In this issue
Highlights
South East London Cancer Alliance - job opportunities for GPs
A closer look at Guy’s and St Thomas’ Community Rehabilitation and Falls Service
Guy's and St Thomas' launch new mental health strategy
Service updates
Breast Cancer Risk Assessment Service
Overview of Lambeth baby feeding services
Bowel Cancer Risk Assessment Service
Radiology: standardising e-RS referral for GP direct access diagnostic imaging requests
Rejected referrals – take action!
Radiology: X-ray referrals
South Thames Cleft Service referrals
It’s easy to view Children and Young People Health Partnership’s records on EMIS
Private Patient services at Guy’s and St Thomas’
Evelina London launches new private general paediatrics service
Pathology updates from Viapath
Information on request forms
Partnership News
I hear you – detecting patient’s mental health needs
Training and events
Free vascular update for primary care clinicians
‘Me-No-Pause’-everything you need to know about menopause
Training and events
Mind & Body Champions event
Come to the 2nd Annual Guy's and St Thomas' Innovation Conference
Respiratory Masterclass
King's Health Partners Palliative Care CAG Knowledge Exchange: Breathlessness
Guidance on how to develop complex interventions to improve health and healthcare
Useful links
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Highlights
 
South East London Cancer Alliance - job opportunities for GPs

South East London Cancer Alliance is seeking expressions of interest for three new positions from general practitioners with an interest in cancer education, screening or living with and beyond cancer/personalised care. They are looking for general practitioners who are passionate about improving cancer services within South East London.

 

The roles will work collaboratively with a number of providers, commissioners, charities and the South East London Cancer Alliance senior team to influence and facilitate change and improvement, provide advice and leadership and support delivery of South East London’s priorities for cancer.  Applicants must be qualified and currently registered as a GP working in active practice across South East London for a minimum of one session per week.

 

 

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Charlotte Williams, Clinical Manager of Community Rehab and Falls Service
Charlotte Williams, Clinical Manager of Community Rehab and Falls Service
A closer look at Guy’s and St Thomas’ Community Rehabilitation and Falls Service

This month we asked Charlotte Williams, Clinical Manager of Community Rehab and Falls Service, to give us an overview of this assessment, treatment and rehabilitation service and give GPs some hints and tips.

 

 

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Guy's and St Thomas' launch new mental health strategy

Figures from Public Health England show that the number of people with mental health conditions within Lambeth and Southwark is higher than the national average.

 

Last month Guy’s and St Thomas’ launched its mental health strategy. It sets out the ways the Trust will improve mental health care and support for patients and staff, alongside their physical needs, over the next three years.

 

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Service updates
 
Breast Cancer Risk Assessment Service

The Breast and Ovarian Cancer Risk Assessment Service is available for anyone living or registered with a GP in the boroughs of Lambeth, Lewisham, Southwark or Bromley. The service is aimed at all women and men who have a family history of breast, ovarian and/or prostate cancer and are concerned about their risk. The cancer risk assessment nurses are based at Guy’s Hospital and run clinics across all four boroughs.

 

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Overview of Lambeth baby feeding services

The Baby Friendly Initiative (BFI) works with health professionals to provide parents with the best possible standard of care around infant feeding. The service holds the UNICEF Baby Friendly Accreditation which reflects joint working across our community and maternity services.

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Bowel Cancer Risk Assessment Service

The Bowel Cancer Risk Assessment Service is available for anyone living or registered with a GP in the boroughs of Lambeth, Southwark or Greenwich. The service is aimed at all women and men who have a family history of bowel, endometrial and/or ovarian cancer and are concerned about their risk. The cancer risk assessment nurses are based at Guy’s Hospital and run clinics in various locations across South East London.

General practitioners can make referrals by e-mail or by telephone.

 

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Radiology: standardising e-RS referral for GP direct access diagnostic imaging requests

Just a reminder that the Radiology Service is only accepting referrals via e-RS with the exception of x-ray which remains a walk-in service.  There are clear benefits for patients and referrers in utilising e-RS which include:

  • Established route of referral for GPs into other Guy's and St Thomas' services
  • Total traceability of referrals from the point of receipt (UBRN) and visibility of outstanding requests
  • More secure than nhs.net requests
  • If for any reason we reject an e-RS referral this is immediately visible at your end
  • Similarly once the patient is scheduled the date is also visible to you and your team

 

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Rejected referrals – take action!

As a general rule, if there is a UBRN (unique booking reference number) visible on a worklist this means it requires attention.

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Radiology: X-ray referrals

Please note that the current process for requesting plain film (x-rays) remains the same, however the referral form has been updated and we no longer accept the ‘green forms’. Patients should leave their GP consultation with a paper referral form fully completed and access one of the walk-in services at Guy’s, St Thomas’ or Evelina London.

 

Please remind the patient that they must bring this form with them when coming. To avoid unnecessary delays for the patient, please ensure that request forms clearly show the patient's name, date of birth, address and contact number. The form and process are available on the Guy’s and St Thomas’ website and have been distributed to local CCGs.

 

 

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South Thames Cleft Service referrals

Referrals for all new babies should be made by contacting the clinical nurse specialist (CNS) by phone. Please see the antenatal and postnatal referrals section for a list of local CNS phone numbers.

 

NHS GP Referrals

All referrals are to be submitted using the NHS e-Referrals service (formerly Choose and Book) – we no longer accept emailed referrals. Referrals sent to the nhs.net mailbox or by post from GPs will not be processed. Should you require advice about a patient, please use the advice and guidance facility through e-RS.

 

You can find full information on the website.

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It’s easy to view Children and Young People Health Partnership’s records on EMIS

Step 1: Open the patient Care Record in EMIS.

Step 2: On the left hand side of the screen, select ‘All Records’ view on the toolbar.

Step 3: In the All Records view, GPs can simultaneously view your notes and notes added by CYPHP.

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Private Patient services at Guy’s and St Thomas’
 
Evelina London launches new private general paediatrics service

A new private general paediatric service is now available at Evelina London Children’s Hospital.

 

Appointments can be made about a wide range of conditions affecting children from birth to 16 years of age, including growth and development, feeding and nutrition, behavioural problems, acute infections, viral illnesses and many others.

 

Consultations are available with Dr Claire Lemer, an experienced paediatric consultant. Dr Lemer is also clinical director of medicine and neonatology services at Evelina London.

 

 

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Pathology updates from Viapath
 
Information on request forms

We have noticed an increase of request forms arriving without sufficient information.

 

Please ensure that all request that are not made on tQuest include the following:

  • Patient’s first and family name
  • Patient’s date of birth
  • Patient’s gender
  • Requestor’s name and location -Internal Request - location (ward code) and clinician details/code -External Request - address label/surgery and GP details.
  • NHS and/or Hospital number
  • Type of specimen
  • Date/time of specimen collection
  • Test(s) required
  • Relevant clinical information
  • Request forms should be dated and signed by those taking the specimen.

 

Errors made when completing the form may result in delays or in the request being unprocessed.  For further information please visit http://www.viapath.co.uk/test-information

 

In the first instance tQuest should be used for test requesting where available.

 

If you have any queries or comments, please do not hesitate to contact us at viapath.customersupport@nhs.net

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Partnership News
 
Mind & Body GP Clinical Lead Naomi Stent
Mind & Body GP Clinical Lead Naomi Stent
I hear you – detecting patient’s mental health needs

Mind & Body GP Clinical Lead Naomi Stent discusses the importance of early detection of mental health concerns based on her experiences.

 

Last month Public Health England has launched the ‘Every Mind Matters’ campaign. To raise the importance of early detection of mental health concerns, our Mind & Body GP Clinical Lead Naomi Stent shares advice on how primary care staff can support someone who may be experiencing a mental health problem.

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Training and events
22 Jan, 20
Free vascular update for primary care clinicians
 

The South East Vascular Network and Guy’s and St Thomas’ NHS Foundation Trust are delighted to invite you to a free evening teaching event on vascular care, Wednesday, 22 January 2020, 19:00-20:45 (light supper from 18:30).

 

This multi-disciplinary workshop will focus on practical aspects of managing vascular conditions:

  • Vascular referral routes and alternative emergency referrals avoiding A&E
  • Claudication causes and exercise programmes - Clinical Nurse Specialist and Vascular Physio
  • Diabetic foot management and prevention - Dr Stephen Thomas, Clinical Director, London Diabetes Clinical Network
  • Critical limb ischemia - Mr S Patel, Vascular Consultant (lower limb lead)

 

 

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16 Jan, 20
‘Me-No-Pause’-everything you need to know about menopause
 

Women’s Services at Guy’s and St Thomas’ would like to invite you to a teaching event for GPs and practice nurses in the McNair Centre at Guy’s Hospital.

There will be demonstrations, clinical cases and networking opportunities. Topics include:

  • signs and symptoms, treatments, complex cases
  • Premature Ovarian Insufficiency
  • Sexual difficulties in menopause

 

 

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12 Nov, 19
 
Mind & Body Champions event

We would like to invite you to a celebratory reception in honour of two years of the Mind & Body Champions Network. This free event will take place on 12 November, from 4pm to 7pm at the Lambeth Town Hall – canapés and drinks will be available throughout.

 

The event will provide an opportunity to celebrate the Mind & Body Programme, our Champions, and all those colleagues who have contributed to our projects – or would simply like to learn more! You’ll be able to network with others and learn more about the Mind & Body programme, including some exciting up and coming opportunities. To highlight some of the fantastic work that has been done across King’s Health Partners to better integrate mind and body care, education, and research we will also be hosting an awards ceremony to celebrate some of our most inspiring Champions.

 

 

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18 Nov, 19
 
Come to the 2nd Annual Guy's and St Thomas' Innovation Conference

After the success of last year’s inaugural conference, the Innovation Conference will again bring together clinicians, academics, innovators, industry representatives and healthcare managers to explore the future of technology in healthcare, cultivate a collaborative environment, and create a vision for how the design and implementation of clinical innovation can flourish at Guy’s and St Thomas’.

 

Keynote speaker: Matt Gould, CEO, NHSX

 

 

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20 Nov, 19
 
Respiratory Masterclass

Guy's and St Thomas' Respiratory Masterclass focuses on the application of national and international guidance and offers an opportunity to translate these recommendations into best clinical practice. Some of the most well recognised and knowledgeable specialists will deliver this respiratory masterclass.

The masterclass will enable you to:

  • Recognise signs and symptoms of asthma, ILD and COPD
  • Gain an understanding of the diagnosis of asthma, ILD and COPD
  • Understand the application of national and international guidelines on the management of these conditions
  • Be able to accurately deliver inhaled therapy using a range of devices
  • Be able to interpret results of lung function testing and oximetry
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21 Nov, 19
 
King's Health Partners Palliative Care CAG Knowledge Exchange: Breathlessness

This interactive workshop will bring together clinicians, academics and other key stakeholders across all areas of the Palliative Care Clinical Academic Group (CAG) to facilitate knowledge building around breathlessness-related services, research and relevant guidelines.

 

By the end of the morning attendees will be aware of the current landscape of non-pharmacological and pharmacological breathlessness treatments, guidelines and economic evaluations.

 

 

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27 Nov, 19
 
Guidance on how to develop complex interventions to improve health and healthcare

Developing new interventions is important within palliative care and rehabilitation. MRC-funded guidance on developing new interventions to improve health and care has been published recently. 

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