Coventry & Warwickshire COVID-19 Portal

For all clickable links, please click on the attachments.

**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:

• 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

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 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 

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

 

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.

 

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

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

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

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. 

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