COVID 19 | Barnet Federated GPs

“ This advice and guidance is for Barnet Federated GPs staff and Barnet GP Practices only”

Current Federation Service Updates

Barnet-Primary-Care-Pathway-during-Covid19-v7.1-17.04.2020.pdf

Advanced-Assessment-Clinic-Referral-Criteria-12.04.2020.docx

Advanced-Assessment-Clinic-Referral-Process-15.04.2020.rtf

Barnet Covid Triage Template Link

Barnet Primary Care Covid Service Comms 03.04.2020

CCG-Barnet-Practice-Sitrep-Report-27.03.2020

Guidance and Training Resources for GP Practice / Federation Staff

This is a collation of guidance and training resources available to GP practice / federation staff. It aims to:

Be small and up to date, with links not documents and summarising information from many sources
Be practical, with direct links, short documents, short videos and clear titles
Be useful, with practical tips and usable information

IF YOU CAN’T READ IT ALL, READ THESE! (copied from the sections that follow)

What work is priority in GP practice:

RCGP Workload Prioritisation Guidance 03.04.2020:

https://www.rcgp.org.uk/-/media/Files/Policy/A-Z-policy/2020/covid19/RCGP-guidance/202003233RCGPGuidanceprioritisationroutineworkduringCovidFINAL.ashx

What PPE should be worn and how:

Public Health England (PHE) posters and video for donning and doffing PPE:

https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-non-aerosol-generating-procedures

How to prepare for face to face consultations:

Mountwood Practice clinician tips:

Mountwood-Practice-Face-to-Face-Guidance.docx

How to do video consultations:

Uni of Oxford IRIHS Research Group ‘Video Consultations: Information for GPs’ (Dr Trish Greenhalgh):

https://elearning.rcgp.org.uk/pluginfile.php/148915/mod_resource/content/3/NHS_VC_Info%20for%20GPs_v06.pdf

How to use AccuRx for notes and requests:

AccuRx fit notes and blood test requests video (Dr Dylan Parry) (4 videos – 2-4 mins each):

https://www.youtube.com/playlist?list=PLZQBU2ct2ZFu3K9nWfe0wSNm4Qk_2EFdO

How to talk about end of life care:

EC4H end of life care conversation (RED-MAP):

https://www.ec4h.org.uk/wp-content/uploads/2020/04/RED-MAP-Guide-for-Professionals-v4.1-070420.pdf

How to look after yourself and your patients:

Mental Health Foundation (also for patients):

https://www.mentalhealth.org.uk/publications/looking-after-your-mental-health-during-coronavirus-outbreak

Vulnerable patients and repeat dispensing: national information, patient lists and searches are sent directly to practices and federations so not included here.

Hubs and home visiting: STP level and borough level pathways and bookings are specific to each borough and available through the federations so not included here.

Guidance for Practice Working

If you are seeing patients, you must know what Personal Protection Equipment (PPE) to wear and how:

Public Health England (PHE) posters and video for donning and doffing PPE:

https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-non-aerosol-generating-procedures

Direct link to the PPE video (7 mins):

https://youtu.be/-GncQ_ed-9w

Where possible use only Remote Consultations and know how to set them up, what to remember, how to do remote assessment, and how to have difficult conversations:

These should be used not only for GP assessment but also for pro-active phoning of various categories of patients (by admin, Link Workers, HCAs, nurses, pharmacists); for regular continued monitoring of COVID19 patients at home; and for end of life care.

BMJ remote consultation guidance (Dr Trish Greenhalgh):

https://www.bmj.com/content/368/bmj.m1182

Direct link to the remote consultation poster:

https://www.bmj.com/content/bmj/368/bmj.m1182/F1.large.jpg

Uni of Oxford ‘Video Consultations: Information for GPs’ booklet (Dr Trish Greenhalgh):

https://elearning.rcgp.org.uk/pluginfile.php/148915/mod_resource/content/3/NHS_VC_Info%20for%20GPs_v06.pdf

eGPlearning ‘how to do video consultations’ video (Dr Gandalf) (20mins):

https://www.youtube.com/watch?v=1UivLSPDeZo

RCGP ‘how to do telephone triage’ podcasts (Dr Colin Fitzpatrick and Dr Chris Campbell) (4 podcasts – ~8 mins each):

https://elearning.rcgp.org.uk/mod/page/view.php?id=10558

Red Whale ‘how to do remote consulting’ webinar (Dr Osman Bhatti):

https://www.gp-update.co.uk/webinars/OWREM250320

eGPlearning ‘explaining video consultations FOR PATIENTS’ video (Dr Gandalf) (2 mins):

https://www.youtube.com/watch?v=xxW4ssN3y90&feature=youtu.be

Barnet TH telephone checks guide FOR NURSES (Dr Natalie Zhang):

Barnet-TH-Guide-for-Practice-Nurses-for-Telephone-Check-and-ACP-during-COVID19.pdf

EC4H ‘how to have end of life care conversations’ guide (RED-MAP):

https://www.ec4h.org.uk/wp-content/uploads/2020/04/RED-MAP-Guide-for-Professionals-v4.1-070420.pdf

NHS end of life care toolkit (Helix Centre):

https://helixcentre.com/_content-img/projects/eolc-toolkit/Practical-Care-For-Dying-Person-Toolkit.pdf

Remote Management of LTCs during Covid-19 webinar (HEE 20.04.2020; 1 hour):

https://www.youtube.com/watch?v=s-c_UAliyfE&feature=youtu.be

Telephone Consultations and Triage for Practice Nurses webinar (HEE 02.04.2020; 1.5 hours):

https://www.youtube.com/watch?v=Iiv2sTlVxgQ&feature=youtu.be

Know how to use AccuRx for video consultations and sending resulting paperwork:

Heathrow Practice AccuRx guidance (Dr Sukin Natarajan):

Heathrow-Practice-AccuRX-Guide-v5-24.03.2020.pdf

AccuRx fit notes and blood test requests video (Dr Dylan Parry) (4 videos – 2-4 mins each):

https://www.youtube.com/playlist?list=PLZQBU2ct2ZFu3K9nWfe0wSNm4Qk_2EFdO

AccuRx Help Centre:

https://support.accurx.com/en/

Help with EMIS Web, the FaceBook page is particularly useful:

EMIS Web Tools:

https://www.emisnow.com/csm?id=kb_article_view&sysparm_article=KB0064137&sys_kb_id=55859e9b1bbb88507937a8a4bd4bcb2d

EMIS Web Facebook page – search for EMIS Web FB User Group for shared advice and tips

Information Governance during COVID19:

NHSX information governance advice:

https://www.nhsx.nhs.uk/key-information-and-tools/information-governance-guidance/health-care-professionals

Preparing for Face to Face Consultations within the practice:

NHS England GP practice guidance including the national Standard Operating Procedure (SOP):

https://www.england.nhs.uk/coronavirus/primary-care/general-practice/

BHR staff vulnerability assessment to check who can work where:

Rochdale General Practice Staff Risk Score including BAME

BHR-Staff-General-Practice-Staff-Vulnerability-Assessment.docx

Mountwood Practice clinician tips on setting up the consultation room:

Mountwood-Practice-Face-to-Face-Guidance.docx

Resources for Practice Staff

Online Learning for Staff:

RCGP: https://elearning.rcgp.org.uk/course/view.php?id=373

HEE: https://www.e-lfh.org.uk/programmes/coronavirus/

Red Whale: https://www.gp-update.co.uk/updates

QNI for nurses:

https://www.qni.org.uk/wp-content/uploads/2020/04/General-Practice-Nursing-Covid19-Rapid-Training.pdf

Marie Curie for end of life care:

https://www.mariecurie.org.uk/professionals/palliative-care-knowledge-zone/proving-good-quality-care/covid-19#covid-19

Staff Advice:

RCN for nurses:

https://www.rcn.org.uk/get-help/rcn-advice/covid-19

BMA for doctors:

https://www.bma.org.uk/advice-and-support/covid-19

NHS Employers for practices:

https://www.nhsemployers.org/covid19

NHS Resolution for Clinical Negligence Indemnity:

https://resolution.nhs.uk/2020/03/19/covid-19-and-business-continuity/

Staff Wellbeing:

#OurNHSPeopleWellbeing Support

https://people.nhs.uk/

Survive and Thrive – Join a ‘Doctors Mess’ during COVID-19

‘Doctors Mess’ during COVID -19

NHS London Letter to GPs

NHS London RO Letter 23.04.2020 v2

Every Mind Matters (also for patients):

https://www.nhs.uk/oneyou/every-mind-matters/

Mental Health Foundation (also for patients):

https://www.mentalhealth.org.uk/publications/looking-after-your-mental-health-during-coronavirus-outbreak

MIND (also for patients):

https://www.mind.org.uk/information-support/coronavirus/

Headspace (now free for NHS staff):

https://work.headspace.com/nhs-clinical/member-enroll

Dr Michael Davey emotional wellbeing resources (free for NHS staff):

https://www.drmichaeldaveywellbeing.co.uk/ and https://www.youtube.com/watch?v=HThn5b6QDzY

Further Support for Patients:

Referral for NHS Volunteer Responder:

https://www.goodsamapp.org/NHSreferral

Collection of local Mutual Aid groups:

https://covidmutualaid.org/

UK Government information:

https://www.gov.uk/coronavirus

NHS information:

https://www.nhs.uk/conditions/coronavirus-covid-19/

When Should I Worry website:

http://www.whenshouldiworry.com/view-booklet.php

CDC disinfecting homes guidance:

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfecting-your-home.html

Compassion in Dying advanced care planning:

https://compassionindying.org.uk/making-decisions-and-planning-your-care/planning-ahead/advance-care-planning/

Recording your advance decision:

https://mydecisions.org.uk/

Cruse Bereavement Care grief and isolation advice:

https://www.cruse.org.uk/sites/default/files/default_images/pdf/Documents-and-fact-sheets/Coronavirus_Grief%20and%20isolation%20v2.pdf

Staff Hardship Funds:

https://www.cavellnursestrust.org/help-and-advice/

https://rcnfoundation.rcn.org.uk/apply-for-funding/hardship-grants

https://www.qni.org.uk/help-for-nurses/financial-help/

Instructions for video conferencing for staff teams:

Zoom: Confed-Zoom-Meeting-Guidance.docx

Microsoft Teams: BFG-Microsoft-Team-Guidance.docx

General Guidance and Advice

General Clinical Guidance:

‘Barnet Primary Care Pathway during Covid19’ is on the BFG website / members page https://barnetfederatedgps.org.uk/login/ and shared more widely on http://primarycarepathways.co.uk/covid19 most popular resources. It contains clinical and end of life pathways and guidance.

UK Government guidance:

https://www.gov.uk/government/collections/coronavirus-covid-19-list-of-guidance

NICE rapid guidelines:

https://www.nice.org.uk/covid-19

Uni of Oxford COVID19 Evidence Service research:

https://www.cebm.net/covid-19/

WHO information:

https://www.who.int/emergencies/diseases/novel-coronavirus-2019

CDC information:

https://www.cdc.gov/coronavirus/2019-ncov/index.html

PHE statistics updates:

https://www.arcgis.com/apps/opsdashboard/index.html#/f94c3c90da5b4e9f9a0b19484dd4bb14