Primary Care Coronavirus briefing – Coventry and Warwickshire – 4 May 2020 (Issue 33)
4 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 – 4 May 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
• Item 2: Details of to access dental services during the COVID-19 pandemic: ACCESSING DENTAL SERVICES IN COVENTRY AND WARWICKSHIRE.docx
• Item 4: an update from Myton Hospices on their response to the impact of Covid-19: STAKEHOLDERS 15.04.20.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 04.05.2020
• 1,876 cases now confirmed in Coventry and Warwickshire (+25 / +1.4% from yesterday)
• 141 of these are currently admitted (+3 / +2.2% from yesterday)
• 743 beds still available (+29 / +4.1% from yesterday)
• 10 ITU beds occupied by Covid patients (+2 / +25.0% from yesterday)
• 395 reported deaths in a hospital setting (+4 / +1.0% from yesterday)
Care Home current position as at 04.05.2020
New Dashboard is now available based on the Capacity Tracker and is based on data recorded since Mid-March 2020
• 116 Covid related deaths (note some of these deaths may have occurred outside of the home and so may be counted in the figure above)
• 316 Care Home deaths in total
• 340 confirmed cases
o Confirmed care home cases broken down by CCG:
o Coventry & Rugby: 111
o South Warwickshire: 150
o Warwickshire North: 79
LATEST LOCAL UPDATE
1. Primary care and community health support care home residents
A letter, issued on Friday, details the request for primary care and community health services to work together to build on what practices are already providing to support care homes. Each CCG is working closely with its Out of Hospital colleagues to finalise and agree a local proposal for the delivery of a co-ordinated approach. Further information will be shared shortly.
2. Accessing dental services in Coventry and Warwickshire
In line with national guidance issued in response to the Covid-19 pandemic, dental practices in Coventry and Warwickshire are currently closed for routine “face to face” dental appointments. People seeking help with dental problems should not visit local dental practices in person but instead contact their usual practice by phone, between the hours of 9am -5pm, Monday to Friday, for information for advice on alternative arrangements in place. Outside normal hours or if a patient does not have a dentist they should contact NHS 111.
People seeking help should not visit A&E departments or GP surgeries for dental care. There are currently three operational urgent dental centres (UDCs) in North Warwickshire, Coventry and South Warwickshire for patients who are showing no Covid-19 symptoms. More local sites may be opened as necessary in the future depending on the demand. Further information is attached: ACCESSING DENTAL SERVICES IN COVENTRY AND WARWICKSHIRE.docx.
3. Managing COVID-19 symptoms (including at the end of life) in the community: summary of NICE guidelines
This downloadable article from the BMJ summarises key points from the National Institute for Health and Care Excellence (NICE) COVID-19 rapid guideline on managing symptoms (including at the end of life) in the community. The guideline is part of a series of rapid guidelines on COVID-19, developed in collaboration with NHS England and NHS Improvement using interim process and methods. Download here.
4. Update from Myton Hospices
Myton Hospices has shared some information on their response to the impact of Covid 19. (attachment: Myton update STAKEHOLDERS 15.04.20.docx).
LATEST UPDATES FOR EACH PLACE
UPDATES FOR Coventry and Rugby and Warwickshire North – 4 May 2020
5. Update for practices with Vision systems
Please see below for the latest updates including:
· NHS 111 messages
· Clinical Audit
· SCR
· GP Connect Appointments
· Digital Health Webinar – COVID-19 One Month On
· eConsultations and EPS4
NHS 111 messages
COVID-19 related messages are now coming into Mail Manager:
http://help.visionhealth.co.uk/PDFs/Consultation_Manager/England/Handling%20Coronavirus%20NHS111%20Messages.pdf
Clinical Audit – Version 7
Latest version released earlier this week and include thee changes listed here:
https://blog.visionhealth.co.uk/hive-news/coronavirus-covid-19-clinical-audit-update-27nd-april-2020
SCR – Implied Consent override for additional clinical data to be viewable
https://blog.visionhealth.co.uk/hive-news/england-summary-care-record-temporary-additional-information-for-implied-consent
GP Connect Appointments for NHS 111
We’re working with practices who are using new Appointments within Vision so that GP Connect can be enabled over the coming weeks.
There is a webinar on the 12th May which you can register for.
https://blog.visionhealth.co.uk/news/re-imagining-gp-appointments-to-reflect-the-new-patient-interaction
Digital Health Webinar
A webinar was hosted earlier today which highlighted the many changes that have come into Primary Care in the last few weeks.
For those of you who missed this, details will be made available next week.
The highlights included:
· Sharing Best Practice
· Clinical Suppliers working together post COVID-19
· Contact tracing and patient groups
· Disrupted care*
*See Safety Netting for guidance around this. A practice level report and extract will also be available for all practices early next week.
http://help.visionhealth.co.uk/PDFs/General/Safety_Netting_in_Vision.pdf
UPDATES FOR Coventry and Rugby – 4 May 2020
6. Update from the Referral Support Service
The Referral Support Service is still operational during this challenging time. We continue to review referrals ensuring patients are referred into appropriate services with the relevant information to support the referral.
Now that we have entered into Phase 2 of the NHS’s response to COVID, you will be aware that Routine referrals can now be processed and should not rejected or deferred until a later date (as per previous communications sent out on the 1st May from NHS England and our local provider- University Hospital Coventry and Warwickshire NHS Trust). The Referral Support service are prepared to receive these referrals and will process referrals as normal.
If you are a Practice that does not currently use the Referral Support Service but wish to do so during this time, please contact me on natalie.fuller@coventryrugbyccg@nhs.uk and we can put the relevant access in place to support you.
Should any Practices/ referrer experience any issue with referrals not being accepted please make contact with us and we will provide the relevant support.
If you have any questions regarding any of the information please use the above email address.
7. Coventry GP lunchtime meeting
Session topics include: Gastroenterology changes in times of Covid-19 with Dr Nicola Burch, Consultant Physician Gastroenterology, UHCW who will discuss the new pathway for triaging 2WW GI pathways at UHCW during the pandemic period with time for questions and Renal changes in times of Covid-19 with Dr Sarah Grieve, Consultant Nephrologist, UHCW who will then discuss how Covid-19 is involved in acute kidney injury and other renal issues. The meeting can be accessed by Zoom at the following link.
UPDATES FOR South Warwickshire – 4 May 2020
No updates this issue.
LATEST NATIONAL PICTURE
• As reported at 5.30pm on 3 May 2020, 1,206,405 people have been tested in the UK and 186,599 were confirmed as positive. The number of COVID-19 associated deaths in the UK is 28,446. (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 24,097.)
• The transcript for the Coronavirus press conference on 3 May 2020 delivered by Michael Gove, Chancellor of the Duchy of Lancaster on the government's response to the COVID-19 pandemic can be viewed on YouTube.
• The press conference slides and datasets used by Professor Stephen Powis, Medical Director for the NHS are available to read.
• Health and Social Care Secretary Matt Hancock gave the 1 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic. The transcript is available to view online.
• The latest government advice on coronavirus is available online.
COMMUNICATIONS FROM NHS ENGLAND
8. NHS England Primary Care Bulletin – new edition – 4 May
COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (4 May) and in this issue includes paediatric multisystem inflammatory syndrome, New Birth Registrations and remote caring for registered patients stranded abroad. 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. NHS England Primary Care Bulletin – 1 May
COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin (1 May) and in this issue includes the letter asking primary care and community health services to help provide the best possible care for our care home residents, Bank Holiday opening, and remote total triage in general practice.
10. Digital Primary Care Webinars this Week
COVID-19 - Digital Contractual Targets
Tuesday, 5 May 2020, 12:30 to 13:00
This webinar from NHSX is designed to help practice staff understand the digital related commitments in line with the GP contract in light of COVID-19, as well as the new commitments that have gone live in April 2020.
Register for this webinar
Digital Primary Care Webinars – CCAS
Tuesday, 5 May 2020, 17:00 to 18:00
The Digital Primary Care Team at NHSX are delivering a series of webinars detailing the different digital and transformational programmes being rolled out across the NHS during COVID-19 and beyond. This first webinar will look at the COVID Clinical Assessment Service (CCAS).
Register for this webinar
Using EPS in response to COVID-19
Thursday, 7 May 2020, 4:30 to 5:00
This webinar from NHSX is to help you make the most out of the Electronic Prescription Service during the COVID-19 pandemic.
Register for this webinar
We hope you can join these webinars. If you would like to keep up to date with further webinars you can do so from our FutureNHS workspace Digital Primary Care. If you are not already a member and would like to be please email england.digitalfirstprimarycare@nhs.net and request an invitation.
11. Primary Care Webinar
The next primary care webinar is on 7 May between 5pm and 6.30pm with a focus on an extended question and answer session. The link to join, via Microsoft Teams, is here.
12. 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
Review the content of the letter around primary care and community health support for care home residents.
Note dates for the digital primary care webinar series.
----------------------------------------------------------------------------------------------------------------------------
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/
