In this issue
Highlights
Sharing care records across south east London
Consultant Connect – telephone clinical advice for GPs
Service updates
Tranche three – paper switch-off
Appointment slot issues – defer to provider process
Email switch off for cancer referrals
Different appointment types for cancer referrals
Allergy Clinic Pre Appointment Preparation – Important Instructions
Select correct services on e-RS to avoid patient delays/ rejections
Patient transport services at Guy's and St Thomas'
Pathology updates from Viapath
Specimen collections – help us to avoid delays
Research
Haematology GP Learning Needs Questionnaire
Training and events
Children’s multi-disciplinary workshop for GPs and practice nurses
Elderly care for GPs and practice nurses
Training and events
Free e-learning for GPs and practice staff
St John’s Dermatology Course for GPs
Next Schwartz centre round
South London Faculty RCGP MRCGP CSA Course
Transforming End of Life Care
Contact
Alex Risorto
Alex.Risorto@gstt.nhs.uk
Tel: 020 7188 4978
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Highlights
 
Sharing care records across south east London

Health and care organisations across south east London are improving care by connecting two successful electronic care record systems.

 

Since 2015, primary care staff have been able to get fast, safe access to electronic care records through the Local Care Record. This system connects GP practices in Lambeth, Southwark and Bromley with Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts, and helps professionals from a range of services to get accurate information about the people they are caring for - helping them to offer the right care at the right time.

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Consultant Connect – telephone clinical advice for GPs

Since it was launched on 16 October 2017, the Consultant Connect service has been well utilised across Southwark, Lambeth and Bromley and we have been encouraged by early positive feedback from GPs and consultants.

 

Consultant Connect is a telephone advice and guidance service which allows GPs to speak with local specialty consultants at Guy’s and St Thomas’ and King’s College Hospital in real time during Monday to Friday between 9:00-17:00.  Each practice In Southwark, Lambeth and Bromley will have received its unique dial-in number to access the service.  If you are not sure what this is, please contact your CCG.

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Service updates
 
Tranche three – paper switch-off

As we move towards receiving 100% of our GP referrals via e-RS, from 1 February 2018 a third tranche of services will accept referrals via e-RS only:

 

  • Cardiology
  • General Medicine
  • Elderly Care
  • Respiratory Medicine
  • Sleep Medicine
  • Ear, Nose and Throat
  • Surgery - Plastics
  • Surgery - Vascular

 

Over the next few weeks we will be promoting the use of e-RS for these services. From 1 February 2018 we will no longer accept GP referrals by email or paper for the above.


We welcome your feedback on our Directory of Services for the above areas.  Please contact Arti Trivedi (e-RS Manager) arti.trivedi@gstt.nhs.uk for issues related to e-RS only. 

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Appointment slot issues – defer to provider process

Whilst every effort is made to ensure enough capacity is available to see all patients there are occasions when appointment slots are unavailable. In this situation please use the 'defer to provider' functionality within e-RS. 

 

To avoid receiving a ‘defer to provider’ message you can search for capacity within ’90 days’ across all trusts within a geographical area e.g. within 10 miles. This means you will only see trusts which have appointments available.This is appropriate for a patient who is prepared to travel and does not necessarily need an appointment at a specific trust e.g. for reasons of continuity.

 

If we are unable to book an appointment via e-RS, we will need to contact you to request a copy of the referral letter. To facilitate this process, when you receive the message ‘defer to provider’, you can email the referral letter, supporting information and the clinical summary directly to gst-tr.GSTTERS@nhs.net. Please do not sent non e-RS referrals/ queries to this mailbox.

 

 

 

 

 

 

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Email switch off for cancer referrals

Since 1 September 2017 ALL 2 week wait (2ww) referrals from GPs must be sent via e-RS ONLY.  Please ensure that you book the appointment in agreement with the patient.  Should the patient wish to book their own appointment (this is not recommended), please explain to the patient how to make the appointment using web or national telephone appointment line (TAL). If the patient is making the appointment, the practice will need to monitor that the appointment has been made and contact the patient if this has not been done.

 

If there are no slots available to book on e-RS, practices should continue to use e-RS and should ‘defer to provider’ and we will process the referral as we can instantly see patients on our appointment slot issues work list.

 

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Different appointment types for cancer referrals

We have three models of bookings for our 2ww services:

 

1. Referral to 1st outpatient.

This is the gold standard process and the majority of our 2ww suspect cancer appointments are booked into directly bookable face to face appointments with a clinician.  The list of areas with these appointments include –

    1. 2WW Brain - Neurology
    2. 2WW Breast
    3. 2WW Head and Neck Cancer – ENT (x3 services)
    4. 2WW Skin
    5. 2WW Urology
    6. 2WW Upper GI (x2 services)
    7. 2WW Gynaecology (x2 services)
    8. 2WW Haematology (x3 services)

 

Please ensure that you select the correct service as some 2ww areas have condition specific services.

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Allergy Clinic Pre Appointment Preparation – Important Instructions

Please note that if your patient is taking antihistamines they need to be advised to STOP taking them before the appointment as they may interfere with any tests.

 

Please advise them to:

  • Stop taking short acting antihistamine tablets or antihistamine medicine (e.g. Piriton) 2 days before their appointment.
  • Stop taking long acting antihistamines (e.g., Zirtek or Clarityn) 5 days before their appointment.

 

Please be aware that some cough and cold remedies (such as Benylin and Medised) contain antihistamines, please ask the patient to speak to their pharmacist if they have any queries.

 

If they fail to stop the tablets this may cause delays to their pathway as we may not be able to perform any tests on the day.

 

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Select correct services on e-RS to avoid patient delays/ rejections

When referring a patient, please ensure that you select the most appropriate service for that condition. The clinic type 'not otherwise specified' should only be used when there is not a more appropriate clinic type available. 

 

Choosing a specific, correct clinic will mean it is more likely you will see an appointment, and less likely to get a ‘defer to provider’, as we have more capacity in sub-services.

 

Information about the referral criteria for each clinic is available on the Directory of Service - please make sure you read it before referring. If you don't know which clinic to chose, please ask the referring clinician at your practice to help you making the right choice.

 

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Patient transport services at Guy's and St Thomas'

Guy's and St Thomas' offers free transport to patients with a medical need who have no other means of travelling to the hospital for appointments.

 

To find out whether the patient qualifies to use this service, they will need to be assessed by a member of the patient transport assessment team. This involves a brief telephone interview and is completely confidential. The assessment has to be carried out at least 48 hours before the appointment.

 

Eligible patients need to contact the Transport Team on 020 7188 2888, Option 1 (7.45am – 7pm). If they need assistance,  a friend or relative can call on their behalf.

 

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Pathology updates from Viapath
 
Specimen collections – help us to avoid delays

Please ensure that specimens are always ready for collection at your practice. Delays may have a detrimental impact on other collections and it takes longer for the specimens to reach the laboratories.

 

Contact us:

 

For any queries or concerns about Viapath, please contact the customer service team by emailing customersupport@viapath.co.uk or phoning 0207 188 8008, option 1.

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Research
 
Haematology GP Learning Needs Questionnaire

The King’s Health Partners Haematology Institute programme has developed a short survey to understand what additional support GPs would value when treating patients with haematological conditions in primary care.

 

The survey should not take more than a couple of minutes to complete. Please click on the link: https://docs.google.com/forms/d/1v0ECFRZGqu6kFHsuCIR0ZHsrw8TFIYEr5bob9pdEcI8

 

The survey should be completed by 31 January.

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Training and events
30 Jan, 18
Children’s multi-disciplinary workshop for GPs and practice nurses
 

The Children and Young People’s Health Partnership would like to invite you to a free evening teaching event on Tuesday 30 January.

 

This multi-disciplinary workshop, run by consultants from Evelina London, Variety Children’s Hospital at King’s College Hospital and South London and Maudsley, will focus on  practical aspects of children’s primary care (full programme to be confirmed).

 

This workshop carries 2 CPD points and a certificate of attendance will be given.

Light supper will be provided. 

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27 Feb, 18
Elderly care for GPs and practice nurses
 
Elderly femaie with female nurse

 Guy’s and St Thomas’ would like to invite you to a free teaching event for GPs and practice nurses. Topics on the agenda include:

  •       Differential diagnosis in bone lesion with suspected cancer
  •        Osteoporosis
  •        Cognitive impairment
  •        Spinal tuberculosis
  •        Paget disease

This event carries 2 CPD points and a certificate of attendance will be given.

 

Don't forget to cancel your booking if you are no longer able to attend so we can allocate your place to someone else.

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Free e-learning for GPs and practice staff

 

The King’s Health Partners Learning Hub is an online collection of educational resources that are free to access for general practice staff in Lambeth, Lewisham and Southwark.

 

Choose from brief tutorials to improve specific skills, structured modules for professional development, expert lectures, or introductory animations. View a selection of resources here.

 

To register, simply provide your full name, email address, and the name of your practice surgery via our contact form.

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16 Jan, 18
 
St John’s Dermatology Course for GPs

The course is aimed at GPs with a range of interests and experience, including trainees fulfilling dermatology requirements of the RCGP curriculum, trainees approaching MRCGP examinations, established salaried GPs and partners looking to update their dermatology knowledge, dermatology clinical assistants, dermatology GPSIs or those with potential roles in commissioning dermatology services. The course is also suitable for physicians with an interest in dermatology (specifically medical and genito-urinary trainees).

Whether you choose to attend for one, two or three days, this course will provide you with a comprehensive, practical and enjoyable overview of dermatology, backed-up by the latest evidence and up-to-the-minute clinical guidelines.

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19 Jan, 18
 
Next Schwartz centre round

The title of the first Schwartz centre round in 2018 is ‘Why I choose to work with dying patients’ and will be taking place on Friday 19th January, in the Tower Lecture Theatre, 30th Floor, Tower Wing, Guy’s Hospital, from 1 – 2pm. Lunch will be provided for attendees from 12:30pm

 


 

 

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29 Jan, 18
 
South London Faculty RCGP MRCGP CSA Course

This accredited RCGP course is commissioned by the South London Faculty RCGP. Run over 2 days, it will familiarise delegates with the MRCGP Clinical Skills Assessment (CSA) module, including methods of preparation and mock CSA cases conducted in small groups with role players.

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19 Feb, 18
 
Transforming End of Life Care

A two-day multidisciplinary course for hospital and community staff for GPs, nurses, healthcare workers and anyone who cares for people in their last year or so of life.

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