Retired Quality and Outcomes

Framework (QOF) indicators

No. 280
January 2015

Cornwall & Isles of Scilly

LMC Newsletter

Following concerns highlighted by practices and LMCs this week relating to the
request from the Health and Social Care Information Centre (HSCIC) to extract
data related to retired QOF indicators (see GPC statement attached), the GPC
Executive Team has taken up the professions legitimate concerns with NHS
England and NHS Employers. We have received an apology from NHS England
for the error which resulted in the HSCIC statement that it is a requirement for
general practices to ensure they continue to provide the services linked to these
indicators. All parties have agreed that this is incorrect and not in accordance
with the agreement negotiated between GPC and NHS Employers.
As a result of our intervention, HSCIC have replaced the statement with
Practices continue to undertake the work and code activity related to retired
indicators as clinically appropriate. This data extraction will help inform
commissioners and provide statistical information but is not intended for
performance management purposes. The HSCIC documents have been
republished.
www.hscic.gov.uk/retiredQOF
The GPC is also writing to the CQC to alert it to this issue and to seek assurance
that it will not use redundant QOF indicators to judge the performance of
practices as the level of coding will now be so variable.
We hope that these amendments and republication will resolve the earlier
concerns. In the event that you continue to experience issues please contact
your LMC. (info.gpc@bma.org.uk).

Inside this issue:

Retired QOF Indicators

Your Chairman writes

Maternity/Paternity Cover
Cornwall Skin Clinic

Children & Families Act 2014

3/4

Care Certificates

Migrants accessing NHS

services

Update: Occupational Health

The Future of General Practice

Survey.
Funding for Apprentices

Workforce Minimum Data Set

Med1web forms

10

Events

11

Practice Nurse Developments

GP Mentoring Training Course

12

Vacancies
Dr Basil Bile

13/16
17

Quality first: Managing

workload to deliver safe
patient care:
Downloads
Download the full guidance and a
series of templates designed to
help you. Quality first: Managing
workload to deliver safe patient
care
Full guidance
Quality first: Managing workload
to deliver safe patient care
Templates
Items for the Newsletter should be
sent to the Editor, Dawn Molenkamp
at Sedgemoor Centre, Priory Road,
St Austell PL25 5AS
Tel :01726 627978,
e-mail dawn@kernowlmc.org.uk

Your Chairman writes ..

2015 will I think be a pivotal year for GPs and then NHS as a whole. Soon we will have a General Election. All the major parties are agreed on the predicted shortfall in NHS funding but each has a different
view on how this gap can be bridged - of course this is all predicated on a huge saving first, something
that I am yet to be convinced about.
One thing is for sure is that all are agreed that the Five Year Forward view represents an acceptable blueprint. I commend it to all of you as essential reading
Essentially the choice is between Multispecialty Community Provider (MCP) setup or an integrated hospital and primary care provider (Primary and Acute Care Systems). The former would give us more control
and could be delivered through KernowHealth CIC. This organisation which belongs to all of us is maturing and expanding and you will have heard about some of the latest developments from Mike Ellis. I believe that if we are to thrive then KernowHealth has to deliver most of the solutions. I am confident that
given time this may be possible. Hopefully there will be enough of us to deliver the necessary care that is
needed.
10 million pounds has apparently been set aside by NHS England to encourage newly qualified doctors to
become GPs in hard to doctor areas (that unfortunately does not mean us). At last there will be a returners policy and some incentives to encourage GPs to continue working rather than retiring (it will have to
be good!). There is a realisation that General Practice is best placed to deliver the 5 year forward view but
it remains to be seen how this money translates in real differences on the ground.
Meanwhile, keep calm and carry on - the LMC is committed to supporting practices through these turbulent times.

Maternity and Paternity Cover

Payments to cover maternity, paternity and adoption leave will no longer be discretionary, which will provide more financial certainty for both practices and the GPs engaged to provide this cover, and greater
flexibility for practices.
All practices will be entitled to reimbursement of the cost of GP locum cover for maternity/ paternity/
adoption leave of 1,113.74 for the first two weeks and 1,734.18 thereafter or the actual costs.
Full details can be found here.

Some of you may have already received a letter from Cornwall Skin Clinic, as the result of a dermatology
2WW referral to RCHT. CSC is a new collaboration between local dermatologists, Three Spires Medical
Practice and RCHT. We are an NHS service set up to provide community based skin cancer see and
treat services. Patients seen in CSC remain under the umbrella care of the trust and local skin MDT and
have a named Consultant Dermatologist overseeing their care. Clinics are initially being run at Truro
Health Park; we hope to offer services in other GP surgeries in Cornwall in the future. If you would like
any further information about Cornwall Skin Clinic, please contact Lesley Dennis, Strategic Manager,
Three Spires Medical Practice. lesley.dennis@3spires.cornwall.nhs.uk

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Children and Families Act 2014

The implications for health professionals
The Children and Families Act came into force on 1st September 2014. This act reforms and improves services
for vulnerable children, including those with Special Educational Needs and Disabilities.
Central to the Children and Families Act is the need for local authorities and CCGs to ensure that services for
children and young people with SEND are jointly planned and commissioned.
The other main reforms are that:

Statements of SEN and Learning Needs Assessments (LNAs) are replaced by Education, Health and
Care plans (EHCPs). These plans:
give statutory protections from birth-to-25 years
set out in one place all the SEN support a child/young person and their family will receive
Ensure that the child or young person has positive educational outcomes.

Parents and young people with Education, Health and Care plans are offered a personal budget

All local authorities must publish a Local Offer which describes the support and provision available to
children/young people with SEND and their families. Cornwalls Local Offer can be found here.

In the past statutory protections ended at 18 years, at the time when children with disabilities moved to adult
health services. Now, as long as the young person is in education or an apprenticeship, the statutory protections dont end until the young person is 25 years. Therefore, there are implications for health professionals
who work with young people who are over 18 years.
Over the next 3 years existing Statements of SEN and Learning Needs Assessment will be converted to Education, Health and Care Plans.
There is specific guidance for health professionals re the implementation of the act here.
The SEND Code of Practice 2014
The SEND Code of Practice provides guidance regarding the implementation of the act and can be found here
and a guide for parents here.
The SEND Code of Practice highlights the following good practice:

the participation of children, their parents and young people in decision making
the early identification of childrens and young peoples needs and the early intervention to support them
greater choice and control for young people and parents over support
collaboration between education, health and social care services to provide support
high quality provision to meet the needs of children and young people with special educational needs
including those without an EHCP
a focus on inclusive practice and removing barriers to learning
successful preparation for adulthood, including independent living and employment.

Transitions from paediatric to adult services

Health partners have to consider how they will manage the transition of young people from paediatric to adult
services. Measures should be put in place and clearly explained to both the young person with SEN or disabilities and their parents to ensure as smooth a transition as possible. Primary care providers will need to provide
consistency across key transition points.
Contd/...
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Children and Families Act 2014

The implications for health professionals
The Designated Medical/Clinical Officer
Dr Jo Lewis (Consultant Community Paediatrician) is currently the Designated Medical Officer (DMO) for
Cornwall for children and young people aged 1-18 years. The DMO supports the CCG in meeting its statutory responsibilities for children and young people with SEN or disabilities.
The DMO is a non-statutory role which would usually be carried out by a paediatrician, but the role can be
undertaken by a suitably competent qualified and experienced nurse or other health professional in which
case the role would be the Designated Clinical Officer (DCO). For more information, see Chapter 3, paragraphs 3.45 to 3.48, in the 0-25 SEND Code of Practice. There is no current DMO/DCO for the 18 25
year group.
Accountability
Partners will be held to account in a number of different ways. These are set out in the section on local
accountability, paragraph 3.70, Chapter 3 of the 0-25 SEND Code of Practice.
More information about joint commissioning is given in Chapter 3, Working together across education,
health and care for joint outcomes, in the 0-25 SEND Code of Practice.
Health professionals will need to consider the transition from specialist paediatric services to adult health
care. Young people with SEN or disabilities may not meet the thresholds for access to adult services.
They may become reluctant to try to access adult health services if they have a poor experience of transition or face a lack of understanding from professionals. This can have a detrimental impact on their health.
Helping children and young people understand which health professionals will work with them as adults,
ensuring those professionals understand the young persons learning difficulties or disabilities, is vital to
planning transition and promoting good adult health.
After compulsory school age (the end of the academic year in which they turn 16) young people with SEN
or disabilities have the right to make decisions for themselves, rather than their parents making decisions
for them (although their family can continue to provide support if the young person agrees). The right of
young people to make a decision is subject to their capacity to do so, as set out in the Mental Capacity Act
2005.
Health care should be co-ordinated around the young persons individual needs, including their learning
difficulties or disabilities, to ensure the best outcomes for the young person. This means working with the
young person to develop a transition plan that identifies who will take the lead in co-ordinating care and
referrals to other services. The young person should know who is taking the lead and how to contact
them. For young people with mental capacity limitation (or serious physical illness) involvement of parents
and carers is crucial.
For young people with EHC plans, the plan should be the basis for co-ordinating the integration of health
with other services. Where young people are moving to adult health services, the health services and local
authority must co-operate to ensure that the EHC plan and the care plan for the treatment and management of the young persons health are aligned. The CCG must co-operate with the local authority in supporting the transition to adult services and must jointly commission services that will help meet the outcomes in the EHC plan. 19
More information about preparing for adulthood is given in Chapter 8, Preparing for adulthood from the
earliest years, in the 0-25 SEND Code of Practice.

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Care Certificates
This certificate is the result of the work done in the wake of the Francis Inquiry.
What is it?
It is to be introduced for all new HCAs) employed by GP practices from March 2015 (the exact date in March
has not been given). This affects all staff that are not registered (eg not registered with the NMC as a nurse)
but are offering health care to patients for the first time. This will include phlebotomists. It is to try to regulate
HCAs and the aim is for it to be completed within 12 weeks of them starting their job.
What is in it?
The 15 competencies are these:
1. Understand Your Role
2. Your Personal Development
3. Duty of Care
4. Equality and Diversity
5. Work in a Person Centred Way
6. Communication
7. Privacy and Dignity
8. Fluids and Nutrition
9. Dementia and Cognitive Issues
10. Safeguarding Adults
11. Safeguarding Children
12. Basic Life Support
13. Health and Safety
14. Handling Information
15. Infection Prevention and Control
Evidence will be expected from the HCA by using words such as demonstrate or show when assessing competence. Competency will need to be assessed face to face but the learning can be done via e-learning if that
is what the practice deems as satisfactory.
How do I get training for my HCA to pass this?
You can train your HCA in-house with experienced staff. 3 workbooks will be written for practices. They are in
draft form:
Technical Document
Assessor Document
Healthcare Support Worker and Adult Social Care Worker document (Learner Document)
As the employer, you need to assure the quality of the teaching and can sign off and certificate your HCA yourself. There is no accreditation by any other institution needed to sign this off.
There will no doubt also be lots of private providers offering to train your HCAs to pass this and it is possible
that we might be able to access some of the training via the trusts who will be rolling this out to all their new
HCAs too. However, it is anticipated that most of this can be done online (free) or in-house.
Do I have to do it?
Yes, as CQC will check this.
Is it time-limited does my HCA have to renew it?
No once completed, the certificate is portable for the HCA and can take to a new practice. No need to renew.
When will I know more?
There are pilots reporting back soon and a national learning exchange event in February 17th .
.
More basic info is here:

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Briefing for GPC Executive Team on migrants accessing

NHS services
Immigration Act
The BMA briefed MPs and Peers during the passage of the Immigration Bill and made clear that we accept the need
to protect the public purse by limiting access to healthcare in some circumstances, preventing the deliberate misuse
of limited resources. However, any measures to do so must be practical, necessary, and appropriate.
The Bill introduced a change to the residency criteria so that eligibility for free NHS services is dependent on migrants having indefinite leave to remain (ILR). Many migrants who do not have ILR in the UK are working, paying tax,
and making National Insurance contributions. The introduction of a health surcharge will mean that this group of migrants will have to make an additional payment for their healthcare, which is unfair.
We expressed concern about the equity of these changes as there are significant variations in the length of time it
takes for individuals to become eligible for ILR. We also briefed that the introduction of a health surcharge could
make the UK a less attractive destination for skilled workers from outside the EEA, including doctors and other
healthcare professionals.
A system is already in place which allows the NHS to recover the cost of treating patients who are not eligible for
NHS care, including EU citizens. Rather than changing the residency criteria and introducing a new health surcharge, the BMA believes improvements ought to be made within the current charging system in order to ensure
charges are imposed when they should be, and costs are recouped.
The immigration health charge is covered by sections 38 and 39 in the Act, which came into force in May 2014.
In addition to the provisions in the Bill, on 30 December 2013, the Government published plans to extend NHS
charging to visitors and migrants, including primary care and accident and emergency services in England. We expressed concern that the Governments proposals are likely to create a complex patchwork of charging and access
entitlements where some services remain free, such as GP appointments, while others will be chargeable, including
A&E visits.
Independent Implementation Group
GPC is represented on the independent Implementation Group of the Department of Healths Visitor and Migrant
NHS Cost Recovery Programme team by Laurence Buckman and John Canning. Meetings take place every other
month and its terms of reference include the following:

Provide NHS leadership and advice to the Cost Recovery Programme team

Support and champion the policy implementation stage increasing fairness in contribution to the use of NHS services

Provide support to the Chair and Executive Director of the Cost Recovery Programme and focus on how to take
forward pragmatic delivery of the implementation plan with the estimated financial target of 500m by 2017/18
Support transition planning and implementation to other parts of DH, ALBs and the NHS
The group has recently considered changes to the charging regulations, but these apply only to NHS hospitals
Charging for primary care
At the November 2014 meeting the Group was told that the Programme Team has taken the decision to deprioritise
extending and amending charging in primary care in order to focus on delivering existing commitments in Phases 1-3
of the Programme. Two consultations will be launched in the Spring to look further at extensions to charging. There
are plans to start an EHIC pilot in primary care, to encourage the collection of EHICs, increase identification of
chargeable patients and increase the engagement of GPs with the cost-recovery programme generally. GPC will be
involved with a view to starting the pilot as early as possible.
The Group has recently been contacted by the Department of Healths Visitor and Migrant NHS Cost Recovery Programme to ask them to comment on a letter and leaflet due to go out to NHS staff explaining how they can ensure
that the UK is reimbursed for the cost of NHS treatment given to European Economic Area visitors here on holiday,
studying or retiring from their home country.
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Update on Occupational Health

The New Year arrives with the icy blasts of disinvestment in occupational health (OH) that we
have struggled for so long to avoid. I have been working for roughly a year outside of my LMC
capacity to try and streamline OH structures and position us to be able to compete in whatever
procurement was likely to come our way in the wake of OH reorganisation from NHS England.
Sadly, their final word on the matter came just before Christmas and was devastating, and it is
my sad duty to report this to you.
In December I was informed that NHS England will continue to finance all of our current OH arrangements until 31st March 2015. After that date the only services that will receive funding are
the needlestick injury service, and a one-off assessment for practitioners who are struggling. At a
meeting that involved the two LMCs it was agreed by the Area Team that there would be run-off
funding arrangements for those practitioners already in treatment but it was made clear that NHS
England will henceforth not fund any treatment required by sick doctors.
The rationale from NHS England is that all treatments should be commissioned by CCGs and
therefore a sick doctor should be directed to standard psychology services in the usual way. The
argument has been made strenuously that this is completely inappropriate, but to no avail. I have
also written to the Clinical Chairs of both CCGs inviting them to commission specialist OH services for sick doctors. Understandably, their response has been cool, leaving us in a situation
where the most likely outcome will be the termination of the service on 1st April 2015.
For much of my time holding the responsibility for molding our OH strategy the challenge has
been a balancing act between the possible and the necessary, always attempting to hit a moving
target. This has made it especially difficult to brief members as the goalposts have moved so
much. I now find myself in a position of deep pessimism regarding our OH services, and it is only
right that I now make a public statement in that vein.
I find myself torn between sadness at the likely loss of such a national beacon of excellence and
anger at its willful destruction by NHS England, particularly on the background of our workforce
crisis, and in the very month when research was published showing doctors in performance procedures to have a 2000% increase in suicide risk. It is my personal opinion that were these figures to be reflected for any other single group (say prisoners, pregnant women or the learning
disabled) then resources would be thrown at them, quite rightly. It is breathtaking that NHS England chooses to behave in such a way to the staff who man their front line, but that is what they
have done. Their actions could not herald more clearly how little they value GPs or understand
the stresses of the job.
I continue to be in discussion with interested parties in an attempt to salvage something from our
wonderful peninsula OH service, but the New Year message is very clear: the NHS does not wish
to support struggling doctors. Both LMCs have been informed of the situation and a detailed
briefing paper has been sent to all concerned parties. As I write, we are looking at how to wind
the service down in an orderly way. If the goalposts move significantly again then I shall keep you
updated, but in the meantime I can longer maintain a diplomatic silence while the jewel that is the
peninsula OH service is cast aside by an NHS that appears to know the cost of everything and
the value of absolutely nothing whatsoever.
Dr. MB Sanford-Wood MA Cantab, MB, BChir, MRCGP

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C O R NWA LL & I S LE S O F S C I LL Y LM C NE WS LE T TE R

The Future of General Practice Survey

Please find below an e-mail from Chaand Nagpaul from last Friday regarding the Future of General Practice Survey that has now been launched. As Chaand mentions, we would be grateful for your help in encouraging GPs locally to complete the survey. Any GPs who have not received the survey, or have other
queries about it, they should be asked to contact our Health Policy and Economic Research Unit at
info.hperu@bma.org.uk.
Dear LMC colleagues
May I firstly wish you all a Happy New Year.
Some of you will recall that I mentioned at the LMC secretaries conference that the GPC will be conducting a major survey of the profession in the New Year. I'm pleased to give you advance notice that we will
be launching the survey this weekend.
The survey will be carried out by the BMA's health policy economic research unit (HPERU), and who will
be sending out an email with the survey to GPs on Saturday, and on Monday paper versions should begin
arriving.
The survey is necessarily lengthy, in order to gain a comprehensive picture from GPs about their current
work and pressures, how they wish to work in the future, under what arrangements, and importantly how
they would like to see general practice develop.
The results will be able to be stratified to include category of GP, years since qualification, area of work
etc. The survey findings will help inform GPC policy to shape a sustainable, fit for purpose future model of
general practice, and which we will be able to present to the incoming government.
We want to get the best possible picture of the views of all GPs - from trainees, newly qualified, partners,
locums, salaried GPs through to those at the tail end of their careers - and a good survey response rate
will help achieve that.
LMCs support, through promoting the survey and encouraging GPs to complete it, would therefore be
much appreciated.
If you have any queries regarding the survey, please contact jread@bma.org.uk who can pass these on to
HPERU.
With best wishes
Chaand

Funding for Apprentices

The additional funding offered by Health Education South West of 575 for any apprentice on top of the
1500 AGE Grant is still available until March 2015. If you have someone that is on an apprenticeship
programme since 24th Sept 2014 or you would be interested in taking on an apprentice and access this
funding please contact ian.weller@nsahealth.org.uk

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C O R NWA LL & I S LE S O F S C I LL Y LM C NE WS LE T TE R

Workforce Minimum Data Set -GPC position - January 2015

Summary
NHS England has written to GP practices about the supply of a Workforce Minimum Data Set (WMDS). Practices
have been asked to supply data on their staff, including recruitment, vacancies, absences and personal details, such
as date of birth, National Insurance (NI) number and gender.
The intention of the data collection is to allow the Department of Health (DH), NHS England and Health Education
England (HEE) to understand the current NHS workforce and plan for future needs. The data collection replaces the
annual GP census and practices have been asked to submit data through the primary care web tool. The module is
due to be available to practices in January 2015, with the first data submission due by the end of May 2015. Practices will thereafter be asked every six months to confirm the information held within the tool is correct.
The GPC has received a number of concerns from LMCs and practices about the submission of this data. Concerns
are that the data being requested is excessive in relation to the purpose, will create workload for practices and that
the sharing of personal staff data could be in breach of the Data Protection Act (DPA).

Legal position
GPC has sought legal advice to help clarify practices legal responsibilities. The advice has confirmed that under
Section 259 of the Health and Social Care Act (HSCA), the Health and Social Care Information Centre (HSCIC) has
the power to collect information considered necessary or expedient for the purposes of any function it exercises.
For the WMDS, the HSCIC is collecting this data under direction from the DH and NHS England. The advice therefore is that practices are legally obliged to provide the information requested for the WMDS.
With regards to personal data, information such as NI number, name, date of birth, gender and ethnicity will be collected. Under the DPA, Section 10, an individual is entitled to object to the processing of their personal data likely to
cause damage or distress. However, the DH direction for this collection, under Section 259 of the HSCA, imposes a
legal obligation on NHS bodies to provide the data, and this in turn overrides Section 10 of the DPA.
Although the right to object under the DPA is removed, we would advise practices to inform their staff of this data
submission, to comply with the fair processing principle of the DPA. We understand practices will be provided with a
template fair processing notice to explain to their staff how individual data will be used. The template will be available
on the WMDS webpage.

Next steps
GPC remains concerned that the dataset is excessive and will create additional, unnecessary burden for practices at
a time when they are already under severe workload pressure. As such, concerns will be raised again with NHS
England during January and LMCs will be updated. GPC will also be responding to the Privacy Impact Assessment
consultation for the dataset which closes on 20 February 2015, and would recommend LMCs and practices also
consider responding.
Our interim advice is that practices should continue to arrange access to the primary care web tool module, as per
the advice in the December HSCIC email (Appendix 1). The HSCIC will contact practices in the middle of January to
grant access to the module, and provide details of the online training materials and further support. We understand
that the module will be prepopulated with information from the Exeter system and the CE1 collection for practices not
on Exeter. We would recommend that practices then proceed with the data preparation and submission.
Where practices remain concerned about the data collection, they should email the GPC Secretariat
(info.gpc@bma.org.uk), giving specific examples of how this exercise is adversely impacting them, so that concerns
can be taken back to NHS England. Please note that any queries about accessing the web tool should be taken to
the HSCIC, as per the details in Appendix 1.
Further information on the dataset, including the data to be collected and the process for submission is available on
the HSCIC website, which includes a specification overview and set of FAQs.

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Med1web forms and The European Medical Directory

A number of GPs have in the past completed and signed a Med1web form from NovaChannel AG under the
misapprehension that the form offered a free listings service in the European Medical Directory (TEMDI). However, in the small print there was a clause enabling NovaChannel AG to charge for this service, and some GPs
have or are being pursued for payment. Whilst GPs may decide to ignore the requests for payment by the
company, there is always the risk that the individual will be obligated under commercial contract law to render
the amounts claimed in full plus interest.
NovaChannel AG was a Swiss registered company, and its practices were investigated by the Swiss Office of
Fair Trading in 2008. GPC previously wrote to the Swiss Embassy and issued advice to practices based on
their response. However, NovaChannel AG has now ceased trading from Switzerland, and it has been brought
to our attention that payment for the Med1web forms is now being pursued by United Directories Lda (a Portuguese company). GPC subsequently wrote to the Portuguese Embassy for their views, who undertook to inform the appropriate Portuguese authorities on the matter.
We are aware that some doctors have received letters from United Lda notifying them that their files have been
reviewed and that, because they are not independent doctors, their particulars have been deleted from the directory and that the contract is null and void.
We therefore advise all NHS GPs who unwittingly signed up to the Med1web form to contact United Directories
Lda asking for their details to the removed from its directory and for any contract to be terminated. The address
is: United Directories, Lda, PO Box 1571, 1056-001 Lisbon, Portugal or email: info@med1web.com.
This does mean that anyone signing the form without reading the small print is considered to have entered into
a legally binding contract. The decision must rest with the individual or practice as to whether to take the risk of
not paying the charge. We accept that the company in question may be relying on the fact that people do not
read the small print, and equally, it appears to be the case that they do not begin proceedings for non-payment.
However, the BMA cannot advise members to act in any particular way.
This is unlikely to have affected large numbers of doctors, but we are aware of instances where United Directories Lda have accepted that NHS doctors who did sign Med1web forms can consider their contracts annulled.
If you are a doctor practising within the NHS and receive a letter of demand from Med1web, you should reply
noting that you are NHS registered and asking for the contract to be annulled.
If attempting to have contracts annulled by following the above process, it would be helpful if members then
notified the BMA of the outcome. Should United Directories Lda aggressively pursue payments, GPC can notify
the Portuguese Embassy. They have offered to pass on specific details to the Portuguese authorities, and
GPC can continue to lobby on behalf of members for as long as this problem persists.
Background information and comments on the experiences of others can be found on the following independent external websites:
http://stopecg.blogspot.co.uk/2009/11/are-united-directorios-lda-expanding.html
http://www.hospitaldr.co.uk/blogs/hcsa/be-wary-of-european-medical-directory-scam
http://www.mukaumedia.co.uk/temdi-european-medical-directory-scam-decide/
The above links have been provided as a convenience and for informational purposes only; they do not constitute an endorsement or
approval by the British Medical Association of any of the products, services or opinions of the corporation, organisation or individual.
The British Medical Association bears no responsibility for the accuracy, legality or content of the external site or for that of subsequent links. Contact the external site for answers to questions regarding its content.

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Events
11th & 12th February
Cornwall & IoS LMC Conference:

The Headland Hotel, Newquay.

Please note this event has been cancelled due to lack of support.
RCGP Tamar Faculty Events 2015
RCGP Tamar Faculty GP Mentoring Course
Thurs 05.03.15, 1 5 pm, Arundell Arms, Lifton PL16 OAA
GP Mentor Training Course Are you interested in becoming a mentor?
Do you want to support new GPs? Could you become a GP mentor?
The Tamar Faculty of the RCGP and GP School at Health Education South West have set up a mentoring
scheme to support GPs in their first 5 years following completion of training.
Supporting new GPs as a mentor can help them to develop professionally and personally, help them to
grow in confidence and sustain them as they develop their skills in the workplace.
If you are interested in becoming a GP mentor click here for further information about the scheme.
Training will be held on 5 March 2015 at 1.30pm-5pm at the Arundell Arms, Lifton. Lunch will be provided
from 1pm prior to the course.
To book a place please click here for the booking form and email it to Severn Faculty. Places are limited
so members who wish to attend are encouraged to book early.
For further information please contact Dr Susanna Hill Associate Dean , GP School, HEE South West or
email Severn Faculty

RCGP Severn & Tamar Faculties Minor Surgery Course,

Taunton, 15 & 16.04.15
This two day course will enable you to develop the skills required to run a successful minor surgery service in primary care. Topics covered include minor skin procedures, joint injections and non-surgical techniques as well as advice about how to set up a service and the medico-legal and contractual obligations
required of those practising minor surgery.
For full details and to book your place

Liz Bell tamar@rcgp.org.uk

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01392 722744
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Working Well / Living Well

The changing face of primary care nursing Conferences 2015
NHS England Devon, Cornwall and Isle of Scilly Area Team are organising two free events for primary care nursing community as part of the transforming and developing Practice Nurse and Community Nurse programme across the South
West Peninsula.
The Cornwall conference has proved very popular over the last four years and this is the first time a similar event is also
being organised in Devon. There is a place guaranteed for one nurse from each GP Practice and a limited number of additional places for other healthcare workers in primary care book before 20th February 2015. Other places will be allocated
on a first come basis. The agenda will be a mix of clinical and professional development issues.
Dates and venues:
5th March at Finlake Holiday Park, Chudleigh

12th March at Headland Hotel, Newquay

The above conferences are bookable on the new practice nurse websites www.devoncornwallpn.co.uk. Booking deadline:
20th February 2015

A brand new website to support general practice is launched

A new website has been developed by NHS England Devon, Cornwall and Isle of Scilly Area Team and Practice Nurse
Leads to support General Practice Nursing teams. You can access it at www.devoncornwallpn.co.uk
For Practice Managers, the website offers a new way to advertise job vacancies; for Practice Nurses, an area that locum
nurses can advertise and finally an area where anyone looking for work can advertise. It is hoped that newly qualified and
return to nursing students will also use this section. This site has link buttons which will take you into the Devon or Cornwall
specific sites which have news section, resources and a discussion board available. The website also provides information
for nurses about training courses and a new opportunity to book on them through the website.
The Practice Nursing website will contribute to strengthening the workforce in general practice, to improving communication, sharing good practice and reducing professional isolation.
By Magdalena Wood
Practice Nurse Development Programme Lead, NHS England
Peninsula House | Kingsmill Road | Saltash | PL12 6LE
0776 997 2652 magdalena.wood@nhs.net

GP Mentor Training Course

Are you interested in becoming a mentor?
RCGP Tamar Faculty GP Mentoring Course
Training: Thurs 05.03.15, 1 5 pm, Arundell Arms, Lifton PL16 OAA
Do you want to support new GPs? Could you become a GP mentor?
The Tamar Faculty of the RCGP and GP School at Health Education South West have set up a mentoring scheme to support GPs in their first 5 years following completion of training.
Supporting new GPs as a mentor can help them to develop professionally and personally, help them to grow in confidence
and sustain them as they develop their skills in the workplace.
If you are interested in becoming a GP mentor click here for further information about the scheme.
Training will be held on 5 March 2015 at 1.30pm-5pm at the Arundell Arms, Lifton. Lunch will be provided from 1pm prior
to the course.
To book a place please click here for the booking form and email it to Severn Faculty. Places are limited so members who
wish to attend are encouraged to book early.

For further information please contact Dr Susanna Hill Associate Dean , GP School, HEE South West or email Severn Faculty

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The Rame Group Practice - GP Locum Cover for Maternity Leave

The practice is going through an exciting development phase, with its two Torpoint surgeries moving to new purpose
built premises in January 2015 and looking to expand the services offered to patients from the new premises. The
Rame Group Practice has surgeries in Torpoint and Cawsand.
Our practice has 4 GP Partners, 2 salaried GPs, 4 practice nurses and 2 HCAs looking after our 10,000 patients.
We are seeking an enthusiastic GP locum to cover a maternity leave for 6 sessions per week, starting in April 2015.
Initial enquiries to Carole Skorecki at carole.skorecki@16antonyrd.cornwall.nhs.uk

Tamar Valley Health - Locum required Summer 2015.

Tamar Valley Health Callington and Gunnislake Group Practice -Locum required Summer 2015.
Four week locum required at Gunnislake in the beautiful Tamar Valley (7 sessions a week) mid Aug to mid Sep
(dates negotiable) to cover an extended sabbatical leave.
Full support team, and induction available.
Vision computer system.
Practice details at www.tamarvalleyhealth.org.uk Contact Dr Nick Buxton
gunn.cornwall.nhs.uk

01822

832641 Nick.Buxton@call-

Salaried GP required - Three Spires Medical Practice - Truro

The Three Spires Practice is looking to recruit a total of 10 sessions of Salaried GP time.
Job share would be considered and the number of sessions are negotiable for the right candidates.
We are a highly regarded training and research practice, looking for enthusiastic and dedicated GPs to join our forward-thinking, supportive and friendly team. The Practice is located in new purpose-built premises at the Health
Park in Truro, Cornwall. Our list size is approximately 14,500 with a clinical team of 8 partners, 2 salaried GPs, 4
practice nurses and 7 phlebotomists/HCAs.
The post will involve managing your own workload, completing paperwork, home visits, and being part of the duty
rota and extended hours. As a Practice with a long established reputation, you will be encouraged to use your own
initiative and will be supported in developing special interests. Experience in Womens Health will be advantageous.
Truro is a cathedral city and the commercial and retail centre for Cornwall. The beaches of the north and south
coasts are within easy reach, as are the moors, and provide a wide range of sporting and leisure amenities.
Informal enquires are welcome; please contact Katy Hawker, Operations Manager on 01872 246888 or email
k.hawker@nhs.net
Please apply in writing, stating number of sessions, to Sarah Boon, HR Manager, email sarah.boon2@nhs.net
Closing date for applications: 13th February 2015

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Penzance, Cornwall
GP Vacancy Full time/part time GP
Enthusiastic, additional, full-time/part-time, job share GP required for friendly, successful, well-organised and forward-thinking practice.

Location
Penzance is situated on the spectacular Mounts Bay. Town centre location with dispensing rural branch surgery in
nearby Pendeen, 8 miles away.
Excellent schools and leisure centre.

The Practice

Three whole-time equivalent partners.

PMS practice, 5000 patients

Own premises

Paperlight, Microtest system

Friendly, supportive, and dedicated team

Community Matron

Consistently excellent QOF achievement

Involvement in West Cornwall Commissioning Group

No OOH apart from extended hours

Offer wide range of enhanced services

Member of Mounts Bay Medical GP Federation involved in Research & Education

Currently Training Practice

Nurse Led Minor Illness

Female Health Clinic

Salary negotiable and based on skills you are able to bring to the practice
To arrange an informal visit please telephone 01736 363361 to speak with the Practice Manager; Lesley Searle.
Letter of application, and full CV by 20th February to Lesley Searle, Practice Manager, Penalverne Surgery, Penalverne Drive, Penzance, Cornwall TR18 2RE. Tel: 01736 363361. Email: Lesley.searle1@nhs.net

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The Stennack Surgery,

St Ives, Cornwall
Salaried GP
6-8 sessions per week
62,000 - 70,000 pro rata + MDDUS membership
We would like to welcome an enthusiastic committed GP into our team. We are a progressive practice
providing an extended range of high quality services, working from an inspiring grade 2 listed premises in
this picturesque seaside town.

9 partners and 3 salaried GPs

Nurse Practitioners

12,500 patients

Strong emphasis on postgraduate and undergraduate training

Research active

On site MIU, minor surgery, pharmacy and physiotherapy

Community hospital

High QOF performance

Active Patient Participation Group & Friends of Stennack Surgery

For further information please contact a member of our Executive Management Team:
Chris Gendall (Strategic Business Manager) chris.gendall@nhs.net
Dr Sam Freegard (Partner) sam.freegard@stennack.cornwall.nhs.uk
Dr Rupert Morrall (Partner) rupert.morrall@stennack.cornwall.nhs.uk
Or visit our website for more details, www.thestennacksurgery.co.uk
Closing date for applications: 20 February 2015

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Mevagissey Surgery
Enthusiastic, flexible Partners/Salaried GPs required to join a friendly, dedicated practice team.
We are looking to cover 9 sessions per week and are happy to wait for the right applicant/s. You will be joining a
GMS dispensing Practice with 2 Partners, 2 Salaried GPs and 5000 patients. Our main surgery is in the beautiful
fishing village of Mevagissey with a branch surgery operating in the nearby village of Gorran Haven.
The surgery has a high QOF, enhanced services and prescribing achievements, supported by highly experienced
nursing and administration teams.
We are actively involved in a wide range of activities including research and commissioning as well as providing
placements for medical students.
Apply in writing with CV and covering letter, marked Private and Confidential, to Nikki Deakin, Practice Manager,
Mevagissey Surgery, River Street, Mevagissey, St Austell, Cornwall, PL26 6UE
Email: nicola.deakin@mevagissey.cornwall.nhs.uk
Tel: 01726 843701
Closing date: March 2nd 2015

Salaried GP (with a view to partnership) Redruth / Camborne Area

We are looking for a GP to join with us in developing a new 18,000 patient GP practice to be formed out of a merger
of two thriving, forward-thinking surgeries in the Camborne Redruth area of Cornwall: Homecroft Surgery
(http://www.homecroftsurgery.nhs.uk/ ) and Pool Health Centre (http://www.poolhealthcentre.co.uk/ ). Profiles of the
two practices are included in the application pack.
The vacancy results from the forthcoming retirement of Dr Purity Kinder at Homecroft. Initially the role would be salaried, based mainly at Homecroft but, for the right candidate, there is a prospect of partnership in the new 18,000
patient practice, which is scheduled to come into existence on 1st October 2015.
We are looking for an enthusiastic, flexible, proactive, business-minded team player with a strong patient-care focus
who will share our supportive, friendly, innovative, hardworking ethos and commitment to excellent care. The post is
full-time (8 sessions) but job share would be considered. An interest in Women's Health Care would be an advantage.
Informal visits and enquiries are welcome. For an application pack please contact:
Stephen Holby, Strategic Manager, Pool Health Centre & Homecroft Surgery, Voguebeloth, Illogan, Redruth, Cornwall, TR16 4ET. E-mail: Stephen.holby@nhs.net
Closing date for applications: Friday 27th February 2015

Trevithick Surgery, Camborne require

Chronic disease/treatment room nurse for busy, fully computerised GP practice
12 months fixed term contract with possibility of extending.
22 hours per week plus flexibility needed for holiday cover.
Experience in all chronic disease treatment, vaccinations, dressings and cervical cytology preferred
Pay scale depending on experience.
Please request application pack from:
Mrs V J Pascoe, Practice Manager
Trevithick Surgery, Basset Road, Camborne TR14 8TT
Veronica.Pascoe@nhs.net

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DR BASIL BILE WRITES

I was excited to read about Out of Area Registrations on page 5 of the November issue of your
esteemed organ. This was bally timely as one of my longstanding and needy customers is about
to emigrate to the Seychelles. Unfortunately she suffers from agoraphobia so does require a tad
more home vissies than the average punter. Thanks to the recent advice issuing forth from that
fount of eternal wisdom and innovation that is the NHS Fruitcake Devon and Cornwall Team, a
cracking wheeze has bubbled to the surface of an otherwise rather murky pond.
Christened OoARS (which lets face it sounds appropriately West Country if anything does) the
scheme will allow me to tend to this particular member of my flock in her new location. Some niggly- piggly small print stuff points out that the costs of my weekly house calls would be charged to
my Ceeceegee. Quite frankly I anticipate no problems from that quarter. With my usual silver
tongued powers of persuasion I have no doubt that the inescapable priority of maintaining continuity of care (apparently something that Health Sec Jeremiah Stunt is very keen on) will win the
day. Consequently I have begun negotiations with the airline Frizbee over a season ticket.
Moving on to matters politic, I see that my old pen pal Chag from the Geepeecee is coming to
Cornwall in February to speak to the chosen few at the Annual Conference of the Cornwall and Ill
be Silly Local Medical Committee. Of course this all assumes that our rail link with the rest of the
world hasnt been washed away this winter as per bloody usual by the wrong type of rain.
Inconveniently for yours truly the whole bang shoot is being held at the Headland Hotel in
Newquay, an establishment which very unjustly imposed a lifetime ban on your obedient servant
Basil back in the early eighties, when I dare say many of you young whippersnappers were still
merely a twinkle in your fathers eyes. It all arose from an unfortunate misunderstanding between
myself and one of the waitresses, caused entirely by my developing an allergy to the rather fine
vintage port they were serving at the time. As is the way with these histamine driven episodes,
my allergic response only became apparent after my tenth glass of the stuff. A note from my doctor failed to soften the hard heart of the Hotel Commissariat, and to this day I remain top of the
black list mounted in a gilt frame on the Managers office wall. Suffice is to say I will not personally be able to attend the conference, but I may send my awful arse of a literary agent to take notes
on my behalf and report back for my education and edification. Watch this space.
Finally I have to say what a damn fine invention the Sessional Salaried GeePee is.
The latest recruit into our ever burgeoning ranks of the SS at the Abandonhope Surgery is Leticia
Golately.
Basils Time Table: Morning Surgery 10.00 - 11.00; Time For Reflection 11.00 - 14.00; Afternoon
Surgery 14.15 (after the Archers finishes on Radio 4)-15.00; Watch Jeremy Kyle show repeats
15.00- 16.00; Home Visit x1 16.00-16.30; Time For Reflection 16.30 - 17.30; Pub 17.30 - 23.00.
Letties Day: Morning Visits 8.00-9.00; Morning Surgery 9.00-12.00; Coffee break 12.00-12.01;
Visits 12.02 - 13.58; Lunch 13.58-14.00; Afternoon Surgery 14.00 - 18.00; Evening Visits 18.00 20.00; Buy Basil a drink in Pub 20.01.
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