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General Practice Bulletin

12 July 2017

What matters most

NHS Digital is asking users about future enhancements to the Electronic Prescription Service (EPS).  Prescribers and dispensers have told us which enhancements are required, now we need to understand which are most important to you so we can prioritise them to use the resources and time available most effectively.

For example:

  • would you prefer private prescriptions or personally administered prescriptions to be included in EPS?
  • Would you prioritise adding an alert about urgent antibiotics to the script over automatically cancelling all outstanding repeat dispensing regimes when a patient leaves your practice?

The survey should take around 10 minutes to complete depending on your answers. Please share this link with others in the practice as we need to know what people in different roles think.

Providing new insight into cervical screening

A new, interactive dashboard is providing more detailed and timely information about cervical screening coverage. It will help to empower GP practices, CCGs and local authorities to improve cervical screening attendance and coverage rates for this potentially lifesaving test.

NHS Digital, Public Health England (PHE) and Jo’s Cervical Cancer Trust have collaborated on the initiative, which aims to provide easier access to the latest data about cervical screening.

Take a look at the interactive dashboard homepage and the GP Practice level report.

Latest news from the Information Governance Alliance (IGA)

The Information Governance Alliance (IGA) newsletter provides a single place to get the latest news on hot topics in information governance (IG). The new issue includes articles on the plans for a new IG Training Tool, the next steps for the IG Toolkit, the changes to data protection law (GDPR), the refreshed UK Caldicott Guardian Council and a project to improve IG in care homes, plus there are links to recent webinars including one on GDPR. You can subscribe to future editions here. We welcome suggestions and requests for new guidance and advice so please get in touch. You can also contact us through our website.

IGA Conference November 2017 - Your invitation

For the first time the IGA Conference for Caldicott Guardians, IG professionals and SIROs will be combined with the Caldicott Guardian annual conference. This event will take place on Tuesday 28 November 2017 at the Kia Oval, London.

GPs are welcome to attend the conference which will cover four main themes:

  • GDPR
  • Cyber security
  • Data sharing
  • IG Toolkit and training tools

You will hear from top speakers including Dame Fiona Caldicott, the National Data Guardian, Dawn Monaghan, Chair of the Health and Social Care Working Group on GDPR and Dan Taylor, Head of NHS Digital's Data Security Centre.

The conference will provide consistent, authoritative advice and practical information from experts, both national and local, on all of the hot topics in information governance this year.

We expect there to be high demand for this free-to-attend event, so please register your interest as soon as possible. We will prioritise applications from Caldicott Guardians, IG professionals and SIROs from health or social care organisations. Places are limited to two people per organisation and will be confirmed by the end of July.

Register your interest to attend the IGA Conference 2017 by 18 July 2017. We look forward to welcoming you.

Have you completed the workforce census?

All GP practices should complete the primary care workforce census which is vital in addressing workforce pressures. You can register online.

If you have previously completed the census and wish to make revisions to your practice records please do so by midnight on 30 September 2017 to support the next extraction.
The Primary Care Web Tool:

  • is secure
  • is available 24/7 365 days a year
  • retains previously entered data
  • has a support page including guidance, FAQs and the 2017 extraction timetable.

Take part in the National Diabetes Audit

The National Diabetes Audit (NDA) data submission 2016-17 is open now and will close on 21 July 2017. Part of the National Clinical Audit Programme commissioned by NHS England, the NDA collects data from GP and specialist diabetes services and provides case-mixed adjusted reports to support local quality improvement initiatives. The reports allow services to benchmark the care they are giving with NICE recommended standards, to compare to other similar services and to identify areas for improvement. The NDA results are part of the CCG Improvement and Assessment Framework and will be used to measure changes in patient care following implementation of the Sustainability and Transformation Fund. For details about how to submit your data please see the NDA Collection webpage. Take a look at the previous report and supporting documentation.

MiQuest: Important changes affecting your organisation

Following a comprehensive review of the data extraction service MiQuest, NHS Digital will not be undertaking any future development of this service. This decision has been taken due to:

  • the requirement for increasing levels of information governance for data sharing and dissemination
  • MiQuest would need to be redeveloped to cater for the introduction of SNOMED CT
  • the need for all information systems to cater for patient preferences.

You should plan to transition away from MiQuest by April 2018, ahead of the introduction of SNOMED CT.  MiQuest will continue to operate between April and the end of the current arrangements for the GPSoC framework (December 2018), albeit with some limitations to the functionality. We have written to MiQuest license holders to explain what these limitations will mean.

To maintain business continuity throughout this period of change, NHS Digital and your General Practice system suppliers can provide assistance in understanding the required changes and planning for transition to alternative arrangements. If you have any queries regarding this change please contact either the NHS Digital helpdesk via exeter.helpdesk@nhs.net or contact your General Practice system supplier directly.

Advice and Guidance Multi-way Conversations (A&G Dialogue)

A new feature in Advice and Guidance in the NHS e-Referrals Service introduced the ability for clinicians to have multi-way conversations about patients. Enhanced Advice and Guidance is just one way the service has been improved over the last year. Read about all the improvements and how they are supporting practices, CCGs and trusts prepare for October 2018 when all referrals need to use the NHS e-Referral Service.

NHS Digital has produced a presentation to provide more information on Advice and Guidance functionality.

An enhanced  conversation helps in referring patients to the correct clinic and can eliminate the need for a referral altogether. A local system introduced by Calderdale and Huddersfield NHS Trust resulted in 57% of patients not needing a referral after advice and guidance at a cost of £23 in comparison to an average tariff of £153 for a referral.

Getting ready for HSCN

NHS Digital has contacted all Clinical Commissioning Groups (CCGs) to advise that they need to prepare to migrate from N3 to the Health and Social Care Network (HSCN). There are a number of procurement options available and CCGs have been asked to confirm their preferred option to us this month.

We are working directly with your CCG to support them through this process to ensure that your network connections remain unaffected during this transition.

To find out more about HSCN go to the HSCN section of the NHS Digital website, or contact the HSCN team.

We want to hear from you

KLAS research is seeking GPs to take part in a five minute survey about interoperability in primary care, followed by a short phone interview. Following 20 years of research into the performance of information systems, KLAS is now working with NHS Digital, NHS England, techUK and CIOs to create an independent interoperability survey. This will focus on primary care, acute care, mental health and social care.

The survey will pull together knowledge about interoperability from across the NHS and social care and allow providers to benchmark the performance and capabilities of suppliers in the market across the health and social care sector. All participating organisations will receive a full copy of the final report.

You can take part in the survey here or for more information please contact KLAS directly by emailing jeremy.goff@klasresearch.com

What did you think of #ClinIC17?

Thank you to all colleagues who attended our first ever Clinical Informatics Congress in Manchester last week.

We’ve created a short survey to capture your feedback from the day. Your opinions are important, especially around what you would like to see at the next event, so please take a few minutes to complete it.

If you missed the event, you can review content from the day via our portal.