIMARY CARE

Review the updated SOP for Primary Care in relation to coronavirus (version 2.1).

Dementia Support Across Warwickshire

Tue, 07 Apr 2020 10:09:11 GMT

Dear General Practice Teams,

Please find attached details of key support and services available across Warwickshire for people living with dementia and their carers throughout the coronavirus outbreak. Many of these services are available over the phone, offering practical and emotional support, a listening ear, suggestions on coping through these difficult times and advice about other services that might also be able to help. A range of online services are also available.

We would like to particularly encourage people to contact the Dementia Connect Service (previously known as the Dementia Navigator Service), delivered by Alzheimer's Society, and / or the Carer Wellbeing Service, delivered by Carers Trust, to talk to a member of the team to ensure they are well supported through the forthcoming weeks.

Please share this information with your colleagues and with people living with dementia and their carers.

Please note that the Dementia Connect Service is the new name for the Dementia Navigator Service, delivered by Alzheimer's Society across Warwickshire. The service still offers practical and emotional support for people living with dementia and their carers but with enhanced features including extended phone support opening hours (including evenings and weekends). During these challenging times, Dementia Advisers are proactively keeping in regular contact with service users to check-in with them around their situation and wellbeing.

I have also attached the Dementia Connect Service leaflet and a resource for screens in practices for your use / information.

The referral pathway for Dementia Connect is quick and easy. After gaining the person’s consent, follow this link alzheimers.org.uk/referralform and enter some basic details.

Alternatively, signpost the people you support to the new Dementia Connect number (charged at local rates): 0333 150 3456

Thank you for your support.

Best wishes

Claire Taylor

(UKPHR Registered Practitioner, PR0089)

Commissioner

Strategy and Commissioning, People Directorate, Warwickshire County Council Building 2, Saltisford Office Park, Warwick, CV34 4UL

Please note that I only work three days a week - usually Monday, Tuesday and Thursday.

For information on dementia, support and services, please visit Warwickshire's Living Well with Dementia website: www.warwickshire.gov.uk/dementia

Arden and Gem CSU Coronavirus briefing - 07.04.20

Tue, 07 Apr 2020 08:38:38 GMT

Coronavirus briefing for Coventry and Warwickshire on Tuesday 7 April 2020

LATEST NATIONAL PICTURE

• As of 9am 6 April, 208,837 people have been tested, of whom 51,608 tested positive.

• As of 5pm on 5 April, of those hospitalised in the UK who tested positive for coronavirus, 5,373 have died.

• Prime Minister Boris Johnson is admitted to Intensive Care after his symptoms worsen. Statement from PM’s office here

• Foreign Secretary Dominic Raab gave the 6 April 2020 daily press briefing on the government's response to the COVID-19 pandemic. Read it here

• Slides and dataset that accompanied the briefing can be found here

• The latest health advice is available here

LATEST LOCAL PICTURE

The latest figures published by GOV.uk and PHE are: As of 9am on 05 April 2020, there are a total 6,913 cases in the Midlands. In Coventry and Warwickshire this is broken down as follows:

• Coventry: 263 (previous day 246)

• Warwickshire: 361 (previous day 334)

CORONAVIRUS LOCAL MEDIA HEADLINES

The biggest worry of ''scared and anxious'' hospital workers during coronavirus crisis

Coventry Telegraph (Web), 06/04/2020, Unattributed

David Eltringham, managing director at the George Eliot Hospital, has said staff remain "anxious" about a lack of protective equipment, but added that the situation is improving. In a report to the hospital's board, Mr Etringham said: "Staff are naturally scared and anxious, however morale is in reasonable shape."

Company's constructive PPE donation helps NHS staff on front line of coronavirus crisis

Rugby Observer (Web), 06/04/2020, Unattributed

Rugby-based construction company Stepnell have provided 30 pairs of brand new goggles and 15 face masks to help protect medical staff at the acute medical unit at University Hospital Coventry. Adrian Barnes, the company's regional director, said: "We're really happy that we have been able to support the NHS during this challenging period."

Coventry University donates protective equipment to frontline staff

Coventry Telegraph (Web), 06/04/2020, Unattributed

Coventry University is aiming to help frontline care workers during the coronavirus crisis. More than 25 PhD students have offered to help University Hospitals Coventry and Warwickshire with COVID-19 testing, while around 50 paramedic students have taken up frontline roles with West Midlands Ambulance Service.

George Eliot staff asked to volunteer for Birmingham Nightingale Hospital

Coventry Telegraph (Web), 06/04/2020, Unattributed

Nuneaton hospital staff are being asked to volunteer at the Birmingham Nightingale Hospital. The George Eliot Hospital has confirmed it is asking its staff if they will work at the temporary hospital being created at the NEC. David Altringham, the Eliot's managing director, explained that they also have to ensure that they have enough staff to ensure the local hospital can run safely. "All NHS Trusts locally have been requested to provide different groups of staff to support the Nightingale Hospital in the NEC and we will provide this," he said.

Latest coronavirus deaths at Nuneaton's hospital

Coventry Telegraph (Web), 06/04/2020, Unattributed

The latest figures reveal that 23 patients who tested positive for coronavirus have died at the George Eliot Hospital in Nuneaton. David Eltringham, managing director at the hospital, comments: "I want to thank the people of Nuneaton and Bedworth for complying with the government's instruction to stay at home and protect their NHS. Please keep doing this for Team Eliot."

CORONAVIRUS NATIONAL MEDIA HEADLINES

Nurse who worked beyond retiring latest NHS victim

Daily Mail, 06/04/2020, p.7, Mario Ledwith

A long-serving nurse was last night confirmed as the latest frontline NHS worker to have died after contracting coronavirus. Tributes were paid to grandmother Liz Glanister, 68, who friends said continued working beyond retirement due to her love for the job. Dianne Brown, chief nurse at Aintree University Hospital in Liverpool, said: 'Liz will be sadly missed by all those who knew and worked with her.' Miss Glanister, who died on Friday, was seen as a 'work mum' by many of her colleagues due to her experience and continuous mentoring of younger staff.

The Times, 07/04/2020, p.1, Steven Swinford; Oliver Wright; katie Gibbons

Boris Johnson was moved into intensive care last night after his condition worsened amid concerns that he may need a ventilator to aid his fight against coronavirus. The prime minister, 55, was put into the intensive care unit at St Thomas' Hospital, south London, at 7pm after experiencing breathing difficulties. Downing Street said that he was conscious and that the move had been a precautionary measure. Pneumonia had not been diagnosed.

Boris Johnson ''continues to lead the country'', says minister

ITV.com (Web), 06/04/2020, Unattributed

Johnson in intensive care

The Daily Telegraph, 07/04/2020, p.1, Anna Mikhailova

the dangers he faces

Daily Mail, 07/04/2020, p.4, Eleanor Hayward

boris moved to intensive care as health worsens

Daily Express, 07/04/2020, p.1, Macer Hall

Johnson moved to intensive care after coronavirus symptoms worsen

The Independent Daily Edition, 07/04/2020, p.3, Kate Devlin; Rob Merrick

now stricken boris taken to intensive care

Daily Mail, 07/04/2020, p.1, Jason Groves; john Stevens

PM in intensive care

The Times, 07/04/2020, p.1, Steven Swinford; oliver Wright; katie Gibbons

Pray for the PM but take comfort he's in the best of hands with our NHS

Daily Express, 07/04/2020, p.12, Unattributed

Johnson taken to intensive care after virus symptoms worsen

The Guardian, 07/04/2020, p.1, Rowena Mason Lisa O'carroll Dan Sabbagh

How the NHS can avoid rationing urgent care

i (The paper for today), 07/04/2020, p.10, Karol Sikora

Comment: Like many healthcare systems, the NHS works at near full capacity. It is highly efficient at treating the majority of conditions but there are no empty beds, clinics, operating rooms or cancer facilities. Even under normal circumstances, there are delays for scans, operations and for some cancer treatments. When the system is faced with a tsunami of demand, as with Covid-19, it just buckles. Everything gets full up fast.

THE ETHICAL PUZZLE

The Independent Daily Edition, 07/04/2020, p.41, Anthony Wrigley

Dialysis machine shortages lay bare wider threat from Covid-19

Financial Times, 07/04/2020, p.1, Peter Foster; Clive Cookson

Leading London hospitals are running short of vital equipment in intensive care wards, including blood dialysis machines needed to treat patients suffering from coronavirus-related kidney failure, according to a leaked memo. The shortages, which go far beyond concerns about the lack of ventilators and protective equipment, emerged from a conference call of some 80 senior National Health Service doctors. They illustrate how Covid-19 can damage much more than the lungs and respiratory system in patients who become seriously ill - affecting the kidneys, heart and occasionally even the brain.

NHS staff given conflicting advice about resuscitation

The Independent Daily Edition, 07/04/2020, p.7, Shaun Lintern

Doctors, nurses and paramedics have been given conflicting advice about when to start resuscitation for coronavirus patients, amid fears the procedure could put them at risk of infection. While Public Health England has said it does not believe CPR creates a risk, the UK's Resuscitation Council - which is responsible for setting standards for resuscitation in the NHS - has said it believes there is a risk and staff should wear full equipment.

Second phase Why sick self-isolators in the UK may not be seeking help early enough

The Guardian, 07/04/2020, p.5, Sarah Boseley; Kate Connolly

Concerns are being raised that people isolating at home with Covid-19 symptoms may not call for medical help early enough when they enter the more severe phase of the virus, possibly reducing their chances of survival. The NHS does not have a proper monitoring system for people suspected of having coronavirus, said Dr Bharat Pankhania, a senior clinical lecturer at the University of Exeter medical school. "If a patient is developing pneumonia, it can get worse very quickly and hence early admission upon the first signs of difficulty with breathing are very important," he said.

NHS WARNED OVER LACK OF [...]

Evening Standard, 06/04/2020, p.4, Unattributed

Pharmacists will be at risk of contracting coronavirus and infecting patients without appropriate personal protective equipment, the NHS has been warned. Robbie Turner, of the Royal Pharmaceutical Society said that pharmacists had been told to buy PPE from wholesalers. He said: "Pharmacies should not be having to ... buy protection to keep them safe."

Hundreds of thousands sign up for army of NHS helpers

The Daily Telegraph, 07/04/2020, p.7, Daily Telegraph Reporter

More than 750,000 people have signed up to help the NHS through the crisis, as the country answered the biggest call for volunteers in England since the Second World War. The Royal Voluntary Service, the charity delivering the volunteer effort, will have completed checks for the applications by the end of today. Due to the huge response - three times the original target - the volunteers will now be able to help 2.5 million at-risk people in England.

How NHS is coping with the 'new normal' in virus crisis

The Daily Mirror, 07/04/2020, p.35, Dr Miriam Stoppard

John Willan, consultant haematologist at Oxford University Hospitals NHS Foundation Trust and colleagues, in their editorial in the BMJ, gave a good explanation of how it will unfurl amid the chaos. Over the next four weeks, thousands of medical students are likely to be allowed to begin work as junior doctors. They'll work side by side with doctors who have retired within the last three years and are being asked to consider returning to work. Those working in education and research are also being encouraged to return to clinical duties. Hospital doctors may be redeployed from specialities to the areas of greatest need. Many may also be asked to practise outside their defined areas of expertise or to work longer hours.

A&E figures fall by more than half as patients stay away

The Daily Telegraph, 07/04/2020, p.8, Laura Donnelly

The number of people going to Accident & Emergency departments has fallen by more than half, amid fears that those with life-threatening conditions are staying away due to Covid-19. Official data from Public Health England shows that the number of people attending A&E departments each day had fallen during March from 25,000 to around 11,000. Experts said some of this reduction may have been driven by the lockdown, with pub closures and restricted travel meaning fewer alcohol-related injuries and car accidents.

Doctors say they are being 'bullied' into deadly risks

The Guardian, 07/04/2020, p.2, Denis Campbell

Doctors are being "bullied and shamed" into treating patients with Covid-19 despite not having the masks, gowns and eyewear they need to protect themselves from the virus, frontline medics have said. Others are being told to hold their breath to avoid getting infected because of persistent shortages of personal protective equipment (PPE). The findings raise questions about how far a huge effort by NHS bosses, ministers and the military has succeeded in solving widespread supply problems with PPE. The Royal College of Physicians (RCP) said revised PPE guidance issued last week by Public Health England and the NHS drive to get millions more pieces of kit to the frontline had made a big impact on the shortages and helped allay staff 's fears.

ACTIONS TAKEN

• New social media content for symptom tracker and link added to website page

• Additional 2m different settings asset published and added to social media

• Review any new assets from PHE

• Emailed NHSE team for advice / update on pharmacy opening hours over Easter bank holidays, should have an update later this week.

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice is ongoing

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

Primary Care Coronavirus briefing – Coventry and Warwickshire – 06/04/2020

Mon, 06 Apr 2020 15:44:35 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 6 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

1. Easter

As confirmed in the GP Preparedness Letter of 27th March changes to the GP contract mean that Good Friday and Easter Monday have now been identified as normal working days for GP practices and practices should put in place the relevant arrangements for this. The usual Bank Holiday Out of Hours (OOHrs) service will therefore be stood down with OOHrs normal weekend provision remaining in place. We are awaiting further detail on the GMS contract change for this and will update once we have received.

Please note that the hot hubs will be open on these days.

The Coventry and Warwickshire North Prescribing POD will be open on Good Friday and Easter Bank Holiday Monday, operating 09:00 until 15:00. Community pharmacies will also be open between 2pm – 5pm.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• C0133 COVID-19 Primary Care SOP GP practice_5 April.pdf (item 2)

• C0178 Letter to GPs on clinically highest risk-patients_ 3 April.pdf (item 3)

• 2020325_Easy-Read_At-Risk-Patient-Letter-1.pdf, COVID19_UKMCS_BCS_statement_25.03.2020 (1).pdf’ at-risk-patient-letter-march-2020.pdf (item 4)

• Covid 19 GP letter_02.04.2020.pdf (item 11)

• uhcw poster on covid.pdf (item 7)

• 20200402 CQC Interim Guidance on DBS for Covid 19.pdf (item 14)

LATEST LOCAL PICTURE

Local picture (as of 5 April)

There are 580 cases now confirmed in Coventry and Warwickshire

147 of these are currently admitted

551 beds still available

31 ITU beds still available

We are also working on reporting and modelling hot hub activity and capacity and this will be provided when available.

LATEST LOCAL UPDATE

2. Guidance and standard operating procedures: General practice in the context of coronavirus (COVID-19)

Version 2 of the SOP is now available and attached to this email. (Attachment: C0133 COVID-19 Primary Care SOP GP practice_5 April.pdf)

3. GP information on Caring for people at highest clinical risk during Covd-19

The attached letter about the Government’s shielding policy and implications for General Practice from Dr Jenny Harries and Dr Nikki Kanani.

We know that there have been mixed messages about this patient group. To clarify the process of identification of patients and next steps, we have developed a set of Frequently Asked Questions (FAQs) aimed specifically for a GP and hospital clinician audience, https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/20200403-Clinician-FAQs-v_FINAL.pdf

We have also developed a separate set of FAQs for patients. These have been updated to explain that not everybody in this group will have received a letter yet.

If you have a question that has not been answered in this document, please contact england.covid-highestrisk@nhs.net

(Attachment: C0178 Letter to GPs on clinically highest risk-patients_ 3 April.pdf)

4. Shielding pregnant women with significant cardiac disease

On 21 March, the Chief Nursing Officer and National Medical Director wrote to all Medical and Nursing Directors in England, asking for help shielding patients most at risk of morbidity and mortality from COVID-19. The letter set out six population groups that are by expert consensus considered extremely vulnerable, and asks that they are sent the attached message, advising them to be particularly stringent in self-isolating for 12 weeks.

Pregnant women with significant heart disease (congenital and acquired) are an extremely vulnerable group. Please ensure that for every woman meeting these criteria in your care, the following three actions are taken:

1. The woman is contacted directly with the letter;

2. The woman’s GP is notified of this action; and

3. The trust’s COVID-19 lead is notified of this action and the woman (COVID leads are maintaining a database of contacted patients for information of NHSE Incident Control).

Some of these women are at significant risk irrespective of COVID-19 and it will be absolutely necessary for them to continue attending appointments to receive care. In such cases where virtual appointments will not suffice please consider how to best maintain the patient’s shielding during their appointment.

It will be for you to determine which pregnant women meet the significant heart disease criteria and should receive this letter. In making these decisions, you may want to refer to the attached statement produced by the UK Maternal Cardiology Society – a subcommittee of the British Cardiovascular Society.

(Attachments: 2020325_Easy-Read_At-Risk-Patient-Letter-1.pdf, COVID19_UKMCS_BCS_statement_25.03.2020 (1).pdf’ at-risk-patient-letter-march-2020.pdf)

5. Royal College of GPs COVID-19 update

A weekly update on COVID-19 and what the College is doing to support our members and the profession through the current crisis. This is available: https://rcgp-news.com/49LX-T5OH-6D5KEHFWD7/cr.aspx

6. Information on how to send text messages to patients and do remote consults using accurx

This can be accessed via the following links:

For EMIS: https://www.accurx.com/get-chain

For Vision: https://fleming.accurx.com/login

7. COVID-19 – QUICK GLANCE GUIDE For treatment of adult non-ITU patients at UHCW

A summary of how UHCW are managing COVID for your information. (Attachment: uhcw poster on covid.pdf)

8. SMS to Vulnerable People

Please note that the following SMS message was sent out by the government on Friday to patients identified as vulnerable. Previous messages have generated queries as to whether they are genuine, which is why details are being shared in advance. It will be sent via gov.notify from alphanumeric UK_Gov and will only include a gov.uk URL.

‘As someone who is at high risk of severe illness if you catch Coronavirus, please remain at home for a minimum of 12 weeks unless a healthcare professional suggests otherwise. Support is available for you if you need it. Please complete this short form to tell us whether you need this support or not: www.gov.uk/coronavirus-extremely-vulnerable . If you cannot sign up on the website, you can call us on 0800 028 8327. Your response will help us to support those who need it most. If you have already been in touch there is no need to do so again.’

9. COVID-19: admission and care of people in care homes webinar

this interactive webinar to support the implementation of the Admission and care of residents during COVID-19 incident in a care home guidance. The webinar will consist of an overview of the guidance through short presentations, followed by opportunities for Q&A. Book on here: https://www.eventbrite.co.uk/e/covid-19-admission-and-care-of-people-in-care-homes-guidance-webinar-tickets-101622004150 (tickets are currently available for 8 April at 3pm to 4.30pm.

10. An update on the CASTLE guidance for end of life care during this Covid-19 pandemic

This meeting will be presented via Zoom, details (Zoom Meeting https://zoom.us/j/816041162 Meeting ID: 816 041 162) on Wednesday 8 April from 13.00 – 14.00. If you have any queries, please contact: gpteachingadmin@uhcw.nhs.uk.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 6 April 2020

11. InHealth Services - COVID 19

Please see attached a letter from Vicky Maskill, Director of MSK & Pain regarding the InHealth approach to the current COVID-19 situation. (attachment: Covid 19 GP letter_02.04.2020.pdf)

12. Death Certification & Cremation Forms page updated on the 31st March

The latest guidance for GPs regarding certifying a death in the current situation has been added to GP Gateway:

https://www.coventryrugbygpgateway.nhs.uk/pages/death-certification-cremation-forms/

UPDATES FOR South Warwickshire – 6 April 2020

No updates in this edition

UPDATES FOR Warwickshire North – 6 April 2020

No updates in this edition

LATEST NATIONAL PICTURE

• As of 9am on 5 April 2020, 195,524 people have been tested in the UK and 47,806 were confirmed as positive. As of 5pm on 4 April 2020, of those hospitalised in the UK, 4,934 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.)

• The most up to date government advice on coronavirus is available online.

• The Health Secretary’s update on coronavirus (COVID-19) delivered via a press conference on 5 April 2020, detailing the government’s response to coronavirus. The briefing is available to view online.

• The press conference slides and datasets used by Dr Jenny Harries in the daily coronavirus press conference on 5 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

13. NHS England Primary Care Bulletin – new edition – 3 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (3 April) and contains an update on the Government’s shielding policy and implications for general practice, updated guidance published on personal protective equipment and an urgent request for GPs to support NHS 111. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

14. CQC Interim guidance on DBS and other recruitment checks

The Care Quality Commission has issued interim guidance (attached) in response to temporary changes being made by the Disclosure and Barring Service (DBS) to DBS applications and processes. It will be in operation for the period the Coronavirus Act 2020 remains in force, and will be reviewed on a regular basis.

The key points included in the guidance outline that providers are now being offered a fast, free Barred List DBS check for emergency roles being recruited in response to a provider risk assessment. Enhanced DBS check information will still be processed, but will be issued afterwards.

Providers are required to take reasonable steps to ensure new staff are recruited in line with new DBS guidance and that new and existing staff continue to be adequately supported and sufficiently supervised so that people are safe. For more information please see the attached guidance. (Attachment: 20200402 CQC Interim Guidance on DBS for Covid 19.pdf)

15. Media enquiries

If you are approached by the media please forward on to your local communications team: agem.communications@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

ACTIONS FOR PRIMARY CARE

Please note the updated information on Easter opening hours.

Review the updated SOP for Primary Care in relation to coronavirus.

----------------------------------------------------------------------------------------------------------------------------

The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

News and information from NHS Clinical Commissioners

Mon, 06 Apr 2020 09:53:35 GMT

News and information from NHS Clinical Commissioners

View email in your browser

Connect

WEBINAR: Running your CCG during the COVID-19 crisis, 9 April

We know that a lot of our members have been seeking legal advice on how to maintain effective operating procedures for their governing body during the COVID-19 crisis, financial governance arrangements, and to understand what the Coronavirus Bill means for CCGs.

We have therefore partnered with the law firm Browne Jacobson LLP and the Good Governance Institute to hold a webinar for CCGs on Thursday 9 April from 12-1pm, which will cover everything you need to know and answer any burning questions you may have. Register today to secure your place.

Member briefing: The use and supply of PPE in primary care

Last week (2 Apr) we published a member briefing providing an overview of national guidance on the use and supply of PPE in primary care, prepared jointly with the NHS Confederation's PCN Network.

There have been very strong concerns among our members and the wider health sector that appropriate personal protective equipment (PPE) is not reaching primary care teams in the quantity needed and in a timely fashion, leaving many CCGs, PCNs and GP practices feeling unable to safely carry out face-to-face consultations with patients.

Julie Wood, chief executive, and Dr Graham Jackson, chair, are members of NHSEI's COVID-19 Primary Care Cell. Through this channel and others, we have spent a considerable amount of time feeding in your strong concerns around PPE to NHSEI, PHE and others to make sure that the latest guidance is appropriate, helpful and reflects the concerns you have told us about.

We know that all of our members are working incredibly hard to tackle COVID-19 at the moment, and will be receiving a huge amount of information and emails. We will continue to send you Connect weekly, with a focus on bringing you the latest COVID-19 news and resources as concisely as possible. We have decided to freeze all other member network bulletins until further notice.

If you would like more frequent updates, as a member of NHSCC you are entitled to receive the NHS Confederation's COVID-19 Daily Member Briefing. Sign up here.

Preparing for the bank holiday weekend - how can we help?

We know that the current situation is presenting significant challenges in you having to work very differently. We appreciate that you will now all be working hard on your plans for the Easter bank holiday weekend to ensure access to vital services that traditionally would not be open are available as part of the system-wide effort to support patients.

Do let us know if there is anything that we can do to help by emailing office@nhscc.org.

Mental health and COVID-19 guidance

NHSEI has produced two pieces of guidance over the past week on mental health, learning disabilities and autism services that are relevant to CCGs. The first refers to the temporary changes to legislation such as the Mental Health Act 1983. The other focuses on managing capacity and demand in both inpatient and community services for all ages. All COVID-19 guidance related to mental health, learning disabilities and autism services can be found on the NHSEI website.

We have heard that NHSEI is asking all parts of the country to expedite the ambition to have a 24/7, single point of access for urgent mental health support that is available to the public.

NHS England temporary framework for urgent and emergency eye care services

NHS England has worked collaboratively to develop a temporary service framework that will achieve two key objectives:

• Rapid implementation of safe urgent / emergency services

• keeping patients away from GPs, A&E, and HES

They are awaiting formal approval from The College of Optometrists and the RCOphth to provide governance. CCGs that are interested in commissioning this service, or wish to receive more information, should contact Richard Everitt at richard.everitt@nhs.net.

We want to hear from you!

Let us know what you like in NHSCC Connect? Are there other items you would like covered? Do let us know at press@nhscc.org

Visit the NHSCC website

Are you on Twitter?

We are keen to make sure we know which CCGs are on Twitter so we can follow you. You can follow us @NHSCCPress

Our mailing address is:

NHS Clinical Commissioners (NHS Confederation), 2nd Floor, 18 Smith Square, Westminster, London, SW1P 3HZ.

You are receiving this newsletter as your CCG is a member of NHS Clinical Commissioners. If you no longer wish to receive this email please click here. If you work for one of our member CCGs and this newsletter has been forwarded to you, email us on office@nhscc.org if you would like to subscribe.

Guidance and standard operating procedures for General Practice during Covid-19

Sun, 05 Apr 2020 12:17:32 GMT

Click the above link to download the Guidance and standard operating procedures for General Practice during Covid-19 document.

Clinical negligence indemnity in response to coronavirus - 05/04/2020

Sun, 05 Apr 2020 09:43:05 GMT

Please see the attached letter on indemnity covering clinical negligence indemnity in response to coronavirus. This has been sent out by DHSCS as a CAS alert and has also been published by NHS resolution.

The DHSC issued CAS alert is available here: https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103017 and will publish on .gov.uk

NHS Resolution has published the letter here: https://resolution.nhs.uk/wp-content/uploads/2020/03/20200402-Tripartite_Indemnity_letter.pdf

This has been sent to:

• Regional Directors of primary care and public health commissioning – for information

• Heads of primary care commissioning – for information

• CCG Covid-19 leads – to share with AOs and Clinical leads for information

• ICS primary care leads – for information

• STP primary care leads – for information

• Regional health and justice leads – for cascade as appropriate

Kind Regards

Megan Jones

Midlands Region Incident Coordination Centre SPOC

For latest information on Covid-19 visit for:

• NHS: https://www.england.nhs.uk/ourwork/eprr/coronavirus/

• Public Health (incl all government advice): https://www.gov.uk/guidance/wuhan-novel-coronavirus-information-for-the-public

• Patients/public: https://www.nhs.uk/conditions/coronavirus-covid-19/

This email has been scanned for viruses; however we are unable to accept responsibility for any

For people self isolating poster - Cov safeguarding adults board

Fri, 03 Apr 2020 15:10:25 GMT

Click the above link to download this document.

Letter to GPs on clinically highest risk patients

Fri, 03 Apr 2020 12:19:17 GMT

Click the above link to download the Letter to GPs on clinically highest risk patients.

Advice on maintaining cancer treatment during the COVID-19 EMIS and SystemOne Guides- 03/04/2020

Fri, 03 Apr 2020 09:40:17 GMT

Dear colleagues,

Advice on maintaining cancer treatment during the COVID-19 response

Thank you for all you are doing to respond to the COVID-19 emergency and, in particular, to continue to care for and support our cancer patients during these unprecedented times.

As you know, we are clear that the NHS must ensure that cancer diagnosis, treatment and care continues during the response to the COVID-19 emergency. This means:

• Essential and urgent cancer treatments must continue. Cancer specialists should discuss with their patients whether it is riskier for them to undergo or to delay treatment at this time.

• Where referrals or treatment plans depart from normal practice, safety- netting must be in place so that patients can be followed up.

• Urgent consideration should be given to consolidating cancer surgery in a COVID-free hub, with centralised triage to prioritise patients based on clinical need.

We have secured the use of almost all independent hospitals across England and their capacity should be used for cancer diagnosis and treatment.

In short, given the COVID situation is likely to persist for some time, rather than deferring cancer care, continuing to provide it through ringfenced facilities and reconfigured care pathways is generally more appropriate.

In London, the spread of the virus has been ahead of many other parts of the country, and local systems have been planning how best to maintain cancer services during the response period. The purpose of this note is, based on the London experience, to provide advice to local systems on how they should continue to manage cancer referrals and cancer surgery during the COVID-19 pandemic.

NHS England and NHS Improvement

2WW referrals and cancer diagnostics

All patients should be considered on the basis of clinical need, and the level of risk, both patient- and service-related.

National advice has already been issued on the management of 2WW referrals for cancer. Local systems should continue to manage referrals in line with NG12 and this additional advice wherever possible.

https://www.england.nhs.uk/coronavirus/wp- content/uploads/sites/52/2020/03/cancer-allianceinformation-on-managing- cancer-referrals-19-march-2020.pdf

In primary care, where a patient meets the criteria for urgent referral under NG12 but, in view of current circumstances, the GP in discussion with the patient decides not to make a suspected cancer referral because this might be more clinically risky for the patient, the general practice should ensure the patient is appropriately safety netted, monitored and can be followed up if symptoms worsen or do not resolve.

Where a patient is referred as a suspected cancer referral and assessed virtually/by telephone, and a decision is taken not to undertake diagnostics currently due to risk to the patient, the secondary care provider should keep this patient on their patient tracking list (PTL) to ensure they can be appropriately followed up. Patients should be fully involved in reaching this decision and given advice on how to report worsening or new symptoms.

If a patient is referred as a suspected cancer referral and is not available or declines a diagnostic or other appointment due to self-isolation or shielding guidance, they should remain on the secondary care provider PTL to enable their appropriate and proactive follow-up.

Where a diagnosis of cancer is confirmed, and to minimise the patient’s overall risk they are not listed for treatment immediately, then the patient should remain on the trust PTL and a decision to treat recorded if the patient has agreed to treatment. Again, patients should be involved in reaching this decision and given advice on how to report worsening or new symptoms.

It is essential that we retain records of those people who need urgent investigation for possible cancer, so that they can be followed up and diagnosed or have cancer ruled out at the earliest opportunity.

Cancer surgery hubs

Regional offices, Cancer Alliances, local systems and providers are already making plans for the continuity of cancer services during the COVID-19 response. Each local system will have its own challenges, and many will be

different from those in London. However, based on the experience in London (which in turn has drawn on the experience of Italy), we are recommending to regional offices and local systems that, as you develop and implement your own local plans for cancer, you consider incorporating the following features:

1. A central triage point within a local cancer system

All cancer patients should be considered by their MDT.

Any patients recommended for cancer surgery should be referred to a central, clinically-led triage point. This may be placed at a regional or local cancer system (Cancer Alliance) footprint level, depending on local circumstances.

The triage system will: prioritise patients for surgery on the basis of clinical need, and the level of risk, both patient- and service-related; and match patients with appropriate surgical specialisms and capacity across the cancer system.

2. Consolidation of cancer surgery on ‘clean’ sites

Where local circumstances permit, cancer surgery should be consolidated on a ‘clean’, COVID-19-free site within the local system. This could include independent sector provision where this has been secured.

This will require arrangements for COVID-19 testing for all potential admissions 48 hours before surgery.

For any cancer patient found to be COVID-19 positive, clinicians will need to decide locally when that patient will be considered fit for surgery, and be considered alongside other urgent surgery within a hospital treating COVID- 19 patients.

3. Clinical guide for the management of non-coronavirus patients requiring acute treatment: Cancer

Advice has been published to support clinicians in treatment decision-making and prioritisation, and to inform conversations about treatment with patients:

https://www.england.nhs.uk/coronavirus/wp- content/uploads/sites/52/2020/03/specialty-guide-acutetreatment-cancer-23- march-2020.pdf

We will share with Cancer Alliances details of the structures put in place in London to assist with your local planning.

Cancer Alliances and national support

In many local systems, Cancer Alliances will be well placed to lead or support work to organise the configuration of local cancer services and manage patient flows, particularly for those patients for whom the clinical risk of delay is high. Regional teams will Cancer Alliances to help them deliver these arrangements.

All current advice on handling cancer patients is available on the NHS England and NHS Improvement website:

• https://www.england.nhs.uk/coronavirus/wpcontent/uploads/sites/52/2020/ 03/specialty-guide-acute-treatment-cancer-23march-2020.pdf

• https://www.england.nhs.uk/coronavirus/wpcontent/uploads/sites/52/2020/ 03/cancer-alliance-information-on-managingcancer-referrals-19-march- 2020.pdf

The national cancer team and national specialised commissioning team will work with regional offices and Cancer Alliances to monitor preparations across the country, and will offer more intensive support where requested in areas where plans are not as advanced. This may be of particular relevance in the context of rarer cancers where there are relatively small number of providers.

If you have any questions or you feel the national cancer team can provide any particular support, please don’t hesitate to contact us at: england.cancerpolicy@nhs.net.

Kind regards,

Dame Cally Palmer Professor Peter Johnson Professor Steve Powis National Cancer Director National Clinical Director National Medical Director

for Cancer

South Warwickshire - TEMPORARY PALLIATIVE CARE GUIDELINES - 03/04/2020

Fri, 03 Apr 2020 09:07:11 GMT

SENT ON BEHALF OF DR KATE HODDELL, CONSULTANT IN PALLIATIVE MEDICINE – South Warwickshire Foundation Trust

Dear Practice Managers,

Please find attached a Temporary Palliative Care Guidelines for use during the COVID 19 Outbreak for dissemination amongst your GPs. A copy has also been issued to all District Nursing bases and a copy is available via the Castle website.

Regards

Specialist Palliative Care Team – South Warwickshire

South Warwickshire NHS Foundation Trust

Telephone 01926 600818 Choose Option 1

Website: www.swft.nhs.uk

Arden and GEM CSU Coronavirus briefing - 02/04/2020

Thu, 02 Apr 2020 14:35:16 GMT

Coronavirus briefing for Coventry and Warwickshire on Thursday 02 April 2020

LATEST NATIONAL PICTURE

• As of 9am on 1 April 2020, 152,979 people have been tested, of which 29,474 were confirmed positive.

• As of 5pm on 31 March 2020, of those hospitalised in the UK who tested positive for coronavirus, 2,352 have died.

• Coronavirus (COVID-19): what you need to do

o Only go outside for food, health reasons or work (but only when you cannot work from home)

o If you go out, stay 2 metres (6ft) away from other people at all times

o Wash your hands as soon as you get home

o Do not meet others, even friends or family

o You can spread the virus even if you don’t have symptoms

• Business Secretary's statement on coronavirus (COVID-19): 1 April 2020

• The latest health advice is available here

LATEST LOCAL PICTURE

The latest figures published by GOV.uk and PHE are: As of 9am on 01 Apr. 2020, there are a total 4,139 cases in the Midlands. In Coventry and Warwickshire this is broken down as follows:

• Coventry: 127

• Warwickshire: 190

CORONAVIRUS LOCAL MEDIA HEADLINES

Warwick Hospital confirms its first death from Covid-19

Leamington Courier, 27/03/2020, p.8, Unattributed

Warwick Hospital confirmedon at the weekend that a patient has died of Covid-ig, just two days after saying it had its first patient diagnosed with coronavirus. The man who sadly passed away was in his 80s and had underlying health conditions. Director of Nursing, Fiona Burton said: "Sadly we can confirm that a man who was being cared for at Warwick Hospital, and had tested positive for Covid-19, has died. "The patient, who died on March 21, was in his 80s and had underlying health conditions. "His family has been informed and our thoughts and condolences are with them at this difficult time." The hospital, which is run by the South Warwickshire NHS Foundation Trust (SWFT), had announced on Friday March 20, that it had its first confirmed case of Covid-19.

The number of coronavirus cases in your part of Birmingham and Midlands as death toll soars

Birmingham Mail (Web), 01/04/2020, Unattributed

The number of coronavirus cases in Birmingham has hit 650 as the city remains the most common place for the deadly bug. The Second City has registered hundreds of Covid-19 cases, with Staffordshire second in the Midlands. Public Health England has confirmed 281 cases of the bug in Staffs, with over 200 in Derbyshire and Nottinghamshire too.

Coronavirus cases in Birmingham and the Midlands, mapped

The Daily Telegraph Online, 01/04/2020, p.1, Unattributed

In a bid to free up resources, the Accident and Emergency department at Coventry's University Hospital is no longer treating minor injuries or illness for adults, while Birmingham's NEC is preparing in case it is required to double as a field hospital. Elsewhere, Birmingham Airport could serve as a mortuary if the need for the facility arose. Sandwell Council said it was working "with and on behalf of" local authorities in the West Midlands and Warwickshire "on mortuary provision across the region".

Medical students volunteer to support the NHS across Warwickshire in the fight against Covid-19

Kenilworth Weekly News (Web), 01/04/2020, Unattributed

120 final year students from Warwick Medical School at The University of Warwick will initially be employed by the NHS in the area to deliver vital support to existing medical and other clinical staff to help with the response to Covid-19. 60 students will be working at University Hospitals Coventry and Warwickshire and 30 each at Warwick Hospital and George Eliot Hospital in Nuneaton.

Technology opens new ways for MPs to make their point

Birmingham Post, 02/04/2020, p.21, Jonathan Walker

In Birmingham, the city's ten MPs have formed a group they call Radar, which is helping co-ordinate the response to the coronavirus crisis and ensure the problems faced by the city are raised with central government. The group holds a weekly conference call on Wednesdays with all the city's MPs and the leader of the city council, Ian Ward. On Fridays there is a second conference call, this time involving the NHS. This includes Jacqui Smith, chair of University Hospitals Birmingham NHS Foundation Trust, the body responsible for many of the hospitals across Birmingham and Solihull, and Dr David Rosser, the trust's chief executive.

Coventry and Warwickshire companies queue-up in response to ventilator call

Coventry Telegraph (Web), 01/04/2020, Unattributed

Advanced engineering firms in Coventry and Warwickshire are queuing-up to offer their services to help meet the demand for ventilators in the fight against coronavirus. Craig Humphrey, managing director of the CWLEP Growth Hub, said the response to the appeal from businesses in Coventry and Warwickshire had been staggering. He added: "We are co-ordinating this with manufacturers' organisation Make UK to pass on this vital information to the Government. We also put out a plea on behalf of the University Hospitals Coventry and Warwickshire in Walsgrave to provide goggles and protective screens on Facebook, LinkedIn and Twitter and we received over 1,500 responses in 24 hours which is amazing."

Here's what Birmingham's MPs are doing to help the city get through the coronavirus crisis

Birmingham Mail (Web), 01/04/2020, Unattributed

In Birmingham, the city's 10 MPs have formed a group they call Radar, which is helping co-ordinate the response to the coronavirus crisis and ensure the problems faced by the city are raised with central government. The group holds a weekly conference call on Wednesdays with all the city's MPs and the leader of the city council, Ian Ward. On Fridays there is a second conference call, this time involving the NHS. This includes Jacqui Smith, chair of University Hospitals Birmingham, the body responsible for many of the hospitals across Birmingham and Solihull, and Dr David Rosser, the Trust's chief executive.

Medical students volunteer to support the NHS across Warwickshire in the fight against Cov...

Leamington Spa Courier (Web), 01/04/2020, Unattributed

''Stockport's own NHS Nightingale'': New care home joins fight against coronavirus pandemic

ManchesterEveningNews (Web), 01/04/2020, Unattributed

Andrea Green, accountable officer for NHS Stockport Clinical Commissioning Group said: "The decision to open Bramhall Manor will ensure we are able to continue to provide high quality care for patients, during one of the most challenging times the NHS and Social Care has ever faced. I want to pay tribute to the huge local effort in responding to the Coronavirus pandemic and we are all immensely proud of the work of frontline and support staff, and local volunteers, which enables us to continue providing care across Stockport communities."

CORONAVIRUS LOCAL MEDIA BROADCAST

Coronavirus pandemic

BBC Radio Coventry and Warwickshire, Breakfast, 01/04/2020, 08:03:04, 5:0

Warwick medical students join fight against coronavirus. 120 final-year medical students from the University of Warwick have volunteered to support the NHS locally to help the response to the coronavirus pandemic.

Coronavirus pandemic

BBC Radio Coventry and Warwickshire, Breakfast, 01/04/2020, 07:04:20, 5:0

CORONAVIRUS NATIONAL MEDIA HEADLINES

Questions without answers

The Daily Telegraph, 02/04/2020, p.1, Laura Donnelly; Gordon Rayner; Hayley Dixon; Bill

Following days of increasing concerns over the growing coronavirus testing crisis, it is still unclear when NHS workers are to be tested, when mass testing for the population is to be rolled out or even whether the Government has a plan to end the nation's quarantine. There is reported to be frustration within government over Public Health England, which is responsible for testing and is not thought to be rising to the challenge. Ministers are expected to bring in the private sector and universities in the next few days. It is also noted that yesterday, the Army was deployed to help the NHS implement the rollout of tests to doctors and nurses, with hospital chief executives told they would be held "personally responsible" if any tests went unused. It follows warnings that some NHS trusts were only testing three workers a day.

Questions without answers

The Daily Telegraph, 02/04/2020, p.1, Laura Donnelly, Gordon Rayner, Hayley Dixon, Bill

How Germany got down to testing while Britain failed to take action

The Daily Telegraph, 02/04/2020, p.2, Justin Huggler

Let's stop dithering and fight this virus

The Daily Telegraph, 02/04/2020, p.17, Unattributed

Virus testing plans in chaos

The Times, 02/04/2020, p.1, Chris Smyth; Billy Kenber; francis Elliott

Jobless claims rocket by 1m as virus delivers shock to economy

Financial Times, 02/04/2020, p.1, Chris Giles

Johnson under fire for slow start in ramping up tests to end lockdown

Financial Times, 02/04/2020, p.3, Ft Reporters

Ministers pressed on safety of NHS staff

Financial Times, 02/04/2020, p.3, Laura Hughes

Plaudits alone will not help NHS beat Covid-19

Financial Times, 02/04/2020, p.20, Unattributed

125,000 NHS staff isolating. Still just 2,000 tested. Why?

The Independent Daily Edition, 02/04/2020, p.1, Andrew Woodcock

NHS frontline staff let down on testing

i (The paper for today), 02/04/2020, p.1, Unattributed

Testing shortfall puts pressure on No 10 to deliver

i (The paper for today), 02/04/2020, p.4, Richard Vaughan; Tom Bawden

Up to 85% of isolating NHS staff 'could be back at work'

The Independent Daily Edition, 02/04/2020, p.4, Rob Merrick; Andrew Woodcock

Are enough people being tested for coronavirus?

The Independent Daily Edition, 02/04/2020, p.5, Harry Cockburn

Covid death rates will prove the UK is as unequal as ever

The Independent Daily Edition, 02/04/2020, p.35, Unattributed

Only 2,000 out of 125,000 frontline NHS staff who are isolating have been tested

The Independent Daily Edition, 02/04/2020, p.3, Andrew Woodcock

Just 2,000 key NHS staff tested for Covid-19

The Guardian, 02/04/2020, p.1, Ian Sample; Rowena Mason

Just 2,000 frontline NHS staff out of half a million have been tested

The Guardian, 02/04/2020, p.1, Ian Sample; Rowena Mason

Needless political spin risks corroding trust in No 10 crisis strategy

The Guardian, 02/04/2020, p.2, Unattributed

550,000 NHS staff, only 2,000 tested

Daily Mail, 02/04/2020, p.1, Sophie Borland; Jason Groves

Testing is the only way to end this purgatory. The PM must now get a grip

Daily Mail, 02/04/2020, p.16, Unattributed

Staggering incompetence of our public health fatcats

Daily Mail, 02/04/2020, p.6, Guy Adams

Appoint a minister for testing now, Boris - or history will not be kind

Daily Mail, 02/04/2020, p.19, Stephen Glover

Shambles

The Daily Mirror, 02/04/2020, p.1, Martin Bagot

Q and A

The Daily Mirror, 02/04/2020, p.5, Unattributed

FAILING THE TEST

The Daily Mirror, 02/04/2020, p.4, Martin Bagot; ben Glaze; Nick Sommerlad

FAILING THE TEST

The Sun, 02/04/2020, p.4, Chloe Kerr; matt Dathan; kate Ferguson; nick Mcdermo

NHS staff come first

Daily Star, 02/04/2020, p.8, Unattributed

NOW GET A BLEEDIN' GRIP, BOZO

Daily Star, 02/04/2020, p.1, James Caven

NOW GET A BLEEDIN' grip, bozo BORIS Johnson's Government has been blasted as just 2,000 out of 500,000 hero health workers who are fighting on the frontline against Covid-19 have so far been tested for the killer bug. Coronavirus latest: P4,5,6&7 ¦ by JAM

Daily Star (Lancs), 02/04/2020, p.1, James Caven

It's hell for our heroes!

Daily Star, 02/04/2020, p.4, James Caven

RIDICULOUS

Metro, 02/04/2020, p.1, Aidan Radnedge

Medical staff turned back at drive-throughs

The Times, 02/04/2020, p.5, Emma Yeomans

A drive-through coronavirus test site in the car park for Chessington World of Adventures, which has been set aside for NHS staff, was almost empty yesterday, as NHS staff are finding it too difficult to get to. However, at a similar testing centre in the car park of Ikea, at Wembley, roads were gridlocked before the 10am opening and many early arrivals were turned away by NHS security guards because their car registrations were not on a list of about 200 authorised vehicles. Ikea said it was reviewing its other sites to see if more could be set up. It is noted that last week, Sir Simon Stevens, head of NHS England, promised a "ramping up" of testing for NHS staff .

NHS workers refused swabs at newly open test centres

The Daily Telegraph, 02/04/2020, p.2, Henry Bodkin; Miranda Levy

Shock as the UK death toll rockets by 563

Daily Mail, 02/04/2020, p.8, Eleanor Hayward

The coronavirus death toll soared by 563 yesterday to 2,352 as the Government warned it is 'the biggest threat our country has faced in decades'. Professor Yvonne Doyle, of Public Health England, said the UK was not in as 'severe' a position as Spain, the US or Italy, but added: 'We have now seen three days of increases of hospital admissions in a row. We need to protect the NHS, and the best way to do that is to stay at home.' Professor Stephen Powis, NHS England's medical director, has warned that the country is 'very much still in the woods' and he expects death rates and hospital admissions to keep increasing.

Darkest day as the UK death toll rises to 2,352

Daily Express, 02/04/2020, p.6, Hanna Geissler

Hospitals' oxygen at risk of failure as cases surge, NHS England warns

The Guardian, 02/04/2020, p.4, Denis Campbell

NHS bosses have warned all NHS trusts in England to limit the number of people they put on mechanical ventilators and continuous positive airway pressure (CPAP) machines, after a London teaching hospital almost ran out of oxygen for its Covid-19 patients last weekend because it was treating so many people with the disease who needed help to breathe. NHS England was so concerned by the incident that it told hospital bosses in a letter on Monday that the risk constituted a "critical safety concern" which could have major consequences for all patients relying on oxygen to stay alive.

Protection 'racket' as carers pay 1,000% more for masks

The Times, 02/04/2020, p.8, Andrew Ellson

Care homes and social care providers have warned that some suppliers of face masks, aprons, gloves and antibacterial hand gels have taken advantage of the coronavirus crisis to raise their prices by more than 1,000 per cent. One social care provider claimed that it was being charged as much as £8 for a box of 100 non-latex gloves that used to cost £2, and that one supplier had tried to charge £179 for five litres of hand gel that used to cost £5. Katrin Green, who runs a domiciliary care agency that supports 350 vulnerable people in Torbay, said: "We are being ripped off. It's daylight robbery...These suppliers want big orders. The NHS is ordering millions and we only need thousands. I don't think they want the extra delivery costs or admin burden of smaller orders."

Payouts for families of fatally infected NHS staff

The Daily Telegraph, 02/04/2020, p.5, Unattributed

Ministers are finalising a scheme under which families of NHS staff who die because of coronavirus will be offered compensation. To date, four NHS staff have died from the virus, and the scheme is expected to cover any NHS worker who succumbs to the disease.

Virus patients more likely to die may have ventilators taken away

The Guardian, 02/04/2020, p.1, Denis Campbell; Alexandra Topping; Caelainn Barr

The British Medical Association (BMA) has set out guidelines to ration care if the NHS becomes overwhelmed with new cases as the coronavirus outbreak peaks. Under the proposals, hospitals would impose "severe" limits on who is put on a ventilator, and large numbers of patients could be denied care, with those facing a poor prognosis losing the potentially life-saving equipment even if their condition is improving. The BMA guidelines came as Public Health England (PHE) finalises an updated document setting out what protective kit should be worn in different medical settings, that is intended to dispel the confusion, alarm and fear among frontline NHS staff. The document, due out today, is reported to be a partial revision of guidance that led to PHE facing a barrage of criticism from groups representing doctors, nurses, midwives and other NHS staff.

Ventilator rationing blueprint revealed

The Guardian, 02/04/2020, p.1, Denis Campbell; Alexandra Topping; Caelainn Barr

Covid-19 patients could have treatment withdrawn to save others

ITV.com (Web), 02/04/2020, Unattributed

Firm running new hospital warns staff of shortages

i (The paper for today), 02/04/2020, p.5, David Parsley; Lawrie Holmes

Mitie, the firm providing and maintaining heating, cooling, lighting and water at NHS' giant Nightingale Hospital, has warned that it is short of protective equipment and told its staff it is in "survival mode" as its revenue is "drying up". Chief executive Phil Bentley made the shocking revelations in an email sent to staff on Monday evening.

Rogue firms targeting NHS staff with tax dodge scams

Daily Mail, 02/04/2020, p.71, James Salmon

HM Revenue & Customs has warned that NHS workers are being targeted by rogue firms promoting aggressive tax avoidance schemes, adding that they will be hit with hefty penalties for dodging tax if they fall into such traps. An HMRC spokesman said: 'It is shocking that unscrupulous promoters of tax avoidance schemes are targeting returning NHS workers during this difficult time. We urge people to be very careful to not inadvertently sign up to such arrangements.'

NHS England confirms its guidance on parental visits

The Independent Daily Edition, 02/04/2020, p.10, Shaun Lintern

NHS England has confirmed that hospitals should allow parents to be with children who are being treated for the coronavirus, after the family of 13-year-old Ismail Mohamed Abdulwahab - who died at King's College Hospital in south London in the early hours of Monday - said that he had died alone because of the risk of infection. The end-of-life charity Marie Curie has also called on doctors to allow families to be with their loved ones, describing it as an "important part of their duty of care".

Doctor who came out of retirement is killed by coronavirus

i (The paper for today), 02/04/2020, p.7, Sally Guyoncourt

Dr Alfa Saadu, a retired hospital doctor who returned to work to assist the fight against the coronavirus pandemic, died on Tuesday morning after contracting Covid-19 about two weeks ago. Lance McCarthy, the chief executive of the Princess Alexandra Hospital NHS Trust, said: "Alfa was well known at the trust for his passion for ensuring our patients received highquality care. He was a committed member of the team and is remembered fondly by many."

NHS toll Retired doctor, 68, is latest to die from virus

The Guardian, 02/04/2020, p.4, Matthew Weaver

Dad of seven went 'beyond the call of duty... but he had no protection'

The Daily Mirror, 02/04/2020, p.6, Amy-Clare Martin

It is alleged that NHS nurse Thomas Harvey died in self-isolation after treating a suspected Covid-19 patient without any protective equipment at Goodmayes Hospital, in Ilford, East London. North East London NHS Foundation Trust insisted the hospital has been following national PPE guidance.

''My dad was let down'': Father-of-seven died after treating patient with coronavirus

ITV.com (Web), 01/04/2020, Unattributed

Two frontline medics killed by virus they were fighting

The Sun, 02/04/2020, p.8, Nick Mcdermott; chris Pollard; shaun Wooller

Reinvented iron lung could help ventilator shortage

The Independent Daily Edition, 02/04/2020, p.9, Shaun Lintern

A taskforce of doctors, engineers and scientists has developed and tested a modern version of "iron lung" machines, called an exovent, which could provide an answer to the health service's shortage of ventilators during the coronavirus outbreak. The Royal Papworth Hospital in Cambridge is one of three NHS hospitals that have agreed to road test six of the machine in coming days, and the taskforce has been supported by Professor Sir John Burn, chairman of The Newcastle upon Tyne Hospitals Foundation Trust and a former member of NHS England's board.

Prince Charles hails 'emergency service' efforts of the nation's shelf-stackers

The Daily Telegraph, 02/04/2020, p.7, Hannah Furness

The Prince of Wales has praised supermarket shelf-stackers as Britain's newest "emergency service", as he lauded employees "toiling as hard as they can" to keep the nation running during the coronavirus pandemic. The Prince also paid tribute to the "utter, selfless devotion to duty" of NHS staff, volunteers and key workers around the country, he spoke of the "strange, frustrating and often distressing" experience of self-isolation.

Charles hails 'remarkable NHS'

i (The paper for today), 02/04/2020, p.14, Unattributed

None of us can say when this will end, but end it will

The Daily Mirror, 02/04/2020, p.8, Russell Myers

CLAP OF HONOUR

The Sun, 02/04/2020, p.1, Emma Pietras

The Sun is urging its readers to take part in the "Clap For Our Carers" event every Thursday, to applaud NHS staff who are risking their lives on the frontline of the coronavirus epidemic. England's Chief Nursing Officer Ruth May said: "Knowing the public are right behind them will help to sustain nurses, doctors, therapists and the countless others who are giving their all to help patients."

THURSDAY AT 8..MAKE IT A DATE!

The Sun, 02/04/2020, p.2, Emma Pietras; mike Ridley; kate Jackson

NHS to profit from virtual Grand National

The Daily Telegraph, 02/04/2020, p.11, Marcus Armytage

There will be a virtual Grand National on Saturday, with all bookmaker profits going to National Health Service charities.

NHS to profit from virtual Grand National

The Daily Telegraph, 02/04/2020, p.11, Marcus Armytage

Virtual Grand National to go ahead

The Independent Daily Edition, 02/04/2020, p.62, Unattributed

Aintree has gone viral

Daily Star, 02/04/2020, p.6, Jack Andrews

National bets to help NHS from the horse's mouth

Metro, 02/04/2020, p.32, Unattributed

Sturgeon abandons 'sinister' plan to scrap juries after backlash

The Daily Telegraph, 02/04/2020, p.9, Izzy Lyons; Simon Johnson

Boots UK is donating more than 200k personal care products including hand cream, shower gel and toothpaste to NHS workers and vulnerable people to help them manage during the coronavirus pandemic.

Midwives Call for hotels to be used as pop-up birth centres

The Guardian (North), 02/04/2020, p.12, Hannah Summers

The UK-based Midwifery Unit Network (MUN) has said that hotels should be used as "pop-up" birth centres with retired and student midwives drafted into support NHS staff, in an effort to help expectant mothers stay away from hospitals during the coronavirus pandemic.

Spire given debt boost after it supports NHS

The Times, 02/04/2020, p.45, Alex Ralph

Spire Healthcare has agreed a covenant waiver on its debts and has cancelled its dividend after it made its hospitals available to the NHS during the coronavirus crisis. Analysts at Numis, Spire's house broker, said that the group "is likely to be well placed, once this has passed, to respond to likely pentup demand arising from a period of elective suspension across both the NHS and private sector".

Euro 2020 volunteers switch to NHS

The Times, 02/04/2020, p.11, Lucy Fisher; charlotte Wace

Volunteers due to assist the Euro 2020 football tournament this summer have been drafted into the new NHS Nightingale field hospital for coronavirus patients in east London.

Joe's videos net NHS £80k

Daily Express, 02/04/2020, p.10, Tom Bryant

Fitness coach Joe Wicks is donating the £80,000 in advertising he has raised from his daily online PE lessons to the NHS. Shotgun singer George Ezra has also waived any fee for the use of his music in Joe's videos.

Joe's workout cash for NHS

The Daily Mirror, 02/04/2020, p.7, Unattributed

MG HELPS OUT NHS MG [...]

The Daily Mirror, 02/04/2020, p.44, Colin Goodwin

It is reported that MG is supplying 100 of its ZS EV electric crossovers to NHS agencies free of charge for up to six months to help in combating coronavirus.

AA's offer to NHS staff

Daily Mail, 02/04/2020, p.71, Unattributed

The AA is launching a free breakdown service for 1.5m NHS workers during the coronavirus crisis. AA chief executive Simon Breakwell said the idea had come from 'numerous suggestions from our people indicating that the NHS are there for us, so we want to be there for them'.

AA offers free breakdown assistance for NHS workers

ITV.com (Web), 02/04/2020, Unattributed

The irony of coronavirus

The Independent Daily Edition, 02/04/2020, p.6, Sean O'grady

Comment: Sean O'Grady writes that while more and more pressing questions about NHS preparedness for the coronavirus pandemic are being asked, the effective shut down of parliament has meant that "there are fewer formal opportunities for MPs and peers to put them directly to ministers".

No one's looking at you any more - celebrities are in a corona crisis

The Times, 02/04/2020, p.4, Polly Vernon

Polly Vernon praises some celebrities who have tried to help during the coronavirus outbreak, such as actor James McAvoy, who has denoted £275,000 to a PPE crowdfunding appeal and applied to join the NHS volunteer scheme, but admonishes others who have tried to use the crisis to attract attention to themselves.

Even I have struggled with self-isolation

The Daily Telegraph, 02/04/2020, p.16, Paul Cosford

Professor Paul Cosford, emeritus medical director at Public Health England, writes about his struggle to self-isolate being one of the people classed as "at risk" of catching the coronavirus.

Like so many medics I'm stuck at home with just a cough. This is madness

Daily Mail, 02/04/2020, p.5, Max Pemberton

Comment: Dr Max Pemberton writes about his frustration at the slowness of the government's coronavirus testing of NHS workers at a time when one in four NHS doctors is currently sitting at home, unable to work because they or someone they're living with is displaying symptoms of coronavirus., especially when NHS Providers claimed this week that as many as 85 per cent of the staff self-isolating at home may not have the virus.

Globalisation has passed its peak

Daily Mail, 02/04/2020, p.70, Ruth Sunderland

An interview with Christopher Nieper, in which he comments about the current coronavirus crisis: 'Never again as a country should we leave ourselves so exposed, with the NHS desperate for scrubs and gowns the country can't supply, and it is the same with other things, such as respirators. We are moving into a new age of localisation, with community at its heart.'

Our great talent for invention will lead us out of darkness

Daily Express, 02/04/2020, p.12, Leo Mckinstry

Columnist Leo McKinstry writes that "nothing better exemplifies the country's selfless spirit than the willingness of more than 750,000 people to sign up as NHS volunteers".

Who bags an Oscar?

The Sun, 02/04/2020, p.54, Unattributed

The Sun's Oscar Paul nominates people who have gone above and beyond in March to help those in need during the coronavirus outbreak for his own Academy Awards. Among the nominees are Crystal Palace player Wilfried Zaha, who offered rent-free accommodation at 50 properties for NHS staff who cannot get home after shifts, and pundit Gary Neville, who allowed NHS staff free access to the rooms to sleep in amid the pandemic.

Kindness leads to contentment

Metro, 02/04/2020, p.23, Susan Griffin

Comment: following the success of the nationwide round of applause for NHS workers last wek, Susan Griffin recommends that readers offer kindness and be generous to others, quoting Dr Dimitrios Paschos at Re:Cognition Health, who says: 'Kindness promotes gratitude, empathy and compassion and leads to contentment.'

Stop driving for exercise

The Sun, 02/04/2020, p.47, Unattributed

Letter: "Covid-19 has shone a bright light on the incredible work of our NHS - and now we're seeing just how our troops are stepping up to the mark. The construction of the Nightingale Hospital in East London has been completed after those brave lads worked around the clock. It is heartwarming."

Claridge's opens its doors to NHS heroes with beds and dinner

Evening Standard, 01/04/2020, p.1, Unattributed

Claridge's hotel in Mayfair is transforming itself into a five-star refuge for dozens of London NHS workers who cannot live at home during the Covid-19 crisis. Paddy McKillen, co-owner of the Maybourne Group, which runs Claridge's, said: "Just as it has in the past world wars, Claridge's has a duty to step up and support the people of London. Teams from all our hotels have volunteered to help and support the dedicated NHS workers at this critical time. We are forever in their debt."

LONDON'S 'HOUR OF NEED' AS TEST ROW GROWS

Evening Standard, 01/04/2020, p.1, Unattributed

The NHS in London is reported to have reached its "hour of need", with beds and staffing under pressure amid a growing row over the failure to introduce mass testing for coronavirus. The Mayor of London, Sadiq Khan, issued an appeal to businesses and organisations across the capital to lend the hard-pressed NHS workforce their vehicles, hotel rooms and any spare medical facilities. He has warned that extra capacity is needed within 48 hours to relive the strain on hospitals. Vital extra hospital beds are due to arrive when the new NHS Nightingale hospital, built at lightning speed at the EXCEL centre in Docklands, opens its doors to patients "by the end of the week".

TRAINEE STAFF ON NHS FRONT LINE

Evening Standard, 01/04/2020, p.1, Unattributed

A photograph of Megan Hollands, one of 300 UCL trainees who graduated today are being deployed on the front line by the NHS in the fight against coronavirus at the Royal Free Hospital.

It's a 'baptism of fire' as medical students are fast-tracked to front line

Evening Standard, 01/04/2020, p.3, Unattributed

Over 300 final-year students at UCL formally graduated today, and many spoke of a "baptism of fire" as they were fast-tracked onto the front line of the London battle against coronavirus. The news came as new concerns emerged about the accuracy of NHS data on the number of Covid-19 deaths. The Whittington hospital, in Archway, has yet to feature in NHS England's daily statistics but has recorded 20 patient deaths, it confirmed today.

Tottenham offer stadium for use as a hospital

Evening Standard, 01/04/2020, p.30, Unattributed

London mayor Sadiq Khan has written to the capital's Premier League and Championship clubs to ask for access to medical staff, stadium facilities and accommodation for NHS staff during football's shutdown. Tottenham has offered its ground to the NHS and talks are ongoing how best to use the state-of-the-art facility, which officially opened a year ago on Friday. The possibility of using the stadium for drive-through coronavirus testing has also been discussed.

'He was a bubble of life': family's heartbreak at death of boy, 13

Evening Standard, 01/04/2020, p.4, Unattributed

Health care assistant Thomas Harvey, who "never took a sick day", is feared to be the latest NHS worker to die after contracting coronavirus. Professor Oliver Shanley, chief executive of North East London NHS Foundation Trust, said: "Thomas was a longstanding dedicated member of our intermediate care team. This is a huge loss to both NELFT and the wider NHS."

Chemicals body disputes Gove claim of lack of vital test reagents

Evening Standard, 01/04/2020, p.26, Michael Bow

Although Cabinet Office minister Michael Gove yesterday said the Government wanted to ramp up Covid-19 testing, but obtaining certain chemical reagents was a "critical constraint, a spokesman for the Chemical Industries Association, which represents dozens of top chemicals companies, said reagents were flowing to the NHS.

Loss of smell and taste could be strongest symptom of coronavirus, study says

ITV.com (Web), 01/04/2020, Unattributed

Almost 60% of people who tested positive for coronavirus reported loss of smell and taste, compared with 18% of those who tested negative, analysis of the data showed. Public Health England research say 'there is a range of symptoms" but do not specify a loss of smell. On the question of symptoms, NHS England's National Medical Director Steve Powis said: "The two commonest are by far cough and a fever and that is exactly why they are the two symptoms that we are if they get those symptoms."

Coronavirus: Government under pressure to ramp up mass NHS staff testing

ITV.com (Web), 01/04/2020, Unattributed

The Government is coming under increasing pressure to ramp up tests as healthcare leaders warned there is "no immediate prospect" of mass NHS staff testing.

Wainhouse Tower in Halifax lights up blue to thank NHS staff and other key workers in the coronavirus crisis

ITV.com (Web), 01/04/2020, Unattributed

A nightly tribute will be paid to NHS and other key workers in Calderdale when a landmark will be lit up in blue as a signal of thanks for their work during the coronavirus pandemic.

Positive stories raising a smile amid the coronavirus lockdown

ITV.com (Web), 01/04/2020, Unattributed

Risk Astley has announced he will be holding a free concert to say thank you for NHS frontline staff, care workers and emergency service staff.

ITV Wales Weather Presenter Kelsey Redmore shares her experience of living in quarantine with coronavirus symptoms

ITV.com (Web), 01/04/2020, Unattributed

ITV Wales Weather Presenter Kelsey Redmore writes about her experience of being in quarantine with coronavirus symptoms. She notes: "I'm yet to get tested, but for now, I'm just taking things easy and self-isolating as much as I can and following the government and NHS guidelines."

Several more UK sites being converted into temporary coronavirus field hospitals

ITV.com (Web), 01/04/2020, Unattributed

Several temporary coronavirus field hospitals are being set up right across the UK, as the NHS aims to boost its bed capacity to cope with the growing coronavirus crisis. Work is already underway at sites in Wales, Cumbria, Scotland and the Midlands, while several sites in Northern Ireland are being considered.

Trials of a drug that could help treat coronavirus are to take place at NHS centres in the North West

ITV.com (Web), 01/04/2020, Unattributed

Patients at five NHS centres in the North West are to take part in trials of a drugs that could help treat coronavirus. Manufactured by pharmaceutical company Gilead, the drug Remdesivir is one of many being tested across the world as a treatment for Covid-19.

Drug that could potentially help treat coronavirus is to be trialled at hospitals in Sheffield

ITV.com (Web), 01/04/2020, Unattributed

Coronavirus latest: 19 more deaths in the Border region

ITV.com (Web), 01/04/2020, Unattributed

Five patients died in hospitals run by the North Cumbria Integrated Care NHS Foundation trust.

Southend Hospital staff warn of need to cut services due to limited protective gear

ITV.com (Web), 01/04/2020, Unattributed

Staff at Southend Hospital said they're concerned about the rationing of personal protective equipment (PPE). In a statement sent to ITV Anglia, bosses at Southend Hospital said they are committed to keeping their staff safe. We are fully complying with the Public Health England guidance on the use of Personal Protective Equipment, which has been developed by expert clinicians and is being followed by the whole of the NHS.

Clubs come together with communities during coronavirus outbreak

ITV.com (Web), 01/04/2020, Unattributed

Football clubs across the Midlands have been reaching out to their communities and spreading the word of Government safety guidelines in a show of support for one another during the coronavirus outbreak.

Joe Wicks reveals he's raised $100,000 for the NHS in just one week

ITV.com (Web), 01/04/2020, Unattributed

Joe Wicks has raised nearly $100,000 for the NHS from his at-home PE lessons in just a single week. Wicks, in his new found role as the nation's PE teacher, has been putting daily exercise classes on Youtube for people to keep fit and healthy during the coronavirus lockdown.

RAF Leeming helicopters deployed to support the NHS in fight against COVID-19

ITV.com (Web), 01/04/2020, Unattributed

Military helicopters are being deployed across the country to support the NHS in the fight against Covid-19, the Government has announced.

Region rallies to provide NHS with life-saving equipment

ITV.com (Web), 01/04/2020, Unattributed

A company in Peterborough which makes medical gloves is now shipping its entire stock of more than 88 million to the NHS. Iain Crawford, Group Managing Director, Supermax Healthcare: "Tough decision for us because we have almost 700 customers of which the NHS is only one, so any decision we made with this stock was going to impact everybody. But in other ways it was the easiest decision we ever made because our frontline medical staff need our support and help now more than ever and this was just the only way we felt that we could do it."

Burton Albion FC offer space for NHS to support expectant and new mums

ITV.com (Web), 01/04/2020, Unattributed

Burton Albion FC are making one of the suites at the Pirelli Stadium available for midwives at University Hospitals of Derby and Burton (UHDB) to offer expectant and new mums care closer to their homes. The club staff are now working remotely from home during the COVID-19 outbreak and have donated the facility to the UHDB Trust until the foreseeable future.

Teddy bear maker recently affected by flooding fundraises for NHS during coronavirus outbreak

ITV.com (Web), 01/04/2020, Unattributed

Britain's oldest remaining teddy bear maker is supporting the NHS' fight against the coronavirus by relaunching a specially-made fundraising bear. Merrythought, the bear-maker, is based in Ironbridge. It had only recently been affected by flooding from the River Severn.

Carlisle landmark lights up blue in appreciation for the NHS

ITV.com (Web), 01/04/2020, Unattributed

A landmark in Carlisle will be illuminated each night in recognition of the hard work of NHS and key workers during the coronavirus pandemic. Carlisle's citadel will be lit up in NHS blue as a signal of thanks.

Sheffield bike shop offering free services and essentials for all NHS staff

ITV.com (Web), 01/04/2020, Unattributed

A team of 'two and a half' bike mechanics are keeping their 75-year-old shop open to help keep their community safely moving during the coronavirus crisis. They are also offering free bike services for all NHS staff and have teamed up with their suppliers to provide a free helmet, set of bike lights and high visibility jackets too.

Leeds Beckett University joining forces with NHS to train up to 1,000 new staff

ITV.com (Web), 01/04/2020, Unattributed

Leeds Beckett University is opening up city centre sites the Rose Bowl and Portland buildings to the NHS to offer teaching spaces, catering facilities and meeting rooms.

Hospital Trusts merge to form Bedfordshire Hospitals NHS Foundation Trust

ITV.com (Web), 01/04/2020, Unattributed

Bedford Hospital NHS Trust and the Luton and Dunstable University Hospital NHS Foundation Trust have merged to form a brand new Trust. The new Trust said that providing consistent leadership within an integrated Trust is essential as the NHS deals with COVID-19.

Rutland teacher makes masks for NHS staff

ITV.com (Web), 01/04/2020, Unattributed

A design and technology teacher from Rutland has been making face shields to help protect NHS workers from coronavirus.

Luton man jailed for spitting at two NHS workers in ''disgusting and unprovoked attack''

ITV.com (Web), 01/04/2020, Unattributed

A man from Luton has been handed a nine-week prison sentence for spitting at two NHS workers in the town. David Carter, Chief Executive of Bedfordshire Hospitals NHS Foundation Trust, added: "It seems inconceivable that our staff would be abused in this way at this time and we would like to thank Bedfordshire Police for following up the incident in the way they have."

Airbus to bring 400,000 face masks destined for NHS to Flintshire

ITV.com (Web), 01/04/2020, Unattributed

More than 400,000 surgical masks destined for the NHS in the UK have been loaded on to trucks in France to arrive in north Wales. The cargo is part of a total of six million surgical masks that have already been brought to Europe from China using Airbus aircraft.

Former international javelin star James Campbell to run marathon in Cheltenham back garden to raise funds for NHS

ITV.com (Web), 01/04/2020, Unattributed

A former international athlete from Gloucestershire will spend his birthday running a marathon - adhering to social distancing by doing it in his back garden. He has set up a fundraising page to make sure his efforts would at least benefit a good cause - setting a target of £10,000 for the NHS.

ACTIONS TAKEN

• Reviewing new assets published by PHE on campaign resources website and how we need to use them.

• Every Mind Matters quiz added link to websites and social media

• Adding GOV UK summary of advice table to websites

• Emailed NHSE team for advice / update on pharmacy opening hours over Easter bank holidays, should have an update later this week.

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice is ongoing

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

Coronavirus briefing for Coventry and Warwickshire on Thursday 02 April 2020

LATEST NATIONAL PICTURE

• As of 9am on 1 April 2020, 152,979 people have been tested, of which 29,474 were confirmed positive.

• As of 5pm on 31 March 2020, of those hospitalised in the UK who tested positive for coronavirus, 2,352 have died.

• Coronavirus (COVID-19): what you need to do

o Only go outside for food, health reasons or work (but only when you cannot work from home)

o If you go out, stay 2 metres (6ft) away from other people at all times

o Wash your hands as soon as you get home

o Do not meet others, even friends or family

o You can spread the virus even if you don’t have symptoms

• Business Secretary's statement on coronavirus (COVID-19): 1 April 2020

• The latest health advice is available here

LATEST LOCAL PICTURE

The latest figures published by GOV.uk and PHE are: As of 9am on 01 Apr. 2020, there are a total 4,139 cases in the Midlands. In Coventry and Warwickshire this is broken down as follows:

• Coventry: 127

• Warwickshire: 190

CORONAVIRUS LOCAL MEDIA HEADLINES

Warwick Hospital confirms its first death from Covid-19

Leamington Courier, 27/03/2020, p.8, Unattributed

The number of coronavirus cases in your part of Birmingham and Midlands as death toll soars

Birmingham Mail (Web), 01/04/2020, Unattributed

Coronavirus cases in Birmingham and the Midlands, mapped

The Daily Telegraph Online, 01/04/2020, p.1, Unattributed

Medical students volunteer to support the NHS across Warwickshire in the fight against Covid-19

Kenilworth Weekly News (Web), 01/04/2020, Unattributed

Technology opens new ways for MPs to make their point

Birmingham Post, 02/04/2020, p.21, Jonathan Walker

Coventry and Warwickshire companies queue-up in response to ventilator call

Coventry Telegraph (Web), 01/04/2020, Unattributed

Here's what Birmingham's MPs are doing to help the city get through the coronavirus crisis

Birmingham Mail (Web), 01/04/2020, Unattributed

Medical students volunteer to support the NHS across Warwickshire in the fight against Cov...

Leamington Spa Courier (Web), 01/04/2020, Unattributed

''Stockport's own NHS Nightingale'': New care home joins fight against coronavirus pandemic

ManchesterEveningNews (Web), 01/04/2020, Unattributed

CORONAVIRUS LOCAL MEDIA BROADCAST

Coronavirus pandemic

BBC Radio Coventry and Warwickshire, Breakfast, 01/04/2020, 08:03:04, 5:0

Coronavirus pandemic

BBC Radio Coventry and Warwickshire, Breakfast, 01/04/2020, 07:04:20, 5:0

CORONAVIRUS NATIONAL MEDIA HEADLINES

Questions without answers

The Daily Telegraph, 02/04/2020, p.1, Laura Donnelly; Gordon Rayner; Hayley Dixon; Bill

Questions without answers

The Daily Telegraph, 02/04/2020, p.1, Laura Donnelly, Gordon Rayner, Hayley Dixon, Bill

How Germany got down to testing while Britain failed to take action

The Daily Telegraph, 02/04/2020, p.2, Justin Huggler

Let's stop dithering and fight this virus

The Daily Telegraph, 02/04/2020, p.17, Unattributed

Virus testing plans in chaos

The Times, 02/04/2020, p.1, Chris Smyth; Billy Kenber; francis Elliott

Jobless claims rocket by 1m as virus delivers shock to economy

Financial Times, 02/04/2020, p.1, Chris Giles

Johnson under fire for slow start in ramping up tests to end lockdown

Financial Times, 02/04/2020, p.3, Ft Reporters

Ministers pressed on safety of NHS staff

Financial Times, 02/04/2020, p.3, Laura Hughes

Plaudits alone will not help NHS beat Covid-19

Financial Times, 02/04/2020, p.20, Unattributed

125,000 NHS staff isolating. Still just 2,000 tested. Why?

The Independent Daily Edition, 02/04/2020, p.1, Andrew Woodcock

NHS frontline staff let down on testing

i (The paper for today), 02/04/2020, p.1, Unattributed

Testing shortfall puts pressure on No 10 to deliver

i (The paper for today), 02/04/2020, p.4, Richard Vaughan; Tom Bawden

Up to 85% of isolating NHS staff 'could be back at work'

The Independent Daily Edition, 02/04/2020, p.4, Rob Merrick; Andrew Woodcock

Are enough people being tested for coronavirus?

The Independent Daily Edition, 02/04/2020, p.5, Harry Cockburn

Covid death rates will prove the UK is as unequal as ever

The Independent Daily Edition, 02/04/2020, p.35, Unattributed

Only 2,000 out of 125,000 frontline NHS staff who are isolating have been tested

The Independent Daily Edition, 02/04/2020, p.3, Andrew Woodcock

Just 2,000 key NHS staff tested for Covid-19

The Guardian, 02/04/2020, p.1, Ian Sample; Rowena Mason

Just 2,000 frontline NHS staff out of half a million have been tested

The Guardian, 02/04/2020, p.1, Ian Sample; Rowena Mason

Needless political spin risks corroding trust in No 10 crisis strategy

The Guardian, 02/04/2020, p.2, Unattributed

550,000 NHS staff, only 2,000 tested

Daily Mail, 02/04/2020, p.1, Sophie Borland; Jason Groves

Testing is the only way to end this purgatory. The PM must now get a grip

Daily Mail, 02/04/2020, p.16, Unattributed

Staggering incompetence of our public health fatcats

Daily Mail, 02/04/2020, p.6, Guy Adams

Appoint a minister for testing now, Boris - or history will not be kind

Daily Mail, 02/04/2020, p.19, Stephen Glover

Shambles

The Daily Mirror, 02/04/2020, p.1, Martin Bagot

Q and A

The Daily Mirror, 02/04/2020, p.5, Unattributed

FAILING THE TEST

The Daily Mirror, 02/04/2020, p.4, Martin Bagot; ben Glaze; Nick Sommerlad

FAILING THE TEST

The Sun, 02/04/2020, p.4, Chloe Kerr; matt Dathan; kate Ferguson; nick Mcdermo

NHS staff come first

Daily Star, 02/04/2020, p.8, Unattributed

NOW GET A BLEEDIN' GRIP, BOZO

Daily Star, 02/04/2020, p.1, James Caven

Daily Star (Lancs), 02/04/2020, p.1, James Caven

It's hell for our heroes!

Daily Star, 02/04/2020, p.4, James Caven

RIDICULOUS

Metro, 02/04/2020, p.1, Aidan Radnedge

Medical staff turned back at drive-throughs

The Times, 02/04/2020, p.5, Emma Yeomans

NHS workers refused swabs at newly open test centres

The Daily Telegraph, 02/04/2020, p.2, Henry Bodkin; Miranda Levy

Shock as the UK death toll rockets by 563

Daily Mail, 02/04/2020, p.8, Eleanor Hayward

Darkest day as the UK death toll rises to 2,352

Daily Express, 02/04/2020, p.6, Hanna Geissler

Hospitals' oxygen at risk of failure as cases surge, NHS England warns

The Guardian, 02/04/2020, p.4, Denis Campbell

Protection 'racket' as carers pay 1,000% more for masks

The Times, 02/04/2020, p.8, Andrew Ellson

Payouts for families of fatally infected NHS staff

The Daily Telegraph, 02/04/2020, p.5, Unattributed

Virus patients more likely to die may have ventilators taken away

The Guardian, 02/04/2020, p.1, Denis Campbell; Alexandra Topping; Caelainn Barr

Ventilator rationing blueprint revealed

The Guardian, 02/04/2020, p.1, Denis Campbell; Alexandra Topping; Caelainn Barr

Covid-19 patients could have treatment withdrawn to save others

ITV.com (Web), 02/04/2020, Unattributed

Firm running new hospital warns staff of shortages

i (The paper for today), 02/04/2020, p.5, David Parsley; Lawrie Holmes

Rogue firms targeting NHS staff with tax dodge scams

Daily Mail, 02/04/2020, p.71, James Salmon

NHS England confirms its guidance on parental visits

The Independent Daily Edition, 02/04/2020, p.10, Shaun Lintern

Doctor who came out of retirement is killed by coronavirus

i (The paper for today), 02/04/2020, p.7, Sally Guyoncourt

NHS toll Retired doctor, 68, is latest to die from virus

The Guardian, 02/04/2020, p.4, Matthew Weaver

Dad of seven went 'beyond the call of duty... but he had no protection'

The Daily Mirror, 02/04/2020, p.6, Amy-Clare Martin

''My dad was let down'': Father-of-seven died after treating patient with coronavirus

ITV.com (Web), 01/04/2020, Unattributed

Two frontline medics killed by virus they were fighting

The Sun, 02/04/2020, p.8, Nick Mcdermott; chris Pollard; shaun Wooller

Reinvented iron lung could help ventilator shortage

The Independent Daily Edition, 02/04/2020, p.9, Shaun Lintern

Prince Charles hails 'emergency service' efforts of the nation's shelf-stackers

The Daily Telegraph, 02/04/2020, p.7, Hannah Furness

Charles hails 'remarkable NHS'

i (The paper for today), 02/04/2020, p.14, Unattributed

None of us can say when this will end, but end it will

The Daily Mirror, 02/04/2020, p.8, Russell Myers

CLAP OF HONOUR

The Sun, 02/04/2020, p.1, Emma Pietras

THURSDAY AT 8..MAKE IT A DATE!

The Sun, 02/04/2020, p.2, Emma Pietras; mike Ridley; kate Jackson

NHS to profit from virtual Grand National

The Daily Telegraph, 02/04/2020, p.11, Marcus Armytage

There will be a virtual Grand National on Saturday, with all bookmaker profits going to National Health Service charities.

NHS to profit from virtual Grand National

The Daily Telegraph, 02/04/2020, p.11, Marcus Armytage

Virtual Grand National to go ahead

The Independent Daily Edition, 02/04/2020, p.62, Unattributed

Aintree has gone viral

Daily Star, 02/04/2020, p.6, Jack Andrews

National bets to help NHS from the horse's mouth

Metro, 02/04/2020, p.32, Unattributed

Sturgeon abandons 'sinister' plan to scrap juries after backlash

The Daily Telegraph, 02/04/2020, p.9, Izzy Lyons; Simon Johnson

Boots UK is donating more than 200k personal care products including hand cream, shower gel and toothpaste to NHS workers and vulnerable people to help them manage during the coronavirus pandemic.

Midwives Call for hotels to be used as pop-up birth centres

The Guardian (North), 02/04/2020, p.12, Hannah Summers

Spire given debt boost after it supports NHS

The Times, 02/04/2020, p.45, Alex Ralph

Euro 2020 volunteers switch to NHS

The Times, 02/04/2020, p.11, Lucy Fisher; charlotte Wace

Volunteers due to assist the Euro 2020 football tournament this summer have been drafted into the new NHS Nightingale field hospital for coronavirus patients in east London.

Joe's videos net NHS £80k

Daily Express, 02/04/2020, p.10, Tom Bryant

Joe's workout cash for NHS

The Daily Mirror, 02/04/2020, p.7, Unattributed

MG HELPS OUT NHS MG [...]

The Daily Mirror, 02/04/2020, p.44, Colin Goodwin

It is reported that MG is supplying 100 of its ZS EV electric crossovers to NHS agencies free of charge for up to six months to help in combating coronavirus.

AA's offer to NHS staff

Daily Mail, 02/04/2020, p.71, Unattributed

AA offers free breakdown assistance for NHS workers

ITV.com (Web), 02/04/2020, Unattributed

The irony of coronavirus

The Independent Daily Edition, 02/04/2020, p.6, Sean O'grady

No one's looking at you any more - celebrities are in a corona crisis

The Times, 02/04/2020, p.4, Polly Vernon

Even I have struggled with self-isolation

The Daily Telegraph, 02/04/2020, p.16, Paul Cosford

Professor Paul Cosford, emeritus medical director at Public Health England, writes about his struggle to self-isolate being one of the people classed as "at risk" of catching the coronavirus.

Like so many medics I'm stuck at home with just a cough. This is madness

Daily Mail, 02/04/2020, p.5, Max Pemberton

Globalisation has passed its peak

Daily Mail, 02/04/2020, p.70, Ruth Sunderland

Our great talent for invention will lead us out of darkness

Daily Express, 02/04/2020, p.12, Leo Mckinstry

Columnist Leo McKinstry writes that "nothing better exemplifies the country's selfless spirit than the willingness of more than 750,000 people to sign up as NHS volunteers".

Who bags an Oscar?

The Sun, 02/04/2020, p.54, Unattributed

Kindness leads to contentment

Metro, 02/04/2020, p.23, Susan Griffin

Stop driving for exercise

The Sun, 02/04/2020, p.47, Unattributed

Claridge's opens its doors to NHS heroes with beds and dinner

Evening Standard, 01/04/2020, p.1, Unattributed

LONDON'S 'HOUR OF NEED' AS TEST ROW GROWS

Evening Standard, 01/04/2020, p.1, Unattributed

TRAINEE STAFF ON NHS FRONT LINE

Evening Standard, 01/04/2020, p.1, Unattributed

A photograph of Megan Hollands, one of 300 UCL trainees who graduated today are being deployed on the front line by the NHS in the fight against coronavirus at the Royal Free Hospital.

It's a 'baptism of fire' as medical students are fast-tracked to front line

Evening Standard, 01/04/2020, p.3, Unattributed

Tottenham offer stadium for use as a hospital

Evening Standard, 01/04/2020, p.30, Unattributed

'He was a bubble of life': family's heartbreak at death of boy, 13

Evening Standard, 01/04/2020, p.4, Unattributed

Chemicals body disputes Gove claim of lack of vital test reagents

Evening Standard, 01/04/2020, p.26, Michael Bow

Loss of smell and taste could be strongest symptom of coronavirus, study says

ITV.com (Web), 01/04/2020, Unattributed

Coronavirus: Government under pressure to ramp up mass NHS staff testing

ITV.com (Web), 01/04/2020, Unattributed

The Government is coming under increasing pressure to ramp up tests as healthcare leaders warned there is "no immediate prospect" of mass NHS staff testing.

Wainhouse Tower in Halifax lights up blue to thank NHS staff and other key workers in the coronavirus crisis

ITV.com (Web), 01/04/2020, Unattributed

A nightly tribute will be paid to NHS and other key workers in Calderdale when a landmark will be lit up in blue as a signal of thanks for their work during the coronavirus pandemic.

Positive stories raising a smile amid the coronavirus lockdown

ITV.com (Web), 01/04/2020, Unattributed

Risk Astley has announced he will be holding a free concert to say thank you for NHS frontline staff, care workers and emergency service staff.

ITV Wales Weather Presenter Kelsey Redmore shares her experience of living in quarantine with coronavirus symptoms

ITV.com (Web), 01/04/2020, Unattributed

Several more UK sites being converted into temporary coronavirus field hospitals

ITV.com (Web), 01/04/2020, Unattributed

Trials of a drug that could help treat coronavirus are to take place at NHS centres in the North West

ITV.com (Web), 01/04/2020, Unattributed

Drug that could potentially help treat coronavirus is to be trialled at hospitals in Sheffield

ITV.com (Web), 01/04/2020, Unattributed

Coronavirus latest: 19 more deaths in the Border region

ITV.com (Web), 01/04/2020, Unattributed

Five patients died in hospitals run by the North Cumbria Integrated Care NHS Foundation trust.

Southend Hospital staff warn of need to cut services due to limited protective gear

ITV.com (Web), 01/04/2020, Unattributed

Clubs come together with communities during coronavirus outbreak

ITV.com (Web), 01/04/2020, Unattributed

Joe Wicks reveals he's raised $100,000 for the NHS in just one week

ITV.com (Web), 01/04/2020, Unattributed

RAF Leeming helicopters deployed to support the NHS in fight against COVID-19

ITV.com (Web), 01/04/2020, Unattributed

Military helicopters are being deployed across the country to support the NHS in the fight against Covid-19, the Government has announced.

Region rallies to provide NHS with life-saving equipment

ITV.com (Web), 01/04/2020, Unattributed

Burton Albion FC offer space for NHS to support expectant and new mums

ITV.com (Web), 01/04/2020, Unattributed

Teddy bear maker recently affected by flooding fundraises for NHS during coronavirus outbreak

ITV.com (Web), 01/04/2020, Unattributed

Carlisle landmark lights up blue in appreciation for the NHS

ITV.com (Web), 01/04/2020, Unattributed

Sheffield bike shop offering free services and essentials for all NHS staff

ITV.com (Web), 01/04/2020, Unattributed

Leeds Beckett University joining forces with NHS to train up to 1,000 new staff

ITV.com (Web), 01/04/2020, Unattributed

Leeds Beckett University is opening up city centre sites the Rose Bowl and Portland buildings to the NHS to offer teaching spaces, catering facilities and meeting rooms.

Hospital Trusts merge to form Bedfordshire Hospitals NHS Foundation Trust

ITV.com (Web), 01/04/2020, Unattributed

Rutland teacher makes masks for NHS staff

ITV.com (Web), 01/04/2020, Unattributed

A design and technology teacher from Rutland has been making face shields to help protect NHS workers from coronavirus.

Luton man jailed for spitting at two NHS workers in ''disgusting and unprovoked attack''

ITV.com (Web), 01/04/2020, Unattributed

Airbus to bring 400,000 face masks destined for NHS to Flintshire

ITV.com (Web), 01/04/2020, Unattributed

Former international javelin star James Campbell to run marathon in Cheltenham back garden to raise funds for NHS

ITV.com (Web), 01/04/2020, Unattributed

ACTIONS TAKEN

• Reviewing new assets published by PHE on campaign resources website and how we need to use them.

• Every Mind Matters quiz added link to websites and social media

• Adding GOV UK summary of advice table to websites

• Emailed NHSE team for advice / update on pharmacy opening hours over Easter bank holidays, should have an update later this week.

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice is ongoing

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

COVID-19: CQC update on interim guidance for DBS and recruitment checks

Thu, 02 Apr 2020 14:20:41 GMT

2 April 2020

An update on CQC interim guidance on DBS and other recruitment checks, for providers recruiting staff and volunteers to health and social care services in response to Covid-19

Interim guidance on DBS and other recruitment checks

We have issued interim guidance in response to temporary changes being made by the Disclosure and Barring Service (DBS) to DBS applications and processes. It will be in operation for the period the Coronavirus Act 2020 remains in force, and we will review it on a regular basis.

You can find the interim guidance in full on our website

Stay up to date with the latest CQC COVID-19 information

We're making changes to the way we work during the COVID-19 outbreak. We've developed a dedicated area on our website so that you can stay up to date with the latest information. Find out more.

________________________________________

Keep up with our work with professionals and provider organisations in England by following us on Twitter @CQCProf.

We are England's independent health and adult social care regulator.

Join our digital participation platform for providers and professionals to get involved in CQC's work - help inform policies, take part in discussions and test new products.

Resources from COVID-19 webinar 02/04/2020

Thu, 02 Apr 2020 14:10:45 GMT

Hello all,

Many thanks for those that were able to join today’s webinar. As mentioned please find the resources attached for:

Video consultations

Webinar COVID-10 resources and links (including webinar recordings, e-learning, NHS app toolkit, hints & tips and more)

Telephone triage guidance

Online triage and consultations

Remote vouching

Remote Total Triage First

Todays presentation slides

If you have any further questions please feel free to ask.

Chelsea Felstead

Implementation Manager

england.empowertheperson@nhs.net

Primary Care Coronavirus briefing – Coventry and Warwickshire – 02/032020

Thu, 02 Apr 2020 11:28:12 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 2 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture

Communications from NHS England

Actions for Primary Care

Today’s attachments

• Changes to University Hospital of Birmingham NHS services due to COVID-19 (UHB).pdf (item 3)

LATEST LOCAL PICTURE

Please remember: we are issuing daily (Monday to Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net which will now arrive in the afternoon between 3pm and 4pm. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. Please keep us updated with any issues that you may be having so we can try to address them.

Local cases (as of 1 April)

• In the Local Authority of Coventry, there are a total of 127 confirmed cases.

• In the Local Authority of Warwickshire, there are a total of 190 confirmed cases.

LATEST LOCAL UPDATE

1. Death Certification & Cremation Forms – a handy resource

Available to all, the Coventry GP Gateway has been updated to include a valuable resource answering some of the questions around the interim changes to registration of death. The revised content has a valuable flowchart with which outlines the changes to Death and Cremation regulations (The Coronavirus Act 2020).

2. Immunisations, birth certificates and red books

Please be aware in the current situation, the red book should be accepted as proof in light of birth certificates not being available. This is as per the position with other services and local authorities are accepting of this.

3. Changes to University Hospital of Birmingham (UHB) due to COVID-19

Due to the unprecedented demand on the NHS during the COVID-19 (Coronavirus) pandemic, UHB is temporarily relocating the Heartlands Hospital Gynaecology Assessment Unit (GAU) to Good Hope Hospital, from today (Thursday, April 2). Also from today (Thursday, April 2), they are having to temporarily close the chemotherapy and supportive treatment unit at Good Hope Hospital, for the same reasons. Full details are attached: (Attachment: Urgent changes to local NHS services due to COVID-19 (UHB).pdf)

4. National Bowel Screening

In line with national and local clinical guidance screening activity across Coventry and Warwickshire has ceased. As at the 24/3/20 the Bowel Screening Hub in Rugby is no longer sending screening invitations to patients, this is currently suspended for 12 weeks. All sites across C&W (UHCW, GEH & SWFT) will no longer provide a screening colonoscopy/bowel scope service. Patients who have tested positive with FIT prior to the above cut-off date will have a virtual SSP appointment and subsequently placed on a deferred list which will be addressed when normal services resume.

In addition the hub has confirmed it will continue to test FIT samples received by the department.

5. Symptomatic FIT

This service remains available for GPs to refer into.

6. Cancer Macmillan Information Centres

Patients can continue to access help and support through telephone advice. The main contact numbers for each site is as follows:

Trust Contact Number/Name

UHCW 02476 966052

(Monday to Friday 8am – 4pm)

GEH Julie Hunt

02476 153201

SWFT Deborah Smith

01926 495321

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 2 April 2020

No updates in this edition

UPDATES FOR South Warwickshire – 2 April 2020

No updates in this edition

UPDATES FOR Warwickshire North – 2 April 2020

No updates in this edition

LATEST NATIONAL PICTURE

• As of 9am on 1 April 2020, 152,979 people have been tested in the UK and 29,474 were confirmed as positive. As of 5pm on 31 March 2020, of those hospitalised in the UK, 2,352 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the figures for test results.) Yesterday’s figures provided were correct although the dates were incorrect.

• The most up to date government advice on coronavirus is available online.

• The Business Secretary's statement on coronavirus (COVID-19) delivered via a press conference on 1 April 2020, detailing the government’s response to COVID19 and outlining the activity to prevent the spread, a copy of the transcript is available online.

• The press conference slides and datasets used by The Rt Hon Alok Sharma MP in the daily coronavirus press conference on 1 April 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

7. NHS England Primary Care Bulletin – new edition – 1 April

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (1 April) and contains updates on online and video consultation products that are now available and Easter opening for general practice. This regular COVID-19 Primary Care Bulletin is from Dr Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

8. Primary Care webinar - reminder

The next GP Preparedness webinar is today, Thursday 2 April from 5-6pm. The link to access the webinar is https://bit.ly/covid19gp0204

9. Cabinet Office Coronavirus update

The Cabinet Office has published Coronavirus outbreak FAQs: what you can and can't do. This includes answers to questions such as “can I drive to green spaces?” and “can I go to the park?”

Coronavirus fact sheet for children: Information for children to help them understand what Coronavirus is, the importance of hand washing and how to help stop the virus spreading is available on the Campaign Resource Centre. This was developed by the Alder Hey Children's NHS Foundation Trust. They have also made an animation to go with it. A We Transfer link to the video for download is here.

Guidance for households with possible infection, staying at home and away from others, and protecting vulnerable people (shielding).

Latest PHE guidance can be found here.

10. Latest coronavirus resources for regions

The latest set of coronavirus resources were published earlier this week.

• Guidance for the public on mental health and wellbeing

• Keeping away from other people - new rules from 23rd March

• Advice about staying at home

ACTIONS FOR PRIMARY CARE

Please note the link for the Primary Care webinar taking place this evening.

MEDIA ENQUIRIES

We understand that journalists have begun asking some organisations about how many cases they are currently treating. The situation is so fast moving that any estimates are likely to go out of date quickly. Rather than trying to answer these questions, if you are approached by the media and do not want to handle it yourself, please forward on to your local communications team: agem.communications@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

----------------------------------------------------------------------------------------------------------------------------

The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.england.nhs.uk/coronavirus/primary-care/

WEBINAR - Helping practice staff make the most of digital services during COVID-19

Thu, 02 Apr 2020 10:31:07 GMT

Please click on the above link to download the Webinar attachments.

Urgent changes to local NHS services (UHB) 0

Thu, 02 Apr 2020 08:26:48 GMT

Click the above link to download this document.

COVID-19: CQC update for primary medical and dental services

Wed, 01 Apr 2020 14:25:11 GMT

1 April 2020 update on CQC's COVID-19 response

The independent regulator of health and social care in England

COVID-19 Update

A weekly update for providers and professionals working in primary medical and dental services, sharing the latest guidance on COVID-19 and CQC's approach during this period.

Stay up to date with the latest CQC COVID-19 information

We're making changes to the way we work during the COVID-19 outbreak. We've developed a dedicated area on our website so that you can stay up to date with the latest information. Find out more.

________________________________________

Joint statement on advance care planning

Having a personalised care plan in place, especially for older people, people who are frail or have other serious conditions, has never been more important than it is now during the COVID-19 pandemic. We have set out considerations for providers when undertaking advance care planning, in a joint statement with the BMA, the Care Provider Alliance and the Royal College of General Practitioners. Read the statement in full.

________________________________________

DHSC update on plans to support access to PPE

The Department of Health and Social Care (DHSC) has written to health and care sector providers to update on plans to support access to personal protective equipment (PPE) during the current response to COVID-19.

This includes the development of a Parallel Supply Chain to support the normal supply chain with a focus on delivering core PPE products for COVID-19. DHSC has also mobilised the National Supply Disruption Response (NSDR), which can be contacted in the event that providers have an urgent requirement for PPE which they are unable to secure through their business as usual channels.

Visit our website to read the letter in full.

________________________________________

Fast-track process for granting practising privileges in independent sector

We have written to independent health providers and NHS trusts about the interim process for granting practising privileges to consultants in response to the coronavirus outbreak. Following NHS England's recent agreement with the independent sector - which makes independent hospitals and staff available to treat NHS patients - there is an interim process for providers to grant practising privileges to consultants.

Our recent update sets out:

• the interim, fast-track process for providers in granting practising privileges so consultants can start work immediately in hospitals where the do not have practising privileges already

• guidance on the process, which only applies to providers that are included in the NHS COVID-19 collaboration contract.

The interim process requires consultants to give the registered manager of the independent sector hospital a declaration that gives assurance on key points. Read the letter on our website.

________________________________________

Guidance for primary care and dental services professionals

• NEW: Latest updates and guidance for dental practice

• NEW: Webinars for community pharmacy, dental, digital primary care and general practice staff, including links to recordings of past webinars

• NEW: The Department of Health and Social Care has issued guidance setting out how local authorities can use the new Care Act easements

• UPDATED: Investigation and initial clinical management of possible cases

• Guidance for primary care

• Guidance on the supply and use of personal protective equipment

• Letters for providers and professionals from NHS England/Improvement

• Guidance for health professionals

• Guidance from NHS England and Improvement

• Guidance for health professionals who have diagnosed a case within their facility

• Infection prevention and control

• Rapid tests for use in community pharmacies or at home

• Guidance for sampling and for diagnostic laboratories

• Department of Health and Social Care's coronavirus action plan

________________________________________

Accessibility resources to help you communicate about COVID-19

• NEW: Signhealth is providing a videos of summaries of key coronavirus guidance in BSL

• NEW: The handwashing rap, produced to help people who have a learning disability

• Public Health England stay at home guidance, translated and in easy read

• Public Health England guidance on social distancing, translated.

• NHS guidelines translated into 32 languages by Doctors of the World

• Easy read information on COVID-19 from Mencap

• Public Health England resources in accessible formats

• COVID-19 guidance for providers of services for people experiencing rough sleeping

________________________________________

Further information

• Public Health Matters blog from Public Health England

• Number of COVID-19 cases in the UK

________________________________________

Follow @CQCProf on Twitter to get regular updates about the work we are doing with professionals and provider organisations in England.

________________________________________

We are England's independent health and adult social care regulator.

Blue Stream Academy Staff Support Toolkit

Wed, 01 Apr 2020 12:11:16 GMT

Click the above link to download the Blue Stream Academy Staff Support Toolkit.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 01/04/2020

Wed, 01 Apr 2020 09:22:09 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 1 April 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest infor-mation for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care

PPE update and CCG response

We’re aware that many of you have ongoing concerns about PPE, so we wanted to outline the actions the CCG are taking to resolve PPE issues.

As you will know, the CCG is required to follow the national guidance on the use of and purchasing of PPE. There have been numerous issues with this, particularly around availability of stock and the type of PPE being provided. Please be aware that we have escalated these issues almost daily to NHS England, including issues around the national hotline and email, practices being declined stock and the confu-sion of the ordering processes.

We have been looking into a number of local alternative routes of securing PPE for our practices, including progressing all leads received outside of the national supply chain including liaising with all our partner organisations including the acute trusts re-garding sharing of any available PPE stock, contacting dentists, local education pro-viders and businesses to obtain any PPE that they may have and accessing over-seas stock made available from China. The CCG has set up a PPE task and finish group to manage all of these options as well as helping to ensure the distribution of the correct equipment for practices and care homes.

In addition, we have been made aware of a new national service, launching next week, which will enable direct order and delivery of PPE for practices, which we will keep you updated on.

Finally, we are working to secure the correct standard of PPE for our new “hot hubs”, to help protect them when they’re supporting the patients. We are expecting a deliv-ery of PPE equipment to support the new hot hubs imminently and will be in contact with those practices to arrange delivery. If you have any further concerns about PPE, please contact us on the COVID-19 email.

**Latest local picture**

**Local updates** **

Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, War-wickshire North)

** Latest national pictureCommunications from NHS EnglandActions for Primary CareToday’s attachments•Coroner referral form.docx (item 1)

LATEST LOCAL PICTUREPlease remember: we are issuing daily (Monday to Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net which will now arrive in the afternoon between 3pm and 4pm.

We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net.

Please keep us updated with any issues that you may be having so we can try to address them.Local cases (as of 31 March)•In the Local Authority of Coventry, there are a total of 108 confirmed cases

.•In the Local Authority of Warwickshire, there are a total of 161 confirmed cases.LATEST LOCAL UPDATECardiology Investigations services affected by COVID-19Please note the additional changes to services at SWFT, specifically for cardiology investigations:1. No ambulatory monitoring (BP or rhythm) will be provided.2. No NIPs will be provided.3. No routine outpatient echocardiography (except as part of Cancer pathway) will be provided4. Limited inpatient echocardiography service 5. No transoesophageal echocardiography service

LATEST UPDATES FOR EACH PLACEUPDATES FOR Coventry and Rugby – 1 April 2020 No updates in this editionUPDATES FOR South Warwickshire – 1 April 2020

No updates in this edition

UPDATES FOR Warwickshire North – 1 April 20201.

Coroners referral form – ATTACHED

The referral form should still be used as it complies with the latest guidance. The form is available on DXS for WN practices. The updated guidance is as follows:

•If the doctor attending the deceased in their last illness is not available, or is unlikely to become available in a reasonable time, another doctor can certify the medical cause of death.

•If this happens and another doctor is able to give a cause of death to the best of their knowledge and belief, there is no need to refer the death to the coro-ner.

•Even with the more recent change in legislation, the situation remains that if there is no doctor at all who can sign the MCCD - for example, because a pa-tient who was previously well dies suddenly and unexpectedly at home - the coroner must be informed of the death.

Attachment: Coroner referral form.docx

LATEST NATIONAL PICTURE

•As of 9am on 30 March 2020, 143,186 people have been tested in the UK and 25,150 were confirmed as positive. As of 5pm on 30 March 2020, of those hospitalised in the UK, 1,789 have died. (Please note: the figures for test results and for deaths are compiled from different sources. This is why the figures for deaths are reported from an earlier point in time than the fig-ures for test results.)

•The most up to date government advice on coronavirus is available online.

•The Chancellor of the Duchy of Lancaster Michael Gove provided a press conference on 31 March 2020, further detailing the government’s response to COVID19 and outlining the activity to source ventilators, a copy of the tran-script is available online.

•The press conference slides and datasets used by Michael Gove MP in the daily coronavirus press conference on 31 March 2020 can be accessed online.

COMMUNICATIONS FROM NHS ENGLAND

2. Mental Health, Learning Disabilities and Autism (MHLDA) Covid-19 documents

The Mental Health, Learning Disabilities and Autism (MHLDA) Covid-19 response cell has published the following documents on the NHS England website on Monday:

•IAPT guide for delivering treatment remotely during the coronavirus pandemic

•Legal guidance for mental health, learning disability and autism, and special-ised commissioning services supporting people of all ages during the corona-virus pandemic

3. NHS England Primary Care Bulletin – new edition

COVID-19: latest guidance for general practice is issued in the NHS England Pri-mary Care Bulletin (31 March) and contains updates on the Network Contract DES for 2020/21, NHS Volunteer Responders: guidance for primary care professionals and consultations for patients requiring non-spoken and spoken translation. This regular COVID-19 Primary Care Bulletin is from Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin

4. Primary Care webinar - reminder

The next GP Preparedness webinar is tomorrow, Thursday 2 April from 5-6pm. The link to access the webinar is https://bit.ly/covid19gp0204

5. NHS Friends and Family Test and COVID-19

NHS England and Improvement has provided the following high-level advice about reducing burden and releasing capacity to manage the COVID-19 pandemic and this includes advice about the Friends and Family Test:

•Community services: “Cease data submission and collection with immediate effect”

•Primary care: “Practices will not be required to report to commissioners about FFT results”

•Acute providers: “Stop reporting requirement to NHS England and NHS Im-provement”

The measures are intended to allow for staff resources to be diverted towards more immediate priorities during the COVID-19 pandemic.

6. Supporting disabled people through the coronavirus outbreak

A joint statement from Justin Tomlinson MP, Helen Whately MP and Vicky Ford MP outlining how the government plans to support disabled people, their carers, and their families during the coronavirus outbreak.

ACTIONS FOR PRIMARY CAREPlease note the link for the Primary Care webinar taking place tomorrow.

MEDIA ENQUIRIES - updated

We understand that journalists have begun asking some organisations about how many cases they are currently treating. The situation is so fast moving that any esti-mates are likely to go out of date quickly. Rather than trying to answer these ques-tions, if you are approached by the media and do not want to handle it yourself, please forward on to your local communications team: agem.communica-tions@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

ACTIONS TO TAKE

•Monitoring the latest updates from Public Health England and GOV.UK

•Ensure your practice websites are updated with the latest advice

•Watch the GP Preparedness webinar tomorrow

•Ensure you promote the key public messages of stay home, save lives

Please note: This is the designated inbox for all Primary Care enquiries for practices across Coventry and Warwickshire, set up to help support practices and provide a single point of contact to send and receive information about the rapidly developing COVID-19 situation. Please be aware that guidance is changing regularly and we are endeavouring to keep you as up to date as possible.The inbox is monitored regularly, and we will respond to you as soon as we can. In the meantime, the latest guidance for primary care can be found here: https://www.eng-land.nhs.uk/coronavirus/primary-care/

Working from Home Guidelines

Wed, 01 Apr 2020 08:33:42 GMT

Working from Home Guidelines

It is recognised in current circumstances that you have been supported to work from home.

However, there are a number of practical issues which need to be considered and you need to ensure that you employ the same security considerations as you would when you are working from the office/practice.

• You are responsible for ensuring the security of information within your home; this also applies to paper documents. Staff responsibilities regarding security and confidentiality continue to apply to all home workers

• Home workers who transport equipment, i.e. laptops and/or paper documents must not leave these in an unattended vehicle at any time

• Under no circumstance should staff send emails containing patient or staff identifiable data, or any other confidential email, to personal, unsecure email accounts (i.e. Hotmail, Yahoo, Google)

• Removable media may be used to store and share NHS information where a specific business purpose has been identified. This must be physically protected against loss, damage, abuse or misuse, when stored and in transit

• You will need to ensure that you have access to and know how to connect via a VPN (Virtual Private Network)

o Instructions have been sent out however if you are having difficulties please contact the IT Service Desk for advice about setting up a VPN connection – please note they are exceptionally busy so this may take a little time. Please be patient.

o Never leave the VPN session unattended

o Once you have finished working, ensure all applications within the VPN session are closed

o Navigate to the start menu and disconnect the session

o Ensure that you log out of the VPN portal - whilst we have significantly increased capacity the numbers of users have also increased significantly too

• When leaving a laptop/computer for any amount of time, either log out or lock the screen (press ‘windows’ + ‘L’ keys at the same time)

• NHSD encourage the use of videoconferencing to carry out consultations with patients and service users. This could help to reduce the spread of COVID-19. Your practice has been provided with the details to do this via AccuRX

• Where it is not possible to use IT equipment issued by your NHS IT provider, you are permitted to use personal devices. You must liaise with your IT provider to let them know that you intend to use a personal device so that they can set up a VPN connection and you must ensure that you follow all local procedures and guidance and be mindful of your responsibilities in relation to data protection where this is the case

• Personal devices can be used to support video conferencing for consultations, mobile messaging and home working where there is no practical alternative

• When using personal devices, reasonable steps should be taken to ensure security of data, i.e. setting a strong password; using secure channels to communicate e.g. tools/apps that use encryption; and not storing personal/confidential patient information on the device unless absolutely necessary and appropriate security is in place.

• When using a personal device, check that your internet access is secure (e.g. use a VPN and/or if possible avoid public wi-fi)

• Where there is a breach of confidentiality or loss of data or information asset, this must be reported and managed via the incident reporting process and in accordance with Incident Reporting and Information Governance policies.

If you experience any issues please contact the ICT Service Desk on 01926 626200 or support@swft.nhs.uk

In addition, please familiarise yourself with the latest advice from the ICO and NHSD in relation to Information Governance and Data Protection:

https://ico.org.uk/for-organisations/data-protection-and-coronavirus/

https://www.nhsx.nhs.uk/key-information-and-tools/information-governance-guidance

Useful Links regarding Covid-19

Wed, 01 Apr 2020 08:29:59 GMT

General resources:

● https://coronavirustechhandbook.com/doctors

● Tracking covd 19: https://www.worldometers.info/coronavirus/#news

● Notts have their own website https://teamnet.clarity.co.uk/Topics/Public/cebe44b0-ad58-4438-bd9d-ab50008e9e2a

● Accurx https://github.com/DrMikeyS/accurxguide/blob/master/README.md

● Lots of really great resources here http://primarycarepathways.co.uk/covid2019

● Total UK COVID-19 Cases Update https://www.arcgis.com/apps/opsdashboard/index.html#/f94c3c90da5b4e9f9a0b19484dd4bb14

Video consultations:

● How to have video consultations with your doctor: https://youtu.be/xxW4ssN3y90

● https://support.accurx.com/en/articles/3778850-video-consultations-is-it-secure

● Tips on using zoom for meetings: https://youtu.be/UWPd2Dsr5kI

Information governance:

● Information Governance guidance

Residential care:

● COVID-19: guidance on residential care provision

Total UK COVID-19 Cases Update Dashboard

Wed, 01 Apr 2020 08:22:42 GMT

Total UK COVID-19 Cases Update

Please see useful link below if you haven’t seen it already, in ref to daily COVID-19 updates.

It is a very useful and accurate tool;

https://www.arcgis.com/apps/opsdashboard/index.html#/f94c3c90da5b4e9f9a0b19484dd4bb14

Act excess death provisions info and guidance

Tue, 31 Mar 2020 12:07:50 GMT

Click the above link to download the Act excess death provisions info and guidance.

Supporting carers during the COVID-19 pandemic

Tue, 31 Mar 2020 10:43:04 GMT

Supporting carers during the COVID-19 pandemic

Care Companion newsletter – March 2020

• Welcome

• Carer planning and COVID-19

• Key features

• See how Care Companion works

• Care Companion leaflets

• Promoting Care Companion

• Contact us

Welcome

Please forward this newsletter onto interested organisations, teams and colleagues.

With the unprecedented pressures on health and social care services, individuals with caring responsibilities are now even more essential in supporting the increasing numbers of vulnerable people who are self-isolating.

It is more important than ever that carers have trusted information, guidance and advice that is relevant to their individual circumstances.

Care Companion is there to provide this support. It has tips, resources and functions to help carers manage each day, through the COVID-19 pandemic and beyond.

Care Companion has been funded by the NHS and local government in Coventry and Warwickshire – it is there for health and care providers to promote to informal carers. Do encourage them to register and start using it!

Carer planning and COVID-19

The challenges that carers face such as loneliness and isolation will become more acute over the coming weeks. Finding relevant information, and managing general wellbeing, during the COVID-19 pandemic is critically important. There will be new concerns about how to sustain caring roles in the event that they or the person they care for becomes unwell.

Care Companion is there to support carers as they manage their responsibilities through the current crisis. As a simple to use, interactive online resource, it offers access to information, advice and guidance to strengthen carers’ resilience and help them adapt to current uncertainties. It links to a vast range of resources that are tailored to individual circumstances.

Key features

Resources – personalised, profile-driven resources linked to the cared-for person’s condition(s), location, age of carer, ethnicity, etc

Diary – for appointments, recording results and the carer’s and cared-for person’s day-to-day experiences

Mood monitor – for monitoring the carer’s mood and the person they care for

Address Book – for creating, browsing, and adding important numbers and addresses for resources and support

Notifications – for setting reminders and ticking them off when completed

Glossary – an index of words that carers may come across during appointments or in resources

See how Care Companion works

Care Companion can be accessed directly at www.carecompanion.org.uk. Try it for yourself to see how it can help the patients, clients and communities you represent.

Care Companion leaflets

Copies of a “let’s-get-started” introductory guide provides information on the online resource and how to start using it. These leaflets can be posted or provided electronically, and are also available in GP practices, charities, support groups and hospitals across Coventry and Warwickshire.

Alternatively, click here to access our introducing Care Companion leaflet and getting started guide.

Promoting Care Companion

• Create a brief message, such as:

“We are recommending everyone who has caring responsibilities to register with Care Companion, www.carecompanion.org.uk. This locally developed resource provides up to date, trusted information and advice to help you through the COVID-19 pandemic, tailored to the needs of you and the person you care for."

• Send the message by SMS text and/or email to those on your carers’ register.

• Include information about Care Companion on your website.

• Provide carers with advice to register with Care Companion, and offer a leaflet whenever they are seen in a face to face interaction.

For leaflets or to arrange a telephone meeting with one of our team, please get in touch. We can explain more about Care Companion, including the benefits of the resource to the people you support and how to promote it to your patients and clients.

Please email carecompanion@warwick.ac.uk or tweet us @CareCompanion3.

We look forward to hearing from you!

You are receiving this email because you are included in a distribution list for Care Companion newsletter.

Our mailing address is:

Unit of Academic Primary Care,

Warwick Medical School, University of Warwick,

Coventry

CV4 7AL

United Kingdom

Email: carecompanion@warwick.ac.uk

Website: warwick.ac.uk/carecompanion

Want to change how you receive these emails?

You can update your preferences or unsubscribe from this list.

Transfer of MCCD's during the Covid-19 outbreak

Tue, 31 Mar 2020 08:23:36 GMT

Click the above link to download this document.

Safe Haven Service - Change of Provider

Tue, 31 Mar 2020 07:27:25 GMT

Joint Communications Between Warwickshire County Council, Mental Health Matters and Coventry and Warwickshire Mind

Warwickshire Safe Haven Service

We write to inform you of changes that will be taking place to the Safe Haven provision in Warwickshire. The Safe Haven aims to support people who are feeling distressed and overwhelmed and is available during the evenings (including weekends) when other forms of support are often closed.

The current Safe Haven service, delivered by Mental Health Matters in Warwickshire, will end on 31st March 2020. (Please note they will continue to operate a site 7 days a week in Coventry)

For Warwickshire, a new Safe Haven service will be delivered by Coventry and Warwickshire Mind which can be accessed from 2nd April 2020 via phone or email:

- 02477 714554 - safehaven@cwmind.org.uk

The service will be open between 6pm and 11pm initially on Thursday, Friday, Saturday and Sunday evenings. The service will scale up in coming months to a full 7 days a week provision and we will keep you informed of progress. Due to the COVID-19 outbreak face to face support will not currently be available for this service.

Past and current users of the Warwickshire Mental Health Matters Safe Haven service will be contacted directly to advise them of this change, as well as being given details on how they can access the Warwickshire Safe Haven service and other out of hours mental health support. To support this transition, we are requesting that organisations remove old marketing materials relating only to the Mental Health Matters Safe Haven service (for the Warwickshire provision only) where possible to minimise confusion. The phone number will be live for a further month to direct anyone calling to the new provision, so that those who have the current contact details are made aware.

Details of alternative out of hours support includes:

- Mental Health Matters 24/7 Telephone Helpline and Webchat

Residents can get 24/7 emotional support via telephone or online webchat. The telephone number is 0800 616 171. Further information can be found online: https://www.mhm.org.uk/coventry-warwickshire-helpline

- Samaritans

Samaritans provide emotional support via telephone to anyone struggling to cope. The telephone number is 116 123. Further information can be found online: https://www.samaritans.org/

Covid stats update

Sun, 29 Mar 2020 15:04:20 GMT

Click the above link to download this document.

LPC Community Pharmacy Status Update for Stakeholders

Fri, 27 Mar 2020 16:27:01 GMT

Click the above link to download this document.

OH advice for employers and pregnant women

Thu, 26 Mar 2020 16:39:47 GMT

Click the above link to download this document.

NHSE - Clinical message - Anti-inflammatory medications

Thu, 26 Mar 2020 16:32:48 GMT

Click the above link to download this document.

Covid Claim Proforma Templates

Thu, 26 Mar 2020 13:35:45 GMT

Click the above link to download the Covid Claim Proforma Templates for your area.

Mental Health Wellbeing Tools

Thu, 26 Mar 2020 12:12:43 GMT

For staff and Manager Mental Wellbeing tools, please click on the link above.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 26/03/2020

Thu, 26 Mar 2020 10:48:06 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 27 March 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary- care

Thank you

Before we jump into the main briefing, can we take a moment to say to each and every one of you, thank you for hard work you undertake in what can only be described an unprecedented scenario. Last year no one had heard of COVID-19 and now it is the thing that consumes our lives. Yesterday evening you cannot have failed to hear around the city and county, hundreds on the street cheering and clapping in a show of support and appreciation for our NHS and for all you are doing. In this situation it can be easy to concentrate on what is going on around us each day and lose sight of our wellbeing, there is advice and guidance from NHS Employers to make sure we all stay physically and mentally well at this time.

Please continue to do what you are doing, keep healthy and safe through these challenging days, with the work and support that is already going on we will all get through this together.

Thank you.

Dr Sarah Raistrick, Dr David Spraggett, Dr Imogen Staveley PPE message

Dear All

We understand you are all very concerned regarding the allocation of use of PPE equipment.

The attached presentation provides information regarding the Covid-19 virus and the principles for the control of this infection including the requirements for the use of PPE.

To confirm Covid-19 transmission is NOT airborne but is transmitted via droplets and this determines the PPE required.

National advice from Professor Keith Willett, Director for Acute Care to NHS England today has confirmed the following:-

FRSM fluid repellent surgical masks, aprons and gloves are adequate when managing patients suspected of having Covid-19.

Due to supply issues, please ensure you only use this equipment for the appropriate patients. At this moment in time, as based on the latest information, we are anticipating the surge of cases are likely to come in the next 10 to 15 days.

We clearly do not want you or your teams to be at risk due to limited supplies at this time.

Instructions regarding the donning and doffing of this equipment are included in the presentation. (Attachment: Coronavirus (COVID-19).pptx)

To confirm FFP3, long sleeved gowns are only to used when using aerosol generating procedures likened to those performed in ITUs so are currently not required for general practice.

We do understand your concerns regarding the levels of PPE and we can assure you we continue to escalate supply issues.

Finally on the Primary Care call last night (26.03.20) if you require additional PPE supplies please call 0800 915 9964. Delivery time lines are 72 hours and may NOT be Monday to Friday 9am to 5pm.

We will of course update you should anything change Kindest Regards

Dr Sarah Raistrick, Dr David Spraggett, Dr Imogen Staveley Vulnerable patients

If you have not received your list of shielding patients, you can escalate your concerns to england.covid-highestrisk@nhs.net. A template letter which was previously circulated to GP practices regarding vulnerable patients has been resent yesterday. Again, if you continue to have any concerns, please email england.covid- highestrisk@nhs.net.

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture Communications from NHS England

Actions for Primary Care

Today’s attachments

• Coronavirus (COVID-19).pptx (see opening paragraphs)

• QOF year end 19-20 payments update (see item 11)

• Safeguarding newsletter (see item 6)

• 2020-03-26-covid19-occupational-health.pdf (see item 5)

• Safe Haven Service – Change of provider (see item 10)

• LPC External Update 27th March 2020.pdf (see item 7)

LATEST LOCAL PICTURE

Hot hubs

We are working with each place to finalise the operations of each hot hubs and further information will be shared in Monday’s briefing including information about sites, manning and opening times.

Please remember: we are issuing daily (Monday to Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. If we don’t know about an issue then we cannot provide support in resolving it.

Update on provider services

We are working with our local providers to gather a list of service changes resulting from COVID-19 situation, such as elective surgery, outpatients and within emergency departments. We are planning to send this out to practices today once we have confirmed the current status.

Local cases (as of 26 March)

• In the Local Authority of Coventry, there are a total of 35 confirmed cases.

• In the Local Authority of Warwickshire, there are a total of 74 confirmed cases.

LATEST LOCAL UPDATE

1. Death certificate update

You may be aware that within the Coronavirus Bill, currently making its passage through Parliament, there is legislation which will allow the electronic transfer of the MCCDs (medical certificate of cause of death) to the registration service, as face to face appointments will be suspended and informants will give details for the registration over the telephone. The form required for the burial or cremation will then be emailed directly to the chosen funeral director.

In readiness for this would you please email all future MCCDs to:

nuneatonro@warwickshire.gov.uk, for Nuneaton and North Warwickshire, rugbyro@warwickshire.gov.uk for Rugby area

warwickrbd@warwickshire.gov.uk for deaths in Warwick, Leamington, Stratford, South Warwickshire.

Please ensure that both sides of the MCCD are scanned as we require the full document. To ensure that we can match both sides would you please print the MCCD number on the reverse in the top right hand corner.

If possible, please include details of the next of kin and a telephone number in case we don't hear from them. Bookings can still be made using the link on our

website www.warwickshire.gov.uk/registrations or by calling 0300 555 0255.

The office will still require the original MCCD as this will have to be forwarded to the General Register Office as normal. Please keep them securely and we will be in touch to arrange collection of these later.

2. Registration with CQC and changes to statements of purpose during COVID- 19

We want to support health and social care providers as they look to increase capacity as part of the ongoing effort to respond to COVID-19. To help ensure that registration does not act as a barrier to these different ways of working, we have developed a special COVID-19 registration framework, which covers both new registrations and change to service that can be made by submitting a notification online.

Read the full update, which explains what constitutes a COVID-19 registration and what this means for providers.

3. Category 4 patient searches - IT System update

We have received a number of questions relating to the searches for Category 4 High Risk patients, yesterday both EMIS and Vision have communicated about their input and are looking at a resolution for practices having to run these searches.

Please see EMIS advice below as circulated to practices yesterday, Vision will also be making an update announcement.

IMPORTANT: Caring for people at highest risk during COVID-19 pandemic

EMIS Health is aware of challenges related to the letter sent to patients last week and the guidance sent to GP practices by NHS England / BMA / RCGP at the weekend around identifying high-risk patients.

We have been in discussion with NHS Digital to seek clarification on a number of points:

• Enabling clinicians to understand what clinical conditions have led to patients being marked as high-risk.

• Understanding why some GP Patients are not included in the high-risk group and the process GP’s need to take to include those patients.

• What responsibilities GP’s have with respect to contacting patients who they believe should be included.

We are awaiting guidance from NHS Digital and we advise practices NOT TO UNDERTAKE any activity until further guidance is forthcoming.

4. RCGP safeguarding resource

The RCGP has created a resource on COVID-19 and safeguarding. This is available online.

5. Updated Occupational Guidance in Pregnancy

The Royal College of Obstetricians and Gynaecologists has produced occupational health advice for employers and pregnant women during the COVID-19 pandemic (attachment: 2020-03-26-covid19-occupational-health.pdf)

6. Safeguarding Newsletter – March 2020

The latest version is attached and includes Government guidance on COVID-19 in relation to vulnerable children, young people and adults will guide you on specific safeguarding risks. (attachment Safeguarding Newsletter – March 2020.pdf)

7. Community Pharmacy Status Update for Stakeholders

Attached: LPC External Update 27th March 2020.pdf

8. Easter Bank Holiday

We are expecting a national letter to general practice setting out expectations regarding Easter bank holiday business hours in light of the COVID-19 situation and projections for peaks in infections over the Easter period. We are aware that some practices have already started planning to be open over Easter, and we strongly advise that all practices consider making similar plans.

9. Extended Hours

A number of queries are still being received in respect to Extended Hours. The position of all three CCG’s on Extended Hours and work load associated with DES’s and LES’s is that:

During the COVID outbreak period where it is necessary to suspend, reconfigure, redirect or repurpose capacity and workforce to support resilience in general practice to deliver vital priority services to patients and or redirect capacity and effort towards COVID related activities to maintain public health; Extended Hours can be suspended without penalty.

Decisions on when to redirect or repurpose capacity to other essential and necessary general practice or COVID related activities will be at the discretion of

general practice / PCN’s and will depend on capacity, demand and escalation of COVID virus experienced locally.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 27 March 2020

No updates in this edition

UPDATES FOR South Warwickshire – 27 March 2020

No updates in this edition

UPDATES FOR Warwickshire North – 27 March 2020

No updates in this edition

10. Warwickshire Safe Haven Service

Change are taking place to the Safe Haven provision in Warwickshire. The Safe Haven aims to support people who are feeling distressed and overwhelmed and is available during the evenings (including weekends) when other forms of support are often closed.

The current Safe Haven service, delivered by Mental Health Matters in Warwickshire, will end on 31st March 2020. (Please note they will continue to operate a site 7 days a week in Coventry).

For Warwickshire, a new Safe Haven service will be delivered by Coventry and Warwickshire Mind which can be accessed from 2nd April 2020 via phone or email: 02477 714554 or safehaven@cwmind.org.uk. (Complete details are attached: Safe Haven Service - Change of Provider.docx)

LATEST NATIONAL PICTURE

• As of 9am on 26 March 2020, 104,866 people have been tested in the UK, of which 93,208 were confirmed negative and 11,658 were confirmed as positive. As of 9am on 26 March 2020, 578 patients who tested positive for COVID-19 have died. (Numbers are updated around 5.00pm each day by Public Health).

• The most up today government advice on coronavirus is available online.

• The Chancellor, Rishi Sunak, carried out a briefing on 26 March, outlining new coronavirus support measures for the self-employed, a copy of the transcript is available online.

• The government is to provide free car parking for NHS and social care staff.

COMMUNICATIONS FROM NHS ENGLAND

11. QOF year end 19/20 payment update

NHS England and Improvement published a letter on Thursday 19 March 2020 (https://www.england.nhs.uk/coronavirus/wp- content/uploads/sites/52/2020/03/preparedness-letter-primary-care-19-march- 2020.pdf) which confirmed that calculations for QOF 2019/20 will be made as

usual. This data submission will be followed by a piece of analysis to understand the impact of Covid-19 and a one-off financial adjustment for practices who earned less in 2019/20 than 2018/19 as a result of Covid-19 activities. Full details are included in the attached document (QOF year end 19/20 payment update.doc)

12. NHS England Primary Care Bulletin – new edition

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (26 March). This regular COVID-19 Primary Care Bulletin is from Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

13. Primary Care webinar

The next GP Preparedness webinar will be on Thursday 2 April from 5-6pm. We will share the link when it is released.

ACTIONS FOR PRIMARY CARE

Please note the changes to MCCD (medical certificate of cause of death) included in today’s briefing.

MEDIA ENQUIRIES

If you are approached by the media and do not want to handle it yourself, please forward on to your local communications team: agem.communications@nhs.net. Outside of working hours the communications team can be reached via 01522 537887.

ACTIONS TO TAKE

• Monitoring the latest updates from Public Health England and GOV.UK

• Ensure your practice websites are updated with the latest advice

• Watch the GP Preparedness webinar this evening

• Ensure you promote the key public messages of stay home, save lives

Primary Care Coronavirus briefing – Coventry and Warwickshire – 26/03/2020

Thu, 26 Mar 2020 10:46:41 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 26 March 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary- care

Today’s topics – use the links to jump to each section

**NEW** Advanced Practice Payment for Covid Expenses

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture Communications from NHS England Actions for Primary Care

Advanced Practice Payment for Covid Expenses

The CCGs will be making a payment in advance to each practice, to acknowledge the costs that you have already encountered as part of the COVID-19 response. This initial payment will be made to practices today. Payments will be made as follows, based on list sizes as of 1st January 2020:

• £3,000 – Small Practice less than 7,000 list size

• £5,000 – Medium Practice 7,001 -10,000 list size

• £10,000 – Large Practice 10,000+ list size

At the end of March please complete the attached pro-forma to identify the actual costs incurred to 31st March 2020. Going forward any additional costs incurred by practices will need to be submitted to the CCG via the attached proforma at the end of each subsequent month. This will need to be sent to the Finance contact detailed on the form for your appropriate CCG. The expected categories are listed on the proforma, but if there are other items please can you provide specific details.

Submission of backing invoices will not be required with the claim proforma, but the CCG asks that you retain copies of these as they will be requested at a later date.

Please note: IT equipment and software is excluded from this claim method. Please speak to your CCG IT lead (South Warwickshire CCG - Sue Phillips Sue.Phillips@southwarwickshireccg.nhs.uk, Coventry and Rugby CCG, North Warwickshire CCG – Roma Holland Roma.Holland@coventryrugbyccg.nhs.uk) for any requests around additional kit.

LATEST LOCAL PICTURE

Please remember: we are issuing daily (Monday to Friday) communications via: warnoccg.covid19primarycarecommunications@nhs.net. We would also ask that if you have questions or concerns relating to the current situation around coronavirus and COVID-19 you use the same address: warnoccg.covid19primarycarecommunications@nhs.net. If we don’t know about an issue then we cannot provide support in resolving it.

Local cases (as of 25 March)

• In the Local Authority of Coventry, there are a total of 25 confirmed cases.

• In the Local Authority of Warwickshire, there are a total of 59 confirmed cases.

LATEST LOCAL UPDATE

Primary Care Support England (PCSE) update

Primary Care Support England (PCSE) continue to work with NHS England to prioritise services so that we can make sure high priority services run smoothly, avoiding disruption to front line Primary Care. These essential include:

• processing and uploading the monthly contractual payments to practices

• delivering supplies orders such as needles, syringes, prescriptions and essential NHS forms

• processing patient registrations, removals and dealing with any messaging errors on the GP links between practices and PCSE

• processing urgent medical record requests to ensure continued patient care

• ensuring that GPs are correctly registered on the Performers List and able to provide services to the NHS

• processing retirement, pension opt-out and death in service applications

Please note, as we focus on the above essential services during this time, it may take longer for us to process and resolve queries for other services.

Temporary practice closures

If a practice should need to close temporarily as a precaution against the spread of Coronavirus, PCSE can support practices. For example, we can manage the movement of patient records and postpone deliveries of supplies. In the first instance, practices should get in touch with their CCG to discuss options, and our

supplies team will be happy to discuss possible actions. The team can be contacted via the online form available here.

End of year pension forms

We continue to accept pension forms for 2018/19 end of year. Please be aware however that processing times might be extended as we prioritise our activity towards urgent and essential services.

Service provision

PCSE will continue to work with NHS England to do everything we can to ensure practices are supported. Updates are also available on the PCSE website.

If you have any questions please contact pcse.gpengagement@nhs.net.

Tips for telephone consultations from RCGP

The RCGP has published top 10 tips for Covid-19 telephone consultations.

Throat examination in adults and children

The following advice has been written by Dr Sanjay Patel - a consultant paediatrician at University Hospital Southampton and a specialist in infectious diseases had advised for the Royal College of Paediatrics and Child Health. (please see the tonsillar examination attachment included with this email which complements the below).

Although the COVID-19 narrative has focused firmly on adults, there is growing concern about the role played by asymptomatic children in the spread of infection.

1 Transmission from the upper airway has been raised as a particular concern by ENT specialists,

2 with viral replication shown to take place in the upper airway as well as the lower airway. This may explain why a number of paediatric and/or ENT healthcare professionals have developed disease in the absence of currently defined risk factors.

We recommend that the oropharynx of children should only be examined if essential. If the throat needs to be examined, personal protective equipment (fluid resistant surgical face mask, plastic apron and gloves) should be worn, irrespective of whether the child has symptoms consistent with COVID-19 or not.

Suspected tonsillitis in primary care or A+E

If a diagnosis of tonsillitis is suspected based on clinical history, we recommend that during the COVID-19 pandemic, the default stance becomes not examining the throat unless absolutely necessary. If using the feverpain scoring system to decide if antibiotics are indicated (validated in children 3 years and older) 3 , we suggest that a pragmatic approach is adopted, although automatically starting with a score of 2 in lieu of an examination is not entirely unreasonable. Children with a total feverpain score or 4 or 5 should be prescribed antibiotics (we suggest children with a score of 3 or less receive safety netting advice alone). Although this is likely to result in a temporary increase in antibiotic prescribing in children, we feel that this is preferable

to healthcare staff being unnecessary exposed to COVID-19. Antibiotics rarely confer a benefit in children under 3 years with tonsillitis and should only be prescribed in exceptional circumstances or if a diagnosis of scarlet fever is strongly considered.

References

Kam KQ, Yung CF, Cui L et al. A Well Infant with Coronavirus Disease 2019 (COVID-19) with High Viral Load. Clin Infect Dis 2020.

Lu D, Wang H, Yu R et al. Integrated infection control strategy to minimize nosocomial infection of corona virus disease 2019 among ENT healthcare workers. J Hosp Infect 2020.

Little P, Hobbs FDR, Moore M et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). 2013; 347: f5806.

State-backed clinical negligence scheme for general practice (CNSGP)

The attached letter (Letter to practices re Pharmacists CNSGP 27.02.2020) relates solely to business as usual activities. Indemnity arrangements in relation Covid-19 are covered in other specific communications.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 26 March 2020

New resource from the Coventry Safeguarding Adults Board

The Safeguarding Adults Board, has produced a poster regarding the exploitation of adults with care and support needs who are self-isolating in Coventry. The poster is attached and also available at this link: https://www.coventry.gov.uk/downloads/file/32368/safe_isolating_advice

UPDATES FOR South Warwickshire – 26 March 2020 GP IT Update

Attached to this email is an update on GP IT, please take a few minutes to read this and the associated attachments. Subjects include: remote working and access to EMIS; Laptop rollout; online consultations; and data sharing.

UPDATES FOR Warwickshire North – 26 March 2020 Consultant Connect and NHS 111

Consultant Connect is working on behalf of a 111 provider to bolster their 111 clinicians’ access to advice. Would you be willing to share your expertise this way by answering some calls? Even an hour or two each week would make a real difference right now.

How it will work

This would be organised via Consultant Connect so your number would never be shared, and you would be on a rota. This means, if you are unable to answer, the call will go to the next GP available. Calls can be taken anywhere, so even if you are at home or self-isolating, all you need is to be accessible via a mobile phone.

Offer free help or get paid

You can choose to either do this work pro-bono or receive a payment of £15 (from the 111 provider) for each answered call.

To let us know that you would like to help please email: hello@consultantconnect.org.uk - with the following details:

I would like to help with 111 calls.

• My name:

• My surgery:

• My CCG/Health Board area:

• My mobile phone number:

• I would like to do this work pro-bono: Y/N

• I wish to be paid £15 per call answered: Y/N

Your assistance is much appreciated. You can withdraw from answering calls at any time, simply let us know when you wish to stop.

LATEST NATIONAL PICTURE

• As of 9am on 25 March 2020, 97,019 people have been tested in the UK, of which 87,490 were confirmed negative and 9,529 were confirmed as positive. As of 9am on 25 March 2020, 463 patients who tested positive for COVID-19 have died. (Numbers are updated around 5.00pm each day by Public Health).

• The latest government advice on coronavirus has been updated on 23 March 2020.

• The Prime Minister carried out a briefing on 25 March, a copy of the transcript is available online.

• The government is to provide free car parking for NHS and social care staff.

COMMUNICATIONS FROM NHS ENGLAND

Shielding from coronavirus

Following the publication of measures for a group of people whose physical health conditions mean they are at the greatest risk from Coronavirus, the guidance can be found here. Some of this group will be people with a learning disability, autism or

both and we are asking for your help to share the easy read guidance for shielding from coronavirus with people, their families and carers, and providers of services.

NHS England Primary Care Bulletin

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (24 March). This regular COVID-19 Primary Care Bulletin is from Nikki Kanani and Ed Waller and you are encouraged to sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/

Primary Care webinar

The next GP Preparedness webinar will be tonight (Thursday) from 5-6pm. Join via this link.

ACTIONS FOR PRIMARY CARE

Please review the claim proforma information attached to this email.

MEDIA ENQUIRIES

ACTIONS TO TAKE

• Monitoring the latest updates from Public Health England and GOV.UK

• Ensure your practice websites are updated with the latest advice

• Watch the GP Preparedness webinar this evening

• Ensure you promote the key public messages of stay home, save lives

ICT Network Form (Email and Internet Access)

Wed, 25 Mar 2020 11:59:52 GMT

To be able to access the VPN, please ensure that you have the login capabilities to do this. If you do not, please fill out this form and send it to IT. Please click on the link above to download the document.

GP IT Update - 25/03/2020

Wed, 25 Mar 2020 11:57:32 GMT

Dear All

Please find below a brief update on the latest situation re: IT

CAN I PLEASE ASK YOU TAKE A FEW MINUTES FROM YOUR BUSY DAYS TO READ THIS – I appreciate you are all busy BUT it will help us to help those with genuine IT problems

PLEASE NOTE - any dates quoted are aspirational and are subject to the SWFT engineers and Digital Angels staying fit and well! (Fingers crossed)

Much has been achieved over a few days and I am sure you will join me in thanking the SWFT Teams and the Digital Angels for all they are doing for us – they have been truly awesome!

1. Remote Working - YOUR ACCESS TO EMIS

This new facility has now been rolled out to all practices across south Warwickshire. It is to support practices where staff are working from home. It is to support clinical activity …it has NOT been designed to allow you to do all the things you used to do in the practice at home. Please restrict your usage to accessing EMIS and Docman. This will ensure we allow everyone to have access and good response times. Please do not log in and use it simply to do your emails and ALWAYS ensure you log out when you no longer require access using the red Logoff icon on the desktop.

If you have not accessed this system before you do please ensure you:

a. Have updated your anti-virus software

b. Ensure you have the latest Windows/Mac updates ( Settings > Updates and Security)

c. Have your user name and password available -if you don’t please complete the attached ICT Network access request form.

d. Joining instructions for both Windows and Mac Operating System are attached.

Smartcard functionality is now enabled. Staff can plug external USB Omni key smartcard readers into their own devices to process and issue electronic prescriptions. Please note this works from Windows PCs only.

Recognising this is not a perfect solution we are hoping to roll out O365 by mid-April. We are exploring how this will allow you to access files and documents. It will also give you access to Teams which should help you stay in touch with your colleagues over the coming weeks.

We are also exploring using the Clinical Pharmacists and the Medicines Optimisation Teams to support the management of repeat prescriptions for stable patients. Further information regarding this will follow. We hope this will support GP workload especially.

Again please can I ask you NOT to use or request the old remote working solution. We are not in a position to support this and SWFT ICT have been told this is not a priority. Please DO NOT try to mix both solutions as this will not work and also finally you CANNOT test the new remote working solution from the practice as it WILL NOT work.

On the good news front - USB headsets have now arrived These have been allocated to practices on a fair shares basis, you can contact Ben/Jodie and collect them …from a safe distance of course…from Gainsborough Hall. We are mobilising remote resilience call centres for PCNs to utilise should reception teams need to work from home. More information about this will be sent under separate cover.

2. Laptops

The balance of the laptops continue to be rolled out. The following practices should receive theirs over the next week or so …

Practice Name Outstanding Laptops Scheduled Dates

Priory Medical Centre 7 24th March

Sherbourne Medical Centre 5 24th March

Croft Medical Centre 8 25th/26th March

Waterside Medical Centre 6 27th March

Shipston Medical Centre 6 30th March

Bidford Health Centre 6 31th March

Clarendon Lodge Medical Practice 6 1st April

Hastings House Surgery 6 2nd April

Castle Medical Centre 5 3rd April

if you are not on the list and have not received your full allocation you will be notified next week. They provide access to EMIS, Docman and the NHS spine so support prescribing. They are configured to the names you provided to us as a practice.

3. On Line Consultation

Well over 70% of you are now live and practices are starting to see the benefits of using this channel to manage patients digitally. Jodie Oxford - our other wonderful Digital Angel - is supporting practices to go live. Please speak to her if she tries to get in touch …as she can really help you implement this solution. It will help divert patients away from the telephone and help to spread workload.

4. Other digital channels

Please continue to promote the NHS App and/or Patient Access and of course the NHS website . Anything you can do to support those patients that can use the digital channels to do so will leave you more time to help those who cannot use or don’t have access to digital solutions.

5. Data Sharing

We are waiting for EMIS to confirm they have switched on access to Docman Share, SWFT EMIS Community data and in light of how challenging things may get we are also giving SWFT clinicians access to your EMIS data in order to help them treat patients as quickly as is required. All of these projects have been approved by the LMC. Further information will follow about switching this on in your EMIS systems.

6. Other projects

This includes the roll out of the Windows 10 new pcs which is continuing BUT are very much subject to engineering resource. Dave Scattergood will contact you directly when it’s your time! Please look out for his emails. If timings are not convenient simply let him know. We are continuing to work on the digitisation of Lloyd George notes and the new website project too. We have also attached some guidelines re working from home to keep you and your patients safe.

Finally the solutions above cannot and will not be able to replicate all you do in general practice. We are all working on solutions to support you as things get more challenging and staffing number reduce. Please think about your processes – what is key and what is not?; what can you do from home ?; what needs to be done in the practice; what needs to be done by a clinician; what can save you time if you invest a little time in setting up; what can you do as a PCN rather than as an individual practice? We need to adapt our process to the IT solutions we have and not the opposite. I am sure you are all on top of this and of course if you need help myself, the Digital Angels and SWFT ICT are around to help …we may just need a little longer to respond.

Thanks for your patience and support and thanks again to the SWFT team and the Digital Angels

Further regular updates will follow

Kindest Regards

Sue

Sue Phillips

Head of Transformation

NHS South Warwickshire Clinical Commissioning Group

Address: Westgate House, Market Street, Warwick, CV34 4DE

Telephone: 01926 353707

Mobile: 07891 906132

Email: sue.phillips@southwarwickshireccg.nhs.uk

NHS.net email: sue.phillips4@nhs.net

Website: www.southwarwickshireccg.nhs.uk

Message from UHCW Imaging Department

Tue, 24 Mar 2020 16:31:51 GMT

Click the above link to download this document.

Letter to Pts - IMPORTANT ADVICE TO KEEP YOU SAFE FROM CORONAVIRUS

Tue, 24 Mar 2020 16:24:26 GMT

Click the above link to download this document.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 24/03/2020

Tue, 24 Mar 2020 10:44:55 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 24 March 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guid- ance.

This information may change rapidly as the situation develops. For the latest infor- mation for primary care, visit: https://www.england.nhs.uk/coronavirus/primary-care (the page was last updated on: 20 March, 2020 10:55 am)

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, War- wickshire North)**

Latest national picture

Communications from NHS England – including PPE update

Actions for Primary Care

LATEST LOCAL PICTURE

Remember COVID-19 communications in Coventry and Warwickshire is being is- sued from a single email address: warnoccg.covid19primarycarecommunica- tions@nhs.net. By doing so we will help you to get the right information in a con- sistent way. Please add the email address to your safe list.

Local cases (as of 23 March)

• In the Local Authority of Coventry, there are a total of 19 confirmed cases.

• In the Local Authority of Warwickshire, there are a total of 35 confirmed cases.

LATEST LOCAL UPDATE

Vulnerable Patients – The Role of General Practice during COVID19

The Government and NHS are writing to ask for your help with the management and shielding of patients who are at the highest risk of severe morbidity and mortality from coronavirus (COVID-19). This group have clinical conditions which are likely to put people at the highest risk of mortality and severe morbidity from COVID-19. The attached information includes a joint letter from Professor Stephen Powis, National Medical Director NHS England and NHS Improvement and Professor Chris Whitty

Chief Medical Officer for England, an annex on caring for people at the highest risk, a patient letter, and guidance from the BMA.

UHCW Imaging Department

With immediate effect direct access will stop at UHCW for the walk-in GP Service for general X-rays for Chest, abdomen and bony extremities etc. We would appreciate if you could support us by communicating this to patients of your practice.

All referrals must be sent to the department via our NHS.net account: uhc-tr.Radiol- ogy.Referrals@nhs.net. Further information is attached.

Pathology and Phlebotomy Services - impact of COVID-19 Pandemic

As with all services – please advise patients not to attend clinics if they have symp- toms of Coronavirus or are self-isolating due to someone in their household having symptoms.

The service is anticipating significant reductions in staff over the coming weeks due to sickness and self-isolation for vulnerable groups, in addition the service is looking at how best to minimise contact in clinics. For these reasons the service is planning some changes which are outlined in the Pathology Phlebotomy attachment.

Palliative care booklets and ebooks available to download

The West Midlands Palliative Care Physicians have issued FREE copies of the West Midlands Palliative Care Physicians Guidelines during COVID-19. There are e- books available and the link on the website can also be accessed by smartphone http://www.wmcares.org.uk/wmpcp/guide/

Victim Support Warwickshire

Victim Support service in Warwickshire continues to remain open and delivering ser- vices across the county. Given the current circumstances and national guidance from the Government, the type of service being provided has needed to be amended; they are currently unable to offer any face to face support to our service users, as we would usually.

The local team continue to be available on warwickshire.vs@victimsupport.org.uk and you can contact Deborah Miller (Senior Operations Manager) on 07951 194779 or Ben Donagh (CYP Team Manager) on 07931 864113. The national SupportLine (08 08 16 89 111) also remains open 24/7 and they continue to welcome referrals for any CYP affected by crime or trauma who requires support.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 24 March 2020

No place specific update

UPDATES FOR South Warwickshire – 24 March 2020

eConsult Total Triage Model for GP Practices

In response to the Covid-19 pandemic, eConsult has put together a step by step guide for introducing total triage which is attached for you to share with those in your practices.

Also attached is NHSE guidance for the rapid implementation of ‘total triage’ models along with a blueprint for this from Devon Digital Accelerator (DDA). The DDA pack is included in NHSE document with a link but they wanted to provide recipients with an easy access document to help with dissemination.

eConsult has seen a large increase in some CCGs with the volume of eConsults go- ing up in response to dealing with Covid-19. In other CCGs they have seen little or no change in volume of eConsults. At this time they are keen to get all GP practices using eConsult as the default option for patients to access help and advice.

Attachments

1. eConsult Total Triage Model

2. NHS Remote Total Triage Blueprint

UPDATES FOR Warwickshire North – 23 March 2020

No place specific update

LATEST NATIONAL PICTURE

• As of 9am on 23 March 2020, 83,945 people have been tested in the UK, of which 77,295 were confirmed negative and 6,650 were confirmed as posi- tive. As of 9am on 23 March 2020, 335 patients who tested positive for COVID-19 have died. (Numbers are updated around 2.30pm each day by Public Health).

• The latest government advise on coronavirus has been updated on 23 March 2020.

• The Prime Minister’s speech from 23 March is available here: https://www.gov.uk/government/speeches/pm-address-to-the-nation-on-coro- navirus-23-march-2020.

• The public are being advised to stay home and only go outside for food, health reasons or essential work

COMMUNICATIONS FROM NHS ENGLAND

PPE availability and delivery

You will have seen the letter and guidance that has been sent out on PPE availabil- ity.

• Over the last three days alone more than 200 organisations, including all NHS hospitals, received fresh supplies of facemasks and other PPE as did ambu- lance trusts and other NHS organisations.

• From this week the army will offer personnel to help manage and offload sup- plies in busy NHS settings, helping to distribute and deliver urgent PPE sup- plies to the frontline during the epidemic.

• NHS Supply Chain has created a page which tells people what is being deliv- ered each day, its daily manifests will tell you when vitally important PPE stock and non-PPE products you have ordered will be arriving.

• The delivery schedule will be uploaded by 11 pm for the following three days and will be added today.

• To ensure the security of this vital stock NHS Supply Chain has put the mani- fests behind a website log in.

• The supply distribution helpline can answer PPE calls and emails 24/7 on 0800 915 9964 / 0191 283 6543 or email: supplydisruption- service@nhsbsa.nhs.uk.

NHS England Primary Care Bulletin

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin.

PHE campaign resources

Please be advised that Public Health England’s Campaign Resources Centre has Coronavirus material in alternatives formats including:

• Easy read poster/flyer of the standard poster (print ready/web accessible)

• Large print poster/flyer of the standard poster (print ready/web accessible)

• British sign language versions of the social media animations

• Audio versions

All are available to download using the following link: https://campaignre- sources.phe.gov.uk/resources/campaigns/101/resources/5080 Campaign resources now available on hand washing and home isolation.

ACTIONS FOR PRIMARY CARE

Review the information relating to Vulnerable Patients – The Role of General Prac- tice during COVID19 in this briefing.

MEDIA ENQUIRIES

If you are approached by the media and do not want to handle it yourself, please for- ward on to your local communications team: agem.communications@nhs.net. Out- side of working hours the communications team can be reached via 01522 537887.

ACTIONS TO TAKE

• Monitoring the latest updates from Public Health England and GOV.UK

• Ensure your practice websites are updated with the latest advice

• Ensure you promote the key public messages

---------------------------------------------------------------------------------------------------------------------------

Please be aware that guidance is changing regularly and we are endeavouring to keep you as up to date as possible.

Please note: the CCG has made the decision to use every email distribution list at its disposal in order to ensure as many people as possible receive these important up- dates. If you no longer wish to receive these updates, please reply to this email and we will remove you from the distribution list.

The inbox is monitored regularly, and we will respond to you as soon as we can.

In the meantime, the latest guidance for primary care can be found here: https://www.eng- land.nhs.uk/coronavirus/primary-care/

Tonsillar examination – infection control implications

Tue, 24 Mar 2020 09:20:50 GMT

Click the above link to download this document.

Pathology Phlebotomy COVID-19

Mon, 23 Mar 2020 16:42:21 GMT

Click the above link to download this document.

Cytology consumables update

Mon, 23 Mar 2020 16:07:22 GMT

Click the above link to download this document.

BMA - RCGP Guidance on workload prioritisation during COVID-19

Mon, 23 Mar 2020 13:13:54 GMT

Click on the above link to download the BMA - RCGP Guidance on workload prioritisation during COVID-19 document.

Barnet Primary Care Pathway -Covid19

Mon, 23 Mar 2020 13:09:22 GMT

Click the above link to view Barnet Primary Care Pathway -Covid19 document.

eConsult -How to create a Total Triage Model of Care

Mon, 23 Mar 2020 11:49:55 GMT

Click the above link to dowload the document slides.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23/03/2020

Mon, 23 Mar 2020 10:43:01 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 March 2020

**Please find below the latest daily primary care coronavirus briefing.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: https://www.england.nhs.uk/coronavirus/primary- care (the page was last updated on: 22 March, 2020 4:06 pm)

Today’s topics – use the links to jump to each section

**Latest local picture**

**Local updates**

**Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)**

Latest national picture Communications from NHS England Actions for Primary Care

LATEST LOCAL PICTURE

Remember COVID-19 communications in Coventry and Warwickshire is being issued from a single email address: warnoccg.covid19primarycarecommunications@nhs.net. By doing so we will help you to get the right information in a consistent way.

Please also send any COVID-19 related queries to this box, as it is being monitored and enquiries logged.

Please add the email address to your safe list

Keep an eye out for and give priority to emails from the email address.

Do check your junk/spam folders to make sure the emails aren’t going there by mistake:

warnoccg.covid19primarycarecommunications@nhs.net

Local cases (as of 22 March)

• In the Local Authority of Coventry, there are a total of 14 confirmed cases.

• In the Local Authority of Warwickshire, there are a total of 29 confirmed cases.

LATEST LOCAL UPDATE

LloydsPharmacy – temporary closures

Starting 20 March all LloydsPharmacy stores will operate behind closed doors for the first and last hour of trading to enable their teams to assemble and clinically check prescriptions. In addition all LloydsPharmacies will close between 1 and 2

pm. Posters will be displayed in store windows to communicate this information to the public.

Cytology samples

Following a number of internal discussions and in consultation with Commissioners and SQAS the Trust has had to take a decision to suspend the daily collection of cervical cytology samples ahead of a decision regarding the national HPV screening programme.

We are reluctantly forced to take this action for a number of reasons. These are:

• The sickness rate in our transport and portering department means that we need to redeploy our HPV drivers to more clinically urgent activities

• The main HPV analyser that we use is due to be converted to COVID-19 testing at the beginning of next week

• We have eight staff on sick leave or in isolation in the department.

We are also conscious that the number of samples that we are collecting has reduced significantly in the last week as we understand that GP practices are minimising non urgent/face to face appointments and/or because patients are not turning up.

We will undertake collections from all locations on Monday 23 and Tuesday 24 March. After that date collections will only be made from Colposcopy Units.

As the situation improves we will keep you updated.

We are currently trying to ascertain the situation regarding high risk patients and will issue further guidance once in a position to do so.

Thank you for your continued support in these difficult times. Cervical Screening Service

HPV Screening Programme

Remote access

For clarification all current logon accounts for the Healthcare Network (practices already deployed to) can have all their staff remote access from home. In other words, all Practice users who have an IT account have access.

Domestic Abuse support during the COVID-19 pandemic

At the request of the Heads of Safeguarding for Warwickshire and Coventry, we are sharing a link to all GP practices across Coventry and Warwickshire.

This information is being distributed as given the current situation, domestic violence is anticipated to escalate during the COVID-19 Pandemic. The site can be accessed via:

http://www.safelives.org.uk

Update from the Specialist Palliative Care Teams

Please consider this advice from our Specialist Palliative Care Teams regarding patients who are in likely in the last weeks/months of life and the risks around Covid- 19:

1. All those caring for nursing homes - please review how many anticipatory medicines you have. Please start prescribing anticipatory medicines for vulnerable patients now.

2. Start prescribing anticipatory medications for community patients that are vulnerable.

3. Consider proactive Advance Care Planning for all patients including completing a ReSPECT form.

4. The Association of Palliative Medicine will be sending out specific guidance in palliating COVID patients soon including breathlessness in the dying patient. Any helpful guidance for primary care will be forwarded on when it is available.

5. Access to the West Midlands Palliative Care guidelines is now free. The link is www.wmcares.org.uk/wmpcp/guide/

Update from The Myton Hospices

At The Myton Hospices we are working closely with our partners in the local hospitals, community and hospice services to ensure a coordinated approach to end of life care for Coventry and Warwickshire so that we can best support the NHS at this time.

All the staff and volunteers working at Myton are committed to do all we can under the current circumstances to support our patients and their relatives while minimising the risk to patients and the workforce at this time.

At the current time:

· Our Inpatient Unit services are open

· Our Myton at Home Community services are open

· Lymphoedema clinics are running

· Our Living Well Programme continues to be open for referrals with the understanding that the only contact we can provide is by telephone consultation

· We have taken the difficult decision to suspend the following services: o Respite beds at Warwick Myton Hospice

o Day Unit Services on each of our sites at Coventry, Rugby and Warwick, which includes our Fatigue and Breathlessness Programme, Therapeutic Days and Drop-in Sessions.

We are though offering existing patients the option of regular telephone support

· The only visitors we are accepting into Myton are those who are directly visiting patients in our inpatient units or are essential to the efficient/ safe running of our Hospices

With kind regards, Sarah

Dr Sarah MacLaran BM FRCP

Volunteer support for those self-isolating

Warwickshire County Council (WCC) is committed to supporting Warwickshire’s communities through the current Coronavirus pandemic. WCC has put together a list of community support groups that are currently responding to offer support to individuals who are isolating.

The directory can be accessed here, which is a link the Provision of current community led activity across Warwickshire directory - this won't be a complete picture and if there is no local group for a specific individual you should ask them to contact Warwickshire Community and Voluntary Action (WCAVA) via: https://www.wcava.org.uk/contact. Anyone that is interested in volunteering should also register with WCAVA.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR Coventry and Rugby – 23 March 2020

No place specific update

UPDATES FOR South Warwickshire – 23 March 2020 Ellen Badger Hospital: First Aid Centre temporary closure

During this National Level 4 Covid-19 emergency, the decision has been made to close the First Aid Centre at Ellen Badger Hospital during this period, to protect our staff and vulnerable inpatients.

Please ensure you disseminate this information within your practices and with patients who potentially access service.

A decision to re-open the service will be communicated as appropriate.

Reminder of the Acute Physician phone number

If you need advice on a patient with suspected COVID-19, you can access the 24 hours a day 7 days a week on 07917 212535 (the phone will be manned by an Acute Physician 8am to 8pm and the General On call doctor from 8pm to 8am).

UPDATES FOR Warwickshire North – 23 March 2020 Remote access for Warwickshire North

Access to the remote working solution requires a user ID and password for our network and there are a large number of Warwickshire North practices who will not have these. We are gathering the necessary information and working on creating the user ID’s and these will be communicated back to practice managers between Monday and Wednesday this week. If you have not yet responded to the request for this information please do so as soon as possible.

For best performance we recommend using either Internet Explorer or Microsoft Edge to access the solution from a Windows PC. Google Chrome will work, however depending on the version being used, may display a prompt indicating that the VPN client is still installing – this can be safely ignored.

Further details are attached.

Death certificates books and ordering

In relation to practices and ordering their death certificate books for Nuneaton, and we presume all other Registry Offices, is that they would be comfortable with earlier requests supported by a brief note from the practice, their M code, the certifying GP name and GMC number signed by a member of the practice. Alternatively practices can order two when they reach the ‘order tab’ within their current book.

Update from Mary Ann Evans Hospice

At Mary Ann Evans Hospice we made the decision on Friday 13 March to refocus all of our resources into our community services. We have temporarily closed all of our hospice based services to enable us to expand our Rapid Response end of life services. This service is now available day and night across all of northern Warwickshire – 24/7 (including still offering a night service in Rugby). We are aiming to double our night rapid response provision to have two teams available to meet the growing need. We are working alongside SWFT to provide this blended service and, to enable this, we are pooling resources.

At this time of crisis the only option that was available was to do our utmost together to provide essential levels of care to all of the most vulnerable across northern Warwickshire and this is why we stepped up our joint operation immediately. We are very conscious that demands on community care will grow as the acute services

concentrate on caring for those with COVID-19 and we are prepared to meet this additional challenge. We are calling upon all staff to work flexibly and adopt different roles as necessary – this includes calling people back into roles they have previously held with us. We remain willing to stretch our resources as far as possible to meet the increasing need of our community. However, I assure you that safety and high quality care remains paramount.

We are continuing to offer support where necessary to people who received our other services e.g. day hospice, lymphoedema, family support – and this is taking the form of telephone support or, when the need is considered critical, a home visit. If required our cook is planning a “meals on wheels” support programme and our Family Support team remain ready to offer emergency childcare at Mary Ann to enable our front line staff to remain at work (we have cleared this concept with WCC’s Safeguarding department).

We are liaising closely with our hospice colleagues throughout Warwickshire and are looking at how we can also share resources to improve and expand our offer further.

Message of support

A message of support from Wasps Rugby:

LATEST NATIONAL PICTURE

• As of 9am on 22 March 2020, 78,340 people have been tested in the UK, of which 72,657 were confirmed negative and 5,683 were confirmed as positive. As of 9am on 22 March 2020, 281 patients who tested positive for COVID-19 have died. (Numbers are updated around 2.30pm each day by Public Health).

• The latest government advise on coronavirus has been updated on 22 March 2020.

• The Prime Minister’s speech from 22 March is available here: https://www.gov.uk/government/speeches/pm-statement-on-coronavirus-22- march-2020.

• The latest FCO advice is advising against all but essential international travel (updated 18 March 2020)

Public Health England COVID-19 update

The latest materials for the public information campaign have been updated with the latest advice and are available on the Campaign Resource Centre. Public Health England has also published new guidance on staying at home, for households with possible COVID-19 infection and social distancing to protect vulnerable groups.

Other existing guidance is being updated to reflect the latest advice. ACTION: Please review the material and display where appropriate.

Translated guidance – now available

Public Health England has translated the guidance for stay at home, household and vulnerable groups. This is available as PDFs alongside the current coronavirus guidance on the gov.uk website. Languages include Arabic, French, Polish and Welsh.

Also available in PDF format is translated guidance on social distancing for vulnerable groups. Languages include Arabic, French, Polish and Welsh.

Disposable eye protection

The new IPC guidance for infection prevention and control in healthcare settings advises disposable eye protection for any aerosol generating procedure. It includes a list of a number of procedures that are essentially secondary care but may be implications for primary care.

COMMUNICATIONS FROM NHS ENGLAND

COVID-19 – your support in advising the public

As the situation on COVID-19 evolves, Public Health England is liaising with Local Authorities and partners. Advice for the public is being updated regularly, the government have published the Coronavirus action plan last week, and PHE is addressing common questions through their blogs.

A UK-wide public information campaign is taking place to advise the public on how to slow the spread of coronavirus and reduce the impact on NHS services. The latest

COVID-19 campaign materials are attached to this email and all materials are available on the Campaign Resource Centre.

COVID-19 – PHE Guidance

Following the Prime Minister’s announcement to increase social distancing measures across the country, PHE have published guidance for everyone on social distancing, and stay at home guidance for households with a possible case of coronavirus (COVID-19).

Guidance about coronavirus (COVID-19) for the following non-clinical settings was published this week:

• Educational settings such as schools or universities

• Prisons and other prescribed places of detection

• Shipping and sea ports

• Transport hubs including airports and train stations

• Hostels or day centres for people experiencing rough sleeping

• Employers and businesses

The guidance documents provide advice for people present in these non-clinical settings regarding what to do if someone develops coronavirus (COVID-19) symptoms in their setting, use of shared spaces, cleaning and waste, and more setting-specific information.

FOR ACTION: The full suite of guidance, for both health professionals and non- clinical settings, can be accessed on this gov.uk collection page.

Key workers

The Government has published a list of key workers whose children can continue going to school. The guidance for schools, childcare providers, colleges and local authorities in England on maintaining educational provision is now available.

Amends to Messages

REMINDER: Please ensure your practices are updating their messages with the new text for telephone messages and online bookings. The additional ‘or’ word is very important.

Telephone message

If you have symptoms associated with coronavirus including a new continuous cough and or a high temperature, you are advised to stay at home for 7 days. Do not book a GP appointment or attend your GP practice. If you live with other people, they should also stay at home for at least 14 days, to avoid spreading the infection outside the home.

If your symptoms are serious, or get worse, NHS 111 has an online coronavirus service that can tell you if you need further medical help and advise you what to do. Only call 111 direct if you are advised to do so by the online service or cannot go online.

For the latest COVID-19 advice please visit www.nhs.uk/coronavirus.

Online booking

For the latest COVID-19 advice please visit www.nhs.uk/coronavirus.

Launch of national online 111 isolation note for patients

Online isolation notes launched - providing proof of coronavirus absence from work

People unable to work for more than seven days because of coronavirus (COVID-

19) can obtain an isolation note through a new online service. The isolation note service can be accessed via the 111 online coronavirus

service or NHS.UK/coronavirus as well as via the NHS app.

Updates to community pharmacy regarding the emerging COVID-19 situation

The second of a series of regular updates to community pharmacy regarding the emerging COVID-19 situation has been published on 19 March and is available to download.

Novel Coronavirus (COVID-19) standard operating procedure

The standard operating procedures for Community Pharmacy (attached) have been updated on 22 March and include, amongst other things, changes to minimum opening hours for pharmacy (page 10).

ACTIONS FOR PRIMARY CARE

NHS England has produced a patient pathway and patient transfer standard operating procedure. The general advice is to:

• identify potential cases as soon as possible

• prevent potential transmission of infection to other patients and staff

• avoid direct physical contact, including physical examination, and exposures to respiratory secretions

• isolate the patient, obtain specialist advice and determine if the patient is at risk of COVID-19

Please ensure you familiarise yourself with this

information: https://www.england.nhs.uk/coronavirus/primary-care/management- suspected-covid-19/

MEDIA ENQUIRIES

ACTIONS TO TAKE

• Monitoring the latest updates from Public Health England and GOV.UK

• Ensure your practice websites are updated with the latest advice

• Ensure you promote the key public messages

• Update practice telephone messages

Arden and GEM CSU Coronavirus briefing - 23/03/2020

Mon, 23 Mar 2020 09:48:47 GMT

Arden and GEM CSU Coronavirus briefing –Coventry and Warwickshire - Monday 23 March 2020

LATEST NATIONAL PICTURE

•As of 9am on 22 March 2020, 78,340 people have been tested in the UK, of which 72,657 were confirmed negative and 5,683 were confirmed positive. 281 patients in the UK who tested positive for coronavirus (COVID-19) have died.

•Transcript of the Prime Minister’s press briefing on Sunday 22 March is here

•Guidance on shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-1 has been issued click here•New translated versions of the ‘stay at home guidance’ for households with possible coronavirus is now available here

•The latest health advice is available here.

LATEST LOCAL PICTURE

•The latest figures published by GOV.uk and PHE are: As of 9am on 22 March 2020, there are a total of 624 cases in the Midlands. In Coventry and Warwickshire this is broken down as follows:oCoventry 14oWarwickshire

29CORONAVIRUS LOCAL MEDIA HEADLINE

•Hospital chief's touching message to staffCoventry Telegraph, 23/03/2020, p.7, Claire HarrisonGlen Burley, the chief executive at the George Eliot Hospital, has praised the workforce for their efforts in the wake of the impact of the virus. He has posted on Twitter about the staff's response which he says has 'been with the usual care and compassion you all love them for.' .Also inHospital chief's touching message to staffCoventry Telegraph, 23/03/2020, p.7, Claire Harrison•Youngest victim in UK dies aged 18 in hospitalThe Daily Telegraph, 23/03/2020, p.3, Hayley Dixon and Henry Bodkin It was announced that an 18-year-old with Covid-19 has become the youngest victim of the coronavirus sweeping the UK. The teenager was among the 37 people who died in England yesterday after testing positive for coronavirus. NHS England said that "all were in vulnerable groups including with underlying conditions" and their families had been informed.

•Two more patients die at the George Eliot Hospital from coronavirusCoventry Telegraph (Web), 22/03/2020, Unattributed Two more patients have died at Nuneaton's George Eliot Hospital from coronavirus. They are the fourth people to die at the 'Eliot who has tested positive for Covid-19.

•Coronavirus: Man dies at Warwick HospitalCoventry Observer (Web), 22/03/2020, Unattributed A man being treated for coronavirus at Warwick Hospital has died.The man passed away on Saturday and is believed to have been the first patient to undergo care for Covid-19 at the Lakin Road site. Also inPatient dies of coronavirus at Warwick HospitalWarwick Courier (Web), 22/03/2020, UnattributedCoronavirus updates - Boris Johnson daily speech, UK deaths rise to 281Birmingham Mail (Web), 22/03/2020, UnattributedFirst coronavirus death confirmed at Warwick HospitalBirmingham Mail (Web), 22/03/2020, UnattributedPatient being treated for coronavirus at Warwick Hospital has diedCoventry Telegraph (Web), 22/03/2020, UnattributedCoronavirus patient dies at Warwick HospitalCoventry Observer (Web), 22/03/2020, Unattributed CORONAVIRUS NEWS: Warwick Hospital confirms death of man who had tested positive for Covid-19Stratford Herald (Web), 22/03/2020, UnattributedCoronavirus patient dies at Warwick HospitalRugby Observer (Web), 22/03/2020, Unattributed•Coronavirus: Confirmed cases double in two days in Coventry and Warwickshire region - but figures mask true spreadCoventry Observer (Web), 22/03/2020, Unattributed The latest official figures reveal that – as of yesterday – Coventry's confirmed cases of coronavirus had risen to 9, from 4 two days previously. Solihull cases have jumped from one to four, and Warwickshire has seen a rise of 11 to 17, with a third death confirmed. The country's latest death is at Warwick Hospital as opposed to George Eliot Hospital in Nuneaton. Birmingham confirmed cases rose in two days from 34 to 75 yesterday. The Midlands region had 491 cases yesterday, the latest UK regional breakdown also shows.•YOUNGEST TO DIE, 18The Sun, 23/03/2020, p.5, Shaun Wooller An 18-year-old has died after testing positive for coronavirus - the UK's youngest victim yet. Professor Kiran Patel, chief medical officer for University Hospitals Coventry and Warwickshire NHS Trust, said: "We can confirm that sadly a patient who was being treated for significant underlying health issues has passed away at University Hospital, Coventry."Also in18-year-old is Britain's youngest virus victimDaily Mail, 23/03/2020, p.4, Victoria Allen

CORONAVIRUS NATIONAL MEDIA HEADLINES

•Private sector resources bolster NHS armouryFinancial Times, 23/03/2020, p.1, Unattributed The deal to put almost the entire English private health sector under contract to the government to treat coronavirus patients will increase NHS ventilator capacity by almost 20 per cent•Private sector resources bring welcome relief for NHSFinancial Times, 23/03/2020, p.2, Unattributed •Children's wards to be cleared for virus casesThe Times, 23/03/2020, p.8, Kat Lay New guidance from NHS England to paediatric units nationwide about tackling the coronavirus tells them to "plan for admitting older adults", should adult intensive care wards fill up. Figures from the intensive care national audit and research centre showed that almost 200 Covid-19 patients were being treated in ICUs by the middle of last week. The news comes after NHS bosses announced on Saturday that they had struck a deal with private hospitals to buy an extra 8,000 hospital beds across England, nearly 1,200 ventilators and almost 20,000 staff. •Cancer patients go to back of the treatment queueThe Times, 23/03/2020, p.9, Chris Smyth NHS England guidance sent to cancer doctors last week said that "we need to consider the small possibility that the facility for cancer services may be compromised due to a combination of factors including staff sickness and supply chain shortages" caused by the worsening coronavirus crisis. It adds: "Cancer patients will want to discuss with their clinicians whether the risks of beginning or continuing their cancer treatment could outweigh the benefits, given that many patients receiving systemic therapies in particular are more at risk of becoming seriously unwell if they contract the coronavirus infection." An NHS spokesman said: "Hospitals have been told that cancer treatment and other clinically urgent care should continue to be prioritised. Decisions about treatment are rightly taken by expert clinicians who will be carrying out as much cancer treatment as possible, while clearly needing to balance this against the risk to individuals posed by coronavirus."

•Cancer patients face rationing of crucial treatmentThe Daily Telegraph, 23/03/2020, p.8, Henry Bodkin and Paul Nuki •Health service staff crowded out at tillsThe Times, 23/03/2020, p.9, Katie Gibbons Tesco announced a shopping hour on Sunday mornings for NHS staff working around the clock during the coronavirus pandemic and unable to get basic items due to panic buying. However, on its launch yesterday the scheme resulted in 600-metre long queues at some stores as hundreds of non-NHS workers posed as health staff to try to gain early access. A Tesco spokesman said: "The priority hour is a way to support NHS workers get access to the things they need and to say thank you for all they are doing. We're going to take learnings from today and continue to offer these priority shopping times to NHS workers. We need customers to help us by giving NHS workers priority during this hour and so we ask all other customers to shop during the usual Sunday opening hours."•Shoppers ignore rules to crowd out health workersThe Times, 23/03/2020, p.8, Katie Gibbons NHS workers blocked from shops during 'golden hours'i (The paper for today), 23/03/2020, p.5, Cahal Milmo NHS shopping shamblesDaily Mail, 23/03/2020, p.12, Chris Brooke Picture that shames Britain: Hero ambulance worker shunted to back of supermarket queue by panic buyersDaily Express, 23/03/2020, p.6, Liz Perkins Shelfish idiotsThe Sun, 23/03/2020, p.10, Patrick Gysin Stores should deliver to hospitals for NHS heroesDaily Star, 23/03/2020, p.25, Unattributed Fury as shoppers try to barge Tesco NHS queueMetro, 23/03/2020, p.4, Unattributed Online shopper ban to thwart panic buying/Closing the doors - McDonald's shuts downThe Daily Telegraph, 23/03/2020, p.11, Hayley Dixon NHS paramedic evicted by 'super nervous' landlordThe Guardian, 23/03/2020, p.18, Hannah Mays A paramedic for South Western Ambulance Service has been evicted from his home because his landlady was concerned that he could spread Covid-19 at the property, amid growing concerns that medical professionals are being stigmatised because of their contact with the virus. Sarah-Jane Marsh, CEO of Birmingham Women's and Children's NHS Foundation Trust, said that "nurses have been evicted from shared accommodation because people don't want to live with them right now".Landlady evicts NHS paramedic over fears he will spread Covid-19Daily Mail, 23/03/2020, p.19, Claire Duffin MEDIC EVICTED BY SICK TEXT

Daily Star, 23/03/2020, p.6, Jack Andrews Tougher measures might be needed, Johnson warnsThe Independent Daily Edition, 23/03/2020, p.3, Andrew Woodcock Boris Johnson has said that "tougher measures" may have to be imposed to tighten social-distancing rules, amid widespread complaints that people were continuing to congregate in large numbers in shops, parks and outdoor markets, despite advice that avoiding social contacts is the best way to slow the spread of coronavirus and prevent it overwhelming the NHS. Meanwhile, NHS England announced that 37 people died from the virus in England yesterday, with one of the victims aged just 18. The NHS said that all those who died were from vulnerable groups, including those with underlying conditions. THIS CAN'T GO ON ..The Daily Mirror, 23/03/2020, p.4, Pippa Crerar Johnson faces pressure to order coronavirus lockdownITV.com (Web), 23/03/2020, Unattributed Protect NHS workers urgently, says HuntThe Times, 23/03/2020, p.8, Kat Lay Former health secretary, Jeremy Hunt, said the NHS must ensure that doctors have proper protective equipment, after hospital staff claimed that they are still experiencing shortages, with nurses going to DIY shops to stock up or even refusing to work without the right equipment. Many have also raised concerns about whether Public Health England guidelines on personal protective equipment (PPE) offer sufficient protection. NHS chiefs have said that there are no problems with national stock levels of items such as masks, gowns and gloves and that local supply issues should have been resolved over the weekend.NHS staff feel like cannon fodder, warns senior medicThe Independent Daily Edition, 23/03/2020, p.8, Lizzy Buchan Dr Rinesh Parmar, chair of the Doctors' Association, said frontline NHS staff feel like "lambs to the slaughter" and are being treated as "cannon fodder" in the fight against the coronavirus outbreak. His warning came as nearly 4,000 NHS workers appealed to the prime minister to "protect the lives of the life-savers" and resolve the "unacceptable" shortage of protective equipment. Robert Jenrick, the communities secretary, said the government was working "round the clock" to ensure NHS staff had the right equipment, adding: "Extra supplies are being supplied to hospitals. I think by this afternoon every hospital will have had the next set of supplies of PPE [personal protective equipment]."NHS alarm as 2 medics fight for lifeDaily Express, 23/03/2020, p.6, Giles Sheldrick FEAR ON FRONT LINEThe Daily Mirror, 23/03/2020, p.6, Pippa Crerar NHS staff are like lambs to the slaughterThe Sun, 23/03/2020, p.6, Isaac Crowson Covid-19: UK doctors are `deeply apprehensive'' about a surge in casesITV.com (Web), 23/03/2020, Unattributed Virus nurse aged 36 fights for her life in intensive care

Daily Mail, 23/03/2020, p.10, Arthur Martin A 36-year-old nurse who has no underlying health issues is critically ill in the intensive care unit at Walsall Manor hospital in the West Midlands where she works after being diagnosed with coronavirus. She is one of several NHS staff who are understood to have been placed on ventilators in hospitals after catching the disease. The news comes as NHS colleagues warned many more staff will fall ill - or even die - because of a chronic shortage of protective equipment.Stay at home and we'll make sure you are fed, 1.5m vulnerable people toldThe Daily Telegraph, 23/03/2020, p.4, Charles Hymas Robert Jenrick, the Communities Secretary, has announced that up to 1.5million of Britain's most vulnerable people - including those with conditions such as cystic fibrosis, severe asthma and heart disease, and pregnant women with heart conditions - will receive free food parcels as they are asked to shield themselves from coronavirus by staying at home for at least three months. Mr Jenrick said that people would receive letters or emails from the NHS in the next couple of days telling them that they should stay at home because of the risk of "severe illness" if they contract the virus.Worried about how Covid-19 will affect existing problems?The Daily Telegraph, 23/03/2020, p.26, Unattributed Youngest victim in UK dies aged 18 in hospitalThe Daily Telegraph, 23/03/2020, p.3, Hayley Dixon and Henry Bodkin It was announced that an 18-year-old with Covid-19 has become the youngest victim of the coronavirus sweeping the UK. The teenager was among the 37 people who died in England yesterday after testing positive for coronavirus. NHS England said that "all were in vulnerable groups including with underlying conditions" and their families had been informed.18-year-old is Britain's youngest virus victimDaily Mail, 23/03/2020, p.4, Victoria Allen Hospitals likened to war zones as doctors prepare to make grim decisionsThe Guardian, 23/03/2020, p.4, Haroon Siddique; Rajeev Syal; Sarah Marsh The British Medical Association has warned that NHS hospitals are in urgent need of ventilators and approaching full capacity because of the Covid-19 outbreak. On Saturday, NHS England announced a deal with private hospitals that would give the health service access to more ventilators, beds and an extra 20,000 qualified staff.So, does NHS really have enough ventilators?Daily Mail, 23/03/2020, p.11, Arthur Martin NHS staff have expressed concern that the current number of ventilators are not enough to cope with the coronavirus outbreak. They have received a welcome boost from four Formula One teams Mercedes, McLaren, Red Bull and Williams who are helping with the production of 20,000 of the devices.NHS workers threaten walkout over pay disputeThe Daily Telegraph, 23/03/2020, p.3, Vinjeru Mkandawire Around 70 NHS workers on the frontline of the Covid-19 pandemic at the University Hospital Lewisham and the Queen Elizabeth Hospital have threatened to walk out after being hit with emergency taxes amid a pay dispute with Danish outsourcer ISS. Red tape and fees thwart foreign nurses' effortsi (The paper for today), 23/03/2020, p.11, Hugo Gye

Health Secretary Matt Hancock has started an emergency recruitment drive to draw retired medics back into the NHS in order to cope with the coronavirus epidemic. However, the Government is being urged to start actively recruiting foreign-trained medical staff living in the UK, and to waive the registration fee charged by the Nursing and Midwifery Council. A source from NHS England said the service was currently focusing on bringing back retired staff rather than recruiting medics trained abroad.Second MP returns to NHS to help coronavirus efforti (The paper for today), 23/03/2020, p.4, Isabella Cipirska The MP for Wrexham and former district nurse, Sarah Atherton, has announced that she has signed up to join the Covid-19 temporary register launched by the Nursing and Midwifery Council. The council has written to 50,000 nurses and midwives who have left the permanent register within the past three years asking them to help tackle what NHS England has called "the greatest global health threat in a century". The General Medical Council has written to a further 15,500 doctors. According to Matt Hancock, the Health and Social Care Secretary, within the first 48 hours of the callout, 4,000 nurses and 500 doctors had signed up to return to the NHS. "Brilliant support in our national effort tackling coronavirus," he commented.Ex-nurse Maria's a shot in the arm for our NHSDaily Express, 23/03/2020, p.43, Unattributed Letter: "I read the Conservative MP for Lewes, Maria Caulfield, is returning to work night shifts and weekends during the Parliamentary recess, in her previous job as a nurse ("NHS plea for ex-docs", March 20). An excellent gesture, Maria. So heartening to have people of this calibre. I hope your constituents in Lewes remember this when the next election comes around."Private firms profit from diagnosis kitsThe Times, 23/03/2020, p.10, Katie Gibbons; Billy Kenber Public Health England is currently only conducting Covid-19 tests on patients already being treated in hospitals; leaving a huge demand for private testing. The private sector is profiting from this; offering tests for hundreds of pounds. Pharmacists have warned of people trying to buy-up stocks of two antimalarial drugs touted by President Trump as possible treatments for Covid-19.Millions of instant immunity tests promised within weeksThe Times, 23/03/2020, p.10, Kat Lay The government has ordered millions of tests that will show if a person has been infected with Covid-19, with stocks to be available within weeks, housing and communities secretary Robert Jenrick told the BBC. Public Health England is working to produce its own test and the government is evaluating those produced overseas. Boris Johnson said last week that a test that could identify the antibodies produced in response to coronavirus would be a "game changer".BLOOD donations [...]Daily Express, 23/03/2020, p.10, Unattributed NHS Blood and Transplant (NHSBT) officials have called for more people to come forward, after donations dipped by 15 per cent as concerns grow around coronavirus. The NHSBT said it will need donors "more than ever" over the coming weeks and months. BLOOD donations have dipped [...]The Daily Express (London), 23/03/2020, p.10, Unattributed

Donors are urged to keep giving blood after 15% dropThe Independent Daily Edition, 23/03/2020, p.9, Ella Pickover Blood donations down 15% amid coronavirus fearsITV.com (Web), 23/03/2020, Unattributed ''Keep donating blood'', says London patient as donations dip by 15%ITV.com (Web), 22/03/2020, Unattributed Health officials have issued a rallying call to blood donors after donations dipped by 15% as concerns grow around the coronavirus pandemic. NHS Blood and Transplant said that donations slumped over the last week but the impact has been mitigated by the cancellation of a number of pre-planned procedures in the NHS.Harry and Meghan to salute NHS staffThe Sun, 23/03/2020, p.9, Patrick Gysin The Duke and Duchess of Sussex have backed the Clap For Our Carers campaign, which wants millions of Britons to stand on their doorsteps at 8pm on Thursday and applaud NHS staff for their service during the coronavirus crisis. Royals in NHS rallyThe Sun, 23/03/2020, p.9, Unattributed Applause for NHS staff A [...]The Times, 23/03/2020, p.13, Unattributed Darting to the rescueThe Sun, 23/03/2020, p.45, Phil Lanning Darts player Keegan Brown has taken on extra shifts as an NHS employee at his Carisbrooke base on the Isle of Wight to help fight the Covid-19 virus.Chester to provide free meals for NHS staffRacing Post, 23/03/2020, p.7, Andrew Dietz From Wednesday, NHS and emergency services workers will be able to pick up complimentary frozen meals to take home from Chester racecourse between 9am-9pm daily on production of their staff ID.If football has a conscience it won't hurry backThe Times, 23/03/2020, p.58, Unattributed Henry Winter writes: "The thought of removing even one ambulance, one paramedic, from the hardpressed NHS by rushing football back for the cameras, staging matches behind closed doors, would be a shame the game would take a long, long time to live down."From work to education to politics, nothing will be the same againThe Daily Telegraph, 23/03/2020, p.22, Nick Timothy Nick Timothy, author of 'Remaking One Nation: The Future of Conservatism', writes that the "experience of coronavirus might inspire us to build something better...and support national institutions like the BBC and NHS".Covid-19's ill wind will eventually bring some goodDaily Express, 23/03/2020, p.12, Leo Mckinstry Leo McKinstry writes that "even when coronavirus is beaten and the economy starts to recover again, there will be a powerful legacy of greater support of the NHS and other public services. The idea that the NHS can limp along, underfunded and overstretched, will no longer be tolerable. "

How to cope if you come down with the virusThe Daily Mirror, 23/03/2020, p.12, Unattributed A feature offering a practical guide to the coronavirus, based on the latest advice from the NHS and the World Health Organisation.ONE self-isolating weekend down loads [...]The Daily Mirror, 23/03/2020, p.34, Siobhanmcnally The columnist writes that while we are quick to praise the NHS and care staff at the front line of the coronavirus crisis, "let's not forget to big-up people like Abdul, a street cleaner with Hackney Council in East London, who risk their health every day just doing their job".Give NHS staff what they needThe Daily Mirror, 23/03/2020, p.45, Fiona Parker Letter: "After 10 years of chronic underfunding of our NHS and severe staff shortages, in part caused by health and care workers from the EU returning homebecause of Brexit, the Government is trying to suppress the spread of the virus in an attempt to prevent a complete collapse of the service. It is my belief that we will only beat this with a coherent approach and community spirit."THE NHS has been undervalued [...]The Sun, 23/03/2020, p.9, Unattributed Letter: "NHS has been undervalued for too long. We cannot get through this without the selfless attitude of our NHS staff. Thank you to each and every one of you engaged in this battle."ACTIONS TAKEN •Monitoring latest updates from Public Health England and GOV.UK •Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice•Content for websites, press releases and social media content prepared for ‘shielding’ is being prepared MEDIA ENQUIRIES•None STATEMENTS ISSUED•None Engagement, Communications and Marketing TeamNHS Arden and Greater East Midlands Commissioning Support Unit

Vulnerable Patients -The Role of General-Practice - COVID-19

Mon, 23 Mar 2020 09:30:50 GMT

Click the above link to download this document.

Coronavirus SOP for Community Pharmacist

Sun, 22 Mar 2020 15:40:57 GMT

Click the above link to download the document.

Arden and GEM CSU Coronavirus briefing - 23/03/2020

Sun, 22 Mar 2020 09:44:46 GMT

Arden and GEM CSU Coronavirus briefing – Arden and GEM CSU Coronavirus briefing – Coventry & Warwickshire - Sunday 22 March 2020

LATEST NATIONAL PICTURE

•The latest figures published by GOV.uk and PHE are: As of 9am on 21 March 2020, 72,818 people have been tested in the UK, of which 67,800 were confirmed negative and 5,018 were confirmed positive. As of 9am, 233 patients in the UK who tested positive for coronavirus (COVID-19) have died.

•Entertainment and hospitality premises to close temporarily and people urged to only travel if absolutely essential.

•Guidance to support management of children and young people in residential educational settings, including boarding schools, residential special schools and specialist colleges and children’s homes. Coronavirus (COVID-19): guidance on isolation for residential educational settings•Additional information following announcement from the Chancellor on 20 March. Guidance for UK businesses trading internationally. Coronavirus (COVID-19): guidance for UK businesses

•The latest health advice is available here.

LATEST LOCAL PICTURE

•The latest figures published by GOV.uk and PHE are: As of 9am on 22 March 2020, there are a total of 491 cases in the Midlands. In Coventry & Warwickshire this is broken down as follows

:oCoventry: 9

oWarwickshire:17

CORONAVIRUS LOCAL MEDIA HEADLINES

First case of COVID-19 confirmed at Warwick HospitalKenilworth Weekly News (Web), 21/03/2020, Unattributed The first case of COVID-19 has been confirmed at Warwick Hospital, which is run by the South Warwickshire NHS Foundation Trust (SWFT). A spokesperson from SWFT said: "Warwick Hospital is caring for a patient who has a confirmed case of Coronavirus (COVID-19). We continue to follow national guidance on the identification and management of patients with the condition."Fire awards honour crews and civilians Stratford-Upon-Avon Herald, 19/03/2020, p.7, Unattributed A special award was presented to Rachel Williams, associate director of operations for South Warwickshire, and Amy Sirs, commissioner for public health and strategic commissioning. The award recognised the successful implementation of the Hospital to Home initiative at Warwick Hospital.

CORONAVIRUS NATIONAL MEDIA HEADLINESVIRUS SPREAD

Second coronavirus hotspot in Midlands ‘is linked to outbreak at church after two worshippers die’The Sun Online, 21/03/2020, p.1, Unattributed

On Thursday, eight more coronavirus fatalities in the West Midlands were reported including three at the Royal Wolverhampton NHS Trust, two by the Dudley Group NHS Foundation Trust, two by Sandwell and West Birmingham NHS Trust and one by University Hospitals Birmingham NHS Foundation Trust.

LURKING BUG Brit patient who died after catching coronavirus ‘tested negative TWICE and disease was only discovered at post-mortem’The Sun Online, 21/03/2020, p.1, Unattributed

Coronavirus outbreak that has killed 28 in West Midlands is linked to church attended by worshipper who did not realise they were a carrierMail Online UK (Web), 21/03/2020, Unattributed

Church link suspected in West Midlands coronavirus clusterChristian Today (Web), 21/03/2020, Unattributed Deadly coronavirus outbreak in West Midlands ''linked to church attended by infected worshipper''AOL UK (Web), 21/03/2020, Unattributed Nurses verbally abused, spat at and even evicted for `spreading Coronavirus''NursingNotes (Web), 21/03/2020, Unattributed

Reports are emerging of nursing staff and other healthcare professionals being verbally and physically abused for ‘spreading Coronavirus'. Sarah-Jane Marsh, CEO of Birmingham Women's and Children's NHS Foundation Trust, also said that "nurses have been evicted from shared accommodation because people don't want to live with them right now." ACTIONS TAKEN

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Engagement, Communications and Marketing TeamNHS Arden and Greater East Midlands Commissioning Support Uni

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Arden and GEM CSU Coronavirus briefing - 21/03/2020

Sat, 21 Mar 2020 15:58:44 GMT

As of 9am on 20 March 2020, there are a total of 389 cases in the Midlands. In Coventry & Warwickshire this is broken down as follows:

o Coventry: 7

o Warwickshire:13

LOCAL MEDIA HEADLINES

• CORONAVIRUS NEWS: Warwick Hospital confirms first case of Covid-19 Stratford Herald (Web), 20/03/2020, Unattributed A first case of covid-19 has been confirmed at Warwick Hospital today by the South Warwickshire NHS Foundation Trust. A Trust spokesperson said: "Warwick Hospital is caring for a patient who has a confirmed case of Coronavirus (COVID-19). We continue to follow national guidance on the identification and management of pa-tients with the condition."

• First coronavirus patient at Warwick Hospital in isolation Coventry Telegraph (Web), 20/03/2020, Unattributed

• First case of COVID-19 confirmed at Warwick Hospital Leamington Spa Courier (Web), 20/03/2020, Unattributed

• Coronavirus LIVE: First person being treated at Warwick Hospital; Godiva festi-val CANCELLED; key workers revealed Coventry Telegraph (Web), 20/03/2020, Unattributed

• Health Trust confirms first case of coronavirus at Warwick Hospital Redditch Standard (Web), 20/03/2020, Unattributed

• First coronavirus case confirmed at Warwick Hospital Stratford Observer (Web), 20/03/2020, Unattributed

• Coronavirus: First case confirmed at Warwick Hospital Leamington Observer (Web), 20/03/2020, Unattributed

• Hospital introduces visiting restrictions - but people still stealing from health service Stratford Observer (Web), 20/03/2020, Unattributed South Warwickshire Foundation Trust (SWFT) has introduced new restrictions dur-ing the coronavirus outbreak. Warwick, Stratford, Leamington and Shipston hospi-tals will now only allow one visitor per bed or with patient hospital attendance.

NATIONAL MEDIA HEADLINES

• West Midlands Officials examine virus death hotspot The Guardian, 21/03/2020, p.6, Nazia Parveen There are concerns that religious attendance and fears of social isolation could be leading to a sharp rise in the number of coronavirus transmissions in the West Mid-lands, after the latest mortality figures from NHS England revealed three neighbour-ing trusts had recorded 21 deaths between them. Health Secretary Matt Hancock, who said it was normal for there to be a particular density of cases in some areas, added: "There is a hotspot, not as big as in London, but there is a hotspot in the Mid-lands. It's something we're looking at very, very closely to find out why, frankly." The Royal Wolverhampton NHS trust reported nine deaths, the highest for any trust in the country. The Dudley Group foundation trust recorded seven, while Sandwell and West Birmingham reported five deaths. Walsall healthcare trust recorded one death.

• Fatal outbreak in church at the heart of biggest regional hotspot The Times, 21/03/2020, p.7, Neil Johnston

• Fatal outbreak in church at the heart of biggest regional hotspot The Times (Ireland), 21/03/2020, p.7, Neil Johnston

• West Midlands hospital trust has highest number of coronavirus deaths The Daily Telegraph Online, 20/03/2020, p.1, Unattributed A West Midlands NHS Trust has the highest number of deaths from coronavirus in the country, it has emerged as officials call for an immediate shutdown to prevent the spread of the virus. The Royal Wolverhampton NHS Trust has recorded nine deaths so far, an analysis of official figures shows.

• Covid-19: West Midlands emerges as coronavirus hotspot The Times Online, 20/03/2020, p.1, Unattributed

• The West Midlands is a coronavirus hotspot Mail Online UK (Web), 20/03/2020, Unattributed

• SPANISH FLU Young Brit who drank with old men after Spanish stag-do feared to be behind Midlands ‘hotspot’ of coronavirus deaths The Sun Online, 20/03/2020, p.1, Unattributed

• West Midlands becomes coronavirus hotspot with one NHS trust recording highest death toll in England Evening Standard (Web), 20/03/2020, Unattributed

• Public Health England speaks out over coronavirus death ''hotspot'' in West Midlands Birmingham Mail (Web), 20/03/2020, Unattributed

• Death toll up 39 to 167 amid warnings social distancing ''may have to last most for a year'' - updates Birmingham Mail (Web), 20/03/2020, Unattributed

• West Midlands becomes coronavirus hotspot Channel 4 News (Web), 20/03/2020, Unattributed

• Covid-19 hotspot Channel 4, Channel 4 News, 20/03/2020, 19:20:29, 5:0 The government is currently investigating why there has been a sharp rise in the number of cases in West Midlands, as 28 patients have died from coronavirus. The reporter says that New Cross Hospital, which is part of the Royal Wolverhampton trust, has seen the deaths of nine people who had tested positive for coronavirus. She says that Health Secretary Matt Hancock has said West Midlands is a Covid-19 hotspot.

• Last orders for all pubs, bars and restaurants The Daily Telegraph, 21/03/2020, p.2, Robert Mendick All of Britain's pubs, restaurants, cafes, cinemas and gyms were ordered to close last night as Boris Johnson introduced the most draconian measures yet "to keep people apart" in an attempt to halt the surge of coronavirus. In a televised announcement, the Prime Minister waged war on "unnecessary social gatherings" admitting the steps were "extraordinary" but critical to save thousands of lives. Mr Johnson said the tar-get was to reduce social gatherings by 75 per cent to reduce the impact of the pan-demic and ease pressure on the NHS.

• Pubs, restaurants and gyms told to close Financial Times, 21/03/2020, p.2, Jim Pickard; George Parker

• Vulnerable people NHS will issue instructions i (The paper for today), 21/03/2020, p.6, Paul Gallagher Health Secretary Matt Hancock said the NHS will get in touch with around 1.4 million vulnerable people who are most at risk of contracting the coronavirus to outline what action they should take under new social distancing rules. Mr Hancock said: "Many of these people will be very worried right now, and they'll need very specific sets of ac-tion - for instance, how do you go about still getting your chemo if you have cancer

whilst also social distancing?" He added: "If people think that they are on this list and don't receive a communication from the NHS, then they also need to get in contact."

• Intensive care units see 15-fold rise in cases The Guardian, 21/03/2020, p.6, Denis Campbell; Sarah Marsh; Caroline Bannock Hospitals across London are dealing with rising numbers of coronavirus patients, many of whom are being ventilated to try to keep them alive. Medics say numbers are doubling every three or four days and that the city's NHS will be treating thou-sands of people with the disease within a fortnight. It is noted that Public Health Eng-land (PHE) and NHS England refused a Guardian request to see the latest data for London and England as a whole because of "quality" issues. However, unpublished NHS figures obtained by the Guardian reveal the number of people confirmed or sus-pected of having Covid-19 being treated in an intensive care unit (ICU) in hospitals in south London rose from seven on 6 March to 93 on 17 March - a 15-fold increase.

• 'Your NHS needs you now' The Independent Daily Edition, 21/03/2020, p.14, Lizzy Buchan Several MPs are returning to work in the NHS after Matt Hancock, the health secre-tary, issued a plea to retired NHS workers to return to the frontline yesterday, telling medics: "Your NHS needs you now." Regulators have written to over 65,000 retired doctors and nurses to appeal for help, with final year students also being fast-tracked into the NHS to cope with the strain of the coronavirus outbreak.

• MP allowed to return to nursing role to help NHS i (The paper for today), 21/03/2020, p.6, Paul Gallagher

• NHS doctors to be given guidelines to decide which victims should live or die The Independent Daily Edition, 21/03/2020, p.11, Rob Merrick

• MEDICS OF PARLIAMENT The Daily Mirror, 21/03/2020, p.2, Nicola Bartlett

• Budget curbs hamper NHS coping mechanisms Financial Times, 21/03/2020, p.2, Sarah Neville Keith Willett, who is leading NHS England's response to the coronavirus, told MPs this week about the readiness of large hospitals to respond to the pandemic.

• Royal couple are courtesy callers on the NHS front line The Daily Telegraph, 21/03/2020, p.12, Hannah Furness The Duke and Duchess of Cambridge thanked the NHS workers they say "represent the very best of our country", as they made their first royal visit under new corona-virus protocols. The Cambridges visited the London Ambulance Service 111 call cen-tre in Croydon on Thursday to hear first-hand of the "phenomenal" volume of calls from the public as the 999 service had the busiest three days in its history.

• TWO ONES FOR NHS 111 The Sun, 21/03/2020, p.9, Matt Wilkinson

• William's praise for 'very best of Britain' Daily Express, 21/03/2020, p.7, Russell Myers

• 'Sense of collectivism can help avert public disorder' The Independent Daily Edition, 21/03/2020, p.5, Lizzie Dearden A paper drawn up by the Scientific Advisory Group for Emergencies (Sage), Ministry of Justice, Home Office and police has said that the government should "promote a

sense of collectivism" during the coronavirus pandemic and "provide clear and trans-parent reasons for different strategies" in order to "limit the risk of public disorder". Deputy Chief Constable Paul Netherton, the national lead for civil contingencies, said police expected the key challenge to be supporting the NHS. He confirmed that dis-cussions about drawing on support from the military were ongoing, but said there was no current indication that soldiers will be needed for policing and that they were more likely to be required for healthcare. • Fears social distancing could last up to a year Daily Express, 21/03/2020, p.6, Giles Sheldrick The Scientific Advisory Group for Emergencies, which advises the Government, yes-terday said social distancing was the key to fighting Covid-19, but needs to be in place for at least six months, and possibly 12. It came as the NHS prepares to tell 1.4 million vulnerable people to self-isolate or face grave consequences.

• Hospital runs out of beds amid surge in infected patients The Times, 21/03/2020, p.10, Katie Gibbons Northwick Park Hospital in Harrow, northwest London, has become the first to de-clare a "critical incident" over the coronavirus crisis. The news comes after it emerged that letters have been sent to over 65,000 retired doctors and nurses urging them to come back to the NHS to help to tackle the pandemic, with MPs among those planning to return. Professor Stephen Powis, national medical director for the NHS, said that returners "will make more of a difference than ever before, not just to patients but to colleagues and the wider community".

• HOSPITAL: WE CAN'T COPE Daily Mail, 21/03/2020, p.12, Sophie Borland

• Video goes viral after nurse is left in tears by panic buyers The Daily Telegraph, 21/03/2020, p.9, Bill Gardner Matt Hancock, the Health Secretary, has urged shoppers to stop panic buying, after nurse Dawn Bilbrough filmed herself crying in her car after finding supermarket shelves empty having spent two days working long hours at an intensive care ward in West Yorkshire. Mr Hancock said: "It's vital that people act responsibly. Responsibly to follow the advice to stop spreading the virus and responsibly in terms of what peo-ple need." Tesco responded yesterday by saying NHS staff would be allowed to shop before anybody else on Sundays, while Marks & Spencer announced that frontline health workers would be given priority for the first hour of trading on Tuesdays and Fridays.

• They still don't get it Daily Mail, 21/03/2020, p.14, Sean Poulter

• Let our NHS heroes eat The Daily Mirror, 21/03/2020, p.14, Ruki Sayid; lucy Thornton

• Cops & shoppers The Sun, 21/03/2020, p.10, Daniel Jones

• NHS staff forced to buy their own protective gear due to shortages i (The paper for today), 21/03/2020, p.7, Richard Vaughan The growing scarcity of personal protective equipment (PPE) in hospitals dealing with coronavirus has prompted major concerns about the safety of doctors and nurses who are at heightened risk of infection, with one senior doctor in West Yorkshire claiming that staff had been forced to buy protective equipment out of their own pock-ets and reuse disposable items due to NHS shortages. It is also noted that Health Secretary Matt Hancock is "looking at very, very closely" to find out why there is a coronavirus hotspot in the Midlands. The Royal Wolverhampton Trust reported nine deaths on Thursday, the highest number for any trust in the country. The Dudley Group Foundation Trust recorded seven and Sandwell and West Birmingham Trust reported five. Walsall Healthcare Trust recorded one death.

• Exports of 80 vital drugs prohibited by ministers The Independent Daily Edition, 21/03/2020, p.13, Lizzy Buchan Exports of over 80 vital drugs, including adrenaline and common antibiotics, have been banned by ministers to prevent NHS shortages of medicines needed to treat coronavirus. Announcing the move, health minister Lord Bethell said: "Our brilliant NHS staff are going above and beyond to provide world-class care to patients with coronavirus and we are supporting them in every way we can. We are today banning the parallel export of more than 80 crucial medicines to protect patients in the UK and help ensure they can always get the treatments they need." The list of restricted medicines will remain under review, with ministers prepared to add other drugs to the list if necessary, according to the Department of Health and Social Care.

• Export ban on 80 drugs protects supply to NHS The Times, 21/03/2020, p.11, Katie Gibbons

• Concern that influx of 'out-of-towners' will overwhelm NHS The Guardian, 21/03/2020, p.5, Unattributed Due to growing fears that the far south-west of Britain will be overrun by people seek-ing sanctuary from London and other cities that Cornwall council, Public Health Corn-wall and the tourist board Visit Cornwall yesterday urged people to stay away. In a joint statement they said: "Cornwall prides itself on being an open and welcoming place but during these unprecedented times we ask that anyone planning a trip to Cornwall consider deferring theirvisit." The organisations said they knew of tourism businesses that were closing. But they added: "Additional visitors to Cornwall at this time will potentially put extra pressure on public services, including the NHS."

• Galleries give food to NHS workers i (The paper for today), 21/03/2020, p.14, Unattributed Museums and art galleries in Leeds are supporting frontline NHS staff by sending them the leftover food from their canteens and shops after they decided to shut dur-ing the coronavirus pandemic.

• FRENCH SEIZE NHS FACE MASK TRUCKS The Sun, 21/03/2020, p.2, Nick Mcdermott; tom Wells France almost sparked diplomatic row by seizing two lorries carrying 130,000 face masks for the NHS. The cargo was being ferried in a major boost for overstretched UK medics battling coronavirus. But French border guards impounded the trucks af-ter realising what was on board, and President Emmanuel Macron's pledge to "requi-sition" all masks for his country's fight. After tense, top-level talks, the lorries were al-lowed to leave with all supplies on board.

• HALFORDS is offering NHS frontline [...] Daily Star, 21/03/2020, p.5, Unattributed Halfords is offering NHS frontline staff a free 10-point check on cars during the coro-navirus outbreak.

• Zaha offers 50 London homes to NHS staff The Times, 21/03/2020, p.98, Gary Jacob Crystal Palace player Wilfried Zaha has offered free use of 50 properties to NHS staff who are battling the coronavirus outbreak in central London hospitals. Earlier this week, former Manchester United defender Gary Neville offered NHS staff in Man-chester free use of 176 rooms in two hotels he co-owns, while Roman Abramovich, the Chelsea owner, has invited medical workers to 72 rooms in the Millennium Hotel at the club's Stamford Bridge ground.

o Zaha provides 50 homes for NHS workers i (The paper for today), 21/03/2020, p.84, Unattributed

o NOW ZAHA STEPS UP WITH FREE HOUSING FOR HOSPITAL STAFF . Daily Mail, 21/03/2020, p.117, Sami Mokbel

o Zaha opens up apartments for NHS workers Daily Express, 21/03/2020, p.80, Tony Banks

o WILF OPENS DOORS TO NHS STAFF The Daily Mirror, 21/03/2020, p.65, Tony Banks

o Wilf support The Sun, 21/03/2020, p.72, Alec Shilton

o Wilfried to house workers Daily Star, 21/03/2020, p.52, Tony Banks

• SOUTHGATE FOR PM The Daily Mirror, 21/03/2020, p.64, David Anderson In an open letter to football fans England manager Gareth Southgate said the men and women working in the NHS fighting the unprecedented threat of coronavirus are the nation's real heroes.

• Our economy is being sacrificed because the NHS was unprepared for a pan-demic The Daily Telegraph, 21/03/2020, p.25, Robert Colvile Comment: Robert Colvile writes that the coronavirus crisis is "hugely exacerbating the NHS's existing problems in terms of beds, equipment and staffing".

• Precisely how prepared is the NHS for this? The Daily Telegraph, 21/03/2020, p.6, Laura Donnelly Comment: Professor Stephen Powis, the national medical director of the NHS, says the health service is working hard to prepare for the surge in demand it is expecting, buts adds "this is an unprecedented global health threat." He continues: "No health service in the world could cope if the virus was left to let rip, which is why countries around the world are bringing in social distancing measures to slow the spread. It is vital that people follow the expert guidance and wash their hands, stay at home and use the NHS responsibly, so that services are there for those who really need it."

• Suspend all mortgage and rent payments for NHS workers. Now The Guardian, 21/03/2020, p.48, Patrick Collinson Patrick Collinson writes: "As chancellor, Rishi Sunak, you should order the immediate suspension of all rent and mortgage payments for NHS workers, with no interest or accruals added later. You should direct what's left of our manufacturing industry into urgent production of goods for the NHS. You should temporarily double the pay of all

NHS workers, and set out how the government will treat the wounded and veterans of this battle." • We know what's coming, and it's going to be hellish The Times, 21/03/2020, p.10, Unattributed An interview with an anonymous doctor in intensive care as NHS staff prepare for the coronavirus outbreak to worsen. They comment: "Before this outbreak, morale was at rock bottom in the NHS. When you're faced with a pandemic, all that goes out the window and it's all hands to the pump."

• I AM critical of the availability [...] Daily Mail, 21/03/2020, p.49, Max Pemberton Comment: Dr Max Pemberton writes that we "couldn't be in safer hands" than world experts Chief Medical Officer Professor Chris Whitty and Chief Scientific Officer Sir Patrick Vallance during the coronavirus crisis.

• We need the kit to fight this fire NOW Daily Mail, 21/03/2020, p.49, Max Pemberton Comment: Dr Max Pemberton writes that the lack of availability of coronavirus testing is proving to be one of the main challenges in the NHS. He notes that a quarter of the staff in his department are self-isolating at home, and if this were to be replicated across the whole NHS for more than a few weeks, "then we're in serious trouble".

• Praise the NHS all you like Boris but we're not blind to such hypocrisy The Daily Mirror, 21/03/2020, p.23, Brian Reade Brian Reade comments on the "ideological lunacy" of begging 65,000 doctors and nurses to return to work to save the nation from the coronavirus pandemic, "many of whom left their vocation heartbroken at the appalling way they and the NHS were be-ing treated by the same politicians now saying they value them so highly".

• My 111 call centre is a pit of chaos Daily Mail, 21/03/2020, p.12, An Nhs 111 Nurse An article by an anonymous NHS 111 nurse, who writes that the system is "cata-strophically short-staffed" and "not designed to cope with an emergency" such as the coronavirus pandemic.

• Reward this army of heroes putting our lives before theirs Daily Express, 21/03/2020, p.14, Patrick O'flynn

• Covid-19 testing and restrictions on movement The Times, 21/03/2020, p.32, Unattributed A group of health experts and professors write: "The UK is losing a very small win-dow of opportunity to minimise the disease burden from Covid-19 and prevent a health system collapse. Public health lessons learnt from countries ahead of the UK in the epidemic curve need to be implemented without further delay. We recognise the severe constraints on capacity for testing but, while that is being addressed, the government must implement social distancing, extensive case finding and contact tracing to reduce community spread to give time for the health system to prepare and cope."

• Microsoft and NHS The Times, 21/03/2020, p.32, Unattributed A reader writes: "It would be an outstanding gesture if Microsoft were to extend its support of the now obsolete Windows 7 platform until the end of this year. Such an

action would permit many individuals and public bodies, such as the NHS, a breath-ing space when they face such unprecedented pressure on their resources." • CINEMAS AND PUBS TO BE TOLD TO SHUT Evening Standard, 20/03/2020, p.1, Joe Murphy, Nicholas Cecil, Ross Lydall; Sophia S The government has ordered pubs, restaurants, gyms, leisure centres and cinemas across London to close in a massive ramping up of measures to slow the coronavirus surge. Prime Minister Boris Johnson chaired an emergency meeting this morning to decide what will be the most drastic action yet to try to shield the capital's NHS from being overwhelmed by Covid-19 patients. It is noted that analysis by the Standard of NHS England data found that there have been 57 coronavirus deaths in London hos-pitals. The largest number, eight, have been at Barts Health, which runs five east London hospitals.

• Extend 'silver hour' at shops for key staff, Hancock tells store bosses Evening Standard, 20/03/2020, p.2, Joe Murphy, Sophia Sleigh, John Dunne; Jona-than P Health Secretary Matt Hancock has called on supermarkets to extend "silver hour" shopping - introduced in the mornings for the elderly and vulnerable - to all key work-ers such as NHS staff, teachers and food delivery drivers following heartfelt pleas from nurses returning from long shifts to find shelves bare.

• Virus claims London grandfather 'loved by all' Evening Standard, 20/03/2020, p.9, Magda Ibrahim An 87-year-old London grandfather died after testing positive for coronavirus today. He is thought to be the 58th person to die in a London hospital from coronavirus and the fifth at King's College NHS trust, which also includes the Princess Royal Hospital in Orpington. The news comes as King's bosses revealed their anger at an apparent order from NHS England not to test hospital staff for coronavirus until the rest of the NHS was able to do likewise.

• NHS rolls out phone video link for doctors to advise patients Evening Standard, 20/03/2020, p.4, Ross Lydall Technology that enables doctors to provide medical advice by video link to patients with smartphones is being made freely available across the NHS. Clinic.co has the potential to avoid thousands of face-to-face doctor-patient meetings rendered poten-tially dangerous during the coronavirus pandemic.

• Southgate's message of support for NHS heroes tackling the health crisis Evening Standard, 20/03/2020, p.39, James Olley England manager Gareth Southgate today hailed the NHS "heroes" tackling corona-virus and insisted he will "never have been prouder" to lead England into next sum-mer's European Championship finals.

• NHS staff describe `dangerous' shortage of intensive care beds amid corona-virus outbreak ITV.com (Web), 20/03/2020, Unattributed NHS staff across Wales are calling for 'urgent steps'to protect themselves from coro-navirus. In an open letter to the Welsh Government, 50 healthcare workers describe a dangerous shortage of intensive care beds and protective equipment in hospitals.

• Coronavirus: ''Critical incident'' declared at Northwick Park Hospital in London after running out of intensive care beds ITV.com (Web), 20/03/2020, Unattributed

A "critical incident" was declared at Northwick Hospital in Harrow after running out of intensive care beds because of a surge in coronavirus cases. A spokesperson for London North West University Healthcare NHS Trust said: " We can confirm that our Critical Incident status has been stood down." They added: "Critical care capacity for patients with coronavirus is being organised on a cross-London basis so that hospi-tals and organisations work together to deliver the best possible care for patients and that is what has happened in this case. This kind of coordinated, flexible response is one of the NHS's strengths but with staff pulling out all the stops they need the public to play their part too, by following the expert guidance on washing your hands, stay-ing at home and using health services responsibly." • NHS professionals, delivery drivers and public transport staff listed as ''essen-tial'' to coronavirus response ITV.com (Web), 20/03/2020, Unattributed NHS and social care staff, food producers and delivery drivers, along with utility workers are among a list of workers deemed "essential" to the coronavirus response.

• Your NHS Needs You! Call for retired medics to help Covid-19 fight ITV.com (Web), 20/03/2020, Unattributed Tens of thousands of retired doctors and nurses have been told "Your NHS Needs You" as they were called on to return to work to help battle coronavirus. The health service hopes that as many as 65,000 retired medics will roll up their sleeves to help tackle the "greatest global health threat in history".

• Up to 65,000 former NHS doctors and nurses asked to return in fight against coronavirus ITV.com (Web), 20/03/2020, Unattributed

• NHS nurse breaks down in tears after she's unable to buy food after 48-hour shift amid coronavirus stockpiling ITV.com (Web), 20/03/2020, Unattributed

• Portable kit to test NHS staff for coronavirus ''available in weeks'' ITV.com (Web), 20/03/2020, Unattributed A portable test kit that takes just 50 minutes from sample to result could be available for use on NHS staff within weeks, a scientist has said.

• Portable coronavirus kit to test NHS staff "available in weeks", says Norwich scientist ITV.com (Web), 20/03/2020, Unattributed

• William and Kate praise NHS staff as ''the very best of our country'' during visit to 111 call centre ITV.com (Web), 20/03/2020, Unattributed The Duke and Duchess of Cambridge have praised the efforts of frontline NHS staff after witnessing first-hand how busy they are dealing with the coronavirus crisis.

ACTIONS TAKEN

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice

• Content for websites, press releases and social media content now prepared for po-tential announcement on lockdown for over 70s and vulnerable people as well as ad-ditional content for mental health advice and support.

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• None

STATEMENTS ISSUED

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Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

CMO and MD letter to GPs

Sat, 21 Mar 2020 13:41:34 GMT

Click the above link to download the CMO and MD letter to GPs.

Caring for people at the highest risk during Covid-19 incident letter

Sat, 21 Mar 2020 13:22:39 GMT

Click the above like to download the Caring for people at the highest risk during Covid-19 incident letter.

Managing worry about covid-19 and type 1 diabetes

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Arden and GEM CSU Coronavirus briefing - 20/03/20

Fri, 20 Mar 2020 15:54:03 GMT

Arden and GEM CSU Coronavirus briefing –Coventry and Warwickshire - Friday 20th March 2020

LATEST NATIONAL PICTURE

• The latest figures published by GOV.uk and PHE are: As of 9am on 19 March 2020, 64,621 people have been tested in the UK, of which 61,352 were confirmed negative and 3,269 were confirmed as positive, this is a rise of 643 on the previous day’s fig-ures.. As of 1pm yesterday, 144 patients in the UK who tested positive for corona-virus have died.

• The transcript from yesterday’s daily press conference hosted by the Prime Minister available here

• The latest health advice available here

• Guidance issued defining ‘key workers’ here

LATEST LOCAL PICTURE

• The latest figures published by GOV.uk and PHE are: As of 9am on 19 March 2020, there are a total of 282 cases in the Midlands. In West Birmingham and the Black Country this is broken down as follows:

o Coventry - 4

o Warwickshire - 11

LOCAL MEDIA HEADLINES

• Hospital bans kids and elderly as it issues visiting restrictions Coventry Telegraph, 20/03/2020, p.15, Madeleine Clark Coventry's hospital has announced tighter visiting restrictions in light of the corona-virus outbreak. The restrictions are in place at University Hospital Coventry and Warwickshire as of today (March 18), and will see limits on both the number of visi-tors allowed to see patients and the time in which they can do so.

• Visiting restrictions at University Hospital in Coventry amid coronavirus crisis Coventry Observer (Web), 19/03/2020, Unattributed Bosses at University Hospitals Coventry and Warwickshire

restrictions due to the coronavirus pandemic. Only one visitor over the age of 12 can see a patient.

• Coronavirus: Myton Hospice issues urgent appeal after outbreak forces events to be postponed Leamington Observer (Web), 19/03/2020, Unattributed Myton Hospice is appealing for support after being forced to postpone fund-raising events due to the coronavirus outbreak. The charity has called off its flagship event Glow for Myton, which raises around £60,000 annually.

• Citizen launches Acts of Kindness campaign to brighten troubled times in Mil-ton Keynes Milton Keynes Citizen (Web), 19/03/2020, Unattributed A patient at MKUH is working from his hospital bed to start a 'helping hands' Face-book page where members of the community can help each other through the coro-navirus crisis.

NATIONAL MEDIA HEADLINES

• Front line Lewisham but who gets the ventilator? The Daily Telegraph, 20/03/2020, p.4, Henry Bodkin Harrowing decisions are now allegedly being faced by medical staff as coronavirus spreads around the capital. The pattern allegedly starting to emerge in south-east London was chillingly presaged last week, when the Intensive Care Society revealed it was drawing up new guidelines giving doctors greater flexibility to ration life-saving care to those with the best chance of survival. This was amplified on Tuesday by Prof Stephen Powis, the medical director for NHS England, who indicated that he would be prepared to issue new guidance to doctors giving them extra cover in crisis situa-tions such as being suffered in northern Italy.

• London hospital trust turns away coronavirus patients The Daily Telegraph, 20/03/2020, p.1, Henry Bodkin; Hayley Dixon

• REVOLT AT HOSPITAL Daily Mail, 20/03/2020, p.14, John Stevens The chief executive of a major London hospital has claimed that NHS England is blocking medical staff from being tested for coronavirus, a leaked memo has re-vealed. Doctors and nurses at King's College Hospital have been told they cannot carry out the tests - even though they have the ability - until all the nation's hospitals are ready to do the same. A senior consultant warned last night that it was 'abso-lutely beyond comprehension' that hospitals in London, which are worst affected by the virus, are being stopped from testing staff.

• 'Your NHS Needs You': Call for 60,000 retired medics to return to hospitals The Daily Telegraph, 20/03/2020, p.4, Laura Donnelly More than 60,000 retired doctors and nurses are being told "Your NHS Needs You" and urged to come back to the frontline to battle coronavirus. The Nursing and Mid-wifery Council is writing to more than 50,000 nurses whose registration has lapsed in the last three years. The General Medical Council will write to another 15,500 doctors who have left the register since 2017. Prof Stephen Powis, national medical director for the NHS, said: "We are calling on former staff to come back and help us." Matt Hancock, the Health Secretary, added: "We are now turning to people who have re-cently left the healthcare professions who can bring their experience and expertise to our health system."

• Your NHS needs you, 65,000 former staff told The Independent Daily Edition, 20/03/2020, p.4, Shaun Lintern

• Social care Cash to clear hospital beds The Guardian, 20/03/2020, p.7, Sarah Boseley

• Social care wins £3bn in move to free hospital beds Financial Times, 20/03/2020, p.2, Sarah Neville

• PM tells retired medics: Your NHS needs you! Daily Mail, 20/03/2020, p.4, Sophie Borland; John Stevens

• NHS plea for ex-docs Daily Express, 20/03/2020, p.9, Hanna Geissler

• NHS appeal to ex-docs The Daily Express (London), 20/03/2020, p.9, Hanna Geissler

• Your NHS Needs You The Sun, 20/03/2020, p.6, Nick Mcdermott

• Hospitals only hours from having no protective gear The Independent Daily Edition, 20/03/2020, p.13, Shaun Lintern A leaked email from NHS bosses suggests the health service has already run out of some kit, with some hospitals just 24 hours away from running out of protective equipment needed to keep nurses and doctors safe from coronavirus infection. On Tuesday NHS England's chief operating officer Amanda Pritchard told MPs on the health select committee that there was enough equipment and shortages were only "local issues". In an email, sent to directors of infection control, however, NHS Eng-land revealed the scale of the difficulties in getting enough supply to hospitals.

• Healthcare workers plead for equipment i (The paper for today), 20/03/2020, p.4, Paul Gallagher

• Doctors told to keep working even if family member is sick The Times, 20/03/2020, p.14, Chris Smyth; tom Ball; , Katie Gibbons A survey of 804 doctors has found that 323 had relatives who were sick, and a third of them had been asked to work anyway. Samantha Batt-Rawden, co-founder of the Doctors' Association UK, which carried out the survey, said: "We cannot afford to have a single doctor off for 14 days of self-isolation due to a household member be-coming unwell. It is now critical that testing be extended to all frontline NHS staff."

• Delivery drivers to join police and NHS staff on list of key workers i (The paper for today), 20/03/2020, p.5, Jane Merrick The children of NHS staff, delivery drivers, teachers, police and armed forces are ex-pected to attend school under the Government's plan to keep key workers at the frontline of fighting Covid-19.

• Infected could be locked up for going outside 'Controversial but reasonable' Daily Mail, 20/03/2020, p.4, Daniel Martin Ministers will be allowed to shore up the NHS by recruiting a new volunteer army, un-der laws contained in a wideranging emergency Bill designed to give the Government huge authority to deal with the coronavirus outbreak.It foresees thousands of health workers being redrafted elsewhere in the NHS and ensures they will not be sued if they make a mistake in an area out of their expertise.

• Infected could be locked up if they go outside Daily Mail, 20/03/2020, p.4, Daniel Martin

• Hotels Plan to turn bedrooms into hospital wards to relieve NHS The Guardian, 20/03/2020, p.5, Rebecca Smithers A number of major UK hotel chains are in discussions with the government about turning their properties into temporary hospitals to provide the NHS with emergency bed space or staff accommodation as the coronavirus spreads. It follows the an-nouncement by former Manchester United and England defender Gary Neville this week that he is to open his hotels free of charge to health workers. Chelsea FC owner, Roman Abramovich, is also offering to accommodate NHS staff at the Millen-nium hotel on Chelsea's Stamford Bridge stadium site.

• We need leadership The Daily Mirror, 20/03/2020, p.4, Ben Glaze Health Secretary Matt Hancock said a new type of test is available that can check if a patient has had coronavirus and has the antibodies in their system. Mr Hancock also sought to allay doctors' fears, insisting a "massive effort" was under way to deliver personal protective equipment to NHS staff and social care providers.

• Manufacturers team up on producing life-saving ventilators to plug NHS gap Financial Times, 20/03/2020, p.1, Peggy Hollinger Three industrial consortiums have joined forces to develop a new medical ventilator to plug a critical shortage of the life-saving kit on the NHS during the coronavirus pandemic.

• NHS given wages app Daily Mail, 20/03/2020, p.81, Unattributed Nurses and other frontline health workers can be paid immediately for their work dur-ing the coronavirus pandemic after technology firm Greensill provided its software to the NHS for free.

• Troops 'will help NHS not quell civil unrest' Daily Express, 20/03/2020, p.4, Michael Knowles Up to 20,000 military personnel are being put on standby in a new Covid Support Force and could "backfill" police counter terrorism roles, act as prison guards or help with Border Force checks. However, No10 insisted yesterday that the Army will not police the streets if law and order breaks down. Assistant Chief Constable Owen Weatherill said: "The military will probably be called on by the NHS before we need to do it".

• Troops 'will help NHS not quell civil unrest' The Daily Express (London), 20/03/2020, p.4, Michael Knowles

• NHS doctors trapped in Spain after flight axed The Daily Telegraph, 20/03/2020, p.7, Unattributed NHS doctors trapped in Spain have told of their heartbreak at not being able to return home to help colleagues cope with the coronavirus pandemic after their EasyJet flight was cancelled.

• BHA chief Rust on why the racing in Britain was suspended Racing Post, 20/03/2020, p.2, Nick Rust BHA chief Nick Rust writes: "An industry group has been working on Covid-19 for weeks now. Medical advisers from the RCA and the BHA have helped us look ahead,

prepare for the worst, and advise on how racing could continue safely while it was possible. They have communicated the extraordinary pressures facing the NHS." • Kids are delighted - but closing our schools may not be the right choice The Daily Telegraph, 20/03/2020, p.20, Fraser Nelson Comment: the NHS has just 4,100 critical care beds, of which about 3,300 are used at anyone time. With so little spare capacity, it wouldn't take much for an Italian-style overflow in the coronavirus pandemic escalates.

• 'We're clearing the decks' The Guardian, 20/03/2020, p.9, Gavin Francis Dr Gavin Francis writes about his

experience of the early days of the coronavirus pandemic.

• Ready for the fight... NHS team on infection frontline Metro, 20/03/2020, p.8, Unattributed A team of NHS workers on the frontline against coronavirus at the Queen Elizabeth Hospital in Woolwich, south-east London, have posed for a picture in their protective kit before starting a shift on a hospital isolation ward.

• A BIG THANK YOU! They've [...] The Daily Mirror, 20/03/2020, p.34, Unattributed An anonymous well-wisher has chalked a wonderful message of love and support to patients and NHS staff outside St Thomas' Hospital during the coronavirus outbreak.

• I Love NHS The Sun, 20/03/2020, p.10, Marta Kowalska Readers send messages of support to NHS staff during the coronavirus outbreak.

• We can all perform small acts of heroism at this time City AM, 20/03/2020, p.15, Sarah Mullally Sarah Mullally writes: "As a former government chief nursing officer, I know we have the very best minds in the NHS and Department of Health continually assessing and acting on the coronavirus situation. I know that over the coming months, life will not be easy for them - or any of us - but I am grateful for all that they are doing and will do."

• DEATH RATE DOUBLES Daily Mail, 19/03/2020, p.8, Sophie Borland The UK coronavirus death toll rose by almost 50 per cent yesterday with the biggest 24-hour increase yet. The toll now stands at 104, a daily increase of 32. The 44 per cent increase is more than double the previous day's 20 per cent rise. Public Health England is believed to be about to start early-stage testing of a number of vaccines.

• Hospitals split themselves into corona and non-corona halves Evening Standard, 19/03/2020, p.1, Ross Lydall NHS hospitals across London are subdividing themselves into separate areas in a bid to prevent coronavirus patients spreading the virus to others. Yesterday, London North West Healthcare NHS Trust, which runs Northwick Park, confirmed three more deaths, meaning at least four of its patients have died from coronavirus.

• Meggitt is aiming to start building NHS ventilators within a month Evening Standard, 19/03/2020, p.35, Ben Woods Aeroplane parts maker Meggitt mett Government calls today for life-saving equip-ment with a plan to start building NHS ventilators to fight coronavirus. The company

said it was spearheading one of three consortia aiming to build a ventilator prototype by next week ahead of a mass manufacturing drive. • CHELSEA OPEN CLUB HOTEL TO NHS STAFF Morning Star, 19/03/2020, p.16, Unattributed Chelsea Football Club have opened their Millennium Hotel at Stamford Bridge to NHS staff to help the medical response to the coronavirus outbreak.

• Communist Party statement on the coronavirus epidemic Morning Star, 19/03/2020, p.17, Unattributed Comment: "The March 11 Budget's pledge of £5bn more for the NHS and an addi-tional fiscal stimulus of £12bn to combat the Covid- 19 crisis, and even the £330bn promised on March 17 to shore up businesses during the pandemic, still fall far short of the £l,300bn allocated by the British state to rescue City of London banks and mar-kets during and after the 2007-8 financial crisis."

• The good deeds making coping with coronavirus pandemic a little easier ITV.com (Web), 19/03/2020, Unattributed While many are being asked to stay home to minimise pressure on the NHS during the coronavirus outbreak, health workers are still heading out. At an extremely busy time for the NHS, help is needed in any way it can be given. Pret A Manger is there-fore offering free hot drinks to all NHS workers and 50% off everything else.

• Gary Neville lets NHS workers stay for free at his hotel ITV.com (Web), 19/03/2020, Unattributed Former Manchester United footballer Gary Neville will give health workers free ac-cess to his hotels from this weekend in a show of solidarity during the coronavirus outbreak.

• Emergency coronavirus legislation to be published ahead of UK school clo-sures ITV.com (Web), 19/03/2020, Unattributed Emergency legislation to tackle the coronavirus outbreak will be published in Parlia-ment after Prime Minister Boris Johnson announced the closure of schools and can-cellation of exams. Health Secretary Matt Hancock will table the Emergency Corona-virus Bill setting out measures aimed at slowing the spread and supporting the NHS and workers in the Commons on Thursday.

• Twenty four new cases test positive for coronavirus in Wales ITV.com (Web), 19/03/2020, Unattributed A further twenty four people have tested positive for coronavirus in Wales. Dr Robin Howe said Public Health Wales is working with NHS 111 and the welsh Government to develop systems to allow NHS Wales and members of the public to have ''appro-priate access'' to testing.

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

ACTIONS TAKEN

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice

• Social media updated on CCG accounts with latest messages on prevention, stall well, mental health and

wellbeing

• Content for websites, press releases and social media content being prepared for po-tential announcement on lockdown for over 70s and vulnerable people as well as ad-ditional content for mental health advice and support. Will be shared with CCGs later today for approval.

Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

Coronavirus Scam newsletter

Fri, 20 Mar 2020 13:52:29 GMT

Click the above link to download the Coronavirus Scam newsletter.

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20/03/2020

Fri, 20 Mar 2020 10:39:37 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South

Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 March 2020

**Please find below the first daily primary care coronavirus briefing – there’s a lot of detail as this is the first one but we hope future ones will be more succinct.**

Information provided by NHS Coventry and Rugby CCG, NHS South Warwickshire CCG and NHS Warwickshire North CCG in line with Public Health England guidance.

This information may change rapidly as the situation develops. For the latest information for primary care, visit: h ttps://www.england.nhs.uk/coronavirus/primary-care (the page was last updated on: 19 March, 2020 4:06 pm)

Today’s topics – use the links to jump to each section

Latest national picture

Communications from NHS England

Latest local picture

Local updates

Latest updates for each PLACE (Coventry and Rugby, South Warwickshire, Warwickshire North)

Actions for Primary Care

LATEST NATIONAL PICTURE

• As of 9am on 19 March 2020, 64,581 people have been tested in the UK, of which 61,352 were confirmed negative and 3,269 were confirmed as positive. As of 9am on 19 March 2020, 144 patients who tested positive for COVID-19 have died. (Numbers are updated around 2.30pm each day by Public Health).

• The latest government advise on coronavirus has been updated on 19 March 2020.

• The Prime Minister’s speech from 19 March is available here:

https://www.gov.uk/government/speeches/pm-statement-on-coronavirus-19-march-2020.

• The latest FCO advice is now advising against all but essential international travel.

• UK government considering ban of mass gatherings of more than 500 people from next week

Next Steps on NHS Response to COVID-19

A l etter (dated 17 March) from Sir Simon Stevens and Amanda Pritchard has been issued which outlines the important actions that they are now asking every part of the NHS to put in place to redirect staff and resources.

Covid-19, ACE Inhibitors, and ibuprofen

As always, medicines are not immune from misinformation in the event of any health emergency, and two of the latest panics involve ACE-inhibitors and ibuprofen. In both cases, potentially rational but purely theoretical concerns have been translated into hard fact, without consideration of the inconvenient lack of evidence beyond the theory.

A CE-inhibitors

It has been suggested that treatment with ACE-i increases the risk of Covid-19 infection. There is no evidence for this - it has been proposed as a hypothesis, and is one that deserves investigation, but there is currently no scientific evidence to support it. Animal studies actually suggest that treatment with ACE-i may protect against serious lung complications in Covid-19 infection.

h ttps://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the- e sc-council-on-hypertension-on-ace-inhibitors-and-ang.

The Science Media Centre has rebuttals from a range of clinical experts here:

h ttps://www.sciencemediacentre.org/expert-reaction-to-questions-about-high-blood-pressure- d iabetes-and-ace-inhibitor-drugs-and-risk-of-covid-19-infection/

So, the answer at the moment is that this is purely theoretical, and the harms of stopping effective antihypertensive treatment are going to be significantly greater than the potential risks.

I buprofen

There is currently no strong evidence that ibuprofen can make coronavirus (COVID-19) worse.

But until we have more information, patients are advised to take paracetamol to treat the symptoms of coronavirus, unless the GP has told them paracetamol is not suitable for the patient or their child.

If the patient or their child are already taking ibuprofen or another non-steroidal anti-inflammatory (NSAID) on the advice of a doctor, they should not stop taking it without checking first.

Source: h ttps://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-advice/

Attached to this briefing is a letter from Professor Stephen Powis covering this subject.

Public Health England COVID-19 update

The latest materials for the p ublic information campaign have been updated with the latest advice

and are available on the C ampaign Resource Centre. Public Health England has also published new

guidance o n staying at home, for households with possible COVID-19 infection and s ocial distancing t o protect vulnerable groups. Other existing guidance is being updated to reflect the latest advice.

ACTION: Please review the material and display where appropriate.

Translated guidance

Public Health England is currently translating the guidance for stay at home, household and vulnerable groups. We expect the guidance will be available in the next 48 hours and will be available as pdfs alongside the current c oronavirus guidance on the gov.uk website.

We will keep you informed when the translated guidance becomes available and where to find it.

COMMUNICATIONS FROM NHS ENGLAND

Please note the latest p rimary care preparedness letter from Dr Nikki Kanani, issued yesterday.

Amends to Messages

NHS111 has asked for GP telephone messages and online booking text be updated to below. The additional ‘or’ word is very important.

Telephone message

If your symptoms are serious, or get worse, NHS 111 has an o nline coronavirus service that can tell you if you need further medical help and advise you what to do.

Only call 111 direct if you are advised to do so by the online service or cannot go online.

For the latest COVID-19 advice please visit w ww.nhs.uk/coronavirus.

Online booking

If your symptoms are serious, or get worse, NHS 111 has an o nline coronavirus service that can tell you if you need further medical help and advise you what to do.

Only call 111 direct if you are advised to do so by the online service or cannot go online.

For the latest COVID-19 advice please visit w ww.nhs.uk/coronavirus.

ACTION: Please ensure your practices are updating their messages with the new text.

LATEST LOCAL PICTURE

COVID-19 communications in Coventry and Warwickshire is being issued from a single email

address: w arnoccg.covid19primarycarecommunications@nhs.net. By doing so we will help you to

get the right information in a consistent way

Please also send any COVID-19 related queries to this box, as it is being monitored and enquiries logged.

Please add the email address to your safe list

Keep an eye out for and give priority to emails from the email address.

Do check your junk/spam folders to make sure the emails aren’t going there by mistake:

w arnoccg.covid19primarycarecommunications@nhs.net

Local cases

• In the Local Authority of Coventry, there are a total of 4 confirmed cases.

• In the Local Authority of Warwickshire, there are a total of 11 confirmed cases.

LATEST LOCAL UPDATE

We wanted to provide you with an update on a number of important topics, some of which were covered in yesterday’s letter from Dr Nikki Kanani but are worth reiterating. Apologies for the length of the update, but there is a lot to cover.

Moving to a total triage system (whether by phone or online)

We are aware that a number of practices have done this already, but we wanted to highlight the section from the letter for clarity:

“This does not mean not advising/treating patients for other health issues, where there is clinical need, or unilateral closing of practices doors, rather ensuring that patients are appropriately triaged to the right health professional setting. The upsurge in telephone calls to general practice means that providing a reliable and timely response for patients has already become a vital operational priority”.

Locally, if practices have moved to a total triage model they do not need to offer online appointment booking. For those practices which have not moved to a total triage model and who wish to turn off online booking, we can confirm that we will not apply the contractual measures for this requirement.

Agree locally with your CCG which practice premises and teams should be used to manage essential face-to-face services

The CCGs are currently working closely with the GP Federations and PCNs to develop “assessment services / hot hubs” across each Place to manage the general primary care treatment of any patient with fever and/or a cough. This will support practices to manage the essential face to face services.

This work is also being linked with the development of a home management service for COVID-19 category 2 patients, those with underlying health conditions.

Undertake all care that can be done remotely via appropriate channels

This must as always be guided by your clinical judgement. See the attachment for further details.

Help staff to stay safe and at work, building cross-practice resilience

This should be done via PCNs and by confirming business continuity plans.

P ractice income

QOF

Payments will be maintained at the higher of the 2018/19 actual or 2019/20 projected out-turn.

LESs

Non-essential LES activity can cease based on clinical discretion, unless the LES services supports the COVID-19 response. Funding, particularly to support staffing, will be maintained and re-directed to the primary medical care COVID-19 response.

The exception to this is the additional support to care home services which should continue taking account of non-face-to-face guidance as clinically appropriate.

COVID-19 related spend

Necessary and critical expenditure related to supporting resilience and continuation of general medical care to patients, incurred as a direct result of COVID related response, will be reimbursable where this is above and beyond that which is reasonably expected to be covered within the terms of your contract or is at a level beyond normal expenditure due to demand or scarcity of resources, or where additional premium costs have been incurred

Practices should keep a simple log of any extraordinary expenditure related to service resilience and continuity associated with COVID-19 and a process for reimbursement will be developed in line with national guidance.

C ontractual Requirements

Remedial actions for GP contractual requirements will not be invoked.

E xtended Hours

Extended Hours capacity can be refocused to telephone or other non-face to face activity without contractual penalties to support resilience and business continuity.

Personal protection equipment (PPE)

We are aware that some practices are asking patients to don face masks on arrival at the surgery to prevent spread of infection. Whilst we understand the logic, we need to ensure all PPE equipment, including face masks, is used appropriately and only by practice staff to ensure stock and availability for when it is needed most. If face masks are given to every patient presenting at the practice, stock will soon be in short supply.

If you have any queries about PPE, you can now direct them to the national PPE telephone line or email address: 0800 915 9964 / 0191 283 6543 / Email: s upplydisruptionservice@nhsbsa.nhs.uk

COVID- 19 & Business Continuity Plan Biochemistry – Urine Pregnancy Test

From Coventry and Warwickshire Pathology Services: During today’s business continuity plan meeting it was decided to stop offering urine pregnancy test with effect from today (Friday 20 March). Please note we continue to provide serum hCG assay if required.

We regret any inconvenience that may cause and if you require further details, please do not hesitate to contact ,s ethsiri.wijeratne@swft.nhs.uk

Medicines Supply and Repeat Prescription Requests

Following a teleconference with the National Pharmacy Team, there are significant concerns that some GP practices are increasing prescription quantities and length to deal with the current demand from patients for their repeat prescriptions.

Needless to say, this puts considerable pressure on the medicine supply chain and will cause significant issues further down the line when medicines then go out of stock. May I remind you all that you keep prescribing lengths to 28 days, and instead look to utilise the electronic Repeat Dispensing (eRD) system for eligible patients, which you can authorise patients repeats for up to a year to help mitigate demand.

PCN pharmacists where available can help identify and implement eRD, and in Coventry & Rugby and Warwickshire North I have asked the Medicines Optimisation teams and the NHS POD to help facilitate this process.

Your understanding and patience with regards to the above is greatly appreciated and if you have any questions, please do come back to me via: a ltaz.dhanani@nhs.net

Daily communications

We are going to be providing you with a daily update by 10.30am each day starting today, Friday 20 March.

This update will include the current national picture, the current picture from the Coventry and Warwickshire system, updates from each place, where available, and updates from the providers, again where available. Hopefully you will find this daily communication useful.

Counter fraud newsletter (attached).

This newsletter draws attention to coronavirus scams and what individuals can do to prevent falling victim to them.

LATEST UPDATES FOR EACH PLACE

UPDATES FOR South Warwickshire – 20 March 2020 Acute Physician phone number

SWFT is increasing the size of their POD and have robust plans in place to manage actual and suspected cases of Covid-19.

SWFT will start to move to virtual outpatient clinics and are prepared to cancel planned activity. Emergency and cancer procedures will continue.

UPDATES FOR Coventry and Rugby – 20 March 2020 Remote Access for Practices

Practice Managers, with the advent of COVID-19 we are clearly working in very testing times, and CWP IT want to reassure all staff that we are looking at different ways of working to ensure we can remain operational.

To support staff that are having to work from home or in isolation, ITC Services have made remote access available to all staff from Coventry and Rugby Practices using their own personal computers. This is available immediately to Coventry practices. For Rugby practices this will be available from 5pm on Friday 20 March 2020.

Please see the attached instructions on how to on-board and use the remote access facility. Practice Managers should forward these instructions to those staff that have been instructed to work away from the Practice but need access to Healthcare Network resources.

If there are any issues with on-boarding, please contact the Service Desk on 024 7684 4000 / I TServiceDesk@covwarkitc.nhs.uk.

In the meantime, if you have any further questions or queries relating to this please do not hesitate to contact Jaswinder Sian, Interim IT Programme Lead, IT Front Office Services Manager.

UPDATES FOR Warwickshire North – 20 March 2020

No place specific update

ACTIONS FOR PRIMARY CARE

NHS England has produced a patient pathway and patient transfer standard operating procedure. The general advice is to:

• identify potential cases as soon as possible

• prevent potential transmission of infection to other patients and staff

• avoid direct physical contact, including physical examination, and exposures to respiratory secretions

• isolate the patient, obtain specialist advice and determine if the patient is at risk of COVID-19 Please ensure you familiarise yourself with this

information: h ttps://www.england.nhs.uk/coronavirus/primary-care/management-suspected-covid-19/

MEDIA ENQUIRIES

If you are approached by the media and do not want to handle it yourself, please forward on to your local communications team: a gem.communications@nhs.net

ACTIONS TO TAKE

• Monitoring the latest updates from Public Health England and GOV.UK

• Ensure your practice websites are updated with the latest advice

• Ensure you promote the key public messages

• Update practice telephone messages

----------------------------------------------------------------------------------------------------------------------------

The inbox is monitored regularly, and we will respond to you as soon as we can. In the meantime, the latest guidance for primary care can be found here:

h ttps://www.england.nhs.uk/coronavirus/primary-care/

QOF year end 19-20 payment update

Thu, 19 Mar 2020 16:46:53 GMT

Click the above link to download this document.

Preparedness letter primary care

Thu, 19 Mar 2020 16:44:59 GMT

Click the above link to download this document.

Important notice - PPE to patients

Thu, 19 Mar 2020 16:15:49 GMT

Click the above link to download this document.

Guidance on safe switching of warfarin to DOAC COVID-19

Thu, 19 Mar 2020 16:14:15 GMT

Click the above link to download this document.

Arden and GEM CSU Coronavirus briefing - 19/03/2020

Thu, 19 Mar 2020 15:49:28 GMT

Arden and GEM CSU Coronavirus briefing – Coventry & Warwickshire - Thursday 19th

March 2020

LATEST NATIONAL PICTURE

• As of 9am on 18 March 2020, 56,221 people have been tested in the UK, of which

53,595 were confirmed negative and 2,626 were confirmed as positive. The total

number of UK deaths is 103.

• The transcript from yesterday’s daily press conference hosted by the Prime Minister

available here

• The latest health advice available here

LATEST LOCAL PICTURE

• The latest figures published by GOV.uk and PHE are: As of 9am on 18 March 2020,

there are a total of 14 cases in Coventry & Warwickshire.

LOCAL MEDIA HEADLINES

• Staff forced to cable-tie hand gel dispensers to beds at UHCW to stop thieves

Coventry Telegraph (Web), 18/03/2020, Unattributed

Hand sanitisers are being ripped from the walls at University Hospital Coventry as

thieves target hospitals trying to cope with the massive strain of the coronavirus

epidemic. Thefts of hand gels, toilet rolls and face masks had previously been

reported at Warwick Hospital, including in the A&E department, provoking anger

among staff. The use of hand sanitisers in hospitals has been described as a "life

and death" matter helping to guard against potentially fatal infections and superbugs

amid the escalating Covid-19 pandemic.

• Coventry's hospital bans children and elderly as it issues tight visiting

restrictions amid coronavirus outbreak

Coventry Telegraph (Web), 18/03/2020, Unattributed

Coventry's hospital has announced tighter visiting restrictions in light of the

coronavirus outbreak. The restrictions are in place at University Hospital Coventry

and Warwickshire as of today (March 18), and will see limits on both the number of

visitors allowed to see patients and the time in which they can do so. In a statement,

which was shared on social media as well as online, the hospital said the limitations are being put in place to "protect patients and staff". • Hospice forced to halt some of its services due to challenging times Nuneaton News, 18/03/2020, p.9, Claire Harrison Nuneaton hospice chiefs have taken 'tough decisions' to temporarily stop some of its services due to the coronavirus outbreak Bosses at the Mary Ann Evans Hospice have said that have had to take action due to the fact they offer care to of the most vulnerable patients in community, As a result, they are 'refocusing their efforts in the community' and are not services from its main home, based in the grounds of the George Eliot Hospital. In a statement provided to Nuneaton News, the hospice explained during the 'challenging times' they need the support of the community more than ever.

• HOSPITAL PRAISED !i FOR VIRUS RESPONSE Nuneaton News, 18/03/2020, p.1, Claire Harrison George Eliot Hospital staff have been praised for their efforts in the wake of crippling demands due to the coronavirus outbreak The already under-pressure Eliot has been hit even further by a surge in coronavirus referrals. Sadly, two people have died at the hospital as a result of the virus in the space of a week. A woman, aged in her 70s, sadly passed away on March 13, exactly a week after it was confirmed another patient had died. Both had underlying medical conditions. A hospital spokesperson said: "We would like to thank all of their staff for their incredible efforts."

• Hospital visit clampdown Nuneaton News, 18/03/2020, p.3, Unattributed Strict new visitor rules are in place at Nuneaton's maternity and special care baby unit - including no visits from any children-to protect mums and babies. Claire Price, associate director of midwifery at the George Eliot Hospital, has said 'difficult decisions' have had to be taken to safeguard the most vulnerable and visiting restrictions are now in place. "As a trust in order to minimize risk to pregnant women, unborn babies and our babies in the Special Care Baby Unit (SCBU), the difficult decision has been made to limit visiting in maternity and SCBU with immediate effect," she said in a statement.

• Coronavirus forces partial closure of two schools Coventry Telegraph (Web), 18/03/2020, Unattributed New visitor rules are now in place at Nuneaton's maternity and special care baby unit - including no visits from any children - to protect mums and babies. On Sunday (March 15) the George Eliot Hospital issued a statement following the second death of a patient from coronavirus. • Budget's welcome news for community pubs Nuneaton News, 18/03/2020, p.20, Unattributed Marcus Jone MP writes: "Finally, I am writing this column following my visit to George Eliot Hospital who, today (Friday, March 13), provided me with a valuable update regarding their response to the coronavirus outbreak They reassured me that they have strong systems in place and are ready to deal with the spread of Covid-19, however it manifests itself in our local area. They also highlighted and commended the resilience of their staff, who are working in this challenging and fast-moving situation to provide the best possible care."

• Staff forced to cable-tie gel dispensers to beds at hospital to stop thefts Coventry Telegraph, 19/03/2020, p.5, Josh Layton Thefts of hand gels, toilet rolls and face masks had previously been reported at Warwick Hospital, including in the A&E department, provoking anger among staff. The use of hand sanitisers in hospitals has been described as a "life and death" matter helping to guard against potentially fatal infections and superbugs amid the escalating Covid-19 pandemic. Glen Burley, CEO of South Warwickshire NHS Foundation Trust, condemned the thefts.

• Woman becomes second victim of Covid-19 at the George Eliot hospital Hinckley Times, 18/03/2020, p.5, Unattributed In a statement, Dr Catherine Free said: "Sadly we can confirm that a woman who was being cared for at George Eliot Hospital in Nuneaton, and had tested positive for Covid-19, has died.

• Town theatre and cinema close as two more die in hospital Hinckley Times, 18/03/2020, p.1, Nicholas Dawson Businesses in Hinckley face disruption over the coming days as the Government ramps up its response to the coronavirus outbreak. So far the Concordia Theatre and Cineworld have both closed their doors, as has the coffee bar at St Mary's Church in Hinckley. Hinckley's closest A&E hospital, the George Eliot, reported a second death over the weekend while the Leicester Royal Infirmary said a patient it was treating has also died.

• Cherished hospital tea bar to close over coronavirus fears for elderly volunteers

Coventry Telegraph (Web), 18/03/2020, Unattributed Valiant volunteers who man Nuneaton's cherished hospital tea bar are being told to stand down over coronavirus fears. The last cups of tea will be served at the main League of Friends cafe at the George Eliot Hospital this Friday (March 20).

NATIONAL MEDIA HEADLINES

• Fears of bed shortage in regional hospitals The Daily Telegraph, 19/03/2020, p.1, Bill Gardner; Paul Nuki NHS hospitals outside London are at greater risk than those in the capital of becoming overwhelmed, according to analysis. Rural areas will be hit hardest by a national shortfall of hospital beds as the outbreak sweeps across the country. The largest shortfall in hospital beds is in the Midlands, where 2,900 extra beds and ventilators will be needed during the epidemic's expected peak in the coming weeks.

• An NHS that is divided may be the biggest hurdle of all The Daily Telegraph, 19/03/2020, p.4, Paul Nuki

• School's out, exams axed, deaths soar ...and army in Daily Mail, 19/03/2020, p.1, Jason Groves, Daniel Martin; stephen Wright From Monday, only the children of designated 'key workers' will be offered schooling. A list will be published today and it is expected to include NHS ' staff, power station workers, train drivers and supermarket delivery drivers.

• Lockdown London? Daily Mail, 19/03/2020, p.6, Claire Ellicott, Jason Groves; Rebecca Camber

• WE WANT ANSWERS The Daily Mirror, 19/03/2020, p.4, Nicola Bartlett

• Chelsea owner to pay for NHS staff to use club hotel The Independent Daily Edition, 19/03/2020, p.61, Jack De Menezes Chelsea owner Roman Abramovich will pay for NHS staff to stay at the club's Millennium Hotel at Stamford Bridge for at least the next two months after personally taking the decision to help aid the fight against the coronavirus crisis. An idea first raised by Abramovich himself led to the club proposing an idea to the National Health Service to offer their staff free accommodation, which has been accepted.

• Chelsea open Stamford Bridge to NHS staff The Independent Daily Edition, 19/03/2020, p.58, Jack De Menezes

• Abramovich lets NHS staff stay in hotel for free i (The paper for today), 19/03/2020, p.50, Unattributed

• Abramovich puts NHS staff up in stadium hotel The Guardian, 19/03/2020, p.37, David Hytner

• Chelsea offers rooms in its hotel to NHS staff The Daily Telegraph, 19/03/2020, p.7, Unattributed

• Abramovich offers Chelsea hotel to NHS key workers The Daily Telegraph, 19/03/2020, p.11, Sam Wallace

• Life savers Daily Express, 19/03/2020, p.60, Darren Lewis

• FOOTBALL UNITED The Daily Mirror, 19/03/2020, p.60, Darren Lewis

• CARE B&B The Sun, 19/03/2020, p.60, Andrew Dillon

• Roman and Nev in NHS gesture Daily Star, 19/03/2020, p.46, Darren Lewis

• Free rooms at football hotels for NHS workers Metro, 19/03/2020, p.2, Unattributed

• Staff given wrong advice on self-isolation by NHS trusts The Independent Daily Edition, 19/03/2020, p.13, Shaun Lintern Doctors and nurses were advised they could work even if someone else in their home had symptoms of coronavirus - despite official guidance being that their household should self-isolate for 14 days if anyone shows signs of the symptoms. On Tuesday NHS England's chief nurse responded to questions on social media making clear the guidance applied to all staff. Later on Tuesday the hospitals issued new guidance in line with Public Health England's advice.

• We're close to test that reveals who's immune, says PM The Times, 19/03/2020, p.8, Chris Smyth; tom Whipple; Katie Gibbons Prime Minister Boris Johnson has announced that a "game-changing" coronavirus test that can identify people who have been infected and consequently now have immunity even if they showed no symptoms is close to being developed. Such an antibody test would enable frontline NHS staff to work safe in the knowledge that they could not be infected and allow people to return to normality even as the rest of the country remained in lockdown.

• Prime Minister says new antibody test that gives an all-clear could be a 'game changer' The Daily Telegraph, 19/03/2020, p.4, Hayley Dixon; Laura Donnelly

• NHS to test 25,000 a day for virus within four weeks The Independent Daily Edition, 19/03/2020, p.12, Shaun Lintern Up to 25,000 hospital patients a day will be tested for coronavirus under new government plans to ramp up testing for the disease. Ministers have announced the measures this afternoon as criticism grows over the UK's lack of capacity for testing suspected community cases, and with frontline NHS staff being forced to stop work and isolate for 14 days. Since the end of February Public Health England has been testing a sample of the general population as part of a surveillance programme to identify how the disease is circulating. Matt Hancock, the health secretary, said: "Public safety is my top priority, and radically ramping up testing for coronavirus is a key part of our plan to protect lives."

• Big jump in testing will target those at risk and health service workers i (The paper for today), 19/03/2020, p.4, Tom Bawden; Paul Gallagher

• NHS staff given priority as daily tests rise to 25,000 Financial Times, 19/03/2020, p.2, Camilla Hodgson

• Testing kits Frontline NHS staff miss out as clinics charge wealthy £295 The Guardian, 19/03/2020, p.4, Simon Murphy; Rupert Neate

• 25k virus checks a day... but NHS staff won't get one Daily Mail, 19/03/2020, p.12, Ben Spencer

• HOW SICK WE CAN'T TEST ONES WHO CAN SAVE US Daily Mail, 19/03/2020, p.13, Ian Birrell

• More protective equipment on its way, health bosses say The Independent Daily Edition, 19/03/2020, p.14, Shaun Lintern The head of NHS England has warned the country is going to need to increase the production of items like gowns and other vital equipment as the UK braces for months of heightened risk from the disease. NHS England's chief operating officer Amanda Pritchard, told MPs on Tuesday: "We have been assured there is sufficient supply available nationally However, we're aware that there have been some local distribution problems." Sir Simon Stevens, chief executive of NHS England, added: "A lot of the Chinese supply for some of the more basic items has been disrupted so we are going to need to ramp up production for gowns in particular, and some of the facemasks."

• Doctors raise concerns over lack of equipment i (The paper for today), 19/03/2020, p.4, Richard Vaughan

• We are cannon fodder The Daily Mirror, 19/03/2020, p.8, Martin Bagot

• Doctors tell patients to delay cancer treatment Daily Mail, 19/03/2020, p.9, Sophie Borland; Izzy Ferris Doctors have been told by NHS England to prepare for a 'disruption of services' in cancer units over the next few weeks due to staff sickness and shortages of drugs and equipment. They have been advised to group their patients into 'priority levels' according to how crucial or effective the treatment is likely to be.

• Police to start 'graduated withdrawal of service' The Independent Daily Edition, 19/03/2020, p.10, Lizzie Dearden Deputy Chief Constable Paul Netherton, the national lead for civil contingencies, has said that police will be forced to enact a "graduated withdrawal of service" from their normal duties if the coronavirus outbreak worsens. Mr Netherton said police expected the key challenge to be supporting the NHS, and that fears of disorder and looting had not yet been realised.

• Paracetamol the drug of choice, says NHS The Daily Telegraph, 19/03/2020, p.4, Unattributed It is noted that NHS guidelines say to "take paracetamol to treat the symptoms of coronavirus, unless your doctor has told you it's not suitable for you".

• 'Are the players being looked after? I would argue a lot more can be done' The Guardian, 19/03/2020, p.36, Ben Fisher An interview with Wycombe Wanderers footballer David Wheeler, in which he comments: "With the NHS, it [the impact of coronavirus] is going to expose the underfunding and understaffing when the going gets tough and, when things get really bad, that's going to be exposed. Cracks are going to be exposed and expand in this crisis, and you're going to see that in probably every industry but the NHS is

going to be the most stark because people's lives are at stake but I think you will see that in every industry where there is any vulnerability." • NHS is in no fit state for pandemic i (The paper for today), 19/03/2020, p.18, Unattributed A New York Times editorial claims that the coronavirus has left the NHS "creaking at the seams after years of underfunding".

• Pret and McDonald's give free hot drinks to NHS staff The Independent Daily Edition, 19/03/2020, p.57, Unattributed Several food chains are offering free drinks and discounts to NHS staff amid the Covid-19 pandemic. McDonald's has announced that all emergency services personnel and health and social workers in the UK would be able to collect free drinks at all restaurants while government guidance allows them to stay open.

• Free lunch for NHS staff The Daily Mirror, 19/03/2020, p.13, Unattributed Cafe owner Ben Hayes, of Thyme Out Food Co, in Manchester, donated 40 lunch orders to NHS staff and the elderly - despite losing cash to do so.

• SIGH OF RELIEF Vauxhall and Airbus set to refocus production on NHS ventilators City AM, 19/03/2020, p.3, Unattributed Vauxhall and Airbus will soon regear their UK production efforts towards 3Dprinting parts for ventilators to be used in the coronavirus treatment effort.

• The need to protect frontline healthcare staff The Times, 19/03/2020, p.28, Unattributed Letter: "The prime minister is lobbying industry to manufacture more ventilators to help to manage patients unwell with Covid-19. Although this is laudable, as frontline NHS professionals involved in the care of patients with coronavirus, we know that what is more urgently needed is an increase in the production and availability of the personal protective equipment (PPE), which is essential for us to look after these patients safely."

• Heroes are our heart and soul The Sun, 19/03/2020, p.8, Mike Ridley A selection of emails from Sun readers giving support and thanks to NHS staff who are working to battle the coronavirus outbreak.

• Testing to be stepped up to target 25,000 patients every day Evening Standard, 18/03/2020, p.1, Joe Murphy A -minute test to discover if people have had coronavirus and are immune to getting it again will be rolled out within days. Testing by the NHS and Public Health England was increased yesterday to 7,500 a day, up from 5,000 a week ago, and will be raised further to 10,000 next week. Within four weeks, some 25,000 tests a day will be carried out.

• HEART OF LONDON IS VIRUS HOTSPOT Evening Standard, 18/03/2020, p.1, Nicholas Cecil; Ross Lydall; Joe Murphy; Sophia Sl Professor Neil Ferguson, one of the scientists spearheading Britain's battle against coronavirus, has gone down with the symptoms and today warned there are almost certainly thousands of cases already in the heart of London. As the number of cases rises in the capital, the London Ambulance Service appealed to most people to use

NHS 111 online so elderly people, often less able to use the internet and most at risk, can get through on emergency phone lines. • Drug 'buying time' for patients' lungs to be trialled in NHS Evening Standard, 18/03/2020, p.3, Ross Lydall A drug that may be able to reduce the impact of coronavirus in hospitalised patients is to be trialled in the NHS. The UK firm behind the once-a-day inhaled medication hopes it could prevent Covid-19 patients deteriorating to the extent they need a ventilator.

• Abramovich provides free beds for NHS staff Evening Standard, 18/03/2020, p.39, James Olley Chelsea owner Roman Abramovich has offered free accommodation at the Millennium Hotel next to Stamford Bridge to NHS staff tackling the coronavirus crisis.

• NHS staff allowed to stay for free at Chelsea FC's Millennium Hotel ITV.com (Web), 18/03/2020, Unattributed

• SPIRE IS READY TO MAKE [...] Evening Standard, 18/03/2020, p.34, Unattributed Private hospitals group Spire today said it was ready to switch its operations to battle coronavirus when the NHS is hit by the peak of the epidemic.

• FREE PHONE ACCESS TO NHS WEBSITES TO FOIL FAKE ADVICE Evening Standard, 18/03/2020, p.7, Unattributed Mobile phone companies today announced free access to NHS and the 111 websites, to combat "fake news" on coronavirus.

• The great unravelling: coronavirus - a very British cull Morning Star, 18/03/2020, p.8, Alan Simpson Comment: "At the moment, Britain has a lower death rate from the virus than Italy (1.4 per cent against 6.7 per cent). The logic behind the government strategy is that the more dispersed the detected cases, the more manageable they are for the NHS. Without testing and tracing it will not last."

• Coronavirus: Boris Johnson faces calls to do more to help renters and self-employed ITV.com (Web), 18/03/2020, Unattributed Boris Johnson is facing calls to do more to help renters after announcing his £350bn package to support businesses through coronavirus. The prime minister warned that Covid-19 is so "dangerous" that without drastic action it would "overwhelm the NHS" and that more "extreme measures" may be needed to protect lives in the future.

• The good deeds making life coping with coronavirus pandemic a little easier ITV.com (Web), 18/03/2020, Unattributed While many are being asked to stay home to minimise pressure on the NHS, health workers are still heading out. At an extremely busy time for the NHS, help is needed in any way it can be given. Pret A Manger is therefore offering free hot drinks to all NHS workers and 50% off everything else.

• Coronavirus: NHS worker tells ITV News of lack of equipment and urgent need for tests ITV.com (Web), 18/03/2020, Unattributed A paramedic working for NHS Scotland during the coronavirus outbreak has told ITV

News they are being "put in danger" because of an "absolute shortage of essential equipment". • Coroanvirus: NHS doctor asks ''why gamble with our lives?'' as calls for tests grow ITV.com (Web), 18/03/2020, Unattributed A blog by an anonymous doctor working in an NHS University Hospital in England who has been forced to self-isolate due to the coronavirus.

• Care for NHS workers in Milton Keynes ITV.com (Web), 18/03/2020, Unattributed The Chaplin at Milton Keynes Hospital has been raising funds for welfare boxes to give to NHS staff. The Reverend Sarah Crane is supporting hospital workers after seeing the toll dealing with the coronavirus outbreak is taking on them.

LOCAL BROADCAST COVERAGE

• Cannock Chase Hospital coverage BBC Radio WM, Sam and Daz at Breakfast, 18/03/2020, 08:14:03, 5:0 A hospital will temporarily close its minor injuries unit to free up staff to help seriously ill patients during the Covid-19 outbreak. The Cannock Chase Hospital has announced it will shut the unit at its site from tomorrow Wednesday, 18 March.

• Cannock Chase Hospital coverage BBC Radio WM, Sam and Daz at Breakfast, 18/03/2020, 07:13:09, 5:0 A hospital will temporarily close its minor injuries unit to free up staff to help seriously ill patients during the Covid-19 outbreak. The Cannock Chase Hospital has announced it will shut the unit at its site from tomorrow Wednesday, 18 March.

• Following the guidelines LBC 97.3, Nigel Farage, 18/03/2020, 18:20:42, 5:0 The presenter says he got a call from a worker in the West Midlands Ambulance Service. The worker said he was back from his annual leave, and he was not allowed to put on the full PPE as it took too much time. The Trust has issued detailed guidance to all operational staff about the appropriate level of PPE that should be worn by the crews. The workers are supposed to urgently seek clarification from the Operational Manager if any of the guidance is unclear.

• NHS featured BBC Radio5, 5 Live Drive, 18/03/2020, 16:34:45, 5:0 It is reported that West Midlands Police is co-chairing with a strategic group which is effectively involving the NHS and other organisations as well, which is responding to the pandemic in the West Midlands and Warwickshire.

• Bedford Hospital featured BBC 1 East, Look East; Weather, 18/03/2020, 13:37:45, 5:0 It is reported that the number of cases tested positive with COVID-19 in the region is rising. Hospital staff are being redeployed and retrained to help care for Coronavirus patients. The chief executive of Bedford Hospital says that if schools close early it would mean nearly 25pc fewer nurses.

• Bedford Hospital featured BBC 1 Cambridge, Look East; Weather, 18/03/2020, 13:37:30, 5:0 It is reported that the number of cases tested positive with COVID-19 in the region is rising. Hospital staff are being redeployed and retrained to help care for Coronavirus

patients. The chief executive of Bedford Hospital says that if schools close early it would mean nearly 25pc fewer nurses.

• Bedford Hospital comments BBC Radio Three Counties, Andy Collins, 18/03/2020, 07:29:40, 5:0 All non-urgent procedures are being delayed as Bedford Hospital deals with the coronavirus outbreak. In a statement, the Bedford Hospital says the hospital is currently delaying all non-urgent procedures to help manage capacity, in line with national guidance from NHS England

MEDIA ENQUIRIES

• None

STATEMENTS ISSUED

• None

ACTIONS TAKEN

• Monitoring latest updates from Public Health England and GOV.UK

• Social media monitoring for local areas, local hospitals and retweeting PHE, NHS messages on Coronavirus advice

• Social media updated on CCG accounts with latest messages on prevention, stall well, mental health and wellbeing

Engagement, Communications and Marketing Team

NHS Arden and Greater East Midlands Commissioning Support Unit

Advice on how to establish a remote ‘total triage’ model in general practice using online consultations

Thu, 19 Mar 2020 11:38:43 GMT

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Primary Care Coronavirus briefing – Coventry and Warwickshire – 19/03/2020

Thu, 19 Mar 2020 10:32:25 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Dear colleagues,

We know there are many questions around PPE including worries about supply. As you will have seen in the letter from Simon Stevens earlier this week (https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/20200317-NHS-COVID-letter-FINAL.pdf), there is now a dedicated telephone line and email you can call for PPE queries: 0800 915 9964 / 0191 283 6543 / Email: supplydisruptionservice@nhsbsa.nhs.uk.

This is a nationally operated line and email, but if you experience any issues please do let us know so that we can escalate on your behalf.

The full text, which can be found on page 3 of the letter, is provided below for convenience:

“In respect of PPE, the DHSC procurement team reports that nationally there is currently adequate national supply in line with PHE recommended usage, and the pandemic influenza stockpile has now been released to us. However locally distribution issues are being reported. Michael Wilson, chief executive of SASH, is now helping resolve this on behalf of the NHS. In addition if you experience problems there is now a dedicated line for you: 0800 915 9964 / 0191 283 6543 / Email: supplydisruptionservice@nhsbsa.nhs.uk.”

Many thanks

RCGP GUIDANCE FOR GENERAL PRACTICE

Wed, 18 Mar 2020 16:48:18 GMT

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PPE advice for dealing with pts

Wed, 18 Mar 2020 16:43:53 GMT

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Letter to care homes for Practices

Wed, 18 Mar 2020 16:23:15 GMT

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KISS - COVID-19 Information

Wed, 18 Mar 2020 16:20:21 GMT

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BMJ Best Practice

Wed, 18 Mar 2020 13:15:05 GMT

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COVID-19: CQC update for ACE-inhibitors & Ibuprofen

Wed, 18 Mar 2020 12:19:27 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Dear Colleagues,

ACE-inhibitors

There is a UK-wide position on this from two relevant professional organisations, issued on the 16th March, here: https://www.britishcardiovascularsociety.org/news/ACEi-or-ARB-and-COVID-19. They refer to a statement from the European Society of Cardiology, which is here: https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang.

The Science Media Centre has rebuttals from a range of clinical experts here:https://www.sciencemediacentre.org/expert-reaction-to-questions-about-high-blood-pressure-diabetes-and-ace-inhibitor-drugs-and-risk-of-covid-19-infection/

So, the answer at the moment is that this is purely theoretical, and the harms of stopping effective antihypertensive treatment are going to be significantly greater than the potential risks.

Ibuprofen

There is currently no strong evidence that ibuprofen can make coronavirus (COVID-19) worse.

If the patient or their child are already taking ibuprofen or another non-steroidal anti-inflammatory (NSAID) on the advice of a doctor, they should not stop taking it without checking first.

Source: https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-advice/

Business Continuity Plans

Wed, 18 Mar 2020 11:15:41 GMT

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Primary Care Coronavirus briefing – Coventry and Warwickshire – 18/03/2020

Wed, 18 Mar 2020 10:25:26 GMT

Sent on behalf of the COVID-19 Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Dear Colleagues,As always, medicines are not immune from misinformation in the event of any health emergency, and two of the latest panics involve ACE-inhibitors and ibuprofen. In both cases, potentially rational but purely theoretical concerns have been translated into hard fact, without consideration of the inconvenient lack of evidence beyond the theory.

ACE-inhibitors

So, the answer at the moment is that this is purely theoretical, and the harms of stopping effective antihypertensive treatment are going to be significantly greater than the potential risks.

Ibuprofen

There is currently no strong evidence that ibuprofen can make coronavirus (COVID-19) worse.

If the patient or their child are already taking ibuprofen or another non-steroidal anti-inflammatory (NSAID) on the advice of a doctor, they should not stop taking it without checking first.

Source: https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-advice/

2Many thanks

Tilehurst Surgery Response to Covid-19

Wed, 18 Mar 2020 09:20:10 GMT

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Surrey Heartlands Primary Care Guidance COVID-19

Wed, 18 Mar 2020 09:19:27 GMT

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COVID Check list for Primary Care

Tue, 17 Mar 2020 16:00:39 GMT

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Diabetes and COVID 19 - 17/03/2020

Tue, 17 Mar 2020 15:16:55 GMT

Dear Colleagues

We have been sent the attached resources which we thought you may find useful at the moment:

• Clinical guide for the management of acute diabetes patients during the coronavirus pandemic

• Managing worry about COVID-19 and Type 1 diabetes

In addition advice on coronavirus for people living with diabetes is available on the Diabetes UK website.

We will continue to forward further resources as we receive them.

Regards,

Shaneela Khakh

Quality Improvement Lead - Diabetes

West Midlands Clinical Networks & Clinical Senate

NHS England and NHS Improvement – Midlands

Mob: 07860 180397

Email: shaneela.khakh@nhs.net

Website: www.england.nhs.uk

Website: www.wmscnsenate.nhs.uk

“High quality care for all, now and for future generations”

Usual working hours: Monday (AM), Tuesday, Wednesday and Thursday

Stay at Home guidance for households diagram

Tue, 17 Mar 2020 09:17:55 GMT

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Management of acure Diabetes and coronavirus

Mon, 16 Mar 2020 16:29:06 GMT

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Covid Training Package

Mon, 16 Mar 2020 15:49:02 GMT

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Coronavirus Care Home Letter

Mon, 16 Mar 2020 13:58:40 GMT

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Risk Assessment Form For Vulnerable Staff

Mon, 16 Mar 2020 08:25:12 GMT

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DMP Clinical Covid update

Fri, 13 Mar 2020 16:09:15 GMT

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COVID GP Provider Meeting

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Covid-19 Guidance Leaflets in 15 languages

Fri, 13 Mar 2020 11:13:46 GMT

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Coronavirus Action Plan from Wheatfield Practice

Thu, 12 Mar 2020 13:45:35 GMT

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Coronavirus public information toolkit to support GP Practices

Wed, 11 Mar 2020 13:48:52 GMT

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KCC COVID19 Evidence Summary

Mon, 09 Mar 2020 16:19:02 GMT

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Links for patients - info on Covid-19

Sun, 01 Mar 2020 16:25:50 GMT

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Covid Family Wellbeing Pack

Sun, 01 Mar 2020 16:01:59 GMT

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Child Friendly Explanation of Coronavirus

Sun, 01 Mar 2020 13:28:41 GMT

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401f0ef540ea48a7ac6e57b8ea9b4bca

Vaccinations for 5-11 year-olds at-risk

Anti Vaccination Caution

Please see the link below for the Anti Vaccinator Threat guidance issued by Warwickshire Police

NHS App and Covid Pass

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Update on Vaccinating Under 18s

Attachments: - Children Self Assessment Checklist Part A - CLEAN NBS Changes R18s 02-08-21 - C1375 - Enhanced Service Specification: COVID-19 vaccination programme 2020/21 – version 10 - C1377 - Enhanced Service Specification: COVID-19 vaccination programme: phase 3 2021/22 – version 2.1

Immunosuppressed Patients Vaccine Uptake - INFO ONLY

Immunosuppressed Patients Vaccine Uptake

IPC Guidance & Toolkit

Infection prevention control guidelines to remain in place.

Covid Vaccination Bulletin - 15-Feb-21

Covid Vaccination Support bulletin

PCN Covid Vaccination Directories

Please find links to 7 documents that detail various aspects of the vaccination programme.

COVID Vaccination evidence

Please find a link to a document with information following approval of the Pfizer vaccine.

PCN Daily Update - 13th December

PCN Daily Update 13th December - Parts 1 and 2

NHSX free patient information videos

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Cold vs Covid in children

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 September 2020 (Issue 69)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 August 2020 (Issue 63)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 July 2020 (Issue 61)

Primary Care Escalation Plan/Coventry and Warwickshire Surge Plan

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 July 2020 (Issue 60)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 21 July 2020 (Issue 59)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 16 July 2020 (Issue 58)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 14 July 2020 (Issue 57)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 9 July 2020 (Issue 56)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 July 2020 (Issue 55)

Primary Care - Antibody testing for GP practice staff – Coventry and Warwickshire – 2 July 2020

Primary Care Coronavirus briefing – Coventry and Warwickshire – 2 July 2020 (Issue 54)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 30 June 2020 (Issue 53)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 25 June 2020 (Issue 52)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 June 2020 (Issue 51)

Medical education sessions

Primary Care Coronavirus briefing – Coventry and Warwickshire – 18 June 2020 (Issue 50)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 16 June 2020 (Issue 49)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 June 2020 (Issue 48)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 9 June 2020 (Issue 47)

CAS ALERT - Results from laboratory-based tests for COVID-19 antibodies using capillary blood sample collection kits may not be reliable

Primary Care Coronavirus briefing – Coventry and Warwickshire – 4 June 2020 (Issue 46)

Coventry and Warwickshire Primary Care Cancer Newsletter

Primary Care Coronavirus briefing – Coventry and Warwickshire – 2 June 2020 (Issue 45)

Principles of safe video consulting in general practice

NHS 111 Messages - Auto filing suspected COVID-19 code

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 May 2020 (Issue 44)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 26 May 2020

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 May 2020 (Issue 42)

Urgent - Briefing: Plans progressing for Solihull Hospital to be COVID-clear, inc. closure of MIU

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 May 2020 (Issue 41)

Possible scam - Sent on behalf of the COVID-19 Primary Care Incident Management Team for Coventry and Rugby, South Warwickshire and Warwickshire North CCGs

Primary Care Coronavirus briefing – Coventry and Warwickshire – 18 May 2020

Primary Care Coronavirus briefing – Coventry and Warwickshire – 15 May 2020

COVID-19 Primary Care bulletin

Primary Care Coronavirus briefing – Coventry and Warwickshire – 13 May 2020

Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 May 2020

Warwickshire deaths verification, certification and registration

Mapping system of pharmacy, dental and optometry provision across the West Midlands

Primary Care Coronavirus briefing – Coventry and Warwickshire – 7 May 2020

Primary Care Coronavirus briefing – Coventry and Warwickshire – 6 May 2020

Verification of death in a period of emergency

Primary Care Coronavirus briefing – Coventry and Warwickshire – 5 May 2020 (Issue 34)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 4 May 2020 (Issue 33)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 1 May 2020 (Issue 32)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 30 April 2020 (Issue 31)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 29 April 2020 (Issue 30)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 28 April 2020 (Issue 29)

Education on what to do with shielded patients

Primary Care Coronavirus briefing – Coventry and Warwickshire – 27 April 2020 (Issue 28)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 23 April 2020 (Issue 26)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 22 April 2020 (Issue 25)

Integrated Urgent Care Health Professional Feedback Form

Primary Care Coronavirus briefing – Coventry and Warwickshire – 21 April 2020 (Issue 24)

Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 April 2020 (Issue 23)

Coronavirus Social care update - Message from the Minister for Care - 20.04.2020

COVID-19 Primary Care Bulletin - 20/04/2020

Attachments:
- Children Self Assessment Checklist Part A

- CLEAN NBS Changes R18s 02-08-21

- C1375 - Enhanced Service Specification: COVID-19 vaccination programme 2020/21 – version 10

- C1377 - Enhanced Service Specification: COVID-19 vaccination programme: phase 3 2021/22 – version 2.1