GP Bulletin
For Action

Vasectomy Referrals
Please ensure that you have the correct contact number of 0208 221 4176 on your referral forms.

DXS Update
The DXS Pilot phase gets underway on w/c 29th September 2014, with 9 Practices involved. The good news is that
there is opportunity for the remaining 39 Practices to come on board during November, with DXS training and
software installations planned for October.
The CCG is requesting your help to allocate a local DXS point of contact for the Practice, including a named GP Lead.
Could you email me at some point during w/c 29th September to advise who will fulfil these roles in your Practice?
I’ll also take the opportunity of ringing round the Practices during next week, in preparation for the DXS installations.
In the meantime if you have any queries regarding the project, my contact details are below.
Mark da Rocha
Project Lead DXS and Lambeth App | Primary Care Commissioning
Lambeth CCG | 2nd Floor, 1 Lower Marsh, London, SE1 7NT
: 0203 049 5688 or internal xtn: 505688 : 07825 060 526 email: markdarocha@nhs.net
For Information

One Lambeth Advice (OLA) (Please see attached flyer (1))
OLA is a new pilot service brought to you by the CAB and the Council working together. It ensures that people
seeking advice in Lambeth are able to do so seamlessly and in the way that best suits them

Introducing the NEW Lambeth Integrated MSK Service (LIMS) (Please see attached guidance (2))
What is the new service, and how is it different from the existing MCATTS services?
25 September 2014
Lambeth CCG recently undertook a tender process to procure an integrated musculoskeletal (MSK) service
that will provide clinical treatment, assessment and triage for MSK conditions, as well as local
physiotherapy services. The purpose of the tender was to:
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Ensure consistency of MSK services across all providers in Lambeth
Increase access to local MSK and physiotherapy services for all Lambeth patients
Provide a single point of referral for all standard MSK conditions
Please see attached guidance for further details

South East London Commissioning Strategy Monthly Programme Briefing – September 2014 (Please
see attached briefing (3))
Please see the latest update around South East London Commissioning intentions

Sexual Health New Bulletin (Please see attached bulletin (4a-b))
Welcome to the fifth edition of the Lambeth and Southwark sexual health promotion news bulletin.

Referrals to King’s College Hospital Assistant Conception Unit
The ACU at King’s provides assisted conception treatments for patients who are both eligible for NHS funding and for
those who need to self-fund their treatment. In order to see patients appropriately, we request that a referral form
that ascertains a patients’ eligibility is completed and sent to us following the decision to refer. This ensures that we
have relevant information for the patient/s and provides an indication that the patient/s have awareness of the
funding criteria, or the need to self-fund their treatment.
The referral form can also be found on the Trust website on the page at: http://www.kch.nhs.uk/gps/referral-forms
Please contact the Assisted Conception Unit for further information regarding our services on: 0203 299 5393, or
email: kch-tr.fertility@nhs.net
For further information regarding funding of assisted conception treatment please refer to your local Clinical
Commissioning Group Guidelines.

Updates on the Flu Campaign 2014/15 (Please see attached flyer (5 ))
There have been a few updates on the flu vaccination programme 14/15 recently to be aware of and which you may
wish to share locally.
25 September 2014
Fracture Liaison Service Database (FLS-DB) – GP practice data collection – update (Please see attached
letter (6)
On 18 July 2013 the Royal College of Physicians (RCP) and Health and Social Care Information Centre (HSCIC) wrote
to GP practices in England to outline the aims and data collection arrangements for a planned audit of the secondary
prevention of fragility fractures. Following the outcomes of regulatory processes and advice from stakeholders it has
been necessary to review the design and timescales for this audit. This letter provides updated guidance to practices
on how to participate in the audit.

King’s College Hospital Radiology survey
Many thanks to everyone who completed the on-line survey about King’s radiology service.
Using the results of the survey and some in-house analysis, we can now provide some simple actions that can help to
aid the timely processing of radiological imaging. Please ensure that:
All referrals should include three points of patient identifying details
Name
Date of birth
Address
All referrals should have a handwritten signature and a dated
All referrals should be written in line with The Royal College of Radiologists Guidelines- ‘iRefer: Making the best use
of Clinical Radiology’ available free of charge at: http://nww.irefer.nhs.uk/
Referrals that do not include this information will result in delays to imaging

Annual Memorial Service (Please see attached flyer (7))
The Palliative Care team would like to extend a warm invitation to all GPs and primary care professionals in Lambeth
Southwark and Lewisham, to attend their Annual Memorial Service at Southwark Cathedral Montague Close,
London, SE1 9DA on Friday 17th October 2014 at 7pm (duration: one hour)
For further information, contact
Nicola.Tredinnick@gstt.nhs.uk
Nicky
Tredinnick,
Specialist
Palliative
Care
Social
Worker:
Training Opportunities

Workshops for your Patients (Please see attached flyers (8a-b))
Patients who have diabetes and anxiety and depression have better outcomes if their anxiety and depression are
treated accordingly. This group will help those patients overcome their symptoms. Please share these leaflets with
your staff and patients
25 September 2014
E-Referral Awareness Training Sessions
Lambeth CCG has organised some training sessions on the new E referral system. Training sessions will be led by
Narda Ramrattan-Dass from Health and Social Care Information Centre (HSCIC). The migration of Choose and Book
to the new e-Referral system, will take place between the 14th to 17th of November 2014. The new electronic
referral service will improve the quality of the referral experience for patients and better support current and future
business processes for clinicians and administrative staff.
E-Referral training sessions have been scheduled in each locality and training session dates are:

Session 1 - Thursday 23rd October from 3.30pm to 5pm
North Locality:
Springfield Medical Centre,
110 Union Road, London SW8 2SH

Session 2 - Thursday 30th October from 3.30pm to 5pm
South West Locality:
Gracefield Gardens Health and Social Centre
1st Floor, 2-8 Gracefield Gardens
Streatham, SW16 2ST

Session 3 – Thursday 6th November from 1pm to 2.30pm
South East Locality:
Paxton Green Surgery,
1 Alleyn Park
London SE21 8AU
All sessions are open to Clinicians and General Practise staff within Lambeth. To reserve a place and session that is
convenient for you please email veronica.doe@nhs.net
**********
Lambeth CCG Diabetes Learning Event (Please see attached flyer (9))
The next diabetes training event towards your achievement in the GP Framework 2014/15 will be held on
Tuesday 25th November 2014
12.30pm – 4.30pm
Coin Street Neighbourhood Centre
108 Stamford Street, SE1 9NH
To book a place email: melanie.bahadur@nhs.net
25 September 2014

HIV Getting to Zero is a shared responsibility (Please see attached flyer (10))
A half day briefing session to precede World AIDS Day and National HIV Testing Week. The purpose of this event is
to share information and intelligence about National and local approaches to preventing new HIV infections.

Practical Asthma (Please see attached flyer (11))
The Allergy Academy is excited to announce the return of their Practical Asthma study day which is running on Friday
14th November 2014. This course provides a comprehensive update on the current best practice in the management
of asthma.

Dermatology Course
King’s Dermatology department is holding its Annual GP update course on 6 October 2014,
9.30am – 4.00pm, in the Western Education Centre, Denmark Hill campus.
The course combines practical overviews of managing skin disease in general practice, and also a hands-on patient
master class. The day concludes with a light hearted self-assessment quiz.
The course is open to all GPs and VTS trainees and CPD certificates are provided.
Further information and registration is available from Monica Braithwaite, course coordinator, email:
monica.braithwaite@nhs.net or telephone: 0203 299 4238.

Free Courses from Lambeth Social Care (Please see attached booking form (12))
Many of our customers have been adversely affected by recent welfare reforms. Lambeth Social Care training offer
a range of free benefit courses to help staff better identify and support these customers.
Free Benefit Courses:
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PIP: for people working with people with physical and sensory disabilities – 1st October
PIP: for people working with people with mental health and learning disabilities – 1st October
Introductory overview of welfare reform – 14th October and each following month
Introduction to key sickness and disability benefits: DLA, PIP , AA and ESA – 17th October

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Housing Benefit and Common Causes of Rent Arrears -22nd October
Community Care and Social Security -11th November
How to book a place
Any staff not employed by Lambeth Council can book places by completing the attached booking form and sending
to acslearning@lambeth.gov.uk
The booking form can also be found on their website: http://acslearning.wordpress.com/
To find out more
Go the benefit section of their website: http://acslearning.wordpress.com/
25 September 2014

Free Gynaecology and Assisted Reproduction update for GPs at Guy’s and St Thomas’
Women's services at Guy’s and St Thomas' would like to invite all GPs to a free evening workshop on Wednesday 26
November.
Topics include:
• Endometriosis
• Fertility assessment and treatment according to new NICE guidelines the referral process and eligibility for funding.
Date:, Wednesday 26 November 7:00pm-9.00pm
Venue : Robens Suite, Floor 29 Tower Wing, Guy’s Hospital, Great Maze Pond, London, SE1 9RT
There will be clinical case discussions and attendance certificates provided on the day. This evening event carries
two CPD points.
To book a place or request further information please email: Beverley.Payne@gstt.nhs.uk

SMMGP Primary Care Special Interest Training Day – Reducing Drug Related Deaths
Date: Fri 10 October 2014
Venue: Coin Street Neighbourhood Centre, 108 Stamford Street, London, SE1 9NH
Cost: This training is FREE thanks to funding from HESL. Places are limited and priority will be given to those with a
South London practice postcode.
This special interest training day is aimed at GPs and other front line primary care practitioners and will consider: the
key elements for an effective drug related death reduction strategy and how to overcome potential barriers to their
implementation; overdose is a multi-faceted problem – which factors increase the risk of fatal and non-fatal
overdoses and which interventions have been shown to reduce these events.
Every year hundreds of people who use drugs die as a result of opiate overdose. Naloxone is a medicine that can
immediately reverse the effects of an opiate overdose. Provision of naloxone to the family, carers and friends of
those who use heroin and other opiates can save lives and is being encouraged at a national level.
Programme includes:
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Background to drug related deaths in the UK;
Rationale for use of naloxone, pharmacology;
Who can prescribe and how to prescribe;
How to set up a naloxone service locally;
Understanding the risks of novel psychoactive substances (NPS);
Safeguarding issues regarding medication (families and children).
If you are concerned about any of these issues, then this day is for you. For more information please see the SMMGP
website:
http://www.smmgp.org.uk/html/news/smmgp-training.php#101014
25 September 2014

Best Practice Stream
The Practice Business stream at Best Practice is at the centre of the conference programme and has been designed
by GPs and front line primary care staff to cut to the heart of real, practical general practice issues and provide
concrete support and case studies of how your practice can thrive and prosper.
I will open day 1 with a snapshot of life at the frontline of the NHS
Dr Richard Vautrey will follow with an in-depth and hard-hitting appraisal of the new GP contracts and "what's
coming next"
Dr Phil Yates of leading federation GP Care provides hands-on advice on how to win local service contracts
EXCLUSIVE! - NHS England's Chief Executive will announce future plans and take YOUR questions
Dr Michael Taylor is prescribing proven 'practice ready' guidelines that will help you immediately
Professor Steve Field will dispense the latest CQC inspection updates and practice ratings
That's just day 1 - Day 2 features the Secretary of State, RT Hon Jeremy Hunt and Labour's Shadow Secretary of
State for Health RT Hon Andy Burnham, plus you really, really can't miss Bob Senior's full run-down of the
financial impact of the 2014 contract review - this is crucial knowledge and much more.
View full programme here
Limited education grants for free passes left, if you haven't already
REGISTER FOR YOUR FREE PASS HERE NOW >>

Sexual Health in Practice (SHIP)
This interactive, practical, peer-led training in sexual health has been tailored for GPs and Practice Nurses in the
primary care setting. It will enable LSL clinicians to update knowledge and develop further skills in assessing sexual
health risk, by offering real life approaches to HIV and STI testing, diagnosis and management. Join the 200 LSL
clinicians who have benefited so far from SHIP in changing their practice to tackle our significant local HIV & STI
rates.
Dates:
Practice Nurse Sessions: PN1 & PN2
Date: 7th & 21st October 2014, 12.30 pm - 4.30 pm
GP session: Key Issues in Sexual Health
Date: 4th November 2014, 12.30 pm - 5.00 pm
Final Session for GPs & PNs: General Practice & HIV
Date: 11th November 2014, 12.30pm - 5.00pm
Cost: Free
Venue for :
Session: Practice Nurse PN1a
Abbevilles First Step Trust, Unit 9, Windsor Centre, Windsor Grove, London, West Norwood, SE27 9NT
Venue for :
25 September 2014
Sessions: Practice Nurse: PN1b, GP: Key Issues in Sexual Health & Final Session: General Practice & HIV, for GPs &
PNs
Dulwich Community Hospital, Chapel Room, East Dulwich Grove, Dulwich, London, SE22 8PT
Download Application: http://selnet.org.uk
Contact: grace.gray1@nhs.net Tel: 020 3299 4206,

Safeguarding Training Update
All GPs and practice nurses should be trained to level 3.
If you have not booked on a course please do so as soon as possible.
Lambeth CCG training for level 3 needs to be repeated only every 3 years. If you have done this training you will
need to do an annual update , either via e-learning such as the 'e-learning for health' course or multiagency
training via Lambeth Safeguarding Children Board, or by attending the safeguarding forums for practice leads.
Level 3 : for GPs and Practice Nurses (before doing level 3 it is expected that you will be trained to level 2)
26th Nov 2014 9.00 - 2pm, Mary Sheridan Centre, 5 Dugard Way SE11 4TH
28th Nov 2014 9.00 - 2pm Gracefield Gardens, Streatham SW16 2ST
Level 2 : for all other clinical staff
24th Sept 2014 12 - 3pm , Mary Sheridan Centre, 5 Dugard Way SE11 4TH
26th Sept 2014 12 - 3pm , Gracefield Gardens, Streatham SW16 2ST
If you wish to book please contact Meme Obasohan. O.obasohan@nhs.net
The courses are free of charge to Lambeth staff and lunch is provided.
Level 1 : (for receptionists and admin) The following e-learning module will certify that individuals have met the
level 1 requirement Web address. http://www.kwango.com/lblambsclogin/
Username lambsafech Password lambsch1
In house training - another option is for the safeguarding lead to deliver in-house training to non-clinical staff.
London Safeguarding Children Board has devised a training package, as have the RCGP and NICE do a useful
presentation for clinical staff.
Safeguarding GP leads The supervision meetings for practice leads are about to restart - the first proposed meeting is on16th July 2014
12.45-3pm (venue TBC) and subsequent dates proposed are Sept 19th, Nov 12th, Jan 16th, Mar 11th and May
15th .
Attending 3 out of the 6 forums will be equivalent to level 3 training for the GP lead attending.
For further details, please contact Dr Alison Davidson, Named GP for Safeguarding Children Lambeth CCG
Alison.davidson1@nhs.net
25 September 2014

Facilitation Workshops & Webinars
Below a list of upcoming facilitation workshops/webinars available to Lambeth GP practices during the next quarter
(October - December 2014). You can register via the links provided below.
Title
Choose and Book:
Overview
Choose and Book:
Work list maintenance
Confidentiality,
Disclosure and
Consent
Information
Governance (IG)
Toolkit for IG Leads
Date
16.10.14
Time
10.00am – 11.15am
Format
Webinar
16.10.14
11.30am – 12.30pm
Webinar
21.10.14
1.00pm – 2.00pm
Webinar
13.11.14
10.00am –1.00pm
Workshop
Read Coding
20.11.14
10.00am – 11.00am
Webinar
Data Quality
20.11.14
11.30am – 12.30pm
Webinar
Medical Terminology
26.11.14
10.00am – 12.30pm
Workshop
Venue
Online
(Ref: MCTL10)
Online
(Ref: MCTL11)
Online
(Ref: MCTL12)
Acorn Surgery
136 Meeting House Lane
Peckham, SE15 2UA
View on map
Online
(Ref: MCTL13)
Online
(Ref: MCTL14)
Room ST01+02
Ground Floor
Gracefield Gardens Health
Centre
Streatham, SW16 2ST
View on map
Click here
to register
Click here
to register
Click here
to register
Click here
to register
Click here
to register
Click here
to register
Click here
to register
Please note that we do limit spaces for the workshops to two people per practice in order to accommodate as many
practices as possible. If you have a group of staff that require the same session please contact your nominated
facilitator, either Thomassina or Michelle, to arrange a session in your practice.
25 September 2014