Dear all
Please see below the LMC response.
BW
Lesley




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From: Lesley Williams
Sent: Monday, March 13, 2023 12:32 PM
To: WINFIELD, Cathy (NHS NORTH WEST LONDON ICB - W2U3Z) 
<[email protected]<mailto:[email protected]>>
Cc: DURACK, Caroline (NHS HAMMERSMITH AND FULHAM CCG) 
<[email protected]<mailto:[email protected]>>; ARMSTRONG, Sally (THE 
CUCKOO LANE PRACTICE) 
<[email protected]<mailto:[email protected]>>; Jamie Wright 
<[email protected]<mailto:[email protected]>>; Hannah Theodorou 
<[email protected]<mailto:[email protected]>>; Asiya Yunus 
<[email protected]<mailto:[email protected]>>
Subject: FW: Draft Enhanced Services Single Offer specs - Training report



Dear Cathy,

Thank you for sending through the draft training programme, which we have 
shared with members.

Members welcomed the breadth of training offered to support the enhanced 
service programme, and the increased budget available to provide programmes to 
new learners as well as refresher training through repurposing of the 
leadership budget. We note that where specifications are new to boroughs this 
training has been prioritised to take place before April which is helpful.

There were some additional items of feedback as follows:


  *   Mental health service: we note that this service allows for support of 
patients receiving depot antipsychotic administration within practices. 
Practices raised whether there was the opportunity to provide additional 
training for practice staff where they do not currently provide depot 
medication.
  *   Insulin initiation (pipeline service): members felt that it was helpful 
to have one person trained per practice rather than one person trained per PCN, 
in light of the additional work involved such as follow up. We note that this 
is for advanced training and other training may be in place for practices who 
support patients who are insulin-controlled diabetics.
  *   Warfarin initiation: we note that there is no new training planned for 
warfarin initiation due to low patient numbers. Where this service is not 
already provided, are we reassured that there are sufficient trained staff to 
provide?
  *   Spirometry: We are awaiting clarification from NWL ICB regarding the 
delivery point for diagnostic spirometry- the training hub update states that 
anyone trained to undertake spirometry must be willing to work in a borough 
respiratory diagnostic hub. This implies the borough level hublet rather than 
any diagnostic hubs based in PCNs under the enhanced service programme. Please 
can the ICB clarify this?


Members made suggestions for additional training requirements unrelated to the 
enhanced services programme, which we will feed back through the training hub 
group. This included additional training for DOACs, heart failure, CKD and 
lipid treatment optimisation.

We hope that this is helpful.

Kind regards
Lesley


Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Tel:  020 7387 2034 ext *221
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Attachment: Progress Report for NWL ICB 24th February 2023.docx
Description: Progress Report for NWL ICB 24th February 2023.docx

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