As you know, the service went live at midday on 2nd April, and the occasion was marked with orange outfits and a celebration with Care UK at Nicholson House, and at Osprey Court.

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The CCG has informed us that there is a national shortage of levomepromazine. Please bear this in mind when prescribing for palliative patients, and use alternatives if you can. If not, please seek to check if the pharmacy has stocks available.

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Please see the attached alert about the use of fluoroquinolones. It outlines the risks of disabling, long-lasting or potentially irreversible reactions affecting the musculoskeletal (including tendonitis and tendon rupture) and nervous systems. It advises avoiding co-administration with steroids, and special caution for patients older than 60 years. Prescribers should not use these medications for non-severe or […]

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Please note that the Ambulance service has now switched to using NEWS2, which supersedes NEWS. It is broadly similar, but there are small changes to how mental state/ conscious level are scored and the scoring for oxygen saturations (if patient’s baseline saturation levels are low). Full information about NEWS2 is now available on the toolkit.http://www.clinicaltoolkit.co.uk/work/national-early-warning-score-news/?highlight=news2

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The alert outlines that there is a significant risk of over-estimating or under-estimating saturations if the incorrect probe is used. Examples using an adult finger probe on a child, or using a probe intended eg for the finger on the ear.Download the full MRHA alert HERE

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We are delighted that Dr Alison Hutchings started as the Clinical Guardian Lead GP in February. She, and the team of GP and Nurse auditors, will continue to audit your IUC cases. The team are all very friendly, and would welcome a dialogue with you about your feedback or about other cases. You are welcome […]

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The Adastra changes mean that all these calls are now visible on the IUC Advice screen. As a result, a broader range of clinicians are picking up these cases in addition to the Clinical Coordinator GP +/- Professional Line Clinician. We thought it would be useful to share some of our guidance for consulting with […]

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The patient line number allows a select group of patients to call directly back to IUC without going via NHS111. It is important that the Patient Line is used for appropriate cases. Reasons for clinicians to provide the patient line number to carer/ patient: When there is a significant chance that further IUC input will be needed prior […]

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A new urgent dental service launched for patients in BNSSG on 2nd April, run by Access Dental. It provides advice and triage to patients with dental problems, and they are able to book patients into urgent face-to-face dental appointments if required. The service operates 8am-10pm seven days a week. Patients access the service by calling NHS111 and selecting option 2 for dental problems.  After 10pm and before 8am, patients who select option 2 will be assessed by NHS111 Pathways […]

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On the 1st April, the new state backed indemnity scheme for GPs (the Clinical Negligence Scheme for General Practice, or CNSGP) commenced. The NHS Resolution website provides full information and updates:https://resolution.nhs.uk/services/claims-management/clinical-claims/clinical-negligence-scheme-for-general-practice/NHS Resolution advises that all GPs will need to continue to maintain membership with a medical defence organisation, or other indemnity provider. It is your responsibility […]

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