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Wessex LMCs News Update Wednesday 28 th October Panel: Dr Nigel Watson, Chief Executive - Wessex LMCs Dr Gareth Bryant, Deputy Chief Executive - Wessex LMCs Helene Irvine, Advanced Nurse Practitioner - Wessex LMCs Moira Philpott, Deputy Director for Primary Care PPE Department of Health and Social Care

Agenda Current state of Covid-19 Covid vaccination Covid Oximetry@home – was called Covid Virtual Ward PPE Workload shift Management of long-term conditions, access to diagnostics Cancer

NW 13. 05. - 13. 10 Current state of Covid 20, 000 new cases per day 900, 000 cases about 6% of the population Hospital admissions and mortality remain low England currently 137 cases per 100, 000 Ø Hampshire 55 per 100, 000 Ø Wiltshire 86 per 100, 000 Ø Dorset 109 per 100, 000 Ø Ø Ø Bath & NE Somerset 172 per 100, 000 Bristol 328 per 100, 000 Portsmouth (Fratton) 169 per 100, 000 Bournemouth 197 per 100, 000 Southampton 111 per 100, 000 Io. W 30 per 100, 000 Levels locally are increasing SE Region + 64% compared to first peak – Hants and Io. W 40% higher than 1 st peak

Covid Vaccination GB 13. 10. - 13. 20 Local trial Oxford Vaccine Mass vaccination – late 2020 early 2021 to start JCVI recommended rankings are: Care hoes and care home workers Aged 80+ and health and care workers Aged 75+ Age 70+ Aged 65+ High risk adults under 65 Moderate risk adults under 65 Age 60+ Age 55+ Age 50+ Rest of population – to be determined Who will deliver the mass vaccination programme?

Covid Oximetry@home was CVW Admit patients • Have or suspected to have Covid and in at at risk group: • Aged 65 or more • Aged less than 65 and • Ethnic minority • Chronic lung disease • Liver disease • Cardiovascular disease • Learning Disabilities • SMI • BMI > 35 Clinical judgement Needs to be available 7 days a week Delivered at scale 30 Pulse Oximeters per 8, 000 patients NW 13. 20. - 13. 30

CO@h Delivery model may vary Common entry criteria Common pathway Documentation being developed – nearly completed New resources will be available Digital may be a barrier but also solution Implementation by end November Wessex ‘ahead of the game’

PPE – with Moira Philpott Deputy Director primary care PPE DHSC PPE Portal – are all practices signed up? Practices complained that small and large practices given same quantity can this be changed to reflect need Should practices be paying for PPE? Can practices order hand gel etc? Are we prepared for the winter surge? HI 13. 30. - 13. 40

Secondary to Primary Care shift in work, hospital waiting lists and access to diagnostics NW 13. 40. - 13. 45 LMC response to reports about secondary care asking primary care to manage patients under the care of hospitals. What is happening to the increased numbers on hospital waiting lists – esp. those waiting more than 52 weeks? Access to diagnostics – recovery phase now – esp. CT/MRI and endoscopy – perhaps cover community development

Management of LTCs and cancer – risk of poor monitoring, management etc NW 13. 45. - 13. 50 We cannot ignore management and treatment of long-term conditions – more people coming to harm with non Covid conditions. Cancer outcomes 2 WW Early presentation Emergency presentation

Questions?