Coventry & Warwickshire COVID-19 Portal

 

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

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 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 

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

Join this evening’s extended primary care webinar.

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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.

 

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/