Primary Care Coronavirus briefing – Coventry and Warwickshire – 20 April 2020 (Issue 23)
21 April 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 – 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
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
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
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 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
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 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
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
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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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.
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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/
