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News 4 - 22 August 2014 - 3rd interim update

Please Click here to download the latest GPC guidance.

GPC guidance to GPs regarding Ebola virus

As you will know, a Cascade alert was issued on 1 August via area teams concerning patients presenting with a positive travel history to Ebola Virus areas within the previous 21 days. The full alert message can be found at 010814Ebola CAS alert.pdf.Attached to the alert is a complex viral hemorrhagic fever risk assessment algorithm which suggests that practices should carry out complex investigations. The algorithm [‘Viral Haemmorrhagic Fevers Risk Assessment’] can be foundonline.

Below is a simplified version of the algorithm, explaining which steps practices would need to follow in case of a potential Ebola case presenting at the practice:

For any patient presenting who have visited the affected areas within the past 21 days, clinicians should consider questions A and B at the top of the algorithm.

  1. If the answers to both questions A and B are negative there is minimal possibility of VHF/Ebola Virus.
  2. If the answer to question B is positive then isolate patient in a separate room and call 999 - the ambulance service will deal with the case and transport to hospital.
  3. If the answer to question A is positive then it is necessary to seek answers to all the additional questions in the box.
    • If any of the additional question responses to question A are affirmative then patient isolate in a separate room, call 999 and the ambulance service will deal with the case and transport to hospital.
  4. If all the responses to the additional questions to question A are negative then the single further discriminator question concerning bruising or bleeding should be asked.
    • if the answer is yes then isolate in a room, call 999 and the ambulance service will deal with the case
    • if the answer isno then the appropriate GP response is to refer the patient immediately to their local hospital medical assessment unit for further evaluation without the need for isolation.
  5. Should you or your staff be exposed to a positive case then seek advice from the Local Health Protection Team regarding next steps. – Advisory group open meeting - England only

NHS England and the Health and Social Care Information Centre (HSCIC) are continuing to consult with stakeholders, including patients and health professionals, on potential solutions or ideas for amendments to the programme. Plans are progressing for a phased roll out to the programme, with a cohort of between 100 and 500 practices to trial, test, evaluate and refine the data collection process, including communications to patients.

The BMA is continuing to negotiate with the programme and advise on the BMA's position following the LMC Conference and ARM.

The Advisory Group has issued an open invitation to a second public consultationdiscussion about the development of the programme. Issues of interest to stakeholders and potential solutions to areas of concern will be discussed.

The open meeting will be held on Saturday 6 September 2014, 10:30am (10am registration) to 2:00pm, including a light lunch. The meeting will be held in London and further information isavailable here, including details of how to book a place. Please note that places are free, but no expenses will be paid.

CQC guidance on the Disclosure and Barring Service (DBS) checks in general practice

The CQC has issued the following guidance.Practices need to have safe recruitment procedures and need to be in line with the national policy on criminal record checks.

Practices need to have:

Esther Lewis PA/Administrative Assistant
Local Medical Committee
36 Harborne Road
B15 3AF
Telephone: 0121 454 5008
Fax: 0121 455 0758
BIRMINGHAM LMC - Supporting the BUSINESS of General Practice


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