Primary Care Coronavirus briefing – Coventry and Warwickshire – 27 April 2020 (Issue 28)

27 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 – 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)
 
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.
 
 
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 Department of Health and Social Care release statement on “out of date” PPE
Issue: PPE recently deliver to the combined Warwickshire and West Midlands LRF labelled out of date.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)
 
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.
 
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 
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: 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.
 
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.
 
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. 
 
. 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.