While Cardiff & Vale University Health Board (CVUHB) are establishing the Welsh Gender Team, the London Gender Identity Clinic (GIC) will continue to offer appointments to new patients from Wales. We can confirm that all Welsh patients who have been referred to the London GIC remain on their waiting list. Your cases are open and you have not been discharged. Both Welsh Health Specialised Services and CVUHB acknowledge that there has been some confusion and would like to apologise for any recent misunderstanding or anxiety that may have been caused around the status of your appointments and where you might be seen.

Whilst we are not yet in a position to confirm the start date of the new service in Wales, we hope to be able to do so very shortly. The Welsh Gender Team has taken longer to set up than we anticipated, and we appreciate the frustrations this is causing. We would like to apologise for this, and thank you for your patience during this time. We hope that you understand that CVUHB believe it is essential to have the right mix of skills and expertise in place in order to be able to open the clinic. Until CVUHB is in a position to formally announce the start date, we wish to reiterate that the current pathway CP21 and referral process remain in place.

 

 

Tra bod Bwrdd Iechyd Prifysgol Caerdydd a'r Fro (BIPC) yn sefydlu Tîm Rhyw Cymru, bydd Clinig Hunaniaeth Rhyw Llundain (THR) yn parhau i gynnig apwyntiadau i gleifion newydd o Gymru. Gallwn gadarnhau bod yr holl gleifion o Gymru sydd wedi cael eu hatgyfeirio i THR Llundain yn dal ar eu rhestr aros. Mae eich achosion ar agor ac nid ydych wedi cael eich rhyddhau. Mae Gwasanaethau Iechyd Arbenigol Cymru a BIPC yn cydnabod y bu rhywfaint o ddryswch a hoffem ymddiheuro am unrhyw gamddealltwriaeth diweddar neu bryder a achoswyd o amgylch statws eich apwyntiadau a ble y gallech gael eich gweld.

Er nad ydym mewn sefyllfa eto i gadarnhau dyddiad dechrau'r gwasanaeth newydd yng Nghymru, rydym yn gobeithio gallu gwneud hynny'n fuan iawn. Mae Tîm Rhyw Cymru wedi cymryd mwy o amser i'w sefydlu nag yr oeddem wedi'i ragweld, ac rydym yn gwerthfawrogi'r rhwystredigaethau y mae hyn yn ei achosi. Hoffem ymddiheuro am hyn, a diolch am eich amynedd yn ystod y cyfnod hwn. Gobeithiwn eich bod yn deall bod BIPC yn credu ei bod yn hanfodol cael y cymysgedd iawn o sgiliau ac arbenigedd yn eu lle er mwyn gallu agor y clinig. Hyd nes bod BIPC mewn sefyllfa i gyhoeddi'r dyddiad cychwyn yn ffurfiol, hoffem ailadrodd bod y llwybr presennol CP21 a'r broses atgyfeirio yn parhau yn eu lle.

 

Hi all

Please see attached updated BMA Cymru Wales ‘Focus on’ document regarding the State-backed GP indemnity scheme for Wales.

Grateful if you could redistribute and share.

Kind regards

Dulaine

Dulaine Mulcahy
Committee executive officer (GPC Wales)/Swyddog gweithredol pwyllgorau

BMA Cymru Wales

 

Dear colleagues

You have received flu vaccination guidance from PHW suggesting first and second choice vaccines for different age groups.

We suspect that this is “balanced” to avoid PHW being accused of promoting one company over another.

The “CHOICE” is really yours as a clinician.

No vaccine is blacklisted so you are free to choose the vaccine that best suits your practice.

Whilst GPCW cannot encourage anyone to use the enhanced vaccine that is twice the price of the others (and we have been given no evidence of clinical scenarios where it might prove preferable), there is considerable evidence in support of cellular vaccine.

It is quadrivalent
Virtually all strains of flu virus can be covered
It has minimal antigenic shift
It is relatively easy to quickly produce in bulk.
It contains no egg.
It is effective from age 9 upwards

As we have always encouraged practices to spread their orders over two suppliers, we would leave that choice to you, but note that the egg cultured quadrivalent vaccine covers four strains and has effectiveness under the age of 65.

The majority of children from 2 – 11 will receive the live intranasal quadrivalent vaccine – Fluenz, directly supplied by WG.

Under 2’s at risk and those children unable to receive live vaccine the egg based Quadrivalent vaccine may be used.

Best Wishes
Phil White
Vaccination and Immunisation Lead GPCW

 

Dear colleague

Further to our previous email we would like to update you regarding the Wales National Workforce reporting System and GMPI.

We understand the frustrations of the timescale for the requested upload of data onto the WNWRS and would like to note that during our discussions we had advised the need for at least a 4 week window to enable practices to upload data given the pressures practices are facing every day - this unfortunately was not taken on board with one reason given that practices were clamouring to use the tool! 

Please also note that we have received confirmation from SSP that all practice staff will be covered under GMPI who work in connection with the provision of a relevant function which include:

(a) arranging for the provision of services for the purposes of the health service;

(b) providing services for the purposes of the health service;

(c) exercising functions in relation to the health service;

(d) providing primary medical services

We believe this means all staff should be included in this as all are involved with patient issues / data under a GMS contract.

If you do not wish to be covered by the state backed GMPI scheme then you need to advise SSP of this AND ensure that you source comprehensive indemnity cover for all the practice team. In addition please note GSUM has been taken by WG from every Welsh practice to provide this cover but obviously it is a practice decision as to what you decide to do.

Should you have any queries please direct to This email address is being protected from spambots. You need JavaScript enabled to view it.

Dulaine Mulcahy 
Committee executive officer (GPC Wales)/Swyddog gweithredol pwyllgorau


BMA Cymru Wales 

Dear Colleague 

Wales National Workforce Reporting System and GMPI

Your practice will have received a communication from NWSSP this week which asks you to provide workforce data by 14 June. I’m writing to advise on how you might engage with the data collection tool, and what to bear in mind when doing so.

Firstly, Welsh Government has decided to unilaterally implement completion of a workforce webtool as a requirement for the ongoing provision of the state backed indemnity to practice teams. Frustratingly, this is despite the mandatory completion of the tool remaining part of the ongoing formal contract negotiations for 19/20.

We understand that practices will view this as needing to be completed, given the need for their practice teams to be covered by indemnity. We completely understand and concur with this concern (despite our unhappiness at this being sent out before reaching the end of contract negotiations). 

Whilst Welsh Government cannot mandate practices to provide this data under the indemnity regulations, we don’t think that it would be helpful to refuse it - given that at a practice level it could be useful for workforce planning. However, how this information is provided does not necessarily require completion of the workforce webtool itself, or indeed all parts of it.

When providing the information please give due consideration to the following: 

  • Practices only have to fill in the mandatory fields, and none of the optional ones - as some of the optional ones would be classed as protected characteristics and we feel are not relevant to wider workforce planning. For clarity the mandatory fields will be marked on the toolkit page. For ease of reference the mandatory fields are noted at the bottom of this communication.
  • Practices need to complete it for all staff involved in clinical services e.g. this would include reception staff who process clinical information for the purposes of triage. 
  • Individual practice data will only be viewable by the practice and the Associate Medical Director of the Health Board - all others involved in workforce planning (e.g. at cluster / HB / WG level) will only have access to anonymised aggregated data, which will be held by NHS Digital.
  • Is there a risk to practices of being found responsible in the event of a data breach?

Welsh Government has said this risk is negligible as all information is anonymised. We have asked several times to have this assurance in writing – however this has yet to be suppled.

GPC Wales was promised a specific GDPR compliance information guidance sheet for practice managers and staff but we are disappointed that this was not supplied alongside the communication.

Furthermore, the issue of obtaining individual consent to sharing this data is obviously something we believe is good practice and essential for the confidence staff and practices might have in the process – however ,we have been advised by the NWIS Data Protection Officer, who in turn cites the ICO statement that consent needs to be specific and freely given, hence  Public Authorities and employees being in a position of power may not be seen to obtain consent freely. It is the DPO’s advice that personalised data may be released by the data controller under clauses in article 6 & 4 in GDPR and clauses such as "Processing data to satisfy a condition for processing necessary for performance of a task or contract" would be a better fit for this purpose. Again, GPC Wales has asked for sight of this and that it be covered in a guidance briefing for practices. This is still outstanding.

In light of the above we would strongly advise practices to contact the DPO (data protection officer) or the Health Board to request this assurance / guidance prior to completion of the workforce tool (explaining not refusing to complete dataset but require this assurance prior to sharing sensitive personalised information).

Finally, please remember that the provision of the dataset required for the purposes of cover under the scheme could be completed in other ways e.g. utilising the previous spreadsheet used by many HBs in annual returns. If, as a practice, you decide that you do not wish to utilise the tool, you could offer to supply the information in an alternative format as before - we would recommend you inform your LMC at the time you advise the Health Board of this. 

Mandatory fields

 

Staff record- Basic Information

Date of Birth

Staff Group

Staff Role

 

Contract

Contracted Hours (per week)

Date Joined *

Termination Date *

Reason for Leaving

 

Absence Data

Start Date *

On-going

End Date

 

Locum usage

Forename/Surname

Registration Number

Q x date Hours (number of hours)

 

Vacancy Overview

Vacancy Start *

Staff Group 

Staff Role

 

*We have queried why these are noted as mandatory

If you have any questions about the above please direct them to ourselves at This email address is being protected from spambots. You need JavaScript enabled to view it. or to your LMC. 

Dulaine Mulcahy 
Committee executive officer (GPC Wales)/Swyddog gweithredol pwyllgorau


BMA Cymru Wales 

Y Gymdeithas Feddygol Brydeinig/British Medical Association 
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