BRS NEWSLETTER .uk



4368165287655Did you know Cancer Referrals known as “2WW”New cancer forms have been finalized by the cancer team and are being circulated to practices for an upload. Please do familiarize yourselves with the new format and what is required in order to ensure the relevant information is there to minimize any potential delays, queries or rejections.Any practices experiencing issues with coding the forms for EMIS can contact Beverley Haworth’s team who may be able to assist them. Contact details: Bev Haworth, BNSSG Cancer Programme Manager, b.haworth@00Did you know Cancer Referrals known as “2WW”New cancer forms have been finalized by the cancer team and are being circulated to practices for an upload. Please do familiarize yourselves with the new format and what is required in order to ensure the relevant information is there to minimize any potential delays, queries or rejections.Any practices experiencing issues with coding the forms for EMIS can contact Beverley Haworth’s team who may be able to assist them. Contact details: Bev Haworth, BNSSG Cancer Programme Manager, b.haworth@center30000630555BRS NEWSLETTERBristol Referral Service01/08/2017Edition 1, Volume 310500077000BRS NEWSLETTERBristol Referral Service01/08/2017Edition 1, Volume 3 Dear Bristol GP PracticesWe would like to keep you to date with news from BRS. This month includes:Remedy and what’s newOphthalmology ReferralsReferrals for Pain Management and RheumatologyCancer Referrals – 2WWEvaluation of RemedyBRS would welcome your feedback and suggestions so please contact us on: sbrs@New on RemedyPlease visit Remedy; we would welcome your feedback. A new feature has been added to the home page called Latest News.? It will outline some of the new information that has been added to Remedy or update you on major changes within BNSSG.New information is being added daily. Below is a list of just some of the new information added since last month:Osteoporosis Information in Adult RheumatologyPatient Information Leaflet for NBT 2WW Lower GI referrals (the NBT lower GI team have kindly requested this is given to all patients when making 2WW referrals to their service – not applicable to UBHT referrals)Respiratory – guidelines on bronchiectasis, lung volume reduction (LVR) in COPD, non-invasive ventilation (NIV) and TB have been added/updated.Polymyalgia Rheumatica – UHB no longer provide a specific PMR clinic. There are guidelines on management in primary care in the Rheumatology section.Strength and Balance Classes –Bristol Community Health in Care of the ElderlyPrescription Guidelines in Dementia448246515240INNF Update Bartholin’s, Perineal and Vulval cysts are covered by the benign skin lesion policy and referrals require prior approval. Other genital surgery is covered by the Female Genital Surgery policy. For clarification, requests for assessment or removal of vaginal cysts does not require prior approval.Frenuloplasty – the INNF team have advised that requests for frenuloplasty need prior approval using the circumcision policy. A new policy covering penile procedures is under development.Umbilical and paraumbilical hernias – the INNF team have advised that these hernias need to meet the criteria laid out in the Hernia CBA policy otherwise funding will be required. BRS have raised concerns about the possible increased risk of strangulation in this group and asked the funding team to consider this when making funding decisions,00INNF Update Bartholin’s, Perineal and Vulval cysts are covered by the benign skin lesion policy and referrals require prior approval. Other genital surgery is covered by the Female Genital Surgery policy. For clarification, requests for assessment or removal of vaginal cysts does not require prior approval.Frenuloplasty – the INNF team have advised that requests for frenuloplasty need prior approval using the circumcision policy. A new policy covering penile procedures is under development.Umbilical and paraumbilical hernias – the INNF team have advised that these hernias need to meet the criteria laid out in the Hernia CBA policy otherwise funding will be required. BRS have raised concerns about the possible increased risk of strangulation in this group and asked the funding team to consider this when making funding decisions,Physiotherapy – Bristol Community Health Macmillan Rehabilitation Support Team informationThe BNSSG IFR Service have now published information which provides GPs with a concise overview of the local funding processes. This can be found in the Individual Funding Requests section on the home page. We would like to thank those of you who have contributed by sending feedback to make us aware of amendments that need to be done or new information to place on the site. Please keep this going!Ophthalmology ReferralsBRS has come across referrals to Ophthalmology that often state more than one problem in one referral. This can be confusing and cause provider rejections. BRS would like to kindly ask GPs to make separate referrals for each problem to prevent patients being rejected and waiting unnecessarily long for their treatment. Referrals for Pain Management and RheumatologyIn the last spring issue we have informed you of the new locally developed guidelines on management of Chronic (non-cancer) Pain. BRS is now triaging referrals against these guidelines and is returning referrals when there is insufficient information or lack of evidence of initial management in primary care. We recommend use of the Pain Clinic proforma. Although this is not compulsory it will help us and the pain team to triage these referrals. We are also coming across referrals that would be best managed by the pain management team run by psychologists which is available via direct referral. We would recommend that referrers familiarize themselves with these guidelines that focus on improving quality of life for patients with chronic pain. of Remedy Survey Monkey Dear Colleagues,Bristol CCG’s new clinical support tool, Remedy, was launched earlier this year.? Remedy has replaced Referral Support Tool as the CCG’s web based pathway system for Bristol GPs.Having a pathway system is acknowledged by NHS England as good practice. Bristol, South Gloucestershire and North Somerset (BNSSG) CCGs are currently reviewing the pathway systems they provide their GPs and practice staff.? As the main users of pathway systems it is important that your experience and expertise are used to inform this review.? ???To help BNSSG CCGs identify the most appropriate pathway system, we would ask that you complete a brief survey (link below) concerning your experience of Remedy.? Determining the efficacy of Remedy and identifying areas for improvement, will inform the choice of pathway system the organisation provides you and your colleagues in the future.? It will also influence the future development of Remedy.?Remedy Survey.Please note; this survey will close on Friday 22nd September 2017.? ?-381074447401000000centerbottomCavill Hana (Bristol CCG)Bristol Referral Service5th Floor, South PlazaMarlborough StreetBristol BS1 3NZ1000000Cavill Hana (Bristol CCG)Bristol Referral Service5th Floor, South PlazaMarlborough StreetBristol BS1 3NZ ................
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