Previous Training Courses 2022
DXS Demo Session
7 December 2022
12.00pm - 1.00pm
Trainers: Kris Searle and Jeffrey Morgan, DXS-Systems and Lindsey Young, South East London ICB Lewisham
This DXS session demonstrated, step by step, how to refer and access the guidance and pathways from EMIS via the DXS platform. It targetted some of the advice and guidance documents on DXS., eg., the medicines section, the travel section and some handy hints and tips for users. The session concluded with the opportunity to ask questions and to give feedback on any other ways that DXS can be a helpful tool.
November PLT Non-Clinical
22 November 2022
1.30pm - 4.15pm
Trainers: SEL ICS and Lewisham CEPN Training Hub
The session was specifically for Clinical staff and covered the following; Introduction by Lewisham CEPN TH, Ian Ross, overview of planned care forward planner including A&G (Consultant Connect and eRS), Referral form/DXS updates, Community Services/eRS, Open discussion around current challenges, things working well/not so well, where improvements could be made in the system - what is your role in QOF? Close – LCEPNTH and SEL ICS
November PLT - Clinical
22 November 2022
1.30pm - 4.15pm
Trainers: SEL ICS and Lewisham CEPN Training Hub
The session was specifically for Clinical staff and covered the following; Introduction by Lewisham CEPN TH, Ian Ross, overview of planned care forward planner including A&G (Consultant Connect and eRS), RDC (QEH) updates, Dermatology Session including Community Dermatology Services, telederm and PhotoSAF followed by Q&A, OTS/MEC update, Virtual ward updates specifically focused on admission avoidance and early discharge, Audiology update, Close – LCEPNTH and SEL ICS
Autism - A Lewisham Perspective
24 November 2022 - This session was cancelled but we hope to re-launch it in the new year
1.00pm - 2.00pm
Trainers: Dr Jessica Ong, Clinical Care & Professional Lead for Learning Disability & Autism (Lewisham) & Esther Appleby, GP, SEL Learning Disability and Autism Programme
Autism is a neurodevelopmental condition which affects around 1% of the population. There are approximately 4000 patients with a formal diagnosis in Lewisham and another 600 on a waiting list. This session would have presented an approach to assessment, management in primary care, and when a referral is required. Life expectancy for the autistic population is approximately 16 years lower than the general population. In this update, we had hoped to explore the reasons behind this and what you can do in primary care to reduce health inequalities. The session would have briefly outlined the wide spectrum of presentations in ASC, when to suspect autism, referral pathways, current waiting lists and the support services available in the community. We hope to re-launch this session in 2023.
Mastalgia – An evidence based approach to management
16 November 2022
1.30pm - 2.00pm
Trainers: Kislaya Thakur, Consultant Breast Surgeon & Esther Appleby, GP, Cancer Alliance Lead
Mastalgia is a common condition that most women will develop at some point in their life. When present alone, and without red flag symptoms, the risk of cancer is less than that of the general population. Despite this, more than 20% of patients in secondary care are referred for this reason. This session presented an approach to assessment, management in primary care, and when a referral is required.
Sexual Health in Practice - face to face training
21 October 2022
9.30am - 5.00pm - South Lewisham Health Centre, 50 Conisborough Crescent, London, SE6 2SS
Trainer: Sheila Bell, Public Health Lewisham
Sexual Health in Practice (SHIP) Training is interactive, practical & peer-led training appropriate for ALL Practice nurses/HCAs, not just those with a particular interest. This training was made available for FREE for all Lewisham practice nurses and HCAs. The session covered an STI update and talking to patients about sex including up-to-date information on diagnosing & managing STIs / Which tests and which swabs to take / How to bring up sexual health in routine consultations / Rapid sexual health risk assessment / Practice assessing sexual health risk / Resources to take back to your surgery
Patient access to their online records
12 October 2022
12.30pm - 1.30pm
Trainers: Rebecca Corneck with a panel comprising; Leo Emordi, GP, Tracy Crossfield, Practice Manager, Debbie Brown Clinical Director LCEPNTH and Alice Wu, Adult safeguarding lead GP.
From 1 November 2022, most patients aged 16 and over with online accounts (such as through the NHS App or other patient online apps) will automatically be able to view new entries in their clinical record, including details of medications, test results and records of appointments they have had with any clinician entering information to the clinical system. This session provided a short presentation on what you need to know and what you need to consider and then the session was opened to a question and answer session from our panel.
Basic Contraception/Sexual Health in Practice - face to face training
7 October 2022
9.30am - 5.00pm and held at St Laurence Church, 37 Bromley Road, London, SE6 2TS
Trainer: Sheila Bell, Public Health Lewisham
Sexual Health in Practice (SHIP) Training is interactive, practical & peer-led training appropriate for ALL Practice nurses, not just those with a particular interest. This training was made available for FREE for all Lewisham practice nurses and covered the following: Differentiate between methods of contraception, including LARCs (long acting reversible contraception) / Practice how to bring up contraception & promote LARC appropriately / Establish guidelines for re-issuing combined hormonal contraception & progesterone only pill / Establish guidelines for administering & re-issuing the contraceptive injection / Manage requests for emergency contraception / Outline and practise applying Fraser Guidelines / Assess whether a woman is at risk of pregnancy and identify criteria for ‘near patient’ pregnancy testing / Understand your role as general practice nurse in abortion referrals & aftercare
September PLT Non-Clinical
27 September 2022
2.00pm - 4.00pm
Trainers: SEL ICS Training Hub has tasked Lewisham CEPN Training Hub to take on PLT events. The September session will be run together with the team at CESEL (Clinical Effectiveness South East London)
The session was specifically for Non-Clinical staff and covered the following; Non-Clinical Staff : Diabetes and Health Inequalities – what does this mean? Sian Howell and Nupur Yogarajah – CESEL Clinical Leads / Health inequalities – What is my role? Group Exercise with Aaminah Verity, North Lewisham PCN Lead for Health Inequalities, Sian Howell and Nupuh Yogarajah CESEL / How to reduce barriers to health care Kenny Gibson MBE, Deputy Director NHS Safeguarding, NHS England / How to get the best from your new MAAPP LinkIndex key ring Kenny Gibson MBE, Deputy Director NHS Safeguarding, NHS England
September PLT Clinical
27 September 2022
2.00pm - 4.00pm
Trainers: SEL ICS Training Hub has tasked Lewisham CEPN Training Hub to take on PLT events. The September session will be run together with the team at CESEL (Clinical Effectiveness South East London)
The session was specifically for Clinical staff and covered the following; Clinical Staff : CESEL Diabetes update – CESEL Team / Q&A with Lewisham Community Diabetes Team, Dr Aarthi Surendran and Dr Rishi Kanapathi / Diabetes case studies – Drs Surendran/Kanapathi / Lewisham Foot Health Update – Gemma Fitt, Lead Diabetes Podiatrist L&G NHS Trust / Hypertension PCN Incentives – Introduction into the incentive and action plan – CESEL Team / Hypertension PCN Incentives - Breakout into PCNs – look at PCN data – CESEL Team
What's your patient thinking?
21 September 2022
1.00pm - 2.00pm
This training was provided by Anne McBride, Health Ambassadors Project Worker and Lisa Lye, Health Ambassador for Lewisham (adults with Learning Disabilities) - based at Lewisham Speaking Up, a charity for adults with learning disabilities working across Lewisham. This session was facilitated by Dr Esther Appleby, Clinical Lead Cancer EOLC for Lewisham Team SEL CCG
What’s your patient thinking? Patients with Learning Disabilities, their experience of AHC and Primary Care. The Health Needs of this population have been neglected resulting in extreme inequalities in health and life expectancy. Our Lewisham learning disability ambassador and supporters are ensuring that these individuals have a voice. We can all learn from them. The thoughts of those with lived experience can contribute greatly towards a better practice for all.
The recording of the session can be found here:
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Kooth Mental Health and Wellbeing
13 July 2022
1.00pm - 2.00pm
This training was provided by Michelle Smith, Kooth Engagement Lead for Lewisham
Kooth, a British Association for Counselling and Psychotherapy accredited service, provides a free, safe and non-judgemental place for young people to connect with others and know they are not alone. They have instant access to self-help materials, live moderated discussion forums and tools such as online journals and goal trackers. Young people can also contribute written pieces of work reflecting their own experiences, as well as accessing drop-in or booked sessions with professional counsellors from 12pm-10pm weekdays and 6pm-10pm weekends. The training and awareness session advised on signposting to Kooth and how to be confident in offering this service to young people.
Low Mood and Depression
29 June 2022
1.00pm - 2.00pm
This training was postponed due to illness. Trainer: Laura Parsons, Team Leader / Mental Health Nurse, Primary Care Mental Health Team
This training will look at a holistic approach as to why individuals may be experiencing these symptoms. The Primary Care Mental Health Team will be delivering training on how colleagues in primary care can support their clients in exploring symptoms and causes of low mood. The session will be looking at circumstances, reasons and stressors that can cause clients to experience low mood. It will also discuss practical support, local community services and how primary care services can offer help to these clients.
Living Well in the Community with Sickle Cell Disease
15 June 2022
1.00pm - 2.00pm
This training was provided by Nkechi Anyanwu, Community Matron (Haemoglobinopathies) Guy's & St Thomas' NHS Foundation Trust
The training covered the origin, inheritance pattern, complications and the care and management of Sickle Cell patients living with the disease in community setting. It also gave information of services provided in the community and useful resources/web links.
The Role of the Medical Examiner – Implications for Primary Care
9 June 2022
1.00pm - 2.00pm
This training was provided by Dr Charles Mazhude, Lead Medical Examiner, Consultant Physician - Lewisham and Greenwich NHS Trust and Paula May, Senior Medical Examiner Officer, Medical Examiner Office Lewisham & Greenwich NHS Trust and facilitated by Dr Esther Appleby, Clinical Lead Cancer EOLC for Lewisham Team SEL CCG
The medical examiner has already existed in a Non-Statutory process in Secondary Care for 3 years and has provided more scrutiny and independence / Enabled NOK input into the process / Supported doctors and provided support to the coroner / Supported improved provision of health care data. Medical examiner offices have been recruiting additional staff, and started to develop processes with GPs and other healthcare providers. This process will need to continue and accelerate in the coming months. This session covered what this will mean for primary care and how the current process will change.
Inflammatory Bowel Disease
11 May 2022
1.00pm - 2.00pm
This training was provided by Tracy Naughton, Lead IBD CNS Lewisham & Greenwich NHS Trust
Crohn’s Disease and Ulcerative Colitis are the two main forms of Inflammatory Bowel Disease. They are chronic (ongoing and life-long) conditions in which symptoms vary from person to person and will range from mild to severe. This session discussed the conditions, their symptoms and treatment.
WRES Training to Lewisham Primary Care
26th, 28th April or 4th May 2022
10.00am - 12.30pm or 2.00pm - 4.30pm Online
This training was provided by Steps Drama Learning Development
Everyone has a right to being treated with respect and dignity, and to feel valued and safe within a working environment that has an open, honest culture and where equity is the norm. In 2019, Lewisham was the first borough in England to implement the NHS Workforce Race Equality Standard (WRES) Survey for general practices. Lewisham CEPN Training Hub partnered with Steps Drama Learning Development to take the next step on our journey, developing a race-focused training programme for all general practice colleagues. The programme was designed from research interviews within general practices in Lewisham, and provided practical tools and techniques that could immediately be applied in practice. This session was interactive, engaging, and challenging.
Malnutrition and Appropriate Prescribing of Oral Nutritional Supplements
17th March 2022
1.00pm - 2.00pm
This training was provided by Annie Coombes, Senior Prescribing Support Dietitian, GSTT NHS Foundation Trust
Prescribing support dietitians help to drive significant cost savings through promoting clinically and cost effective ONS prescribing, ensure equity in service provision and the treatment and management of malnutrition in PCNs across SEL and aim to improve pathways of care and treatment for patients at risk of malnutrition with related comorbidities including long term conditions and frailty. The session focussed on: Identifying malnutrition in adults – current screening tools and alternative options. Products to opt for when prescribing/common issues when prescribing. When to refer to dietitians and Advice for difficult patient groups e.g. substance misuse.
STOMP: Stopping over medication of people with a learning disability
3rd March 2022
1.00pm - 2.00pm
This training was provided by Erfan Kidia, Assistant Director of Medicines Optimisation and Christine Banwell, Senior Clinical Pharmacist and facilitated by Dr Esther Appleby, Lewisham CCG Clinical Director
STOMP is a national project involving many different organisations which are helping to stop the over use of pyschotropic medicines. STOMP is about helping people to stay well and have a good quality of life. This was an interactive learning session involving Prescribing Advisors and the Mental Health Team for Learning Disabilities and covered: What is STOMP / What Support there is / What Support is being developed. Delegates were encouraged to highlight the challenges they are experiencing.
Adherence; What does good health look like to you?
2nd March 2022
1.00pm - 2.00pm
This training was provided by Matthew Butler, LIMOS/GP Practice Pharmacist
More engaged patients who are content with the medicines that they have agreed to take means a greater likelihood that they will adhere to medication regimes leading to improved health outcomes. How often do we notice patients are not taking their medications? How do you address this issue with them? This session provided tips to help with this conversation.
Polypharmacy - less is sometimes more
23rd February 2022
1.00pm - 2.00pm
This training was provided by Matthew Butler, LIMOS/GP Practice Pharmacist
In simple terms polypharmacy is the prescribing of multiple items to one individual, often defined as regular use of at least five medications. It is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. How often do we look at the medication list and think “that’s such a lot of medication!” If we think that, then it is likely our patient does too. Do they need all those medications or are some historic? This session explained how we can ensure our patients are only taking what they actually need.
Deprivation of Liberty/Liberty Protection Safeguards
17th February 2022
1.00pm - 2.00pm
This training was provided by David Rowley Designated Lead - Mental Capacity Act and Liberty Protection Safeguards SEL CCG
With Fiona Mitchell, Nurse Consultant Adult Safeguarding Designate and Facilitated by Dr Esther Appleby, Lewisham CCG Clinical Director
The Deprivation of Liberty safeguards (DoLS) provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. There are changes to these in the form of Liberty Protection Safeguards which will be implemented in 2022. The session covered; What is a ‘deprivation of liberty’ / Overview of Liberty Protection Safeguards / How LPS is being implemented in South East London / How you can protect a person’s liberty.
Hypertension Trilogy: The many faces of the silent killer - Part 3
16th February 2022
6.45pm - 8.00pm
This training was provided by Dr Anita Banerjee (Obstetric Physician Diabetes and Endocrinology Consultant GSTT), Dr Lojana Chandrarajan (Consultant Obstetric Medicine LGT), Helen Williams (Consultant Pharmacist for cardiovascular disease SEL CCG), Dr Grace Bottoni and Dr Margaret Senbanjo (CESEL Lewisham Leads)
Hypertension is called the silent killer because many people discover that they have high blood pressure after a heart attack or a stroke. Of the population estimated to have hypertension in Lewisham, 44% remain undiagnosed – at risk of the same fate. For patients known to be hypertensive in Lewisham, reducing their systolic blood pressure by just 10mmHg, could prevent 63 people from having a stroke and 208 deaths in one year. This session covered Pre-conception counselling and hypertension in pregnancy / Lipid modification: Understanding the changes in the latest guidance / How to use the new CESEL Lewisham hypertension guide
Hypertension Trilogy: The many faces of the silent killer - Part 2
9th February 2022
6.45pm - 8.00pm
This training was provided by Dr Nupur Yogarajah (CESEL Lead), Dr Rob Gamage (Medical Director One Health Lewisham), Erfan Kidia (Assistant Director Medicines Optimisation Lewisham), Dr Grace Bottoni and Dr Margaret Senbanjo (CESEL Lewisham Leads)
Hypertension is called the silent killer because many people discover that they have high blood pressure after a heart attack or a stroke. Of the population estimated to have hypertension in Lewisham, 44% remain undiagnosed – at risk of the same fate. For patients known to be hypertensive in Lewisham, reducing their systolic blood pressure by just 10mmHg, could prevent 63 people from having a stroke and 208 deaths in one year. This session covereded using behavioural change to manage patients with high blood pressure / How the remote monitoring service in Lewisham can benefit our patients / Hypertension case finding service: how community pharmacies can support primary care / How to use the new CESEL Lewisham hypertension guide
Hypoallergenic formula and managing suspected non-IgE cow’s milk allergy in primary care
9th February 2022
1.00pm - 2.00pm
This training was provided by Emma Illidge, Senior Specialist Paediatric Dietitian, Prescribing Support Team, Guys and St Thomas' and delivered a session on the diagnosis and management of cow’s milk allergy in primary care. This session highlighted how primary care health care professionals can access support for patients with cow’s milk allergy in South East London, the role of a cow’s milk allergy Prescribing Support Dietitian (PSD) / Cow’s Milk Allergy (CMA) vs other common childhood conditions / Diagnosis of non-IgE CMA / Managing non-IgE CMA / Available resources / Rapid Access Clinic
Cancer Care Reviews - making them effective for patients
3rd February 2022
1.00pm - 2.00pm
This training was provided by Sandra Dyer, Primary Care Lead Nurse, Transforming Cancer Services Team London and Dr Esther Appleby, Lewisham GP and SELCA GP Lead Personalised Care and covered an introduction to Personalised Care and Cancer, Recent changes to QOF relating to Cancer, Doing effective Cancer Care Reviews - what we need to know and who can do them and Resources and further learning opportunities
Hypertension Trilogy: The many faces of the silent killer - Part 1
2nd February 2022
6.45pm - 8.00pm
This training was provided by Dr Luca Faconti (Consultant in Cardiovascular Clinical Pharmacology GSTT), Dr Khaled Alfakih (Consultant Cardiologist LGT), Dr Grace Bottoni and Dr Margaret Senbanjo (CESEL Lewisham Leads). Hypertension is called the silent killer because many people discover that they have high blood pressure after a heart attack or a stroke. Of the population estimated to have hypertension in Lewisham, 44% remain undiagnosed – at risk of the same fate. For patients known to be hypertensive in Lewisham, reducing their systolic blood pressure by just 10mmHg, could prevent 63 people from having a stroke and 208 deaths in one year.