BT have restarted one of their authentication servers on the Spine and this issue has now been resolved.

We have had several reports of sites experiencing slowness and freezing this morning whilst using the system.

We have spoken to the CfH helpdesk who have advised that there is an authentication issue on the Spine.

We are advising users to log in without their smartcards for now; we will provide updates when we recive them.

INCIDENT REFERENCE: BT Spine - TBC

CfH Service Desk Ref - TBC

LOCATION: National (National)

DESCRIPTION: Smartcard authentication issues

SERVICE: Authentication

IMPACT: Users are reporting authentication issues when connecting to Spine services. Impact is currently being assessed, this is believed to be affecting multiple services nationally.

CURRENT ACTION BEING TAKEN: BT Spine are currently investigating.

NEXT UPDATE: 05/03/2010 12:00

This applies to Scottish practices only.

There has been a problem with the PP01 numerator lines for Scottish practices since the audits for the version 16 business rules have been installed. The associated Data Quality audits imported a search for the CVD risk assessments that overwrote the Scottish search with one for England. This means that the ASSIGN scores are not currently showing as counting towards the PP01 denominator.
 
A fix has been written and is currently being tested. As soon as this is available we will be applying an upgrade to all Scottish sites. We expect this to be installed very quickly but will also be posting the fix on the website should you wish to apply this earlier. In the mean-time please continue to use the ASSIGN score as normal as they will be picked up in the final report.
 
Apologies for this error, but we hope to have this rectified as soon as possible. We will let you know once we have any further information.

In the QOF audits version 15 rules, there are no provisions made for patients that have been given the Swine flu immunisations. This will cause all the flu areas in the audit to select patients with seasonal flu immunisations and also H1N1 immunisations.
This has been corrected in version 16 of the QOF rules and H1N1 immunisations will be excluded from the flu searches.

In the meantime, we have created a Data Quality audit that will pick up patients that were given an H1N1 immunisation but NO seasonal flu immunisation. This will be releases in version 15 of the Data Quality audits.

Testing on some practices have revealed that this audit can miss out some eligible patients and we have made some changes to the search to make it more accurate. We decided to release this one line of the H1N1 Data Quality audits now to aid practices with flu searches. The new line will be version 16008 and will import as part of an existing Data Quality audit or it could stand alone if you do not have any Data Quality audits imported. The audits can be found here:
http://www.inps4.co.uk/clinical-audits/downloads/

We noticed that some sites have been experiencing problems generating the HPA and Health Protection Scotland audits, specifically the H1N1 Swine Flu audits. The problem was due to a fault in the code of the DES H1N1 JCVI Vaccination Groups audit and this affected certain practices. We have now corrected this fault and have also reduced the time this audit run. The new version 7 of the JCVI audit is now available from here:
http://www.inps4.co.uk/clinical-audits/downloads/

Importing the new audit will overwrite the previous faulty one and a generate of the new audit should complete successfully.

Flavours and colours are represented as Multilex DDF packs.  However, following the "advance warning" given in the December 2009 Multilex Bulletin, where manufacturers include a flavour or colour as part of the brand name of the product, FDBE now identifies these as products instead of as packs. Some of these changes required the replacement of the existing multi-flavoured product with one or more new single flavoured products.  FDBE recommends the use of "Replacement Record" functionality to support the transition to the new products.

The products which have been affected are:

Corsodyl mouthwash 0.2% has been replaced by:
Corsodyl (Original) mouthwash
Corsodyl (Mint) mouthwash

Dioralyte Relief sugar-free powder has been replaced by:
Dioralyte Relief Raspberry sugar-free powder
Dioralyte Relief Blackcurrant sugar-free powder
Dioralyte Relief Apricot sugar-free powder

Electrolade sachets has been replaced by:
Electrolade (Banana) sachets
Electrolade (Blackcurrant) sachets
Electrolade (Lemon and Lime) sachets
Electrolade (Orange) sachets

Fybogel sugar-free gluten-free granules has been replaced by:
Fybogel sugar-free gluten-free granules
Fybogel Lemon sugar-free gluten-free granules
Fybogel Orange sugar-free gluten-free granules

Gaviscon Advance sugar-free oral suspension has been replaced by:
Gaviscon Advance Aniseed sugar-free oral suspension
Gaviscon Advance Peppermint sugar-free oral suspension
Gaviscon sugar-free liquid has been replaced by:
Gaviscon Original Aniseed Relief sugar-free liquid
Gaviscon Peppermint Liquid Relief sugar-free liquid