Coventry & Warwickshire COVID-19 Portal

**Please find below the latest 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 local information for primary care, visit our dedicated Coventry and Warwickshire COVID-19 support portal: https://www.cwcovid.support/  

You can also find the latest national information on the NHS England Primary Care site: https://www.england.nhs.uk/coronavirus/primary-care

In today's briefing we include the latest news stories falling into the following categories:

• Latest Local Picture

• Local Updates

• Place Updates

• Latest National Picture

• Education

• Communications from NHS England

• Actions For Primary Care

Please click on the relevant section to view specific information

Coventry and Warwickshire COVID position up to 07.07.2020

Please also note that the methodology employed by PHE for reporting the number of cases has now changed. As of the 2nd of July the methodology changed to both remove some duplicates and to now include testing undertaken through pillars 1 and 2 – therefore there is not a recent surge in cases, but simply a definitional change.

  

• 3,783 cases now confirmed in Coventry and Warwickshire – see note re change in PHE reporting methodology

• 19 of these are currently admitted (-15 / -44.1% from Thursday) 

o Admissions by Trust:

o GEH: 15

o UHCW: 4

o SWFT: 0

o CWPT: 0

• 507 beds still available (+48 / +10.5% from Thursday)

• 0 ITU beds occupied by COVID patients (+0 / +0.0% from Thursday)

• 524 reported deaths in a hospital setting (+4 / +0.8% from Thursday)

Care Home current position as at 07.07.2020 as reported in latest Silver call update

• 252 COVID related deaths in care homes (+0 / +0.0% from Thursday, note some of these deaths may have occurred outside of the home and so may be counted in the figure above)

• 612 Care home deaths in total (+0 / +0.0% from Thursday)

• 781 confirmed cases (+0 / +0.0% from Thursday) 

o Confirmed care home cases broken down by CCG:

o Coventry & Rugby: 420

o South Warwickshire: 241

o Warwickshire North: 120

 Download the weekly data pack.

1. Risk Assessments

Dear All

NHSE issued guidance regarding risk assessments for all GP practice staff on the 24th June (links to download are below) with a request these be conducted within 4 weeks i.e. by 23 July.

 

In order to support you undertake this task we have attached 4 examples of risk assessments – the first 2 have been adapted for local use and have been updated to follow guidance from the latest General practice SOP 3.3 https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/CO485_guidance-and-standard-operating-procedures-general-practice-covid-19.pdf. The third example is from Wolverhampton CCG and this has been recommended by some PMs so we have included it too and the fourth example comes from St Helens and Knowsley Trust who are the lead employer Trust for all GP Specialist registrars.

 

We are aware that many of you may already have started this process these are merely to help those that may not have yet started this exercise.

 

We have been advised that the CCG will be required to report the % of risk assessments completed on 24th July to NHSE, while we aware that reporting for practices is not mandated, however, it would help us to understand the scale of the issues some practices are dealing with and would enable to us to be able to plan additional support that practices may require on either a practice, PCN, local place or Coventry and Warwickshire basis. We thought the easiest way to facilitate this is to add it to the returns you are already sending into the CCG so your next return will include an additional column requesting the following information - “What percentage of your workforce risk assessments have you completed?”

 

We have also produced a light touch checklist based on the information received to date. We hoped we have pre emptied the NHSE request and were keen to share this with you all to save us all having to run around on 23rd July when NHSE confirm what is required.

 

Finally we are STILL trying to confirm the details of the local Occupational health support offer and will advise as soon as we get this information back from NHSE who commission this service on our behalf.

 

However, If you have any questions on the meantime please do not hesitate to contact your Primary Care teams via the usual contact details.

 

Kindest Regards

 

Dr Sarah Raistrick

Dr David Spraggett

Dr Imogen Staveley

Documents available to download

COVID Risk Assessment Guidance

Demographic Responsive staff risk assessment form GP Trainee

Example 1 Risk Assessment Template

Example Framework Risk Assessment Tool

Individual Risk Assessment Proforma 

Primary Care Risk Assessment Checklist 

Risk Assessments for at risk staff groups letter

2. Antibody testing for GP Practices

Antibody testing for GP practice staff is now available and to date there have been almost 300 requests, with 20% of those tested showing that anti bodies have been detected. We are aware of of a glitch in the new system which has resulted in a handful of people receiving a DNA message. If you receive one of these, please disregard it. 

 

Finally, please ensure that you complete all the data requested on the form otherwise this can cause your request to be rejected which could cause a delay. For full details on how to request an antibody test follow this link www.cwcovid.support

 

If you have any problems with the booking system please contact covidstafftesting@uhcw.nhs.uk

3. Letter and guidance to community pharmacies and dispensing doctors announcing commissioning of the pandemic medicines and appliances delivery service for July 2020

A letter from Dr Keith Ridge and Ed Waller confirms that the Community Pharmacy Home Delivery Service and the Dispensing Doctor Home Delivery Service will be commissioned from 2 July until 31 July 2020. The services, introduced on 9 April 2020, were due to run until 1 July 2020. The letter announces that both pharmacies and dispensing doctors across England will be required to ensure shielded patients can receive a home delivery of their medicines until 31 July 2020. Attached to the letter is service specifications and guidance. Dispensing doctors can claim payment for delivery of medicines under the Pandemic Delivery Service using this form. Contractors must submit their claims for payment monthly by 5 August 2020. Claims for this service will not be accepted after 5 August 2020. Payment for the mandatory element of the Pandemic Delivery Service will be made automatically for July.

4. Coventry and Warwickshire - Diabetes update, Issue 7

Distributed on a quarterly basis, the Coventry and Warwickshire Diabetes update includes items on NHS Diabetes Advice line, Type 2 patient information packs and the Diabetes Prevention programme as well as local points of contact. The aim of the publication is to keep you informed of all their diabetes patient education projects and most importantly let you know about any training, education, wider support and opportunities that are available to you as you deliver diabetes care to your patients. Please do contact the team if you have any items you would like to see included in future updates, including your top tips!

5. Test and Trace comic strip 

Coventry City Council have worked with Partners and Public Health England to produce a comic strip aimed at the public that describes each step that those with coronavirus symptoms or confirmed coronavirus should take, including how NHS Test and Trace works. Available here to download and view

No updates this issue.

UPDATES FOR South Warwickshire – 7 July 2020 

No updates this issue.

UPDATES FOR Warwickshire North – 7 July 2020

6. GP IT Issues/ Questions Request

In preparation for the upcoming Warwickshire North GP IT Members Update Meeting on: Thursday 9 July between 1.00pm and 2.00pm, joining details here- Join Microsoft Teams Meeting do note that the meeting will be attended by SWFT IT. If you have any questions regarding any aspect of GP IT including any issues, please submit them to Jonathan.King@coventryrugbyccg.nhs.uk by 5.00pm on Tuesday 7 July for a response in the meeting.

7. Reminder - Flu Vaccination Delivery Survey 

As mentioned in the last Members Engagement meeting we are looking at potential scenarios for flu delivery, but we need your help in understanding what problems practices would have if they were to deliver these and to enable this can you please complete the following short survey. You may find it helpful to imagine what you would need to do if you had to deliver this in two weeks’ time and with shielded patients consideration.

 

This survey is for all staff including Practice Managers, Nurses, GPs and any other clinical staff to complete as we would like to receive as much engagement from practice staff as possible, Practice Managers please circulate to all staff- thank you: https://www.surveymonkey.co.uk/r/8J93KSC

 

Please download the NHSE Primary Care SOP Guidance v 3.3, plus please find government latest infection control guidance here- https://www.england.nhs.uk/coronavirus/primary-care/ to help with making your comments.

 

If you are unable to provide service delivery at a practice level, then an at scale option may be considered or a hybrid of the two.

 

Deadline for submissions is by 3.00pm Friday 10th July 2020.

8. Domestic Violence and Abuse training and referral programme

IRIS (Identification and Referral to Improve Safety) is a general-practice based domestic violence and abuse training, support and referral programme for primary care staff. The Warwickshire IRIS team has set up some more mop-up sessions for those who were unable to attend the previous sessions. If you are unable to make these set dates, please email your IRIS AE with dates of your availability and we can book in a session for your surgery.

 

9. Clinician Refresher (19/08/2020 @ 12:30pm) - This is a refresher of Clinician 1 and 2 and 2 hours, which is open to all clinicians that have previously completed Clinician 1 and 2.

Reception/Admin (23/07/2020 @ 12:30pm) - This is a 1 hour session for reception and admin staff.

The sessions will be run via Zoom, you do not need a zoom account for this, a link will be sent via a calendar invite.

The team can be reached via email: South Warwickshire- Farah_Hameed@refuge.org.uk, North Warwickshire- rebekah_read@refuge.org.uk; Rugby & Leamington- laura_ruff@refuge.org.uk

10. Medical education sessions for all

CCG supported medical education sessions available to all primary care clinicians to watch on a Wednesday lunchtime, the programme can be found on https://www.mededcoventry.com/General-practitioners. Links to the Zoom talk will be published on the site under flyers 48 hours before the session. If you want to rewatch any episode go to the GP section and then to Presentations, (log in using covgp for both GMC and password). Any queries, please contact gpteachingadmin@uhcw.nhs.uk

11. Warwickshire North Virtual education sessions

A number of virtual education sessions that have taken place in Warwickshire North are now available to view. Subjects including heart failure and lower GI and breast cancers are amongst areas discussed. If you are interested in finding out more click here.

• 285,768 people have tested positive for COVID-19 in the UK.

• Latest advice is here

• Coronavirus (COVID-19): getting tested

• NHS Test and Trace contacts more than 130,000 people

• Latest local figures published by GOV.uk and PHE are as of Monday 6 July 2020 at 3:55pm, there are a total of 25,390 cases in the West Midlands.                                                                                                                                                                                                                                           

COVID-19: latest guidance for general practice is issued in the NHS England Primary Care Bulletin from 6 July. The issue information on the new to partnership payment schemes, the alert regarding Cardinal Health Type IIR masks and PPE Portal order limits for general practice and social care providers. The 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/. 

13. COVID-19 General Practice Webinar Recordings and slides

An archive of the national primary care webinars and slides are available online from the NHS Future NHS site: https://future.nhs.uk/P_C_N/view?objectID=19549104 (a login is required).

14. Media enquiries

A reminder that 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.

15. Please review the updates on antibody testing and the information in the Coventry and Warwickshire Diabetes Update.