Happy 2016!

Now we enter the new year we want to wish everyone a Happy New Year, and let clients and candidates alike know what exciting things we have to look forward to this year.

Primary Care People will be holding our first annual Summer charity ball for our charity partner Sense. This will kick-off with a volunteer day we have booked in with them soon at the Stables, where we get to meet our rescue donkeys, Bonnie and Clyde!

Our sponsorship is also in place with The RCGP so we will be assisting them in working with Practice Manager’s in their workshops on running your own practice. We will also be presenting and sponsoring this years 20th Research Paper; RCGP and Primary Care People Research Paper of the Year Award.

We will be attending a lot more events this year so you shall expect to see us there! We will also be running for more awards, moving into another new office, and growing evermore as a company.

Christmas Time with General Practice

As we are entering the Christmas month, we are filled with festive cheer and busy days and nights running around headless in the cold! Although it is ‘the most wonderful time of the year’, we must be aware it is also the most busiest in every aspect!

To make sure everyone is aware of how their GP Practices will be available, we have put together some important information for patients and Practice managers.

We are all aware of ‘winter pressures’, which put a strain on all Primary Care services. So to ensure patients can get the best services;

Practices should ensure that:

  • patients are aware of any closures in advance by using surgery notices, and including messages on repeat prescriptions
  • arrangements are in place to ensure that repeat prescriptions are ordered and collected in a timely matter to avoid requests over the period of practice closure
  • answer phone messages should be changed at 18:30 on the afternoons of early closure – in particular – for opted out practices where there is a change from the sub-contracted provider to NHS 111

 

Helpful tips to prepare for the holiday period

In addition to the contractual guidance below, the following are suggestions for actions practices might consider to ensure your patients’ reasonable needs and your practices’ contractual obligations are met.

Following these tips will help to promote the smooth running of out of hours services and to ease pressures on your practice on days when the practice is open:

  • Minimise or avoid pre-booking advance appointments, particularly for non-essential services, from 23 December to 6 January
  • Minimise or avoid appointments for routine consultations, i.e. non-essential services from 23 December to 6 January
  • Ensure on any half day closing that a GP from the practice is contactable by the covering out of hours or other service in case of unforeseen queries
  • Advertise practice half day closing arrangements well in advance on prescription counterfoils, posters and other media at the practice, commencing as soon as possible if you have not already done so
  • Extend repeat prescriptions so they do not fall due during the period 23 December to 6 January
  • Ensure pharmacists collect “collection and delivery” prescriptions before the practice closes
  • Ensure patients on opiate substitution prescriptions have enough to cover practice closure periods and collect their prescriptions before closing
  • Ensure urgent lab tests carried out during this period have the clinical condition and phone number of the patient clearly on the form
  • Ensure special notes are sent to the out of hours organisation on vulnerable patients e.g. those without mental capacity, those with complex or terminal conditions and those where special arrangements are in place (e.g. GP to be informed during the out of hours period if patient dies)
  • Ensure residential and nursing home patients have repeat prescriptions, know the opening times and any sick patients have been reviewed before closing the practice [1]

We hope this helps you, and allows patients to know what to expect during this time of year.

Tis’ the season to be jolly after all!

[1] Bma.org.uk, (2015). BMA – GP Services During Holiday Period | British Medical Association. [online] Available at: http://bma.org.uk/support-at-work/gp-practices/service-provision/gp-services-during-holiday-period [Accessed 3 Dec. 2015].

 

Calling Attention To All Nurses: Revalidation Help Guide

All Nurses have recently been made aware of the NMC revalidation that is taking place next year.

The new guidance comes into effect from April 2016. Which means every registered nurse will undergo revalidation at some point in the subsequent three years. If you fail to revalidate you will be removed from the register and unable to practise.

Although this seems daunting, Primary Care People wanted to ensure that you are fully prepared for your revalidation. We are here to help you through the process to make it that much easier for you.

The new process replaces the current Prep requirements and nurses and midwives will have to revalidate every three years when they renew their place on the register. The revalidation builds on existing renewal requirements by introducing new elements which encourage nurses and midwives to reflect on the role of the Code in their practice and demonstrate that they are ‘living’ the standards set out within it.

So that we do not confuse you, we have collected what the new requirements are alongside your existing.

To summarise what the new requirements are for revalidation, we have listed them below:

  • Producing 5 written reflections on your practice;
  • Having a reflective discussion with a fellow nurse or midwife;
  • Ensuring that another professional – normally your line manager – confirms that you have met all of the requirements for revalidation.

Many of the requirements that you will have already done as part of the PREP will remain under revalidation, so nothing in those respects will be unfamiliar to you.

In total with the current requirements, this is the list for revalidation you will be looking at as a whole:

  • 450 practice hours or 900 if revalidating as both a nurse and midwife
  • 35 hours CPD including 20 hours participatory learning
  • Five pieces of practice related feedback
  • Five written reflective accounts
  • Reflective discussion
  • Health and character declaration
  • Professional indemnity arrangements
  • Confirmation

You can use the NMC to help start the process already for your revalidation. Here are the steps they suggest you take:

  1. Make sure you have an NMC Online account. If you don’t yet have one refer to our step by step guidance on setting up your account.
  2. Find out about your:Revalidation application date: This is the date by which you must submit your revalidation application.

    Renewal date: This is the date on which your registration expires. Your registration will be renewed from this date if you have successfully completed your revalidation application.

  3. Learn about what you will need to do. Talk with colleagues about revalidation and return to these web pages regularly.

Nurses and midwives should familiarise themselves with How to revalidate with the NMC now and start to develop their portfolio.

Revalidation will build on the requirements that nurses and midwives already need to meet. However, we want to provide a fair and reasonable amount of time for nurses and midwives to familiarise themselves with the revalidation requirements and prepare for their revalidation. We are proposing that the first nurses and midwives to revalidate will be those with a renewal date in April 2016. [1]

Please note that you must still pay your annual retention fee every year to maintain your registration with the NMC. Revalidation replaces the current renewal (Prep) process and you will have to complete the revalidation process every three years in order to renew your registration.

Should you need any further help with your revalidation process we are more than happy to assist you! Please call our dedicated nursing team, or our compliance team, who can guide you in the right direction.

[1] Nmc.org.uk, (2015). Revalidation. [online] Available at: http://www.nmc.org.uk/standards/revalidation/

Nurse Academy Training Courses

We finished our 5 day Advanced Practice course on Friday 9th October 2015. This was our second successful course run by our academy, to which the Nurses seemed very enthusiastic about what they can now do in their careers.

We have had some great feedback from the delegates who feel the training was of a high standard, and wish to work more with Nursing Academy.

We have a 4 day Minor Ailments course starting in 2 weeks, 23rd October.

Please contact our team today to find out more.

0203 805 3477

training@nurseacademy.co.uk

Patients Need Medically Trained Staff and Not Call Centre Trainees Says Primary Care People

Patients Need Medically Trained Staff and Not Call Centre Trainees Says Primary Care People

An investigation by the Daily Mail has revealed that call centre staff, often with just three weeks of training and not qualified as medically trained practitioners, have been advising people on the NHS Out of Hours Hotline.

The hotline, which replaced NHS Direct, was set up to deal with urgent cases and the newspaper reports on the tragedy of two young children who died owing to mis diagnoses by people who missed serious symptoms and who were following a computer tick box system rather than referring worried parents to a nurse or doctor.

The investigation also discovered a worryingly few number of nurses were on standby for 2.3million people and over half a million sick patients couldn’t reach anyone at all, resulting in 75% of calls going unanswered.

Hertfordshire based medical recruitment company Primary Care People has been recruiting and providing nurses and doctors for the NHS since 2013. Tawhid Juneja the company’s founder and MD says “The investigation is truly shocking and will worry patients throughout the UK who depend on the services of the NHS, especially for their children and the sick and elderly. It’s no secret that there has been a shortfall of nurses and doctors in the NHS for some time and never moreso than for out of hours services.

“We completely understand the enormous pressures that NHS staff have to cope with and the genuine concerns of patients who urgently want to get the services they need.

With this in mind, some time ago we set up a 24/7 out of hours service, which covers weekdays and weekends, so that we can always provide nurses and doctors on call at relatively short notice. We have very strict medical criteria for the doctors and nurses we have on our database and in an emergency we can provide help for practices and centres who may be understaffed and under pressure.

“The only long term solution is for the NHS to ensure that across the board there are enough Out of Hours staff to cope with demand and not just in A&E departments which are already overloaded. It’s neither fair on patients nor for the call centre staff who are not medically trained to take responsibility for sometimes life and death decisions, as we have seen in the papers today.”

New Nursing Division

We take great pleasure in informing you that we have launched a dedicated Nursing division here at Primary Care People.

We have experienced exponential growth over this past year, and as part of our continued growth we want to provide Nurses with a dedicated and specialised team to support their needs.

Equally, we wish to provide our clients a specialist team to communicate with, build relationships with, and to assist with all their Nurse staffing needs in your Practice, Unit or Centre.
Our Nursing team will take the time to listen to your needs and provide solutions to clients and nurses alike.

Let us introduce the team to you:

Pino Nicholson – Meet our Associate Director of Nursing. Pino, will be managing our new division, ensuring our expertise is reaching all clients and candidates nationwide.
An accomplished Learning and Development professional, Trainer, Recruiter, Project Manager and Sales Professional with more than 25 years’ experience; He has a proven track record of providing exemplary levels of training and development to individuals across all seniorities, adding value to organisations through the delivery and management of effective and proven training and development programmes as well as talent management and performance management.

“As a recruitment and Director and Manager I am passionate about customer service and will take the time to truly understand the needs of candidates and clients therefore both myself and my team will deliver opportunities and solutions that are aimed at meeting the needs of the people we work with.”

Contact Pino: pino@primarycarepeople.co.uk

Kevin West – Practice Nurses. Kevin, has been successfully placing our candidates into long term contract, ad-hoc and permanent work. Kevin has had extensive experience in working with clients and candidates to ensure all Practice Nurse need’s are met.

Contact Kevin: kevin@primarycarepeople.co.uk

Dean Wylie – Nurse Practitioners. Dean, will be increasing our presence with both ANP’s and ENP’s. Placing them into work and supplying clients help with Practices, UCC’s and WIC’s.

Contact Dean: dean@primarycarepeople.co.uk

We look forward to working together with you. Contact the Primary Care People nursing team today to find out how we can assist you!

We are passionate about care, and that starts with caring for our clients and candidates. We are dedicated to providing you with the best service possible, after all, you deserve it.

Caring For You, So You Can Care For Others.

Medical Students Driven To Suicidal Thoughts

No matter what area of study you decide to learn and commit to, your time and life is absorbed. Students are consistently feeling under pressure, and some even face depression. Medical students are no exception when it comes to their years of learning and training.

A study in Student BMJ had recently published the findings that one in seven medical students have thought about committing suicide whilst studying.

They had 1,122 UK based respondents to the poll, which represents around 2% of all medical students in the UK…more than 80% of those with mental health issues felt they got poor or barely adequate support from their medical schools, and around one in seven (almost 15%;167) said that they had considered committing suicide while studying at medical school. [1]

The study also highlighted other attributes of struggle, such as; drinking, smoking and taking drugs. What seemed interesting is that some of them even took ‘smart drugs’ to help with their revision.

This highlights the struggles that all students face when it comes to the pressures of examination. Looking at medical students in particular is interesting because it could be argued they know what they are doing to their body, but choose to use them because of the pressure. Another argument is, they go into medicine to potentially save lives, and one in seven consider taking their own.

Furthermore, because they are medical students they may feel they cannot report their issues as they may be deemed unfit for practice. Which would in turn also affect their results in a negative way.

It is a combat of emotions for medical students who have numerous exams, and have to get used to the emotional side of dealing with sick patients regularly.

Perhaps this is the best time to open this discussion as the New Year starts for students. To hopefully have lecturers and tutors discuss the approach they have to mental health, and the wellbeing of medical students.

If you have suffered, please let us know your story.

Or please share any thoughts you may have in regards to this study.

[1] Onmedica.com,. ‘Onmedica – News – One In Seven UK Medical Students Has Thought About Committing Suicide’. N.p., 2015.

Our Agencies Focus

In regards to recent news about agencies ‘ripping off’ the NHS, Primary Care People are under the impression that with Salaried and Permanent jobs seeming unappealing to Nurses and GP’s they decide to go overseas, which affects all of us, including being detrimental to the NHS.

But this does mean that in turn expectations levels of locums is higher which increases the cost to agencies. We have to supply healthcare professionals because they are needed.

But fundamentally we worry that this will then take away from patient care which is the ultimate focus.

As an agency we offer a 24 hour service which allows us to support the NHS in emergencies. For instance we have had occasions where someone needed a Dr on Christmas Day, which in cases like these prices will be high due to the Dr’s demand to do the shift.

Here at Primary Care People we maintain a patient care focus and ensuring our candidates enjoy the work they are doing, which includes being able to care of their patients professionally and properly.

Happy International Nurses Day!

Happy Nurses Day!

To celebrate all our Nurses and the wonderful job you all do – we wanted to advertise our new sponsorship of Nurse Academy!

Recently we have become sponsors to help hold Nurse Training so Nurses can learn the skills to work in an Urgent Care Centre.

The first course starts the 26th May, so please get in touch to find out more details!

http://nurseacademy.wix.com/nurseacademy

And Nurses – Please enjoy your day, we appreciate all of you!

Will The NHS Ever Recover?

Every day the media still manages to find another hole in the NHS that needs covering, and another party manages to propose an answer to all the problems. But will the NHS ever truly be in a stable state again?

With GP and Nurse shortages running high along the news stories also, the moral panic for the healthcare system is at an all time high.

But there is reason this time to be wary of the NHS’s future. The Kings Fund charity has ran its regular report on how the NHS is performing and noted that the finances have shown an “alarming deterioration”. And furthermore, that there is “considerable scepticism” regarding the achievability of the £22bn target for productivity improvements outlined in the NHS Five Year Forward View.

It would appear that hospitals and NHS providers have overspent by £800 million. And we wonder why there’s financial problems…But like most economic situations, it’s a vicious cycle. Therefore all we really know for certain when it comes to the NHS, is that the struggle is true and will be long.

What we all need to do is find a solution. If patients can have an accessible place to go with their primary care problems, then staff can work in the environment where they are performing the work they signed up to do. Although healthcare environments will never be calm, or easy, there hopefully can be less pressure placed on the staff.

Instead of wanting to retire at the end of the day, GP’s and Nurses will just feel satisfied in their hard work.

However the health charity warned of no such luck to progress in the next 2 years.

This quarter’s survey of NHS provider finance directors and CCG finance leads revealed that:

  • for the third consecutive quarter, staff morale tops trust finance directors’ lists of concerns
  • fewer than half (45%) of trusts feel confident that they will achieve the productivity targets for 2015-16
  • 90% of trust financial directors and 85% of commissioners are concerned about the financial state of their local health economies
  • there is a mismatch in expectations about demand for services between providers and commissioners; for example, 80% of trusts expect emergency admissions to rise this year, while 60% of CCGs expect them to fall
  • about three-quarters (75%) of trusts and two-thirds (68%) of CCGs think there is a high or very high risk of failing to achieve the productivity gains over the next five years outlined by the NHS five year forward view.

Richard Murray, Director of policy at The King’s Fund warned: “The health service enters the new financial year facing some of the biggest financial and performance challenges in its recent history. If last year was the most difficult for some time, this year promises to be much worse, with little confidence that the alarming deterioration in NHS finances can be arrested.”

He added: “Looking further ahead, while there is still significant scope to improve productivity in the NHS, efficiencies are becoming harder to generate and there is considerable scepticism that the £22bn in productivity improvements outlined in the NHS Five Year Forward View can be achieved.” [1]

Whilst this doesn’t leave much room for improvement, and certainly a lack in positive attitude, we must prepare ourselves for many more months of panic and unhappy healthcare staff.

If you have any comments or advice for what you would suggest please get in touch!

[1] Onmedica.com,. ‘Onmedica – News – NHS Faces Greatest Challenges In Recent History’. N.p., 2015. Web. 24 Apr. 2015.