In this issue
Highlights
Acute Oncology Service out-of-hours helpline for south east London
Local care records connected across south east London
Children & Young People’s Health Partnership update
General Data Protection Regulation (GDPR)
Diabetic eye screening – action required
Service updates
e-RS only specialties from 1 April 2018
New Skype Baby Allergy Clinic
Menopause on e-RS – advice and guidance
Emails sent to nhs.net
Children's General Paediatric clinics at the Mary Sheridan Centre
Need an interpreter?
New Rapid Access Atrial Fibrillation clinic
Pathology updates from Viapath
Consumables clear-out
TQuest
Training and events
Men’s Health – Urology - 14 June 2018
Maternity teaching event for primary care
Vascular Conditions workshop for GPs and other primary care clinicians
Training and events
Free Physical Activity Training in Southwark
Children’s multi-disciplinary workshop for GPs and practice nurses
8th Annual Anogenital and Oral Dermatology Course
Transforming End of Life Care
Home Mechanical Ventilation UK Meeting
Multidisciplinary Perinatal Mental Health Training Event
Recognition, diagnosis and management of allergic disease in primary care
New Technologies in Thoracic Oncology Conference
Contact
Alex Risorto
Alex.Risorto@gstt.nhs.uk
Tel: 020 7188 4978
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Highlights
 
Acute Oncology Service out-of-hours helpline for south east London

Guy’s and St Thomas’, in partnership with Macmillan Cancer Support, will be providing an Acute Oncology Service (AOS) helpline out-of-hours for all cancer patients across south east London . 

The AOS helpline number out-of-hours is: 020 7188 3754

 

The helpline will provide a nurse-led out-of-hours advice and support service to patients and carers with any concerns about their symptoms and condition.  Calls will be triaged by trained call centre staff. This will ensure the patient’s call is answered promptly and that only clinically appropriate enquiries are transferred to the CNS on call.  It is expected that having this service available at night and on weekends will have a positive impact on the patient’s experience throughout their cancer journey.

[ READ MORE ]
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Local care records connected across south east London

During the past two months, healthcare partners from across south east London, supported by the Sustainability and Transformation Partnership (STP) for south east London, successfully, safely and securely connected together the Local Care Record and the Connect Care information sharing portals.

 

This resulted in approximately 15,000 professionals across some 240 health and care organisations in south east London being able to view the information they need to see at the time they need to see it, helping to improve the care they provide to people.

 

This increased capability has been well received by professionals, citizens and patients. It is improving care, safety and quality and reducing duplication, unnecessary tests and appointments and use of paper records.

For more information visit the website

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Children & Young People’s Health Partnership update

The Children & Young People’s Health Partnership (CYPHP) have been in contact with many GP practices by phone calls and some visits. Based on our conversations with practice staff, it has been mentioned that it would be helpful to know the following few things:

 

•           Each GP practice can earn £10 per eligible patient who has completed and returned their Health Check to CYPHP (capped at 4.8% of your practice caseload of 0-15 year olds).

•           One practice has already earned the majority of their financial incentive.

•           A CYPHP team member can attend either your internal practice meeting and/or work with you to develop a session with your Patient Participation Group. 

Helpful suggestions from practices have included:

•           Running asthma, constipation, eczema, and epilepsy EMIS searches to target eligible children and young people in their practice.

•           Clinicians have kept copies of the Health Checks on their tables to give to specific patients with these conditions. 

 

Please see attached leaflet for more details.

If you have any questions or if you need more materials, please contact CYPHP by phone: 020 7188 2854 or email Gst-tr.cyp@nhs.net

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General Data Protection Regulation (GDPR)

 

The new General Data Protection Regulation (GDPR) is being introduced on 25 May 2018. It is designed to strengthen data protection for all individuals within the EU.

 

To support the introduction of GDPR, we are reminding all of our external subscribers that if they no longer wish to receive Connect, they can unsubscribe via the 'Unsubscribe' button at the top left of this page. 

 

If you have any questions please contact the Trust’s communications team.

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Diabetic eye screening – action required

The Diabetic Eye Screening Programme has now sent emails to all practices with patients who have not attended for diabetic eye screening within the last three years (so their sight may be at risk from diabetic retinopathy). Thank you very much to those of you who have already replied.

 

What your practice should do:

For those who have not yet done so, this involves going through your list and providing any information you have on why each patient may not be attending (e.g. moved away, anxious about eye drops, requires transport) so that we can help support these patients appropriately and encourage them to attend.

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Service updates
 
e-RS only specialties from 1 April 2018

Guy’s and St Thomas’ has signed up to be an early adopter of for the nationally mandated ‘Paper Switch-off’ project. Since 1 April 2018 you are no longer able to send any acute paper or emailed referrals to Guy’s and St Thomas’ for any consultant led first outpatient appointments. 

 

Over the next few months we will further integrate and embed the full use of e-Referrals ahead of the national deadline of October 2018. These next few months are vital for us to get your feedback on how we can also improve any of our services to address any issues faced in General Practice.  Going paperless requires all GP referrals for consultant led first outpatient appointments to be sent electronically to providers via the NHS e-Referral Service (e-RS), previously known as ‘Choose & Book’. 

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New Skype Baby Allergy Clinic

In a measure to improve services for babies at risk of developing food allergy and incorporate the outcomes of recent ground breaking research, including the LEAP (Learning Early About Peanut Allergy) and EAT (Enquiring About Tolerance) studies into routine clinical practice, the Paediatric Allergy department is developing a rapid access allergy prevention service suitable for the following families:

 

1.       Babies under 10 months of age

2.       With suspected food reactions, or eczema or family history of food allergies

 

Please ensure families are aware of the following:

 

1.         Skype for Business app is downloaded on your most convenient device

2.         Following the Skype discussion, they may be invited for a clinical visit on a Friday morning

3.         Unfortunately an interpreting service is unable to support the video call, therefore we are unable to offer this to families who will need an interpreter. Those patients will still be able to be seen in our department face to face and the wait for either skype or face to face is the same.

4.         Patients will be sent the Skype invite and instructions on how to use Skype for business via email.

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Menopause on e-RS – advice and guidance

Our menopause services on e-RS have a long wait for appointments.  An alternative to a referral is to use the advice and guidance facility on e-RS so we can provide guidance on how to manage your patient and in some cases avoid the need for a referral.  Our aim is to respond to your request within 48 hours.  Please contact your local IT facilitator if you do not know how to use advice and guidance on e-RS.

 

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Emails sent to nhs.net

All emails sent to our speciality nhs.net email accounts will receive an auto reply stating “no NHS GP referrals will be accepted via this mailbox, therefore in order to avoid any delays to your patient’s care please use e-RS. Any referrals received by email will be returned to the practice requesting a re-referral via e-RS.”

 

Exceptions stated in the auto reply email: 

Please note that this mailbox will continue to accept referrals via email from tertiary services, GP referrals for patients without an NHS number, private referrals, dental, self-referrals (if appropriate), armed forces, prison services, etc. Please ignore this message if you are one of the exceptions listed and we will process the referral as this only applies to new NHS GP referrals.  Please ensure that the exception is clear in the body of the message.

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Children's General Paediatric clinics at the Mary Sheridan Centre

Did you know that Evelina London Children’s Hospital runs some of their Children's General Paediatric clinics at the Mary Sheridan Centre (Wooden Spoon House) for routine referrals?

This service is primarily aimed at Lambeth, Southwark and Wandsworth patients, who find travelling to the Mary Sheridan Centre much easier than travelling to the Evelina Hospital itself.

 

This is a parallel clinic run by the same team of consultant general paediatricians, and is generally suitable for all general paediatric referrals. However, there is no on-site access to diagnostics (i.e. x-rays, Ultrasound, blood test) so they may be more suitable for referrals where on-the-day diagnostics are less likely to be required.

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Need an interpreter?

If English isn't your patient’s first language, we can arrange for a professional interpreter to be present for their medical consultation.

 

To book an interpreter we will need the following information from you:

The appointment details - where and when it is;

Information on the support/language you need – please specify dialect;

As much notice as possible.

 

We provide British Sign Language (BSL) interpreters and video interpreting via Sign Translate.

To book an interpreter on behalf of you patient please Email: languagesupport@gstt.nhs.uk

Office opening hours: Monday-Friday, 9am-5pm

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New Rapid Access Atrial Fibrillation clinic

A new rapid access Atrial Fibrillation (AF) clinic is accepting patients referred from primary care with suspected AF. All referrals will be seen by a specialist AF-nurse and a pharmacist.

 

Types of patients that can be referred: adults over 18 years, no previous known AF but have experienced symptoms associated with AF. If the patient has documented AF (12-lead ECG or rhythm strip), can you please forward it to us with the referral as that would be very useful.

 

What needs to be done by GP: Ideally before patients see us, it would be beneficial for them to have bloods done- U&Es, FBC, LFTs, TFTs, clotting and cholesterol (as we will be advising patients on lifestyle related risk factors). Recent blood results (within past 3 months) are acceptable.

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Pathology updates from Viapath
 
Consumables clear-out

We have noticed an increase in expired consumables being referred to Viapath labs. This is causing an increase in the number of patient specimens being rejected and needing to be repeated. In particular this is occurring with liquid-based cytology screening specimens. Viapath are unable to process any specimens that are in an expired container.

 

Please ensure that any stock held is within date and discard any expired stock. To arrange for stock to be collected for discarding please contact customersupport@viapath.co.uk

[ READ MORE ]
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TQuest

Using TQuest will improve the accuracy and turnaround time of receiving a report. The system enables the requestor to input the patients demographics using the NHS number and all the relevant tests required. This eliminates typographical errors and missed tests. As this becomes an automatic process it will reduce the length of time to input into the laboratory system and the length of time to process the test(s). This will then also be reported back electronically, improving the turnaround time in which the requestor will be able to view the results and make informed clinical decision on the patients treatment plan.

 

Viapath are keen to encourage all users to look at getting set up to use TQuest and where this is already in use maximising its usage with all doctors where possible.

For further information please contact customersupport@viapath.co.uk or your local CCG contact or IT team.

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Training and events
14 Jun, 18
Men’s Health – Urology - 14 June 2018
 

A free evening event for GPs organised by Guy’s and St Thomas’ and the Royal College of General Practitioners. Mr Ben Challacombe and Ms Claire Taylor – Consultant Urologists, Guy’s and St Thomas’ will present on:

  • Benign Prostate Hyperplasia: diagnosis and management options;
  • Urological Cancers: Recognition – when to refer;
  • UTIs in Men – Management

To reserve a place please book online via this link.

 

Date: Thursday 14 June 2018 (7-9pm)

Cost: free

Venue: Education Centre, 75-79 York Road, London, SE1 7NJ.

Light supper will be provided.

 

If you require any further information or you have problems booking in, please email Alex Risorto (Primary Care Liaison Manager) alex.risorto@gstt.nhs.uk

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26 Jun, 18
Maternity teaching event for primary care
 

Women's Services at Guy’s and St Thomas' would like to invite all GPs and community nurses to a free evening workshop on Tuesday 26 June.

This multi-disciplinary workshop will focus on the following topics:

  • Screening
  • Anaemia in pregnancy
  • Urgent Care in pregnancy (Maternity Assessment Unit)

There will be clinical case discussions and attendance certificates. This evening event carries two CPD points.

Date: Tuesday 26 June 2018 (7-9pm)

Venue:  Education Centre, 75-79 York Road, London, SE1 7NJ

Light supper will be provided.

Click this link to book a place.

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17 Jul, 18
Vascular Conditions workshop for GPs and other primary care clinicians
 

Guy’s and St Thomas’, would like to invite you to a free evening teaching event on Tuesday, 17th July 2018.

 

This multi-disciplinary workshop will focus on practical aspects of managing Vascular Conditions:

  • Alternative Emergency referrals avoiding A&E.
  • Diabetic Foot Management and prevention.
  • Varicose Veins Treatment.
  • Compression Bandage Demonstration. 

 

Light supper will be provided, generously sponsored by Sigvaris and Bayer.

[ READ MORE ]
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15 May, 18
 
Free Physical Activity Training in Southwark
Public Health England (PHE) is offering free locally tailored training sessions for doctors and other interested health care professionals in primary care in Southwark
A PHE-trained clinical facilitator  will give bespoke sessions including motivational interviewing techniques’, which has had positive feedback from those colleagues who have already attended.
Flexible sessions offer groups 1 to 2.5 hours of CPD material shown to increase clinicians understanding, confidence and expertise for clinical practice.
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22 May, 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 22 May.

 

This multi-disciplinary workshop, run by consultants from Evelina London and Variety Children’s Hospital at King’s College Hospital will focus on practical aspects of children’s primary care intervention. The agenda includes the following topics:

 

·       Eczema

·       Allergy

·       Ear Nose and Throat

 

(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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24 May, 18
 
8th Annual Anogenital and Oral Dermatology Course
24 – 25 May 2018, Royal College of Physicians, London

The 8th Annual Anogenital and Oral Dermatology Course provides participants with an overview of anogenital and oral dermatology, including diagnosis, treatment options, dealing with complications and co morbidities, and the latest research in the field. Throughout the programme clinical based studies will be used to highlight current treatments and to combine theory and clinical practice.

 

This course is open to all healthcare professionals (dermatology, gynaecology, GU medicine, oral medicine, GPs, and specialist nurses) who wish to learn more about the diagnosis and management of male and female anogenital and oral dermatological disorders.

 

To book or for more information please visit the website here or email events@gstt.nhs.uk

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04 Jun, 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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08 Jun, 18
 
Home Mechanical Ventilation UK Meeting
8th June 2018 | Governor’s Hall, St Thomas’ Hospital, London

The HMV UK Meeting provides a multi-disciplinary network for established clinicians and healthcare professionals that are either caring for patients dependent on home mechanical ventilation, or that have an interest in continual care using highly advanced specialist technologies.

 

The meeting offers an invaluable opportunity to learn more about the latest advances in the management of children and adults with chronic respiratory failure. The HMV UK Meeting is also renowned for providing respiratory professionals and experts from around the country with the opportunity to network and knowledge share.

The topics covered will include:

  • Complex home ventilation
  • Weaning processes
  • Critical care
  • Specialist home ventilation units
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13 Jun, 18
 
Multidisciplinary Perinatal Mental Health Training Event

The Specialist Perinatal team would like to invite you to a learning event on June 13th 9am-1pm or October 17th 1-5pm, in St Thomas’ Hospital Antenatal Care day room. The event is open to all staff supporting pregnant women.

 

Topics covered include:

  • Who are the perinatal mental health team and how do I refer?
  • Overview of mental health disorders
  • Medication
  • Asking difficult questions
  • Personal account from service user
  • Support for mild and moderate mental health issues
  • Self-help for staff
 
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20 Jun, 18
 
Recognition, diagnosis and management of allergic disease in primary care

This free study day run by the Children’s Allergy Service will satisfy your enquiring mind.

 

The day will be in two distinct sessions, the first will focus on recognition and management of allergy in infancy. The afternoon session will look at how allergic diseases affect children at school. The day will include interactive session to give hands on practical application of this knowledge and will be underpinned by the latest evidenced based guidelines for the management of allergic disease in children.

 

See attached programme. You can choose to come to all of the day or the part which is relevant to your practice (am or pm) please specify when booking.

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25 Jun, 18
 
New Technologies in Thoracic Oncology Conference

The New Technologies in Thoracic Oncology Conference will help participants to appreciate the importance of a multidisciplinary approach to diagnosing and treating thoracic malignancies and understand roles of thoracic surgery in the era of targeted therapy and the impact of new technologies. Physicians and allied health professionals will improve their understanding of contemporary, minimally-invasive surgical approaches to lung cancer and multimodality approach for pulmonary metastases, advanced tumour and rare thoracic malignancies.

 

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