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Copy of letter sent out to NHS GPs re Shielding (03/04/20)
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<blockquote data-quote="Brunneria" data-source="post: 2253708" data-attributes="member: 41816"><p>Thank you to everyone still keeping this thread alive.</p><p></p><p>Out of curiosity, I checked back on the NHS link (see 1st post on thread) and found a new letter dated 9th April</p><p></p><p>Very informative.</p><p>I encourage anyone to read it here, <a href="https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/SPL-Letter-to-GPs-09042020.pdf" target="_blank">https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/SPL-Letter-to-GPs-09042020.pdf</a> and check out the references and additional info at the bottom of the doc.</p><p>The letter itself is copied and pasted below. Apologies for the clumsy paragraphing. The entire thing copied across as a single wodge of text, and I have attempted to break it back up for ease of reading, and had to break it into two posts because it was too long to fit into one post:</p><p></p><p><em>To: General Practice From NHS England and NHS Digital </em></p><p><em></em></p><p><em>Dear Colleagues, </em></p><p><em></em></p><p><em>Thank you for your considerable patience as we work to improve the process for identifying individuals at highest clinical risk from Covid-19, following our letters of 21st March and 3rd April. </em></p><p><em></em></p><p><em>As you know, we are asking this group who are at highest clinical risk of mortality and severe morbidity from COVID-19 to shield, stay at home and avoid face-to-face contact for a period of at least 12 weeks. The Government has established a national support offer to make sure they have access to medicines and basic supplies during this time. This letter now confirms the specific tasks we need GPs to complete in this process, and by when they need to be completed. </em></p><p><em></em></p><p><em>As set out in the FAQs shared with you on 3 April, there are three parts to this work:</em></p><p> <em>• Part 1: Nationally held data was used to identify patients, based on criteria agreed by the United Kingdom Chief Medical Officers (CMOs) (see annex for list and the associated codes)</em></p><p> <em>• Part 2: Primary care data extracted centrally to identify additional patients, based on the same clinical criteria</em></p><p> <em>• Part 3: Hospital specialists and GPs adding or subtracting individual patients from this register </em></p><p><em></em></p><p><em>We now need all practices to complete the work involved for them in parts 1-3 of the patient identification process, as set out in this letter as soon as possible, and by no later than 17:00 Tuesday 14 April. This is to ensure that all relevant patients have been given essential advice on shielding. It will ensure all patients added locally will be able to access the government support offer. </em></p><p><em></em></p><p><em>There will be a time lag between you flagging any additional patients, and the information being processed centrally, and if in the meantime any of these patients require urgent additional support they should contact their local authority. </em></p><p><em></em></p><p><em>We appreciate that this is a Bank Holiday. We are asking for considerable work to now be finalised by practices in a short space of time. We are hugely appreciative of the efforts you have already made and the extra final effort that this will involve you making. New codes are being set-up on GP systems to capture Covid-19 vulnerability, testing and other factors. NHS Digital has defined a new SNOMED CT code set related to Covid-19 and all GP suppliers are adding these codes to their systems. </em></p><p><em></em></p><p><em>These codes are being added in 09 April 2020 2 two waves: the implementation of the most critical flag (“High risk category for developing complication from Covid-19 infection”) has been completed first. The additional codes, including flags for medium and low risk Covid-19 risk, are being implemented subsequently. The high-risk codes are in place in all systems. The medium and low risks codes are already available in TPP systems and will be made available in other systems by 14/04. </em></p><p><em></em></p></blockquote><p></p>
[QUOTE="Brunneria, post: 2253708, member: 41816"] Thank you to everyone still keeping this thread alive. Out of curiosity, I checked back on the NHS link (see 1st post on thread) and found a new letter dated 9th April Very informative. I encourage anyone to read it here, [URL]https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/SPL-Letter-to-GPs-09042020.pdf[/URL] and check out the references and additional info at the bottom of the doc. The letter itself is copied and pasted below. Apologies for the clumsy paragraphing. The entire thing copied across as a single wodge of text, and I have attempted to break it back up for ease of reading, and had to break it into two posts because it was too long to fit into one post: [I]To: General Practice From NHS England and NHS Digital Dear Colleagues, Thank you for your considerable patience as we work to improve the process for identifying individuals at highest clinical risk from Covid-19, following our letters of 21st March and 3rd April. As you know, we are asking this group who are at highest clinical risk of mortality and severe morbidity from COVID-19 to shield, stay at home and avoid face-to-face contact for a period of at least 12 weeks. The Government has established a national support offer to make sure they have access to medicines and basic supplies during this time. This letter now confirms the specific tasks we need GPs to complete in this process, and by when they need to be completed. As set out in the FAQs shared with you on 3 April, there are three parts to this work: • Part 1: Nationally held data was used to identify patients, based on criteria agreed by the United Kingdom Chief Medical Officers (CMOs) (see annex for list and the associated codes) • Part 2: Primary care data extracted centrally to identify additional patients, based on the same clinical criteria • Part 3: Hospital specialists and GPs adding or subtracting individual patients from this register We now need all practices to complete the work involved for them in parts 1-3 of the patient identification process, as set out in this letter as soon as possible, and by no later than 17:00 Tuesday 14 April. This is to ensure that all relevant patients have been given essential advice on shielding. It will ensure all patients added locally will be able to access the government support offer. There will be a time lag between you flagging any additional patients, and the information being processed centrally, and if in the meantime any of these patients require urgent additional support they should contact their local authority. We appreciate that this is a Bank Holiday. We are asking for considerable work to now be finalised by practices in a short space of time. We are hugely appreciative of the efforts you have already made and the extra final effort that this will involve you making. New codes are being set-up on GP systems to capture Covid-19 vulnerability, testing and other factors. NHS Digital has defined a new SNOMED CT code set related to Covid-19 and all GP suppliers are adding these codes to their systems. These codes are being added in 09 April 2020 2 two waves: the implementation of the most critical flag (“High risk category for developing complication from Covid-19 infection”) has been completed first. The additional codes, including flags for medium and low risk Covid-19 risk, are being implemented subsequently. The high-risk codes are in place in all systems. The medium and low risks codes are already available in TPP systems and will be made available in other systems by 14/04. [/I] [/QUOTE]
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