Antidepressants, primary care, and adult mental health services in England during COVID-19, Lancet Psychiatry
The National Health Service (NHS) of England publishes monthly data on national appointment1 and prescribing activity2 in general practice. The total number of appointments in this setting from April 1, 2020, to Sept 30, 2020, was 122 250 549, a 16 · 51% decrease from the corresponding period in 2019 (146 432 604). This period in 2020 comprises all the data available to date following the first UK COVID-19 lockdown, which began on March 23, 2020. The number of antidepressant prescriptions made in general practice between April 1, 2020, and Sept 30, 2020, was 38 609 032, 3 · 94% higher than the corresponding p...
Source: Current Awareness Service for Health (CASH) - January 22, 2021 Category: Consumer Health News Source Type: news

COVID-19 vaccine stocks must not be diverted to large sites ahead of local GPs, warns BMA
The government must ‘ramp up’ COVID vaccine supplies to general practice and avoid prioritising mass vaccination sites to ensure at-risk patients are inoculated swiftly, the BMA has warned. (Source: GP Online News)
Source: GP Online News - January 22, 2021 Category: Primary Care Tags: Coronavirus Source Type: news

Supporting general practice in 2021/22
NHS England and NHS Improvement and the British Medical Association (BMA) General Practitioners Committee (GPC) England have published a letter setting out further measures to support general practice in 2021/22. (Source: NHS Networks)
Source: NHS Networks - January 22, 2021 Category: UK Health Source Type: news

General Practice Awards 2020
The winners of the General Practice Awards 2020 can be found here. (Source: NHS Networks)
Source: NHS Networks - January 20, 2021 Category: UK Health Source Type: news

COVID-19 vaccination programme, RCGP (updated 14th January 2021)
The latest updates on the COVID-19 vaccine, including: COVID-19 Vaccination FAQs SARS-CoV-2 Vaccination #RCGPLive: COVID-19 vaccination in general practice Managing anaphylaxis: guidance for GPs delivering the COVID-19 vaccine (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 15, 2021 Category: Consumer Health News Source Type: news

Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care - Szilassy E, Roy J, Williamson E, Pitt K, Man MS, Feder G.
BACKGROUND: Primary care needs to respond effectively to patients experiencing or perpetrating domestic violence and abuse (DVA) and their children, but there is uncertainty about the value of integrated programmes. The aim of the study was to develop an... (Source: SafetyLit)
Source: SafetyLit - January 15, 2021 Category: International Medicine & Public Health Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news

Pulse oximetry to detect early deterioration of patients with COVID-19 in primary and community care settings, NHS England (updated 12th January 2021)
Patients with symptoms of COVID-19 may make direct contact with practices or be referred to practices by NHS 111 and the COVID-19 Clinical Assessment Service (CCAS). If patients present directly to general practice, they should be assessed by the practice rather than redirected to NHS 111, as this poses significant risks to unwell patients. Existing evidence suggests the cohorts that will benefit most are those with: 1. A diagnosis of COVID-19: either clinically or positive test result, and are also: 2. Symptomatic and are either: a. aged 65 years or older or b. under 65 years and clinically extremely vulnerable (CEV) to...
Source: Current Awareness Service for Health (CASH) - January 14, 2021 Category: Consumer Health News Source Type: news

Finding your feet in general practice
Every primary care network (PCN) is appointing new professionals to work in general practice through the additional roles reimbursement scheme (ARRS). (Source: NHS Networks)
Source: NHS Networks - January 14, 2021 Category: UK Health Source Type: news

‘It’s Unimaginably Bad.’ How Government Failures and the New COVID-19 Variant Are Pushing the U.K.’s Health System Into Crisis
Dr Rachel Clarke never dreamed that in her medical career, she would say out loud that hospitals in Britain are running out of oxygen. Yet some hospitals in the U.K. are now in that critical situation, as doctors say the U.K.’s third wave of the coronavirus pandemic is pushing the country’s National Health Service to its limits. “We’re seeing younger patients, we’re seeing sicker patients, and we’ve never really recovered from the first wave,” says Clarke, who works on an acute medical ward in a hospital in Oxfordshire, England, and also in an in-patient hospice setting. “You...
Source: TIME: Health - January 13, 2021 Category: Consumer Health News Authors: Ciara Nugent and Suyin Haynes Tags: Uncategorized COVID-19 Explainer Londontime Second click United Kingdom Source Type: news

COVID-19 vaccination in older adult care homes the next stage, NHS England (published 13th January 2021)
This letter is an update on the next stages in COVID-19 vaccination for this cohort. The approval of the Oxford/AstraZeneca vaccine, and its addition to the vaccine delivery schedule from w/c 4th January, means that smaller care homes can be vaccinated immediately. Oxford/AstraZeneca vaccine must be used first for care home visits given its more flexible handling properties, as outlined in our letter to general practice and pharmacists. Only then should it be used for wider cohorts. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 13, 2021 Category: Consumer Health News Source Type: news

COVID-19 Workload Prioritisation Unified Guidance, BMA/RCGP
This guidance has been developed by the RCGP and the BMA GP's Committee for clinicians working in general practice in the UK. It replaces prior guidance on workload prioritisation during COVID-19, including “response levels” and “RAG ratings”. Please note: The situation with COVID-19 is rapidly changing. This guidance is correct at the time of publishing - 11th January 2021. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 12, 2021 Category: Consumer Health News Source Type: news

Concerning drop in the number of people with mental health problems seeking help revealed
(NIHR Greater Manchester Patient Safety Translational Research Centre) During April 2020, while the UK was in full lockdown, there was a drop of more than a third in the number of people seeking help for mental illness or self-harm according to research involving 14 million people registered at general practices across the four nations of the UK which was published today in The Lancet Public Health. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - January 11, 2021 Category: International Medicine & Public Health Source Type: news

Oxford vaccine rolled out to general practice services
The Oxford AstraZeneca vaccine is being rolled out to General Practice led services. (Source: NHS Networks)
Source: NHS Networks - January 7, 2021 Category: UK Health Source Type: news

‘Selfless and compassionate’ London GP dies from COVID-19
East London GP Dr Abdul-Razaq Abdullah, who worked in general practice for over 30 years, has died from coronavirus at the age of 68. (Source: GP Online News)
Source: GP Online News - January 5, 2021 Category: Primary Care Tags: Coronavirus Source Type: news

COVID-19 vaccination – action to help rebook vaccine appointments
Letter to all CCGs and general practices in England from Ed Waller, Director of Primary Care and Dr Nikita Kanani, Medical Director for Primary Care. (Source: NHS Networks)
Source: NHS Networks - January 4, 2021 Category: UK Health Source Type: news

Bariatric Surgery Patients Not Getting Recommended Follow-Up Care
WEDNESDAY, Dec. 30, 2020 -- Many bariatric surgery patients do not receive recommended postoperative nutritional and weight monitoring within general practice, according to a study published online Dec. 9 in the British Journal of General... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - December 30, 2020 Category: Pharmaceuticals Source Type: news

Remote consultation guidance
The Royal College of General Practitioners has guidance for general practice on using online, phone and video consultations during the COVID-19 pandemic, alongside continuing face-to-face care where there is clinical need. (Source: NHS Networks)
Source: NHS Networks - December 30, 2020 Category: UK Health Source Type: news

Non-COVID-19 NHS care during the pandemic, The Health Foundation
Key points Coronavirus (COVID-19) has had a major indirect impact on NHS services in England, from primary care to hospital treatment, resulting in disrupted care for tens of thousands of patients. While general practice has remained open throughout the pandemic, many appointments have been switched to remote methods, such as via telephone, to keep patients and staff safe. The overall number of appointments dropped sharply from April 2020 compared with the previous year, but has since recovered. In October, there were 2 million fewer overall appointments than in October 2019, but there were still 7 million fewer face-to-...
Source: Current Awareness Service for Health (CASH) - December 23, 2020 Category: Consumer Health News Source Type: news

Standard operating procedure (SOP) for general practice in the context of coronavirus (COVID-19)
NHS England has updated the standard operating procedure (SOP) for general practice in the context of coronavirus (COVID-19). (Source: NHS Networks)
Source: NHS Networks - December 23, 2020 Category: UK Health Source Type: news

Support for primary care flexible staff pools
The supporting general practice letter of 9 November 2020 referenced support for flexible pools to aid the process of recruiting and deploying employed GPs. (Source: NHS Networks)
Source: NHS Networks - December 23, 2020 Category: UK Health Source Type: news

How a pandemic changed the face of general practice
The COVID-19 pandemic has forced huge changes in the way general practice operates. GPonline looks at how consultations have changed across the year. (Source: GP Online News)
Source: GP Online News - December 21, 2020 Category: Primary Care Tags: Coronavirus Source Type: news

New digital systems to support COVID-19 vaccinations by GPs
Working with NHS Digital, NHS England are enabling the national procurement of digital systems to help general practices and primary care networks manage the call and recall of patients for COVID-19 vaccinations. (Source: NHS Networks)
Source: NHS Networks - December 18, 2020 Category: UK Health Source Type: news

Review highlights 'structural barriers' behind 33% gender pay gap for GPs
Structural penalties and barriers to career progression for women in medicine have led to a 33% gender pay gap in general practice that must be tackled through reforms to pay and work culture, a major independent review has warned. (Source: GP Online News)
Source: GP Online News - December 16, 2020 Category: Primary Care Tags: Equality Source Type: news

Workforce data – reminder to practices and PCNs
NHS Digital will extract the latest general practice and PCN workforce data from the National Workforce Reporting System (NWRS) on 31 December. (Source: NHS Networks)
Source: NHS Networks - December 11, 2020 Category: UK Health Source Type: news

Update on Covid swab testing in general practice
NHS Test and Trace made Covid PCR swab testing capability available to all general practices in England on a voluntary, opt in basis a month ago. (Source: NHS Networks)
Source: NHS Networks - December 9, 2020 Category: UK Health Source Type: news

Primary care COVID-19 vaccination programme
NHS England has written to general practice teams with details on the vital role of general practice in the COVID-19 vaccination programme. (Source: NHS Networks)
Source: NHS Networks - December 7, 2020 Category: UK Health Source Type: news

Accessing your GP
To support general practice, NHS England has created an animation to help explain to the public how they can continue to access GP services, including how to get in contact, the different ways care may be delivered, and how face-to-face appointments have changed. (Source: NHS Networks)
Source: NHS Networks - December 4, 2020 Category: UK Health Source Type: news

Remote versus face-to-face: which to use and when?, RCGP
Due to COVID-19, online and video consulting has become an almost universally available option. In accordance with national guidance, general practice adapted to a remote first model which incorporates online, phone and video consultations alongside continuing to provide face-to-face care wherever there is clinical need. This guide supports clinicians when choosing a consultation modality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - December 3, 2020 Category: Consumer Health News Source Type: news

Urgent preparing for general practice to contribute to a potential Covid-19 vaccination programme, NHS England and NHS Improvement
Letter setting out what is needed to achieve vaccination plans in general practice and summarising the forthcoming service specification. NHSE/I are planning to be ready from any date from December 2020. See Updates and guidance for general practice for supplementary documents: https://www.england.nhs.uk/coronavirus/publication/preparedness-letters-for-general-practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - December 2, 2020 Category: Consumer Health News Source Type: news

Traumatic events in primary care, RCGP
Over the last nine months workload has escalated and all members of the primary care team are often being exposed to stressful, negative experiences. This 5-minute screencast covers the difficult topic of how to deal with traumatic and morally injurious events in general practice, the signs of PTSD and when to seek help. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 30, 2020 Category: Consumer Health News Source Type: news

LMCs demand NHS England apology over ‘abhorrent' claims about general practice
LMCs have called on NHS England to apologise for ‘abhorrent and insulting’ suggestions that GPs had not been pulling their weight during the COVID-19 pandemic. (Source: GP Online News)
Source: GP Online News - November 27, 2020 Category: Primary Care Tags: News Source Type: news

Hospitals should be fined for dumping workload on general practice, say LMCs
Hospitals should be fined for inappropriate transfers of work to primary care and the proceeds used to compensate GP practices, LMCs have said. (Source: GP Online News)
Source: GP Online News - November 27, 2020 Category: Primary Care Tags: Coronavirus Source Type: news

General practice asked to help identify potential participants for study evaluating early community treatment for Covid-19, Trials
The PRINCIPLE study is currently evaluating azithromycin and doxycycline added to usual care. People with symptomatic Covid-19 may be eligible if they are over 65 or over 50 with an underlying health condition. People can register and participate in the trial entirely remotely. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 27, 2020 Category: Consumer Health News Source Type: news

COVID-19 vaccination – next steps for general practice
NHS England has written to primary care networks and CCGs following general practice nominating sites to deliver COVID-19 vaccinations. (Source: NHS Networks)
Source: NHS Networks - November 26, 2020 Category: UK Health Source Type: news

First5 GPs and trainees record videos for new general practice recruitment films
A new series of GP recruitment films for Yorkshire and the Humber region feature 14 early career GPs and trainees giving their views on life in general practice. (Source: GP Online News)
Source: GP Online News - November 25, 2020 Category: Primary Care Tags: News Source Type: news

Video consultation skills: the how-to guide for general practice, RCGP
RCGP Learning's COVID-19 Resource Hub has uploaded a 90-minute webinar focusing on how to make the most of video consultations. The webinar looks at the basic principles of video consultations, include pre-consultation triage and digital examinations. It includes practical tips on the best ways to implement what has been learnt for COVID-19 and what the future could hold for video consultations. The webinar also highlights potential risks and downsides of video consultations, including legal aspects such as storing images. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 24, 2020 Category: Consumer Health News Source Type: news

The updated GP contract explained, The King's Fund (updated November 2020)
NHS England and the BMA's general practice committee negotiated an update to the 5-year GP contract framework published in January 2019. But Covid-19 has led to a number of challenges in implementing the contract, with certain elements being postponed or amended in light of the immediate pressures faced by general practice in dealing with the pandemic. This updated explainer outlines the changes and explains what they mean for the future of general practice.future of general practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 23, 2020 Category: Consumer Health News Source Type: news

Age-related changes in the association between traumatic brain injury and dementia in older men and women - Jacob L, Azouvi P, Kostev K.
This study included 4760 patien... (Source: SafetyLit)
Source: SafetyLit - November 20, 2020 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Primary care staff survey - feasibility study
CCG and PCN leads are invited to take part in a short online survey to share their views about the feasibility of developing a new national survey aimed at understanding staff experience in primary care (including dental practice, general practice, optometry, and pharmacy). (Source: NHS Networks)
Source: NHS Networks - November 20, 2020 Category: UK Health Source Type: news

Prescribing safely under COVID-19, RCN
This guidance has been developed to support nurses practicing within areas such as general practice, extended hours and out of hours who are being asked to treat patients via a telephone or video or through other remote consultation when they would normally see them face to face. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 18, 2020 Category: Consumer Health News Source Type: news

Rapid point-of-care testing during and after COVID-19 – how widely should it be used?
Even before the COVID-19 pandemic, the point-of-care testing industry was investing millions of pounds to develop rapid tests to tell us the cause of respiratory infections. The pandemic has accelerated this process. In an editorial published in the British Journal of General Practice today [17 November], researchers from the University of Bristol ’ s Centre for Academic Primary Care ask if we know enough about these tests to merit their widespread use in primary care. (Source: University of Bristol news)
Source: University of Bristol news - November 17, 2020 Category: Universities & Medical Training Tags: Health, International, Research; Faculty of Health Sciences, Faculty of Health Sciences, Population Health Sciences; Press Release Source Type: news

Flu vaccines for general practice staff
When arranging flu vaccines for general practice staff, remember to include all the primary care network (PCN) DES-funded additional roles, including social prescribing link workers. (Source: NHS Networks)
Source: NHS Networks - November 17, 2020 Category: UK Health Source Type: news

Supporting students and trainees during COVID-19
Health Education England (HEE) has published guidance that outlines the process for governing HEE ’s decisions, operational activity and management of general practice students and trainees during a resurgence of COVID-19 and expected winter pressures over the first quarter of the academic year. (Source: NHS Networks)
Source: NHS Networks - November 17, 2020 Category: UK Health Source Type: news

General Practice is Open, RCGP
Now we are into the second lockdown in England, the Royal College of GPs has launched a new resource for GP practices urging patients to continue accessing primary care services when they need to. The resource describes the way in which services are offered – and how most appointments are currently carried out over the phone or via video in the first instance. However, it is being reiterated to patients that if a face-to-face appointment is required, they will still be seen in person by a GP. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 16, 2020 Category: Consumer Health News Source Type: news

Early evidence of the development of primary care networks in England: a rapid evaluation study
This study examined the early implementation of primary care networks, especially what has helped or hindered progress, how they operate in relation to pre-existing collaborations, and issues for rural networks. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 16, 2020 Category: Consumer Health News Source Type: news

COVID-19 Vaccine, RCGP
On 9th November 2020, NHS England released a set of letters to general practice setting out the plans to deploy a COVID-19 vaccine based upon the methods that are used to deliver the seasonal influenza vaccination programme. This 30-minute RCGP elearning module covers an outline of the proposal and suggests how practices and primary care networks might deliver the COVID-19 vaccination programme. The course will be updated as more information becomes available. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 16, 2020 Category: Consumer Health News Source Type: news

GPs hit out over 'unrealistic expectations' in COVID-19 vaccine plans
GPs have warned of 'unrealistic expectations' over delivery of COVID-19 vaccination in general practice - with vaccination set to take as much as four times longer than flu jabs during the pandemic. (Source: GP Online News)
Source: GP Online News - November 16, 2020 Category: Primary Care Tags: Coronavirus Source Type: news

QOF income protection
The Quality and Outcomes Framework (QOF) 2020/21 has been revised to reflect the impact of COVID-19 on general practice. (Source: NHS Networks)
Source: NHS Networks - November 16, 2020 Category: UK Health Source Type: news

Government has 'failed to provide' support GPs need to fight COVID-19, LMCs warn
The government has failed to provide general practice with the funding or resources it needs to fight COVID-19, LMCs will argue at a BMA conference later this month. (Source: GP Online News)
Source: GP Online News - November 11, 2020 Category: Primary Care Tags: Practice News Source Type: news

Preparing for general practice to contribute to a potential Covid-19 vaccination programme
NHS England has published a letter and associated documents for GPs, general practice teams and CCGs regarding preparing for general practice to contribute to a potential Covid-19 vaccination programme. (Source: NHS Networks)
Source: NHS Networks - November 11, 2020 Category: UK Health Source Type: news