Covid19 Daily Briefing 9 July

Key Messages

a) Investigation of the deaths of healthcare and social care workers who contracted the coronavirus

Attached is information that we have been asked to share. This letter provides information about the process and what it means for NHS organisations. The relevance for practices comes if you have a member of staff that dies as a result of coronavirus. See the flow chart for further information

b) GP Connect and Direct Booking set up in TPP

Please see the attached update to amend your settings, should you not be receiving any bookings from YAS and CAS. The correct provider code for YAS should be RX8 – please do not use an alphabetical name search as this leads you to the wrong Provider, although it does read as being the most logical selection.

c) PPE Portal order limits for general practice and social care providers (extract from the Primary Care Bulletin 7.7.2020)

After considering the stock and demand levels of customers invited to the PPE Portal, the Department of Health and Social Care (DHSC) have adjusted the order limits based on size and type of provider. The issues around receiving the eBay confirmation emails has now been resolved to allow registration on the Portal.

information is available on the DHSC PPE Portal guidance page and the Portal customer service team can be reached on 0800 876 6802 for enquiries or registration support. Please ensure you order sufficient stock to supply your PCN f2f sites.

d) Business Continuity Planning for Telephone Outages – Immediate action required.

We have been advised by YAS (111) that, in the event of a telephone outage, practices should not refer patients to 111 via their standard recorded message as YAS are not commissioned to provide a business continuity/contingency planning service.

Please could you therefore review the process of how you support patients in eventualities like this as soon as possible, and consider other options e.g. the provision of mutual aid from within your PCN and update your business continuity plans appropriately.

e) Face Covering Posters

Posters attached - colour copies of the posters have been sent by post to all Practice as agreed at the Q&A Covid Secure Session. If you require additional copies please let us know

f) Update to COVID shielding guidance issued 22 June 2020, applicable from 06/07/20

Key points

· Three Annexes provide amended shielding guidance applicable from 6 July 2020

· The update is due to additional advice received from the Royal College of Paediatrics and Child Health (RCPCH).

· Annex 1: key points about the updated guidance and information on maintaining the shielded patient list (SPL).

· Annex 2: key points about local lockdown measures and how they relate to shielding and protecting people who are considered clinically extremely vulnerable.

· Annex 3: what this guidance means in relation to cyp & how the Govt. expects the guidance to be implemented. Also includes instructions for specialists & instructions for GPs.

o All CYP currently identified as clinically extremely vulnerable and included on the shielded patient list (SPL) should now be reviewed, with reference to the RCPCH guidance. Conversations should take place with the individual and their families, to discuss whether they are still considered clinically extremely vulnerable. These consultations should happen before the start of the new school term in September 2020.

o A small group of children who receive specialist care will still be considered clinically extremely vulnerable and may need to remain on the SPL following this consultation with their doctor e.g. those receiving cancer care or those at risk of severe infection due to an immunodeficiency.

o Most CYP who were initially identified as being clinically extremely vulnerable, in particular those who are cared for just by their GP, are unlikely to need to remain on the SPL. This includes children with conditions such as asthma, diabetes, epilepsy and kidney disease. However, there could be rare exceptions to this, and removals should always be the result of a clinical assessment and discussion with the patient and their family.

o Where individuals are no longer considered clinically extremely vulnerable it should be explained that they will no longer be advised to shield in future and will be removed from the SPL. No one should be removed from the shielded patient list by their GP or specialist until a discussion has taken place.

o Young people who are transitioning to adult services should discuss their individual circumstances with their current and future specialist, or GP.

g) Bespoke PCC HR Webinar specifically for Calderdale Practice/Business Managers

Wednesday, 22nd July 2020: Surgery 1 - 10:00 – 11:30: Surgery 2- 13:00 – 14:30

This webinar will give you an overview of what’s new in 2020, covering the employment legislation changes relevant to primary care, and what you might need to do. PCC have invited you to each submit one question, prior to booking onto the session, and they will incorporate them in to the content, this is in addition to an open Q&A session. If you do have a question, please submit it via email to by end of day on 15th July, 2020. The invitation to the webinar will be sent directly from PCC.

h) Close Relative Marriage & Genetic Risk: Providing Effective & Culturally Competent Services, 4th September 2020 : free webinar

· Free online learning event, 0945-1530, 4th September

· Delivered by The University of Sheffield and Manchester Centre for Genomic Medicine

· Close relative (consanguineous) marriage has recognised benefits for couples and families. However, this marriage pattern is linked to an increased risk of genetic disorders.

· Poor access to genetic information and services currently leaves many families unsupported.

· The event is suitable for those who wish to support the development of culturally competent services to address this unmet need.

· Aimed at Midwives, Health Visitors, GPs Health Promotion practitioners, anyone working in healthcare, public health, social care or community development,

members of the public

· See attached flyer for more details

i) Supply issues with Pregaday and Intal


Out of stock until


(NB FP10 prescriptions must indicate that a special is required/prescribed by the GP if relevant)


Ferrous Fumarate 322mg/Folic Acid 350microgram (Pregaday) tablets

October 2020

UKMi have provided clinical advice on switching to alternative iron and folic acid containing products


Sodium cromoglycate 5mg (Intal) inhaler

Mid-November 2020

Unlicensed imports have been sourced

Please note that supply issues that have been categorised as tier 1 or 2, DHSC and the MSRG have requested that we use our commissioning routes to reach community pharmacy and GP practices. More serious supply issues are communicated via the Central Alerting System for action. If you have any queries please contact:

j) Postal referrals to the Open Minds Partnership (CAMHS) to cease

The Open Minds Partnership (the new name for CAMHS) continues to accept referrals during the COVID-19 pandemic. Following a review of performance, the First Point of Contact (FPoC) will permanently stop accepting referrals/queries through the post, effective 7th July 2020. This change has been made to safeguard vulnerable children and young people and ensure their needs are met as quickly and appropriately as possible.

It is vital that all colleagues ensure no more referrals are made to the OMP through the post, particularly in relation to the highest risk and most vulnerable children or young people, such as those with suicidal thoughts or emerging eating disorders. The FPoC has told the CCG that it is still receiving such referrals.

What you need to know

The Open Minds Partnership

Children and young people are referred to the Open Minds Partnership if they require support for their emotional wellbeing, mental health, autism and attention hyperactivity disorder (ADHD). The current service offer, including links to the Open Minds web site, can be found at

How to make a referral

All referrals and queries must now be made via telephone, email or online, not through the post. If professionals, parent carers or young people have concerns about the emotional health of a child or young person, please contact the First Point of Contact (FPoC) on telephone: 01422 300 001

email: or make an online referral at