Patient Specific Directive (PSD)  document template on EMIS

Patient Specific Directive (PSD)  document template on EMIS

A PSD is an instruction to supply and/or administer a medicine written and signed by the prescriber.  Many of you know that Jacqui and I have been working with the CCG to develop a template that can be used by prescribers to give instruction to Health Care Support Workers (HCSWs) and Trainee Nursing Associates to enable them to deliver flu clinics. The prescriber must review the patients attending the clinic and sign a list of those who they authorise to be immunised  The ‘flu patient specific directive (PSD) template is now available on your system via the bar global template section

Flu catch up clinic poster for school aged children

Please find attached information about the CLCH catch up arrangements for any school children who miss their flu vaccination at school.  Please direct any queries by email to:

NHS cervical screening programme sample results – Message from NHS England

Cervical Screening London (CSL) will be processing fewer cervical screening samples over the next few weeks. This is because of a short-term shortage in the supply of reagents for the testing process. CSL has been informed by the supplier that stocks will become available again next week and are working with them to minimise any risk of this happening again. Please continue to take cervical screening samples and send them to the laboratory as you would normally. On receipt, the samples will be stored in a suitable environment until they can be processed and the results will not be affected. We advise that when taking samples, you inform your patient that results may take longer and that they should contact the practice if they’ve not received anything within six weeks. Please also reassure patients that this is unlikely to cause or increase the risk of clinical harm to them and that cervical cancer takes many years to develop in most cases. We will update you if there are any changes to the situation.


Change, Grow, Live – New drug and alcohol service commissioned by PHE

Change Grow Live (CGL) is a drug and alcohol service commissioned by PHE, which replaced the Westminster Drug Project from April 2020. The service support patients with co-existent pain and substance misuse issues, in collaboration with primary care and hospital based specialist services. They deliver a range of interventions, including talking therapies, opiate substitution therapy and detoxification/rehabilitation. CGL will review patients with complex opioid analgesic regimes in primary care and patients prescribed opioids for pain management who have developed opioid dependence syndrome.

The drugs and alcohol referral form for CGL is on Bar Global or you can complete the referral  online. For further information, please see click here

NCL CARE Programme – Leadership Programme- revised webinar dates

We have had very little uptake of the places – please contact Adriana for further information about this exciting developmental opportunity. This is an exciting opportunity for general practice nurses (GPNs) who want to be part of a new, innovative and ground-breaking national development programme, shaped and delivered locally by NCL for NCL GPNs.  Please see the attached information and send your expression of interest stating name, practice and Primary care network.   There are places for 25 participants, which will be allocated on a first come basis.  If you are at a stage in your career where you need a new challenge and would like to make a difference for your own development, for your patients and for the wider system, this is the opportunity you have been looking for. I encourage you to sign up and be part of the first CARE cohort. please get in touch with –  See attached for the revised schedule – first webinar starts on 6 November 2020.


COVID-19 Clinical Guidance for GP/nurses Webinar on 15 October 1-2pm

This one hour Microsoft Teams webinar will focus on managing adult patients with suspected or confirmed Covid-19 by telephone, through virtual assessments and guidance on when it is safe to see patients face-to-face; provide guidance on managing febrile children during the winter; provide the referral criteria for the new NCL Covid-19 service and guidance on how to refer patients.

We recommend at least 1-2 clinician per practice (more are welcome) join so that colleagues are able to share the learning within their practices.

Click link below to join

Join Microsoft Teams Meeting

General Practice Nurse Cancer Community of Practice – October 15th 2020 1-2 pm on line event

  • Are you passionate about supporting people with or after cancer to live better in the community?
  • Have you got ideas about how general practice nurses could lead on cancer as a long-term condition?
  • Would you like to join with likeminded nurses to share learning and discuss barriers to change?

The community of practice was launched in 2019 as part of the Macmillan Primary Care Nursing project in SW London. It’s open to all primary care nurses across London with an interest in cancer and especially those who have completed the Macmillan Practice Nurse Course or Explore programme. To register for this event or more information see attached flyer or for ANY questions contact Sandra Dyer – Primary Care Lead Nurse Transforming Cancer Services Team for London:

QNI Conference – Learning from the pandemic (19 – 23 October 2020)

2020 has been a very challenging year, especially for the healthcare professionals who have been on the front line of the Covid-19 pandemic. As a thank you and in recognition of all the hard, vital work that nurses working in the community have carried out during this unprecedented time, the QNI is offering this year’s Annual Conference as a gift to all community nurses and allied health professionals.

It will take place online from Monday 19th to Friday 23rd October via Zoom. There will be something for everyone! To view the programme for all 5 days, please see link below.

Best Practice Live’s free conference programme

80 sessions with a range of speakers. Please join us over 13-15 October during 12:00 – 17:00. There are around 12hrs of CPD available and our full conference programme is available. For more information, topics and speakers please see the intranet.  Registration

Advanced Practice Virtual Conference 2020 – Register your place now

This year, for the very first time, HEE’s national conference for advanced practitioners is being held online as a virtual event on Monday 9 November and Thursday 12 November 2020.  Please see link for further details. Registration now open!

Black History Month

Celebrate and be inspired by these 50  black, Asian and minority ethnic figures who will exercise the most power and/or influence in the English NHS and health  and social sector. [The%2050%20most%20influential%20BAME%20people%20in%20health]HERE


Free Financial Wellbeing Webinars for NHS workforce – Money management guidance

As the largest employer in the UK employing approximately 1.3M people, we recognise that this is a difficult time for the NHS workforce and we know that financial concerns have consistently been in the top 5 reasons our colleagues call the free support helpline run by the Samaritans. Please see for more detail on current support for our NHS people.   Partnering with the Money and Pension Service (MaPS) to provide the first of a mini-series of financial wellbeing webinars to our NHS colleagues, which are free to access. Please join us for the second interactive session to see how you can make use of a wide range of free money management guidance and support from the government’s Money Advice Service. The next webinar will focus on identifying and supporting those close to you who may have hidden financial issues such as; debt, gambling, financial abuse, financial difficulties arising as a result of sudden bereavements.

Webinar: Hidden figures – Talking about money in difficult circumstances for all NHS staff

Thursday 15 October 2020, 4pm – 5pm

Joining details (Will be added to webpage over the next few days):

NHS hotline to support NHS staff

The NHS has launched a mental health hotline as part of a package of measures to support the NHS’ staff as they help people deal with the coronavirus.

  • NHS hotline: 0300 131 7000 (Open between 7am – 11pm every day) Text service available 24/7. (Text FRONTLINE to 85258) Please see link for further details.   Samaritans operates a 24-hour service available every day of the year, by calling 116 123

You know you can call or email me at any time for any information guidance or support.

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