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Volume 2, Issue 2 June/ July 2017 Page1 Welcome to the Neighbourhood Care Networks’ (NCN) Newsletter for ABuHB. This regular newsletter aims to keep you updated about how our NCNs are progressing their plans and working with partners to deliver community based services that meet the needs of the population served. A note from Dr. Liam Taylor, Deputy Medical Director… It has been another busy year for our NCNs in Gwent where we have seen many innovative projects and programmes delivered through the leadership of NCNs. The networks have also offered real opportunities for re-design on a larger scale with the potential for Gwent-wide projects and further close working with partner organisations and the Health Board’s own Secondary Care services to genuinely realise the benefits of having integrated health organisations in Gwent. We are now implementing our NCN Plans for 2017/20 whose key priorities have been informed by our Practice Development Plans. Popular areas for themes include Social Prescribing, tackling obesity and furthering the development of Health & Social Care Hubs. Dr. Liam Taylor, Deputy Medical Director NCNs have also been asked to choose either three of the National Clinical Priorities from the list below, or two areas and a local issue to address. Cancer COPD Dementia Pathway Liver Disease Improved Mental Health and Well-Being Following discussion at NCN meetings, it was agreed that the Liver Disease Pathway would be adopted by all 12 NCNs. Read on to find out the other priorities our NCNs have chosen to address... Neighbourhood Care Networks’ Newsletter

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Page 1: Neighbourhood Care Networks’ Newsletter 2... · 2017-07-31 · Volume 2, Issue 2 June/ July 2017 age 1 Welcome to the Neighbourhood Care Networks’ (NCN) Newsletter for ABuHB

Volume 2, Issue 2

June/ July 2017

Page1

Welcome to the Neighbourhood Care Networks’ (NCN) Newsletter for ABuHB.

This regular newsletter aims to keep you updated about how our NCNs are progressing their plans and working

with partners to deliver community based services that meet the needs of the population served.

A note from Dr. Liam Taylor, Deputy Medical Director…

It has been another busy year for our NCNs in Gwent where we have seen

many innovative projects and programmes delivered through the leadership

of NCNs.

The networks have also offered real opportunities for re-design on a larger

scale with the potential for Gwent-wide projects and further close working

with partner organisations and the Health Board’s own Secondary Care

services to genuinely realise the benefits of having integrated health

organisations in Gwent.

We are now implementing our NCN Plans for 2017/20 whose key priorities

have been informed by our Practice Development Plans. Popular areas for

themes include Social Prescribing, tackling obesity and furthering the

development of Health & Social Care Hubs.

Dr. Liam Taylor,

Deputy Medical Director

NCNs have also been asked to choose either three of the National Clinical Priorities from the list below, or

two areas and a local issue to address.

Cancer

COPD

Dementia Pathway

Liver Disease

Improved Mental Health and Well-Being

Following discussion at NCN meetings, it was agreed that the Liver Disease Pathway would be adopted by

all 12 NCNs.

Read on to find out the other priorities our NCNs have chosen to address...

Neighbourhood Care Networks’ Newsletter

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Volume 2, Issue 2

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Page2

Across Gwent Urology GP Advice Line

The Urology Service provide an email advice line to support Primary Care to care for your

patients with urology problems. The service aims to respond to routine general medical

advice queries via email within 48 hours. Requests will be directed to the most

appropriate health care professional.

Please note that enquiries related to waiting times, or appointments will not be responded

to.

Email

[email protected]

NCNs to play a key role in the Clinical Futures Level 1 programme

Dr Emily Warren,

Interim Programme Lead for

Clinical Futures Level 1

The Partnerships & Networks Team met with Dr. Emily Warren, Interim

Programme Lead for Clinical Futures Level 1 who will lead the work with our

partners to transform services, to provide more care closer to people’s homes.

We were excited to hear that “NCNs will play a key part of the level one

programme, given the vital role they play within the communities, and the strong

reputation they are developing”.

We would like to take this opportunity to welcome Emily and look forward to

working with her over the coming months!

NCN Leads complete Confident Leaders Programme

Front row: Dr. Alun Edwards (1st on left)

Back row: Dr. Isolde Shore-Nye (3rd from left), Dr. Graeme Yule (4th

from left), Dr. Andrew Gray (5th from right)

Dr. Chrissie Pickin (left in both photos), Executive Director for

Health & Wellbeing in Public Health Wales presents Dr. Andrew

Gray (photo on right) and Dr. Isolde Shore-Nye (photo on left) with

their certificates

The Confident Leaders Programme, commissioned by the Public Health Wales Primary Care Hub and provided

by Primary Care Commissioning, held their final training session on Wednesday 24th May 2017.

Dr. Isolde Shore-Nye (Blaenau Gwent East NCN Lead), Dr. Alun Edwards (Caerphilly South NCN Lead), Dr.

Andrew Gray (Monmouthshire South NCN Lead) and Dr. Graeme Yule (Newport North NCN Lead) attended

nine half-day sessions which explored the role of Primary Care in NHS Wales, engaging with stakeholders,

patients and the public, population health, maximising the patient experience, business planning, finance

and Governance and legal frameworks.

Putting NCN Plans into action – what we’ve achieved so far...

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The Cluster Development Project Team led by the Primary Care Hub will evaluate progress and look to further

develop training resources to meet the needs of Primary Care clusters, which Dr. Andrew Gray noted “…are

now the place to go and get things done...". Dr. Isolde Shore-Nye added “the Confident Leaders programme also

gave the opportunity to share learning and experience between clusters from across Wales”.

It is planned that the first 2 cohorts of the programme will merge to create an expanded network to continue

opportunities to work across clusters and to develop new ideas and ways of working.

Super 6 achieve IQT Silver Award!

NCN IQT Silver project teams

On Thursday 11th May, 6 NCN Teams delivered their final

project presentations for the Aneurin Bevan University

Health Board accredited model for improvement

programme at the NCN Improving Quality Together

(IQT) Silver celebration event.

ABCi delivered a tailored course for NCN teams over 5

half-day sessions every 8 weeks to equip them with the

knowledge and skills in quality improvement to apply

the ‘Model for Improvement’ within their own services.

The teams were given the skills to process map their

problem, translating their knowledge into driver

diagrams, undertaking several PDSA cycles, plotting their

results onto run-charts to monitor their successes (and failures!) and above all promoted collaborative

working across the NCNs. Michele Zeraschi reflected that her project has “improved sharing of patient/ client

information, improved relationships between staff, and improved understanding of each other’s roles and the

challenges each other faces”.

The following projects were undertaken between August 2016 and May 2017:

Across Gwent - Primary Care Diabetes Specialist Nursing Team – Improved Data Submission

For more information, please contact: [email protected]

Blaenau Gwent - Initial Steps to integration in Health and Social Care Team

For more information, please contact: [email protected] or Wayne.Turner@blaenau-

gwent.gov.uk

Caerphilly - Improve patient attendance at assessment appointments with the ABUHB -

Caerphilly Primary Care Mental Health Support Service

Project Team: Theresa Heal, Sian Davies, Robert Callen-Davies, Dr. Stuart Thomas

For more information, please contact: [email protected] or

[email protected]

Monmouthshire - Efficient and Effective Patient Allocation

For more information, please contact: [email protected] or [email protected]

Torfaen (North) - Reducing microbiology culture and sensitivity (MC&S) testing of urine samples

in 1 Nursing Home and 1 District Nursing Team within 8 months

Project Team: Rachel Cook, Linda Penny, Sue Roughton and Sue Yendle

For more information, please contact: [email protected] or [email protected]

Public Health Nursing - Health Visiting Performance & Quality Data Collection

Project Team: Chris Phillips, Andrea Bevan, Lena Evans, Nicola Quarry, Angela Lewis and June Manley

For more information, please contact: [email protected]

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The Partnerships & Networks Team would like to congratulate everyone who took part

and extend their thanks to their ABCi team for their support!

Launch of Gwent Mental Health Consortium

Gwent Mental Health Consortium, comprising of 8 organisations within Gwent

including Mind, Communities Mood Improvement Groups (CMIG), Growing

Space, Inside Out and Hafal. launches on 20th July.

Mental Health is an issue raised within many of the NCN plans. The service can

support practices through their provision of counselling; advice, information

and advocacy; training and community wellbeing.

The new service addresses the inequity of mental health services within

Gwent for those over 18 years of age by ensuring equal access to services, by

professional or self-referral.

The new Consortium:

provides an opportunity for service providers to collaborate and share their skills

enhances members’ main services, which will be retained at a local level, with a seamless integration of

Gwent wide service available to all.

The single point of access is controlled by a Common Database Co-ordinator. To ensure that referrals are dealt

with efficiently and signposted accordingly they have received Mental Health First Aid and Applied Suicide

Intervention Skills Training (ASIST). Services are available five days a week and an answer phone service is

available on weekends.

Telephone

01633 810718 (Single point of access for professional and self-referral)

Independent Dental Advisor update

Hannah Hutchison,

Independent Dental

Advisor

Hannah Hutchinson is the conduit between dentists in the ABUHB area and

the Health Board. Recognising the impact of oral health on themes within the

NCNs, who she represents in a range of forums including the LDC, Dental QPS,

IOHG, and MCN for Special Care Dentistry.

Hannah is currently undertaking a workpiece focusing on Dementia Care

Pathway with Dental Advisors and has met with Dental Advisors across other

Health Boards in South East Wales.

Hannah has only been in post a few months but has proven to be a valuable

member of the NCN team.

Email

[email protected]

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Independent Optometry Advisor update

Stephanie Campbell,

Independent

Optometry Advisor

Stephanie Campbell, Dr. Stuart Thomas (Caerphilly East NCN) and Hannah Hutchison

(Independent Dental Advisor) are working towards training Clinicians in Caerphilly East NCN

as the first “Dementia Friendly NCN”.

Working with all practices and the 'Dementia Friends' Association to offer basic training

to all staff, Stephanie and the team are also arranging multidisciplinary training for

clinicians and managers to explore how to make consultations as accessible as possible

for those with Dementia.

Email

[email protected]

Blaenau Gwent

Across the East... National Clinical Priorities agreed!

Due to high prevalence within the locality, Blaenau Gwent East NCN have voted and

chosen to undertake the National Clinical Priorities in Cancer, Liver Disease and COPD.

Blaenau Gwent East Flu Plan

Practices and District Nurses have met to discuss the implementation of a Blaenau

Gwent East NCN Flu Plan for this forth coming influenza season. There will be a

structured and coordinated approach to the vaccination of housebound patients

and their Carers as well as specific sessions for the Care Home patients. This should

reduce the number of times that District Nurses attend homes and also ensure

that all patients are covered by the vaccination at the same time.

The Practices will also be working closely with Community Pharmacies to promote the uptake of patients

who are at risk. There are a number of Saturday clinics planned by the Practices to increase access to flu

vaccinations. All of these initiatives will be publicised locally to encourage greater uptake.

Brynmawr Primary Care Resource Centre

Brynmawr Primary Care Resource Centre

Work has now begun on Primary Care Resource Centre in

Brynmawr, where it was anticipated that there will be a year’s

build programme; this is still running to schedule. The

anticipated Practical Completion date is the end of 2017.

Extensive work has been undertaken to develop appropriate

plans to meet the needs of the local population, in line with

the Health Board’s Clinical Futures Strategy and the now Care

Closer to Home Strategy.

The Resource Centre will include a range of Primary Care and Community Care Services, which includes:

General Medical Services Community Dental Services District Nursing Reproductive and Sexual Health

Mental Health Services Diabetic Retinopathy Screening Pharmacy

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Across the West... National Clinical Priorities agreed!

The Blaenau Gwent West NCN practices thoroughly debated the National Clinical

Priorities and chose to undertake Cancer, Liver Disease and Improving Mental Health &

Wellbeing.

Across Caerphilly Caerphilly NCNs working in collaboration with Youth Services

Caerphilly NCNs and Caerphilly Youth Services, are developing plans to

help take forward the NCN agenda for young people, which includes:

encouraging young people in the “at risk” group to have their flu

vaccinations

signposting to local smoking cessation support services, with

selected youth workers willing to be trained as Smoking Champions

signposting young people with low level mental health and

wellbeing issues to local wellbeing services

supporting Young Carers

Caerphilly Youth Service comes into contact with 12,000 young people aged 11-25 per year, they operate

the county’s LGBT group for young people and some Youth workers are trained in Mental Health First Aid

and the Student Assistance Programme. NCN leads will be working with the service to set up mechanisms

whereby Primary Care Practitioners can work with the Youth Worker Service to help young people access

advice, support and information in their local area.

Caerphilly Care for Carers

Caerphilly NCNs are working with Caerphilly Carers Team to promote how to access

their service, which can be via GP or Community Staff referral, and the invaluable help,

support and information available to carers.

To give carers piece of mind, a Carers’ Emergency Card, has been developed to assist

emergency services and others to identify people as carers and raise the alert that they

look after someone who cannot manage without help or assistance. They can then

contact the number on the back of the card so that someone can assist the person

that is being cared for. The Team also organise various activities and events for carers to acknowledge their

hard work and to give them a break from their caring role.

Website Telephone Email

http://www.caerphilly.gov.uk/carers 01495 233218

07808 779367

[email protected]

Across the North... National Clinical Priorities agreed!

Caerphilly North NCN has chosen, via a voting process within the NCNs, to undertake the

National Clinical Priorities in COPD, Dementia and Liver Disease.

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Across the East... National Clinical Priorities agreed!

Caerphilly East NCN has chosen, via a voting process within the NCNs, to undertake the

National Clinical Priorities in COPD, Dementia and Liver Disease.

Caerphilly East will be funding some multidisciplinary dementia training to specifically

improve the knowledge of practitioners and provide the opportunity to integrate research

findings on the dementia/ gold-standard approach from professional bodies.

Across the South... National Clinical Priorities agreed!

Caerphilly South NCN practices have voted and agreed to undertake the National Clinical

Priorities in Improving Mental Health & Wellbeing, Liver Disease and a local priority of

Atrial Fibrillation.

Across Monmouthshire National Clinical Priorities agreed!

Following discussion amongst the North and South NCNs at M1, the following national

clinical priority pathway areas were agreed:

Cancer

COPD

Liver Disease

The next step is to undertake baseline audits to inform peer review sessions at each of the remaining NCN

meetings in year 1. There are also plans for the final report to include a pan-Monmouthshire perspective.

Across the North... Welcome to Molly Morgan, NCN funded Community Dietician

Molly Morgan,

NCN Funded Community

Dietician

Molly Morgan, Obesity Specialist Dietitian, is providing maternity cover for the NCN

funded Community Dietician post, which aims to expand and enhance obesity

services in North Monmouthshire. In addition to regular Dietetic Weight Management

clinics, Molly offers an Antenatal Obesity clinic and a Diabetes Prevention Programme

for eligible patients.

Over the next year Molly looks forward to “continuing and strengthening the services

that have now been well established in collaboration with the North Monmouthshire

NCN”.

Email

[email protected]

Across the South... Priorities agreed!

Monmouthshire South have agreed the following priorities for 2017-18:

Local priority: Ongoing development of South Monmouthshire Hubs

In order to support the Care Closer to Home strategy and in alignment with Public

Health’s Integrated Wellbeing Network and Monmouthshire County Council’s

approach to Place-based working, the NCN agreed to continue to support the

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development of South Monmouthshire hubs at M1.

Population need priority: Tackling maternal and childhood obesity

The NCN is in the process of developing a 3 year action plan with partners. In terms of priorities the

NCN has agreed, in partnership with the Monmouthshire National Exercise Referral Scheme (NERS) and

local Midwifery teams, to fund an antenatal ‘Pathway to Pregnancy’ scheme, due to commence later this

year. The programme fits with the population level priority of tackling obesity and will include aqua and dry-

side exercise classes. Also linked to this theme, the NCN will fund a multi-agency childhood obesity

workshop which is also planned for later this year, in order to map current service availability and consider

any gaps.

Update from Tom Willgoss, NCN Practice-based Pharmacist

Tom Willgoss

NCN Funded Practice-

based Pharmacist

Tom Willgoss is operating medication review clinics at Grayhill and Mount Pleasant

Surgeries, in addition to supporting the Wye Dean Surgery team with Polypharmacy

medication reviews. He is also regularly involved in the following pieces of work:

Supporting GP workload by actioning discharge summaries from Secondary

Care

Actioning medication queries that would otherwise go to GPs

Cost-saving work – reducing prescribing expenditure

Visiting Nursing and Residential Homes to complete medication reviews on

residents

Domiciliary medication reviews

Driving and developing the use of Repeat Dispensing in practices

Prescribing audit work (QOF and CEPP)

Pulmonary Rehabilitation presentations on the role of the community pharmacist to avoid reliance on

seeing a GP

Email

[email protected]

Across Newport Health Check – Living Well, Living Longer

Will Beer (centre), Newport East

NCN Lead and Public Health

Consultant and the Living Well

Living Longer Team

The ABUHB Living Well, Living Longer Programme will be bringing its

Health Check Programme to Newport East and West from July for the

next few months. The programme invites residents, aged between 40

and 64, who are registered with a GP practice and not currently

experiencing any Cardio Vascular health issues, or on any relevant

medication or disease register, to receive an NHS health check, or a

“midlife MOT”.

Health Checks will take place at one of the local community venues being used across Newport. Individuals will

then supported to identify lifestyle changes to lower their identified risks and signposted to local services such

as Stop Smoking Wales, National Exercise Referral Scheme (NERS), Adult Weight Management Services

and the Gwent Drug & Alcohol Service (GDAS). This is a Welsh Government Tackling Poverty priority and

is being delivered by Aneurin Bevan University Health Board and Public Health Wales.

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CYP and family attends GP consultation

Mild-moderate emotional/behavioral need

identified.

Hopes of support are discussed and documented.

GP informs CYP and family that they will refer to multi-

agency panel.

Provide information leaflet.

GP gets consent from CYP/family to refer to multi-agency project.

The GP notes who is giving verbalconsent and this is included in

referral documentation.

GP writes a referral letter or completes a referral form.

This is sent direct to Families First Newport

Every Tuesday morning

Referrals discussed in Families First panel meeting in

collaboration with PCMHSS CYP.

Referral needs are matched and allocated to relevant

strands/services

Service/Strand allocated will contact GP/referrer to advise of panel meeting outcome.

Service/Strand will carry out assessment and if needed,

intervention. GP will be informed of involvement

following assessment and at discharge.

Multi-agency Mental Health model for under 18’s goes live in Newport!

The development of the Primary Care Mental Health Support Service single point of access

(PCMHSS SPA) fits well with NCN priorities and was approved by the North, East and West Newport

NCNs who proposed Newport as a trial site.

All GP referrals regarding children and young people (under 18) experiencing mild-moderate

emotional, mental health and behavioural difficulties are received by Families First Newport via

the SPA. The initiative aims to ensure that children and young people are seen by the right

person, at the right time:

To provide effective early intervention

With good communication between different agencies leading to reduced duplication

More effective sharing of skills and enhanced partnership working.

For more information, please contact:

Email [email protected]

Across the North & East...Priorities agreed!

Newport North and East NCNs will be undertaking their National Clinical Audits in

2017/18 on a collaborative basis. They have chosen Mental Health (Early Intervention),

Liver Disease and a local priority of Frailty.

As with the first NCN meeting of the year which addressed Mental Health, meetings 2 and

3 will be held on a joint basis, with partners and other agencies invited to attend a

workshop to strengthen integration and improve partnership working. The outcome of these workshops will

be to develop and agree local implementation plans for all three priority areas. Progress will be reviewed against

these plans throughout 2017/18 and reported back through the NCNs.

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North & East Newport NCNs join forces strengthen Mental Health partnership working for

children and young people across Newport

Attendees at the Improved Mental Health & Wellbeing

North and East Newport NCNs held a joint meeting on 13th

July 2017 at the Christchurch Centre, Newport to address

delivery requirements for the 2017/18 QOF National

Clinical Priorities. The key role that GP Practices and wider

NCN Partners have in the early recognition, diagnosis and

treatment of mental health problems in children and

young people was discussed.

Over 50 multi-agency and Third Sector colleagues attended

the event. An action plan to address the

issues identified will be developed based on following the four main themes:

1. Improved communication

2. Reduced ‘bounce backs’ between services

3. Development of a single point of access

4. Parenting responsibilities / managing parental expectation.

Across the West... Priorities agreed!

Newport West NCN have chosen to undertake COPD, Liver Disease and a local priority

of Frailty as their National Clinical Priorities for 2017/18. The NCN will be working

collaboratively with Newport North and East NCNs for the Liver and Frailty priorities.

GP Practices have been asked to collate their baseline information in preparation for

the first meeting on 20th July 2017 and will agree the next steps and a timetable to

complete the process over the forthcoming year.

Across Torfaen Care Closer to Home – turning our strategy into action

The second Care Closer to Home Workshop took

place in Torfaen on 13th July, with a focus on turning

our strategy into action. A wide range of partners

attended and took part in workshops which explored:

What would success look like if we were

working in an integrated fashion

What challenges would we face

How could we overcome these challenges, and

What support would we need from our leaders

and organisations

The discussions were aided by a presentation on the Monmouthshire experience – how their teams got to a

place where they are working in an integrated fashion. A staff member portrayed a service user during a

role play who was asked questions by the audience about their experience of current working

arrangements – this was quite powerful and set the tone for the workshops. Workshops will be held across

Gwent over the coming months.

Attendees at the Care Closer to Home Workshop

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Direct Access Physiotherapy Service rated as “excellent” by patients

The Musculoskeletal Direct Access Physiotherapy Service has been live

in Torfaen Since 3rd April 2017. The service operates from 09:00am –

11:30am at the Cedar Unit, County Hospital, Pontypool. The service

operates a ‘drop in’ clinic on a first come first served basis to provide

assessment of patients presenting with a musculoskeletal problem.

Demand has increased steadily since the introduction of the service with

315 patients receiving a musculoskeletal assessment between April

2017 and mid July 2017.

Following assessment, a joint decision is made between the physiotherapist and the patient regarding their

treatment options. Results so far indicate that:

13.8% of patients are discharged to self-manage

68.6% of patients are placed on the physiotherapy routine waiting list

15.9% of patients are offered an urgent appointment within the physiotherapy service

1.8% of patients are signposted back to the GP

o 0.7% are referred back to the GP for further investigation of their condition or related condition

o 1.1% for onward referral to a consultant led secondary care service

Over 53% of patients who have attended the clinic have completed a questionnaire about their experience.

Patients have given very positive feedback with 89.5% of patients rating the service as excellent and a

further 9.8% rating the service as good.

Childhood Obesity

Following the success of last year’s Childhood Obesity Workshop, a second workshop, funded by North and

South Torfaen NCNs was held on 8th June 2017.

Linking with “Fit for Future Generations” and “Every Child Has The Best Start In Life” we explored what is

currently being undertaken to create safe, active communities and ways to develop this area. We also

planned how to deliver more effective weight management services for children, young people and

families in Torfaen.

Torfaen NCNs have agreed to continue with obesity as a local priority, which will be progressed by the

Management Team.

Across the North... National Clinical Priorities agreed!

As with other NCNs, Torfaen North NCN have agreed to develop an Integrated Wellbeing

model supported by Public Health colleagues.

In line with the GP contract (Quality Outcomes Framework) the NCN continues to strive to

support GP Practice sustainability through dedicated funding streams for Direct Access

Physiotherapy, Social Prescribing and a Practice Based Pharmacist. The NCN also

supported to re-implementation of a Practice Manager Forum which allows sharing of ideas, best practice and

provides direct access to the NCN Leads.

The NCN also agreed to take forward Liver Disease, Cancers and COPD as National Clinical Priorities.

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Update from Carl Peacock, NCN Practice-based Pharmacist

Carl Peacock,

NCN Funded Practice-

based Pharmacist

Carl Peacock works across 6 GP practices, providing an invaluable service in North

Torfaen leading and delivering a specialised pharmacy service to GP practices to

improve the quality and effectiveness of medicines management within GP practices.

Carl has recently gained his Independent Prescriber status and provides patient

focussed, prudent healthcare, reviewing polypharmacy and promoting medicines

safety.

Across the South... National Clinical Priorities agreed!

Torfaen South NCN have also agreed to take forward Liver Disease, Cancers and COPD as

National Clinical Priorities and will discuss relevant action at M1 in August 2017.

The NCN has also agreed to adopt the development of a Torfaen-wide Integrated

Wellbeing model with the help of Public Health colleagues, underpinned by the role of

the Torfaen Social Prescribers.

NCN Action Plan 2017-2020

The draft 3 year NCN action plan will be shared with NCN members prior to M1 (August 2017) in order to

finalise relevant action and themes. The NCN is obliged to sign-off the plan by the QOF deadline of 31st July

2017.

Update from Lisa Pottenger, NCN Practice-based Pharmacist

Lisa Pottenger,

NCN Funded Practice-based

Pharmacist

Lisa Pottenger works across 7 GP Practices and is a core member of the practice

team, providing a significant cost saving to the individual surgeries and NCN. She

works effectively with other health and social care professionals to deliver services

to patients, who are positive about the valuable service she provides.

Lisa will be using her Independent Prescriber in Type 2 Diabetes qualification to

commence routine diabetes reviews in care home and housebound settings, and

will continue to:

Carry out medication and polypharmacy medication reviews, in nursing homes, patients’ homes and

within the GP surgery.

Support the practices to achieve CEPP/QOF initiatives and support all surgeries with the Repeat

Dispensing project.

De-prescribe medication, gradually withdrawn where appropriate as medication is unnecessary/reduce

tablet burden. Medication dosages have been reduced in light of renal function.

Provide educational training sessions to practices - such as advanced inhaler technique training and

regarding drug alerts such as warning of DKA and lower limb amputations with SGLT-2 inhibitors

Conduct multiple drug safety searches and changed numerous patients therapy such as Simvastatin in

combination with Amlodipine and SGLT-2 with reduced renal function or foot complications.

Email

[email protected]

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Volume 2, Issue 2

June/ July 2017

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The Gwent-wide NCN meeting schedule for August is shown below. We would be grateful if all members could

ensure that representation is provided.

Date

Time Meeting name Location

Thu 03 August 13:00-15:30 Torfaen South NCN (M1) Bron Afon Housing Association,

Industrial park, Brecon Court, William

Brown Close, Cwmbran, NP44 3AB

Thu 10 August 13:00-15:30 Blaenau Gwent West NCN (M1) Seminar Room, Ysbyty Aneurin Bevan,

Festival Drive, Ebbw Vale, NP23 8XE

Tue 15 August 14:00-16:30 Monmouthshire Integrated Services

Partnership Board

Conference Room, Usk County Hall,

Usk, NP15 1GA

Thu 17 August 14:00-16:00 Newport Management Team Conference Rooms 3, St Cadoc’s HQ,

Lodge Road, Caerleon, NP18 3XQ

Thu 31 August 14:00-17:00 NCN Leads Conference Rooms 1-2, St Cadoc’s HQ,

Lodge Road, Caerleon, NP18 3XQ

Thu 31 August 09:00-11:00 Newport Integrated Partnership

Board

Conference Rooms 1-2, St Cadoc’s HQ,

Lodge Road, Caerleon, NP18 3XQ

What’s on?

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Volume 2, Issue 2

June/ July 2017

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Area NCN Lead Network Team

BLAENAU GWENT EAST Dr. Isolde Shore-Nye Network Manager

Jon Lewis

[email protected]

Tel: 01495 241276

Network Support Officer

Ian Haywood

[email protected]

Tel: 01495 241252 BLAENAU GWENT WEST Dr. David Minton

CAERPHILLY NORTH Jayne Billington Network Manager

Jon Lewis

[email protected]

Tel: 01495 241276

Network Support Officer

Stella Montgomery

[email protected]

Tel: 01495 241275

CAERPHILLY EAST Dr. Stuart Thomas

CAERPHILLY SOUTH Dr. Alun Edwards

MONMOUTHSHIRE NORTH Dr. Brian Harries Network Manager

Steve McDonagh

[email protected]

Tel: 01495 241239

Network Support Officer

Rachel Cook

[email protected]

Tel: 01495 241221 MONMOUTHSHIRE SOUTH Dr. Andy Gray

NEWPORT NORTH Dr. Graeme Yule Network Manager

Ian Fido

[email protected]

Tel: 01495 241287

Network Support Officer

Kate Hopkins

[email protected]

Tel: 01495 241231

NEWPORT EAST Will Beer

NEWPORT WEST Susan Thomas

TORFAEN NORTH Eryl Smeethe Network Manager

Steve McDonagh

[email protected]

Tel: 01495 241239

Network Support Officer

Clair Roper

[email protected]

Tel: 01495 241278 TORFAEN SOUTH Dr. Amanda Head

ALL 12 NCNs

Hannah Hutchison Independent Dental Advisor [email protected]

Stephanie Campbell Independent Optometry Advisor [email protected]

Vacant Independent Community Pharmacy

Advisor

Do you want to share what’s happening in your NCN area?

To submit an article, please contact your NCN Network Support Officer.

About NCNs