EMail Alerts - Oxfordshire
Termination of GP Medical Cover in Oxon Community Hospitals
(06/07/10)
Practices will very recently have received the attached letter from Jackie Adams.
CHO has since explained to me, its views on the previous bed fund arrangements and whether redundancy applies
With the bed fund existing for decades, and so many predecessor organisations, finding complete paperwork has been difficult, but CHO has attempted to do so.
All facts discovered were given to a lawyer for an opinion on the nature of the historic contract arrangements and this has informed the CHO view below.
CHO believes that in most cases the bed fund was a contract for services, and redundancy does not apply.
With the knowledge you have of your own documentation, you may reach a different conclusion.
LMC is happy to help you in these circumstances and invites practices to make contact when appropriate
Paul Roblin
CEO of BBOLMC
Invitation to Travel Health Update (29/04/10)
There are still a few places left - please see the attached invitation to a travel Health Update sponsored by Novartis Vaccines and Diagnostics Limited
Travel Health Update including Focus on New Developments in Meningitis Vaccines
Date: Thursday 13th May 2010
Time: Session 1: 2.00pm - 4.00pm or Session 2: 6.30pm - 8.30pm
Venue: HolidayInn, Milton Keynes East, London Road, NewportPagnell, MK16 0JA
(01908 613688 )
Speaker: Jane Chiodini MSc RGN RM FFTM RCPS (Glasg)
To confirm your free place at one of these meetings, or should you have any queries, please email melanie.allen@novartis.com or telephone 07900 828964, by Monday 10th May 2010 together with your contact details (please note, space will be allocated on a first come, first served basis
Invitation to Travel Health Update (20/04/10)
Please see the attached invitation to a travel Health Update sponsored by Novartis Vaccines and Diagnostics Limited
Travel Health Update including Focus on New Developments in Meningitis Vaccines
Date: Thursday 13th May 2010
Time: Session 1: 2.00pm - 4.00pm or Session 2: 6.30pm - 8.30pm
Venue: HolidayInn, Milton Keynes East, London Road, NewportPagnell, MK16 0JA
(01908 613688 )
Speaker: Jane Chiodini MSc RGN RM FFTM RCPS (Glasg)
To confirm your free place at one of these meetings, or should you have any queries, please email melanie.allen@novartis.com or telephone 07900 828964, by Monday 10th May 2010 together with your contact details (please note, space will be allocated on a first come, first served basis
Informal OXEMS Clinicians Meeting: 16th April 1830 for 1900 GreenCollege, Woodstock Road, Oxford (29/03/10)
To all Oxon practices and any locum GPs
LMC has agreed to circulate the message below from
Angela Jones (OOH GP on the Oxon Performers’ List)
Dear Colleagues
I am
organising an informal meeting at GreenCollege, Woodstock Road, Oxford for clinicians who work at the OXEMS service or who are interested in the provision of OOH care for their patients in the OxfordCity area. (Anyone with an interest in urgent care from the wider Oxfordshire area would, of course, also be welcome).
Laurence Leaver has kindly booked a room at Green College which is reasonably central, accessible by Park and Ride and has a fair bit of nearby on-street pay and display parking. We will get some wine / beer / juice /
nibbles available to keep us going and will appreciate a small donation towards the cost.
The idea is to spend about an hour or so from 1900-2000 discussing the service and any concerns / problems / suggestions
that you may have about workload / organisation / sustainability / anything else. We will then decide how to take these forward, perhaps by establishing a forum.....
Dr Ken Mann is aware that we are meeting and was
supportive when I mooted it, being aware that OXEMS clinicians' input into the clinical management team is more or less non-existent at the moment.
I hope that you will come along and share your views with (hopefully)
like-minded colleagues. Could you email a quick RSVP or apology so I can have some idea of
numbers for catering / room size etc? If you cannot come, feel free to let me have your thoughts by email so I can feed them in.Best wishes
Angela Jones
Correct MSK HUB Fax Number and downside of using K number email addresses (17/03/10)
1. LMC has now been told
that it was given the old fax number for the MSK Hub by the PCT when it issued its email of 5.3.10 (see below)
(The Hub had changed it without telling the PCT)
Please use 01865 738047and not 738027
2. Please also note that
the Hub is prepared to receive emails by K number addresses but is not prepared to email back to them
Notices to practices about the outcome of referrals received by the Hub via K number addresses will be posted back to
practices
Amended: Oxon MSK Hub - important email addresses (09/03/10)
LMC has tried to sort out the frustrations practices have experienced with the MSK Hub
Please read all five bullets in this email
1.Could all practices please note the table of email addresses and numbers for the MSK Hub?
|
Send referral letters to |
|
|
Fax referral letters to (please use rarely) |
(01865) 738027 |
|
Send queries about referrals to |
|
|
Send frustrations with the above enquiry line to |
2.Practices are meant to receive a response form the Hub within 3 working days
3.Please note that LMC has agreed with Oxon PCT that:
A practice can use a K-number address rather than an NHSnet email address
(the latter being preferred)
This address should be the only address the practice should use to send and receive Hub referrals and must be monitored every working day in order to receive the permissions sent
back by the hub. This must apply even when the usual emailer is on leave or otherwise absent from the practice.
(if other addresses are used they must also be monitored on all working days)
4.The triage hub is accepting faxed referrals for practices that do not have access to emails.
The fax number that can be used is (01865) 738027- this is a dedicated fax. No other fax number should be used
5. Oxon PCT is preparing a leaflet to explain the MSK referral process to patients.
Paul Roblin
CEO BBOLMC
Oxon MSK Hub: important email addresses (05/03/10)
LMC has tried to sort out the frustrations practices have experienced with the MSK Hub
Please read all five bullets in this email
1. Could all practices please note the table of email addresses and numbers for the MSK Hub?
|
Send referral letters to |
|
|
Fax referral letters to (please use rarely) |
(01865) 738027 |
|
Send queries about referrals to |
|
|
Send frustrations with the above enquiry line to |
2. Practices are meant to receive a response form the Hub within 3 working days
3. Please note that LMC has agreed with Oxon PCT that:
A practice can use a K-number address rather than an NHSnet email address
(the latter being preferred)
This address should the only address the practice should use to send and receive Hub referrals and must be monitored every working day in order to receive the permissions sent
back by the hub. This must apply even when the usual emailer is on leave or otherwise absent form the practice
4. The triage hub is accepting faxed referrals for practices that do not have access to emails.
The fax number that can be used is (01865) 738027- this is a dedicated fax. No other fax number should be used
5.Oxon PCT is preparing a leaflet to explain the MSK referral process to patients
Paul Roblin
CEO BBOLMC
How to calculate your likely income from the Oxon Diabetes LES
(08/01/10)
The attached automated Excel calculator allows you to put your K number into the pink cell of the sheet “income possibilities”, and then get all your possible income levels from the 2 components of the Oxon Diabetes LES in the orange cells of the same sheet.
This may allow you to make a decision on whether the income is sufficient for the work involved especially given the obligatory training described in LES (see text of the LES attached and Sarah McGuinness’s email below)
For both components of the LES you will need to judge on past performance which tier of achievement you are likely to reach then read across to the associated income under the LES
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
Sarah McGuinness’s email to practices about the Diabetes LES on 14.12.09
Dear Colleague,
Please find attached specification for Diabetes Local Enhanced Service that is available for you to offer.
To confirm you are in receipt of the specification and to assist us in planning training and DSN support, could practices e-mail or fax a copy of the sign up form to Sarah McGuinness, by Thursday 24th December 2009 to indicate whether they will be applying for the LES
Timescales
- Please send completed applications to Sarah McGuinness by 9th January 2010
- n accreditation panel will then meet to assess the applications on 13th January 2010 withfeedback being given to practices between 25th and 29th January 2010.
- Training on Personalised Care Planning is offered on 18th February or 9th March 2010 from9:30 to 16:30, details to follow.
- The enhanced service commences 01st April 2010.
- If you have any further queries please do not hesitate to contact myself or IanCave (ian.cave@oxfordshirepct.nhs.uk)
Kind Regards
Sarah McGuinness
Interim Primary Care Manager - Pharmacy and GMS
Contracted Services
New version of LMC statement on MSK hub to go to practices
(20/10/09)
On 14.10.09, LMC and practices were told by the PCT that an obligatory MSK hub was being introduced and this would operate from 19.10.09
The MSK hub is being introduced because current referral levels to MSK secondary care are unaffordable by the PCT.
LMC finds the arrangements and the timescale unacceptable and will be asking the PCT to alter its plans.
From Monday 19th October, GPs must refer first to a MSK hub that will assess the referral indication. Not one of the assessors is a GP.
If approval for onward NOC referral is given the hub will contact the GP with a reference number. The GP then has to send a proper referral letter containing this number via C+B.
The duplication in GP work is obvious.
From the patient’s point of view, making the system more complicated will undoubtedly produce administrative errors resulting in referrals disappearing into the ether and possible harm
LMC suggested that the usual referral letter be sent to the MSK hub that would either pass it to the NOC or divert it to another provider such as an MSK GPsSI or physio. The PCT has said that the Hub cannot operate C+B which is obligatory, hence the need for a second letter from the GP.
The LMC does not accept this position. If the PCT wants greater demand management, then the MSK hub (or the TVPCA Referral Management Centre) has to operate C+B or C+B has to be dispensed with for MSK conditions.
LMC plans to make the strongest representations to the PCT.
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
LMC letter about funding a Darzi Centre in a recession (20/10/09)
The LMC plans to work with the PCT so that the predicted reduced PCT funding is best used in a recession.
However, this will not involve LMC colluding with the PCT in avoiding decisions that the government might disagree with.
Rick Godlee has therefore written the attached letter to the PCT chair with LMC views on renegotiating the Darzi centre contract in Banbury.
LMC concern is that the centre is predicted to consume Ł1m per annum of PCT spend at a time when other more important services are being cut.
Your support with this approach would be appreciated
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
MUR Workshop 3rd November 2009 (16/10/09)
Could practices please note the following meeting (details in the attachments)
Medicines Use Review Workshop
Focus on priorities 3rd November 2009, 7.30pm
Jubilee House, 5510 John Smith Drive, Oxford Business Park South, Cowley, Oxford, OX4 2LH
Oxfordshire BMA (01/10/09)
From: Prit Buttar [mailto:prit.buttar@gp-K84054.nhs.uk]
Sent: 01 October 2009 11:56
To:Michelle Brownlie
Subject: Oxfordshire BMA
Dear Michelle
Would you mind forwarding the attached letter to all Oxfordshire GPs?
Many thanks.
Prit Buttar
Audit of childhood immunisations (27/08/09)
Your views please on Oxon PCT giving this research team access to OPCT child vaccination records
Explanation and Analysis
Patients who have undergone chemotherapy should apparently be revaccinated, but it appears this doesn’t always happen.
The Paediatric SHO named below is part of a research team looking at this issue and wants to look at PCT child vaccination records (which should now match the records held by practices) to see if this record is different to the official child health record.
I do not imagine such access would be abused and would predict that neither patient not doctor would object to such analysis.
It seems to comply with the information sharing document recently circulated by BBOLMC (attached)
The key part of this document is:
The Code permits practices to pass un-anonymised personal patient information to PCTs without individual patient consent when all 4 conditions below are met:
- It is impractical to obtain individual patient consent
- The information is needed for the PCT to perform its planning and commissioning function
- The likelihood of detriment to the patient from information disclosure is negligible
- PCT use of the information is subject to a strictly enforced internal PCT confidentiality policy
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
Dear Paul
A while ago the PCT gave permission to Dr Avishay Sarfatti, an SHO in paediatrics, to
audit the re- immunisation of children who had undergone chemotherapy. He has looked at the child health records where it appears that these children have not been re-immunised.
He would now like to look at the GP's records to see if anything different is recorded in their records.
As “Decision Support” have the immunisation data from General Practices for the purpose of the Improving Immunisation Project I am emailing to ask if you think that we should approach Practices to ask if we can use the GP data to assist the audit, thereby saving Practices the need to be involved?
The reason for this audit is directly for the benefit of patient care.
The email from Dr Sarfatti is below
Best wishes
Sue Trinder
Decision Support & Performance Information Team Manager,
NHS Oxfordshire
sue.trinder@oxfordshirepct.nhs.uk Â
From: Avishay Sarfatti
Sent: 12 August 2009 08:44
To:
Trinder Sue (5QE) Oxfordshire PCT
Subject: Audit
Dear Mrs Trinder,
Following our telephone conversation I am sending you this email to further explain the audit project we discussed.
I am a SHO in paediatrics with the Oxford Deanery. I work with Dr Matthew Snape, a consultant paediatrician at the JR and the Oxford paediatric vaccine group, looking at the re-immunization of children post chemotherapy.
The ORH trust's guidelines on the immunization schedule to be used with children who are immunodeficient (including children who underwent chemotherapy or bone marrow transplant) was recently updated in line with the RCPCH guidelines. We would like to take this opportunity and see whether these guidelines are in fact being followed in the above group of children.Â
Past attempts to establish whether this subgroup is being re-immunized according to a modified schedule have not been fully successful. This is because the immunisation of these children is conducted by their general practitioner, and previous audit attempts looked at hospital notes solely, where there is no mention of immunization status post treatment.
we took this a step further, and with the PCT's permission accessed the Child Health Computer to establish the vaccinations each child had. When doing so, it appeared that most children were not re-immunized once they completed their course of chemotherapy. We assume that this is not in fact the case, but rather a reflection of a delay in reporting / data entering onto the child health computer.
Our next step is to contact GP surgeries directly, and ask for their permission to obtain information regarding the immunization of these children. To that end we, of course, need the PCTs permission and assistance.Â
I will be happy to provide further information if required,
Please can you confirm receiving this email, as my previous attempt at emailing you bounced back (I believe due to a typing error),Â
Many thanks for your help,
Yours truly,
Dr Avishay Sarfatti
sarfatti@gmail.com
Listing those prepared to help OOH at short notice (06/05/09)
TO ALL OXON PRACTICE CONTACTS - PLEASE CIRCULATE
Please could each practice identify GPs prepared to help Oxfordshire OOH (Out of Hours) at short notice when pandemic workload gets high?
A list of GP names and mobile numbers should be sent to Christine.Hewitt@oxfordshirepct.nhs.uk
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
Sick note for patients discharged from Oxfordshire hospitals
(02/04/09)
To all Oxfordshire Practices
Please note the understanding of the Oxford Radcliffe Trust of its obligation to provide sick notes to both inpatients and outpatients.
“The rule now is that the hospital should provide sickness certification for the full period for
which we believe that the patient should be off work following admission to hospital.
The two week rule was part of the previous guidance governing this topic and has been superseded by the more recent guidance above.”.
Please let me know if this is not adhered to.
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
Factitious Illness (03/03/09)
TO ALL OXFORDSHIRE PRACTICE CONTACTS - PLEASE CIRCULATE
Dear All
Please find attached for your and your GPs’ information guidelines for the management of
factitious illness.
Initial management of suspected FII (fabricated or induced illness) in children
Best wishes
Pauline
Pauline Green
Administration & Information Manager
Berks, Bucks & Oxon LMCs
Tel: 01628 475727
www.bbolmc.co.uk
Details of new OBMHT GP Liaison Service Manager (06/01/09)
To All Oxon practices
Please note information provided on page 5 of issue three of “Intouch” (Oxon PCT Newsletter).
Oxford and Bucks Mental Health Trust now have a new GP Liaison Service Manager (Outlook Card attached)
Dr Paul Roblin
CEO BBOLMC
07799116597 or 01628 475727
Oxfordshire Non-Principals Group - Locum List (23/07/08)
To All Oxfordshire Practices
Dear Practice Managers and other contacts
Please find attached details of a new Group of locum GPs that has formed, and information on how to access us for Locum sessions.
Yours Faithfully
Dr Tom Nichols
Oxford VTS graduate, Locum GP, and Representative of the Group
EMail: admin@oxnog.org
Result of Oxfordshire LMC ballot on need for a Darzi Centre
(23/07/08)
To all Oxon practices
Please see below the result of the LMC ballot of patients on the need for a Darzi Centre.
I would like to thank all those practices that took part and produced almost 7.5 thousand patient responses.
I have sent the result to senior PCT staff, Oxon MPs and the Oxon media. Bill Heine
interviewed me about the result on Radio Oxford yesterday. You can hear this on listen again at (30 minutes into the programme)
http://www.bbc.co.uk/radio/noscript.shtml?/radio/aod/oxford_aod.shtml?oxford/bill_heine
Results:
Papers received - 7467
I think that the money should not be spent on the new clinic, and should be spent on other health needs. - 7103
I think that the money should be spent on the new clinic - 255
No view ticked - 109
Paul Roblin
Chief Executive Berks, Bucks and Oxon LMC
Hospital Certificates and discharge summaries - reply from the ORH
(23/07/08)
To all Oxon practices
Please see the attached letter from Trevor Campbell Davis, the CEO of the ORH
He would like to know of hospital departments not taking seriously their role in issuing sickness certificates, or providing poor discharge summaries
Examples for forwarding should be sent to paul.roblin@bbolmc.co.uk
Paul Roblin
Chief Executive Berks, Bucks and Oxon LMC
Dovedale Counselling services for Oxon and Berks GPs (09/07/08)
To all Oxon and Berks practices
Dealing with pressure - Reminder that guidance and support is available from Dovedale Counselling
Being under pressure is a normal part of life and can lead to improved performance.
But under too much pressure in the practice, for too long, can lead to stress.
Here are some suggestions for managing pressure better:
- Talk about the pressure you are experiencing with your colleagues, family, friends
- Put your energies into trying to finding solutions, manage your time better, learn how to say no
- Look at your work/life balance – is it the way you want it?
- Become more aware of how pressure arises to avoid it becoming a problem
- Make time to relax, eat healthily, take more exercise, try to get more sleep.
For more guidance and support, visit the GP-CARE User Pages
www.dovedale.co.uk/GP-CARE/wellbeing
There, you'll also find information on a variety of other wellbeing issues that can affect your personal and professional life. You can also make a secure online request for face to face counselling.
Notice of a public meeting in Banbury 8th July 6:30pm - 9pm
The People's Church, Horsefair, Banbury (01/07/08)
To all Oxon Practices
From:Helen Groom [mailto:drhelengroom@hotmail.com]
Sent: 01 July 2008 07:24
To: Paul Roblin
Subject: Save our Surgeries and Keep our NHS Public Meeting Banbury Tuesday 8th July
Dear Richard,
I believe you are already aware of the planned Keep Our NHS Public meeting in Banbury next Tuesday 8th July at The People's Church, Horsefair, Banbury (opposite St. Mary's Church). Attached is the leaflet we will be distributing in the town on Saturday.
Would you feel able to send it and a general notice about the meeting out to your local GP colleagues? The meeting is part of a series KONP Oxfordshire are doing this year,
moving around the county looking at local issues. The issue of polyclinics being handed over to big business and creating competition in primary care is another move in what we
see as an orchestrated campaign in the NHS being an open market.
The plan for the evening would be to start with a 'drop in at 6.30pm'. We will do a short
more formal presentation at 7.30pm and then have an hour for open discussion. We would also be interested in discussion about how we can help assist locally in campaigning about the polyclinic.
If you need any further information please let me know.
Best Wishes,
Helen Groom
Clarification on Return of patient ballot papers to LMC (01/07/08)
To all Oxfordshire practices
The closing date for patients completing the LMC ballot of patients over whether Oxfordshire needs a Darzi Centre is Friday, 4th July at 5pm.
After this deadline, could practices that have taken part, please put all completed papers
into an envelope addressed as below and send via the internal (TVPCA) post to:-
Paul Roblin, Manor Surgery, Osler Rd, Oxford OX3 9BP
Site last updated on : 28th July 2010
All data on this site is subject to our Disclaimer
Copyright © 2001-2010 Berks, Bucks, & Oxon LMCs
Serving the GPs of Berkshire,
Buckinghamshire & Oxfordshire
Site designed & built by:
D&G IT Services
BBO LMC
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |