27 April Daily General Practice Bulletin
27 April Daily General Practice BulletinDate: Apr 27 2020 Author: Victoria Williams
You can download the Word version of this bulletin here.
In today’s briefing:
- Expansion of patient testing for Covid-19
- Help us to help you – new NHS Campaign
- Webinar: Patient Assessment the role of physiology and oximetry
- For East Berkshire only: Covid-19 and high risk settings
- Dermatology service for RBWM
- Covid-19 sit rep – FHFT
- CQC responding to coronavirus
- Useful links from NHS England
Clinical hot topics and service updates
Expansion of patient testing for Covid-19
Nationally, more testing capacity has been made available and therefore Trusts will be expanding testing to all non-elective patients that have been admitted and require a bed overnight – this includes patients who are asymptomatic. A similar approach will be applied to elective patients.
Help us to help you: new NHS campaign to encourage the public to seek care where needed
A new public information campaign, including digital adverts, posters and social media featuring NHS staff, will be rolled out from this week to persuade people to contact their GP or the 111 service if they have urgent care needs – or 999 in emergencies – and to attend hospital if they are told they should.
Campaign assets will start to be made available on the campaign resource centre for NHS organisations to use.
Webinar: Patient Assessment the role of physiology and oximetry
The assessment of patients who are unwell with Covid-19 or other causes presents a significant challenge for GPs and clinicians working in primary care. The Royal College of General Practitioners (RCGP) and the AHSN Network are holding a joint webinar looking at the role of oximetry and other physiology in that assessment.
For East Berkshire only:
Covid-19 and high risk settings
You will be aware that there is a focus on preventing and mitigating the risks of Covid-19 in high risk settings such as care homes. Care homes in East Berkshire should phone Thames Valley Health Protection Team (TVHPT) about the first suspected case and suspected outbreaks (2 or more possible cases within a 14 day period) and they will be give infection prevention and control advice. If GPs have any doubt that the care home has done this, or have any concerns, please notify TVHPT directly on 0344 225 3861 (Mon-Fri 0900-1700)/0844 967 0083 (Out of Hours). TVHPT need to know about possible cases in the care home so that they can intervene early on in an outbreak. TVHPT also ask the care homes to link in directly with the GPs.
The guidance on Covid-19 is being regularly updated based on changes in epidemiology and newly available evidence, key current guidance for care homes is the Admission and Care of Residents during COVID-19 and How to work safely in Care Homes (please note flow chart on page 10 is being updated).
Dermatology service for RBWM
In the GP Bulletin (Monday, 20 April) we incorrectly stated the WAMSH was ceasing. We apologise for this error. This service is operational but has been temporarily paused. This is in line with government guidelines to minimise face to face activity during to manage risk s of Covid-19. As we move to recovery phase this service will be resumed as and when Government guidelines change. The MSK Worth service will cease in May, in line with agreed commissioned and contract arrangement pre Covid-19.
Covid-19 sit rep FHFT (26/4/20)
- Number of inpatients diagnosed with Covid-19 in last 24 hours – 11
- The number of Covid-19 related absences of staff, either through sickness or self-isolation – 579
- Number of confirmed Covid-19 patients on mechanical ventilation at 0800 – 21
- Number of confirmed Covid-19 patients receiving oxygen at 0800 – 62
CQC – Responding to coronavirus (Covid-19)
Prof Nigel Sparrow OBE is CQC’s Senior National GP Advisor. Nigel’s surgery 97: Responding to coronavirus (COVID-19)
Useful links from NHS England
Please find below some useful links from NHSE suggested for primary care:
- Primary care website: https://www.england.nhs.uk/gp/
- Covid-19 advice: https://www.england.nhs.uk/coronavirus/primary-care/