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 Planned care news​


Welcome to this weeks Planned Care information page. Every two weeks we will be bringing you up to date information on a range of subjects, this newsletter includes a focus on the 'Integrated Heart Failure Service', Smartcard information,  brief update on Gestational Diabetes at GST and an e-referral (ERS) questionnaire. The link to this page can be found every week in the GP Bulletin. To read pervious bulletins, please click here.

We always welcome feedback – please let us know LAMCCG.serviceredesign@nhs.net if you have any ideas or suggestions for the newsletter or on the content.

Spotlight on: Integrated Heart Failure Service

Guy's and St Thomas' NHS Foundation Trust (GSTT) and King's College Hospital NHS Foundation Trust (KCH) work in partnership to provide the Integrated Heart Failure Service in Southwark and Lambeth. The service provides specialist care in both hospital and community settings as well as support for local GPs on heart failure diagnosis and management. To improve access to specialists, each locality in Southwark and Lambeth now has their own dedicated heart failure team. To find out who works in your local area, click here.

 The service links with other community teams including the Integrated Respiratory Team, @Home service and community palliative care. The service has received support from the Guy's and St Thomas' charity to improve heart failure diagnosis and management in Southwark and Lambeth.

 What services are provided?

  • Education sessions (including evening events and study days) and advice and guidance by phone or email, Monday-Friday
  • Virtual clinics with a heart failure consultant, clinical pharmacist or specialist nurse at your practice
  • Register reviews at your practice
  • Specialist heart failure clinics and home visits in the community
  • Cardiac rehab classes at King's College Hospital and St Thomas' Hospital
  • Access to psychological support for patients with anxiety or depression
  • Patient education including films and other useful resources like a patient ID card and symptom checker
  • Southwark and Lambeth pathways for diagnosing and managing heart failure (click on 'education for GPs'!)
  • Breathlessness algorithm agreed across Lambeth and Southwark by a multidisciplinary group including GPs (click on 'education for GPs'!)
  • Southeast London prescribing guidelines for heart failure medications coming soon- these will be emailed to all practice managers in early summer 2017.

 How to access our patient education films:

 Local GPs:

Local GPs can go to: http://www.thesounddoctor.org/ and enter the generic log in details:

Username: SouthwarkandLambethGPs@GP.com

Password: heart failure

 Patients:

Patients can access the films by emailing info@thesounddoctor.org with the name of their GP practice, hospital or healthcare professional. They will be sent a link to create a username and password.

Please see our website for information and other useful educational resources

 Who to contact for advice:

To book a virtual clinic, register review or education session with your locality team.

Email: gst-tr.khpheartfailurepharmacists@nhs.net

For same day advice, Monday to Friday, on the management of confirmed heart failure patients, contact your locality team.

For diagnostic queries, complex management advice or admission avoidance email KHP consultant mailbox (response within 24 hours, Monday-Friday) for KCH and GSTT. For SGH email stgh-tr.heartfailureteam@nhs.net  

 How to refer:

Please see the Heart Failure Pathways for use in General Practice - select the 'education for GPs' drop down on the webpage.

 Where can patients be seen?

A list of the community clinics is provided below. Patients can also be seen at home (where appropriate) by the specialist nurse or clinical pharmacist.

Cardiologist and specialist nurse clinics are also held at Guy's Hospital, St Thomas' Hospital and King's College Hospital.

 Further details can be found on the Integrated Heart Failure Service webpages.

 heart failure clinics in lambeth and southwark.pngCommunity Heart failure clinics in Lambeth and Southwark.png

 Further information:

To provide feedback on the service please contact Carys Barton, lead heart failure specialist nurse.

Other News:

Smartcards:

You need a smartcard to access e-RS, and all GPs (including locums) and administrative staff should be issued with a smartcard.

 Locums can request a smartcard from the local Registrations Authority (RA) team. Once a locum has been issued with a card, the practice team can contact the RA team and ask for the locum to be given full access for that practice during their employment period.

Key Contacts:

 Also contact the Lambeth GP IT Facilitation Knowledge-base for more information and updates from the IT Facilitator

 Electronic referral system (ERS) - GP Practices - Are you Ready ?

We have created a survey to understand better how we can help you to prepare to move to full utilisation of the NHS Electronic Referral System (e-RS).  Please share the link with GP's within your Practice and we would appreciate your feedback as soon as possible

Gestational Diabetes at GSTT

From Monday 8th May screening for gestational diabetes at GSTT will change significantly, in line with NICE guidance. This will only affect women booked for maternity care at St Thomas' Hospital. All Oral Glucose Tolerance Tests (OGTT) will now take place in the Viapath phlebotomy department, and not in the diabetes and endocrine day centre.