Primary Care Coronavirus briefing – Coventry and Warwickshire – 11 May 2020
11 May 2020
Attachments
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
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.
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
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.
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.
