NHS England to Issue New Guidance on Low Value Prescription Items

The chief Executive of NHS England, Simon Stevens has announced a review of low value prescription items, which the National Health Service may stop prescribing in an effort to make significant savings. From April 2017, the NHS England will be issuing a new guidance restricting the future prescription of a range of low value medicines. The new guidance will advice Clinical Commissioning Groups (CCGs) nationwide to not prescribe certain low-value medicines. NHS England hope the new Guidance will save the service up to £400m per year. Initially, NHS England will develop guidelines around a set of 10 medicines that are unnecessary, ineffective and inappropriate for prescription on the NHS. These medicines include treatment for antihistamines, indigestion, coughs and colds, heartburn medication and suncream. NHS England said these "low-value" prescription items are thought to cost the service £128 million per year. While developing the guidance, the views of patient groups, healthcare professionals, commissioners and providers across the NHS will be taken. The chair of the Royal College of GPs (RCGP), Professor Helen Stokes-Lampard welcome the decision and said that the college was keen to work with NHS England and other National bodies in the devolved nations to make the changes a success. A spokesperson for NHS England said that the new guidelines will instruct Clinical Commissioning Groups on the ordering of medicines generally measured as low priority and will provide support to CCGs, prescribers and dispensers. Spokesperson added that the rising demand for prescriptions for medicine that can be bought over-the-counter at quite low cost, often for self-limiting or minor illnesses, highlights the need for all clinicians to work even closer with patients to make sure the best possible value from NHS resources, while removing wastage and improving patient outcomes. Visit our blog page daily for more updates on healthcare system of the UK. Recruitment Synergy is a UK based Medical Recruitment Agency. Remember us for Locum, temporary and permanent jobs across UK. We also provide compliance support  and  migration consultation to our candidates.


GMC Urges Junior Doctors to Share Their Experiences of Rota Gaps

The General Medical Council (GMC) has introduced a series of questions into this year’s National Training Survey focusing on the impact of rota gaps on Junior Doctors education and training. From 21st March 2017, the National Training Survey has started and for the first time the GMC, which oversees medical education and training in all four UK nations, has added five new questions on rotas gaps. Last year’s National Training Survey results recommended that junior doctors with heavy workloads were more likely to miss out on teaching sessions, be asked to manage with clinical problems beyond their capability and to experience inadequate assignments with colleagues. As a result, the GMC has introduced the new questions to examine the problem more closely and to improve the GMC’s UK-wide perspective of the impact poor rota design is having on workloads and training. The five questions on rota design are listed below: In my current post, gaps in the rota are dealt with appropriately to ensure my education and training is not adversely affected. In my current post, there are sufficient staffs to confirm that patients are always treated by someone with a proper level of clinical experience. In my current post, educational/training opportunities are rarely lost due to gaps in the rota. I was given enough notice about my rota in advance of starting my current post. The rota design in my current post helps optimise trainee doctors’ education and development. Every year, the National Training Survey seeks views of around 60,000 doctors in training as well as 45,000 senior doctors who occupy trainer roles. It is the first time rota design has been addressed by specific questions in the National Training Survey. The new questions on rota design have been written with response from doctors in training, investigators and key organisations to ensure they cover the key problems linked to rota design. The chief Executive of the General Medical Council, Charlie Massey said that the Health services are under significant pressure across the UK, which is why it’s important to get as full a picture as possible of the impact service demands have on doctors in training and on the trainers. He further added that the new questions would help to better understand the extent to which doctors’ education and training are at risk of being compromised. Visit our blog page daily for more updates on healthcare system of the UK. If you need any help with Medical Recruitment across the UK, then feel free to contact us anytime.


NHSI Place Another Three Trusts in Financial Special Measures

NHS Improvement is putting three more National Health Service trusts into financial special measures to help them meet their savings plans. The three NHS trusts that are placed in financial special measures are listed below:  North Lincolnshire and Goole NHS Foundation Trust St George’s University Hospital NHS Foundation Trust University Hospitals of North Midlands NHS Trust According to the NHS Improvement, these three trusts have failed to keep up with their agreed control totals. So, the trusts will be joining the seven trusts currently in financial special measures as they ran up a combined deficit of £145m. On July 2016, the financial special measures programme was introduced to help NHS trusts struggling financially, and has saved the NHS around £100m in improving efficiencies since its establishment. Each trusts in financial special measures will receive a package of support from NHS Improvement, which is designed to achieve rapid financial improvement, while maintaining or improving their quality. A Financial Improvement Director will also be appointed who are highly experienced NHS leaders or experts in supporting financial improvement in major organisations. The chief executive of NHS Improvement, Jim Mackey said that three trusts being put into financial special measures are not on course to meet their savings targets and financial special measures will be an effective way of supporting them to significantly improve. The chief executive of the NHS Confederation, Niall Dickson commented that the news should come as evidence that NHS organisations are working “flat out” to sustain their services with incredibly tight finances. There was a growing recognition in the National Health Service that money alone would not solve its problems, as he also called for the health and care system to be redesigned, describing it as “not fit-for-purpose". Visit our blog page daily for more updates on healthcare system of the UK. Recruitment Synergy is a UK based Medical Recruitment Agency. Remember us for Locum, temporary and permanent jobs across UK. We also provide compliance support   and  migration consultation to our candidates.


Improving the Working Lives of Junior Doctors

On 14th March 2017, the Health Education England has published a comprehensive update report highlighting the progress made by Health Education England to improve working lives of junior doctors. At the instigation of the BMA, the Health Education England has promised to enhance the working lives of junior doctors outlining a range of actions to make training better and more flexible. The junior doctors’ contract argument underlined a number of issues including their training and working environment. Unhappiness, anger, reports of low morale and disappointment were widespread. The Common anxieties involved subjects that sat outside the agreement itself and included different interpretations of the many rules around flexibility in junior doctors training, lack of timely information about rotations and on-call duties and the rising costs of developing as a professional. A working group was established by Health Education England in partnership with General Medical Council, NHS Employers, the British Medical Association Junior Doctors’ Committee (JDC), Academy of Medical Royal Colleges and trainee representatives. Some of the main areas for action included: Committing to lessening unfairness in study leave guaranteeing that essential costs of training are not borne by junior doctors; New legal protection for juniors raising patient safety concerns. Rising the attention on appreciating healthcare staff including junior doctors; Creating more flexibility to doctors with regard to placement that will benefit doctors with special circumstances who need to train in a certain areas, those who want to move region and those who want to train in the same areas as their partner. The Director of Quality and Education and Medical Director, Health Education England, Professor Wendy Reid, said that she is very thankful to all those who have contributed to this work over the past 18 months. There is obviously more to do, and Health Education England will work with all concerned to continue to raise the quality of doctors’ working lives and the quality of their training. The Executive Medical Director of NHS Improvement, Dr Kathy McLean said that the junior doctors are a vital part of providing great services to patients across the NHS. NHS Improvement will continue to work together with providers to make sure that they are doing what they can to support junior doctors to ensure they feel like appreciated members of the team. For latest update from National Health Service and UKs' Healthcare system, visit our blog page daily. Recruitment Synergy is a UK based Medical Recruitment Agency. Remember us for Locum, temporary and permanent jobs across UK. We also provide compliance support   and  migration consultation to our candidates.


New immigration charge 'could cost NHS millions of pounds'

Doctors leader have warned ministers that they must exempt health and social care professionals from an upcoming immigration charge to prevent the NHS budget losing out on millions of pounds. The new immigration charge could make NHS staff shortages worse. The Royal College of Nursing (RCN) and the British Medical Association (BMA) says the Government’s immigration skills charge that applies a £1,000 charge per year of visa to overseas staff coming to the UK on a Tier 2 visa would result in bodies such as HEE (Health Education England) and NHS employing trusts experiencing substantial charges. The Immigration skill charge is designed to encourage businesses to train British staff to take on skilled roles, and lessen the number of migrant workers being appointed by firms in the UK. The charge will be introduced from next month. In a letter to the home secretary, Amber Rudd, the chief executive and general secretary of Royal College of Nursing, Janet Davies and the chair of BMA council, Mark Porter warn that failing to exempt overseas health staff would strip frontline services of vital funds. Janet Davies said the Immigration skill charge could risk " turning off the supply of qualified overseas nurses at the very moment the health service is in a staffing shortage like never before. Dr Mark Porter blamed the Government's "poor workforce planning" on leaving the National Health Service (NHS) "struggling to handle the huge and expected staff shortages" and therefore dependant on overseas recruitment. He further added that the introduction of Immigration skill charge could take desperately required money from an already under-funded health service, worsen the present staffing problems, and effect the level of care that hospitals are able to provide to patients. Both RCN and NHS said there are already checks in place to guarantee UK and EU nationals are offered roles first, and said overseas medical professional are recruited when posts cannot be filled. Visit our blog daily for more updates on UKs' Healthcare System. If you need any help with Medical Recruitment across the UK, then feel free to contact us anytime.


NHS Scotland Launches GP Information Sharing System

National Health Service Scotland has launched an information sharing system to support planning in health and social care. NHS Scotland SPIRE system has gone live now which will allow GPs to share anonymised patient information for research purposes. The Royal College of GPs (RCGP) and the British Medical Association (BMA) Scottish GP Committee has developed the Scottish Primary Care Information Resource (Spire) system. The Spire system will send encrypted data from GP practices to NHS National Services Scotland in order to “better understand the health and social care needs of the individuals. The data will include date of birth, vaccinations, gender, diagnoses and prescribed medicines, but not any names, other personal details or records made by a doctor or nurse. All the data will be encrypted and anonymised before it leaves the GP practice. According to the NHS National Services Scotland, the spire system is not a national database and will not regularly collect patient data or extract information unless it is needed for a specific, approved reason. The information will not be kept for any longer than necessary, being deleted after use. The Spire system was designed with a focus on strong governance and security, and that GP practices will have control over all data that they make available. The chair of BMA Scotland General Practitioners’ Committee, Dr Alan McDevitt cited the example of GPs being able to examine how many of their diabetic patients have eye problems then plan for screening and mediations. He said there are many different examples of how, with the correct information, you can target the right kind of things to help individuals with their daily lives. The clinical lead for SPIRE, Dr Libby Morris said that the SPIRE is a main step forward for public health in Scotland and will let information from GP patient records to be safely conveyed electronically to NHS National Services Scotland and held securely, guaranteeing the highest values of patient privacy and confidentiality. For latest update from National Health Service and UKs' Healthcare system, visit our blog page daily. If you need any help with Medical Recruitment across the UK, then feel free to contact us anytime.