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Latest news

Invitation to the LLR LMC Annual General Meeting

We would like to invite our members to this year’s LLR LMC Annual General Meeting which will be held on the evening of Tuesday 9th November 2021 (7.00-8.30pm). This year’s AGM will be a virtual event via MS teams in which all registered members wishing to attend will be sent the link prior to the event.

We are pleased to confirm that this year we have two guest speakers:

  • Dr Richard Vautrey, GPC Chair
  • David Sissling, LLR ICS Chair

We have asked both David and Richard to do a presentation under the heading ‘Does General Practice have a future in the NHS?

The agenda for the evening is as follows:

  • Welcome & Opening statement from LLR LMC, Chair
  • Review of LMC annual report & questions
  • Guest Speaker presentation, Richard Vautrey
  • Guest Speaker presentation, David Sissling
  • Debate and Questions and Answer session with speakers
  • Close

If you would like to confirm your free space, please email  enquiries@llrlmc.co.uk

  LLR LMC October Newsletter 

Please click here to view our October newsletter. 

This month we cover the folllowing areas:

  • Support Your Surgery campaign
  • Medical Exemption Certificate for Coronavirus Vaccination
  • Firearms Licensing
  • Crem Form Completion
  • Media Intrusion
  • CQC Inspectors Update
  • Update from EMAS
  • New to partnership scheme
  • Government imposes pay transparency regulations (England)
  • We are Primary Care
  • Christmas and New Year’s Sub – Contracting arrangement
  • NHS Email Address
  • Save the date: LLR LMC AGM
  • Recruitment

LLR LMC response to the governments plan released for general practice today, 14th October

The government has released a plan for general practice today (https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2021/10/BW999-our-plan-for-improving-access-and-supporting-general-practice-oct-21.pdf).

The LMC has considerable concerns that although there are a couple of positive aspects the main thrust will be to denigrate and undermine general practice further. It will do nothing to address the significant problems of poor morale and excessive workload that we are all trying to cope with.

We are sure that there will be much discussion about this over the coming months, and the LMC will work with the CCG and ICS to try and get the best support for local practices.

The LMC has issued the attached press release today. Any questions, please dont hesitate to contact the LMC office.

Official GPC Updates to LMC - 7th October 2021

  • Survey on General Practice response to the current crisis
  • Media
  • Support your surgery campaign
  • Letter of thanks to GPs in Scotland
  • GP Pay Transparency – NHSE/I Guidance
  • GP appointment data
  • COVID-19 Vaccination PGD and national protocol (England)
  • Mitigating the effect of dispensing fees cut
  • GPC UK election

1. The previous GPC updates can be found on the attached GPC updates link.

Important GPC Survey  - GPs’ opinions of the present situation in general practice

The GPC has activated an on-line survey to ask the profession of GPs’ opinions of the present situation in general practice and to assess the kinds of action that people might be prepared to take in the face of the current state of emergency.

We would like to encourage all our members to share and complete the survey. To raise awareness in order to inform us of the strength of feeling within the profession and the measures that people might be prepared to take.

The link can be found at:


We would encourage all GPs to share and complete this survey to give a strong as view as possible.

SAVE THE DATE: LLR LMC Annual General Meeting

This year’s LLR LMC Annual General Meeting will be held virtually on Tuesday 9th November 2021, 7.00-8.30pm.

We have confirmed the following guest speakers for the evening, Richard Vautrey (GPC Chair) and David Sissling (ICS Chair) to discuss the future of general practice and have an opportunity for Q&A session.

More details will be shared in due course.

Cremation Form Completion

On behalf of the crematorium administrative staff and medical referees at Gilroes, please find attached letter and guidance to help ensure correct completion of Crem 4 forms.

They receive a lot of forms where N/A is written in questions 6,7 and 8 without going onto clarify details of the patient illness and other doctors involved in patient care/ death certification in question 9.

This results in the admin staff having to contact the certifying doctor for clarification which, in turn, can cause delay or postponement of cremation services.

OFFICIAL GPC INFO: Protecting GPs from abuse and assault

In recent days GPs and their practice teams have come under sustained attack from the media, from the secretary of state Sajid Javid who is severely out of touch with the reality we face and, most devastatingly, from individuals culminating in a horrific attack on practice staff in Manchester on Friday that has left many in the profession feeling totally demoralised and under siege.

The BMA is taking immediate action to ensure the Government understands the seriousness of the abuse facing GPs and the impact this is having on them and their practice staff.

  • They have written to Sajid Javid demanding an urgent meeting and summit to discuss the unacceptable level of abuse being levelled against GPs and their staff, and to discuss what steps must be taken to keep healthcare workers safe.(See attached file: BMA to Secretary of State for Health 210921.pdf)
  • They have also calling for changes to the law, for the maximum sentence for assault against emergency workers to be increased from 12 months to 2 years’ imprisonment and for verbal abuse against emergency workers to carry a heavier punishment
  • Alongside this, they are calling for a comprehensive national violence reduction strategy, building on the existing national violence prevention and reduction standard, to support staff across both primary and secondary

Click here to read the message from Richard Vautrey to the profession, including resources for practices how to remove violent patients from your practice list, and how to protect yourself from online abuse:

BMA to secretary of state of health 21.09.21

Campaign Shows the Consequences of Abuse in Primary Care


Humberside LMC have created a great campaign which shows the consequences of abuse in Primary Care, which they have shared with LMCs across the Country to use, thanks to Humberside LMC.

A campaign has been launched to help tackle a rise in abusive behaviour towards healthcare workers in primary care.

Primary care refers to general practice, community pharmacy, dental, and optometry (eye health) services which are sometimes described to act as the ‘front door’ of the NHS.

Research shows that increased pressures on primary services paired with modified ways of working made necessary due to COVID-19 have led to increased demand in services. Data published by NHS Digital shows a 3.5m increase in the number of general practice appointments provided during June this year compared to June 2019 (26.7m compared to 23.2m), with an additional 4m COVID vaccination appointments delivered on top of that.

You will find all the #weareprimarycare primary care campaign materials. You can download:

They are uploaded in this order so scroll down the page to find what you are looking for. You can also   download a folder containing all the campaign materials from Dropbox.  

New to Partnership Payment Scheme

The New to Partnership Payment scheme is in place to support GPs and other registered health care professionals in establishing themselves in their new partnership role, offering a one-off financial payment and up to a £3,000 non-clinical training fund to be utilised within their first year. New partners must meet all of the scheme criteria and apply to the scheme within six months of commencing in their partnership role. Please ensure you apply to the scheme within this time frame to be eligible for the payment.

Supporting General Practice - letter from NHSEI

Richard Vautrey, GPC Chair has shared a letter he has received from Ian Dodge, National Director for Primary Care, Community Service and Strategy at NHSEI. This follows the meeting Richard had with Amanda Pritchard, the newly appointed NHSEI chief executive, last week, and which was one of the first face to face meetings with any professional representative she had had since taking up her new role.

The letter clearly acknowledges the workload pressures and workforce issues impacting general practice, their belief that general practice has been working "flat out" throughout the pandemic and delivering services that have demonstrably received good feedback from patients. They also affirm the importance they place on the relationship between NHSEI and GPCE.

NHSEI are content for us to publish this, which we have now done. We will also include this in the bulletins this week. We have acknowledged the change of tone and positive steps NHSEI are taking to rebuild relations with GPCE. 6666GPC are now expecting NHSEI to publish further information on the service specifications and IIF. As the letter suggests, they have heard our call to delay as much as possible of this until April 2022 at the earliest, whilst also continuing to invest the planned additional £150m for 2021/22.

We will update practices as further information gets available.

DDRB pay uplift

The BMA is hugely disappointed by the Government’s announced 3% pay uplift for doctors. As we have come to expect from this Government, this announcement is not all that it seems. For salaried GPs, a 3% uplift is more than the 1% the Government recommended at the beginning of the year and is the highest uplift they have received in many years. However, 3% does not compensate for the years of pay erosion experienced by all doctors. Moreover, the government has said that practices in England will not be given additional funding on top of the 2.1% for staff already allocated for this year which means GP partners could be faced with deciding between service cuts or being able to pay the full amount to salaried GPs. It is therefore not acceptable and disingenuous to speak of an uplift while refusing to provide the necessary funding. We have made our grave concerns known directly to the Secretary of State for Health and Social Care.

In their evidence DHSC highlighted the ‘vital role’ that general practice had played in the pandemic response and the DDRB underlined the critical importance of general practice and primary care more generally. In acknowledging the contribution of all doctors in the pandemic response, the DDRB also urged ministers to consider additional recognition for groups outside of their remit for this year, including GP contractors. Salaried GPs were roundly praised for their work throughout the pandemic and their adaptation to ensure the continued success in their role, including the utilisation of technology. It is worth also noting the announcement that GP trainer grants will increase from £8,584 to £8,842 and GP appraiser fees will increase from £543 to £559. These will be backdated to 1 April 2021.

What's clear is the government in England have completely and shamefully ignored the incredible response made by GP partners and their teams during the pandemic, suggesting that this year's pay award was to recognise the role played by other NHS workers. This will further damage GP morale and demonstrates that the Government does not value general practice as it should. The Government chose to ignore the DDRB’s clear statement that pay awards needed to be appropriately funded in order to avoid ‘a negative impact on service provision’.

Read more in my joint blog with the Sessional GPs committee chair Ben Molyneux about what this means for GPs.

Read the BMA statement here