“ 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:
- What PPE should be worn and how:
Public Health England (PHE) posters and video for donning and doffing PPE:
- 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):
- 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):
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:
Direct link to the PPE video (7 mins):
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):
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):
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:
EMIS Web Facebook page – search for EMIS Web FB User Group for shared advice and tips
Information Governance during COVID19:
NHSX information governance advice:
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:
Marie Curie for end of life care:
Staff Advice:
https://www.yourcovidrecovery.nhs.uk/
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
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):
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:
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:
Recording your advance decision:
Cruse Bereavement Care grief and isolation advice:
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
Some Specific National Guidance:
NHSE Second Phase Response Letter 29.04.2020:
NHSE GP Preparedness Letter 27.03.2020:
RCGP Workload Prioritisation Guidance 03.04.2020:
RCN Maintaining the National Immunisation Schedule Principles 02.04.2020:
NHSE Death Provisions 31.03.2020:
BMA Remote Verification of Expected Death Guidance 04.2020:
https://www.bma.org.uk/media/2323/bma-guidelines-for-remote-voed-april-2020.pdf
Hospice UK Registered Nurse Verification of Expected Adult Death Guidance 28.04.2020:
https://www.hospiceuk.org/what-we-offer/publications
NHSE Respiratory Guide 26.03.2020:
NHS London Clinical Networks Respiratory Resource Pack:
https://www.pcrs-uk.org/resource/covid-19-shared-resources-healthcare-professionals
PCDS Diabetes Fact sheet 17.03.2020:
https://www.pcdsociety.org/resources/details/glance-factsheet-covid-19-and-diabetes-dpc
Local STP Guidance including re pathways, services and hubs:
NCL:
http://gp.haringeyccg.nhs.uk/services/infectious-and-tropical-diseases/105372