The purpose of the LLR LMC is to Look After and to Look Out For GPs and their Teams.
From partnership issues to business planning, we provide valuable, up to date and expert advice to GPs and their practice managers on essential subjects including premises and contractual matters.
We provide support for members' health, welfare and careers & we understand the challenges of working in General Practice.
We represent practices on bodies including NHS England regional team, Clinical Commissioning groups, Public Health, Local Authorities, Health Watch and the Care Quality Commission.
- To be impartial and non-judgemental
- To inspire hope
- To be kind to ourselves and each other
- To be honest and straightforward
- To be courageous, wise and trustworthy
Medico Legal Conference - Thursday 7 July, BMA House, London
The BMA Medico Legal Conference will take place on Thursday 7 July at BMA House, Tavistock Square London.
This one-day conference, for all levels of experience, will cover the essentials of working competently as an expert witness and address medico legal issues relevant to the whole profession such as covid 19 and the GMC – litigation, complaints and regulatory matters, no fault compensation, writing a good coroner’s report, medical law for doctors, etc.
It is open to members and non-members of the BMA to attend. Attendees will be able to network with lawyers, QCs and there will be some interesting exhibition stands.
For further info, to register and check the programme, please click here
UPCOMING LMC WEBINARS
We would like to highlight the upcoming LMC webinars that are available for our members to attend.
MCCD/CREM4 FORM WEBINAR
LMC board member, Dr Ingrams recently produced guidance on the changes to MCCDs and Crem4 forms which came into effect from 25th March. The guidance shared is available here - LLR LMC: Completion of Medical Certificates of Cause of Death (MCCD) and Verification of Death (VoD)d
The Short Practical Guide to completing MCCD and Form Cremation 4 has also been updated and is available here. We have also produced a quick reference guide to aid GPs in deciding whether to complete an MCCD or report to the coroner. These documents have been produced with input and support from Professor C Mason.
We have received several questions from practices on the changes and asking for clarity, Dr Ingrams has kindly agreed to deliver a lunchtime webinar on the changes and answer any questions.
- Date: Tuesday 17th May 2022
- Time: 1.00-2.00pm
Dr Ingrams will be accompanied by Alan Brown, LCC Bereavement Services Manager and Bharti Parmar, Superintendent Registrar
The LMC has recently received several questions in regard to partnership matters including agreements and partnership disputes, so we have asked LMC Law to deliver a webinar on partnerships.
The session will cover a variety of areas relating to partnerships, as well as having an opportunity to ask any questions to Shanee Baker on specific partnership matters – if you don’t wish to disclose your practice, you can email any questions to LMC office in advanced.
- Date: Tuesday 7th June 2022
- Time: 12.00 – 2.00pm
Topics covered will include:
- Starting and retiring from General Practice
- Partners and Partnerships (incl partnership agreements and disputes)
- Matters to consider when adding a new partner
- Partnership terms
- Core contracts
- Core hours and essential services
- Fees and charges
If you would like to reserve a place on the webinars, please email firstname.lastname@example.org
CQC webinar on new regulatory approach
CQC recently ran a webinar for providers to update on how they are regulating now and how this will change in the future. If you were unable to attend the webinar, you can watch the recording here.
Wellbeing Wednesdays have gone live! Please see our second video for 22/23, accessible via the link below for all staff across Primary Care.
If you have any suggestions for future videos, please do send in your feedback to email@example.com
Reminder for practices to update CQC with correct contact details
It is important for practices to update all appropriate contact details with the CQC.
It has been highlighted to the LMC that there have been occasions, when the CQC has informed practices of upcoming inspections, but the emails have been going to the practice old email addresses and not the new NHS email. This has meant the practices have had little or no notice of CQC inspections/telephone calls.
To amend your practice details, please do so by updating on the CQC provider portal.
It is also worthwhile highlighting, if the registered manager has changed and the new registered managers details have not been changed, the old registered manager will get any notifications of inspections or any official communications.
We would encourage practices to ensure they update their contact details with CQC, as CQC will not be responsible for practices not receiving emails, so we are highlighting to reduce unnecessary stress to practices.
April LLR LMC newsletter
This month April LLR LMC newsletter, we are covering the following areas:
22/23 PCN Contract DES update
- MCCD and cremation certification from 25th March
- GP contract changes guidance
- QOF Immunisations and vaccinations
- 2022/23 flu programme: Ineligible cohorts
- Access to records
- Private provider requests for investigations under the NHS
- New policy for applications to the performer lists
- Fit notes
- Travel vaccinations
- Rebuild General Practice campaign launch
- Infection prevention control in healthcare settings
Any questions, please dont hesitate to contact the LMC office
GPC update - 24th March 2022
The recent GPC update has included topics on the following areas:
- Rebuild general practice campaign launch
- Future of general practice - Health Select Committee evidence
- GP contract changes guidance
- Safe working guidance
- Health foundation report on access to general practice
- GP to patient ratio
- New policy for applications to the Performers Lists
- Infection Prevention Control in healthcare settings
REBUILD GENERAL PRACTICE CAMPAIGN LAUNCH
GPs and their teams faced an extremely challenging time during the COVID-19 pandemic. At the same time, general practice in England continues to face a worsening workforce crisis. BMA research published last year showed that the NHS has lost nearly 2,000 full-time equivalent GPs in England since 2015.
In response, working in partnership, the BMA and GPDF have launched the Rebuild General Practice campaign. To launch the campaign, Dr Kieran Sharrock, GPC England Deputy Chair, gave a keynote speech earlier this week at the King’s Fund, where he was joined by Jeremy Hunt MP, to outline the impact on patients that the workforce crisis is having.
You can read more about the launch event on the BMA website
To coincide with the launch, the campaign released the findings of a survey of GPs in England, Wales, and Scotland, which showed that:
- nearly nine in 10 GPs fear patients aren't always safe at their surgeries
- 7 out of 10 GPs feel the risk to ‘patient safety’ is increasing
- staff shortages and too little time for appointments were main factors putting patients at risk
- 86% of GPs stated they didn’t have enough time with patients
- 77% of GPs said GP shortages were putting patient safety at risk.
It is vital that we build as much support for the campaign as possible. You can find more information on the campaign website >
You can also follow and share content, news and updates on the campaign Twitter account >
GPC Update to LMCs - 10th March
The GPC has released the recent update to practices which covers several parts of important information which practices might find useful. The update covers and follows here.
GP contract negotiations and future of general practice
- Safe working in general practice
- Meeting with Secretary of State and NHS health care reforms
- Policy Exchange report on the future of general practice
- GPCE executive team changes
- Data on the pressures facing general practice
- BMA successfully challenges threatening letters from solicitors
- NHSPS service charges dispute update - trial dates
- Guidance for 2022/23 seasonal flu vaccination programme
General practice contract arrangements in 2022/23
NHSE/I have released the contract changes for 2023/24 for General Practice and can be viewed here. The GPC has shared their statement on the arrangements.
As you will probably be aware, despite negotiations between GPC England and NHS England about amendments to the five year contract deal agreed in 2019, NHS England announced last week that the contract amendments will come into effect from 1 April, without an agreement or endorsement by the BMA.
We are bitterly disappointed with these changes to the GP contract, which fail to help patients and support practices at this critical time.
The negotiations reached a stalemate in mid-February when it became clear that NHS England would not be offering an update that would impact meaningfully on patient care, nor provide the support desperately required for general practice as it faces unprecedented pressures and pandemic recovery, despite GPC England suggesting a number of solutions to address some of these pressures, enabling practices to support patients.
Living with COVID-19 white paper – update from NHSE/I
The NHSE/I has now published an update following the Living with COVID-19 white paper: Coronavirus » Living with COVID-19 white paper – update (england.nhs.uk)
Updated JCVI advice for vaccinating 5 to 11-year-olds
The JCVI advises:
“a non-urgent offer of two 10 mcg doses of the Pfizer-BioNTech COVID-19 vaccine (Comirnaty®) to children aged 5 to 11 years of age who are not in a clinical risk group. The two doses should be offered with an interval of at least 12 weeks between doses.”
A full copy of the JCVI advice can be found here .
PCN Leadership Development
NHSE has just announced their PCN leadership development programme that is currently being offered to all staff at all levels.
GPC Update to LMCs - 28th January
This week's update from GPC covers updates from the following areas:
- GP pressures and GP appointment data
- Fit testing of FFP2 and FFP3 respirators
- Mandatory COVID-19 vaccinations – guidance for GPs and practices
- Face coverings in practice premises
- PCN DES - Examples of good practice
- LMC Secretaries Conference 2022 – registering
- How can GPs effectively care for patients with long-term conditions in the current climate?
- Health and Social Care Bill - #WrongBillWrongTime
- GPC England – information and guidance
1. The previous GPC updates can be found on the attached GPC updates link.
Updates on 1st February
Mandatory Vaccinations for staff in GP practices
The BMA has released the following guidance in relation to Mandatory Vaccinations of deployment (MVOD) COVID-19: mandatory vaccinations for staff in GP practices (bma.org.uk)
- Update to CVP enhanced service
NHSEI has agreed to extend the period during which the £10 supplement is attracted for vaccinations given to immunosuppressed people – this was due to end yesterday (31 Jan) but is now extended to 31 March. The ES specification has been update on the NHSEI website. (page 4).
Covid-19 Medical Exemption certificates
We have created a one-stop place for detais relating to Covid-19 Medical Exemption certificates, which includes a how to guide.
Requirement for COVID-19 vaccination as a condition of employment
The LMC has received several queries from member practices in regards to the requirement for COVID-19 vaccination as a condition of employment. We are looking at the best ways we can support our members practices, but at a time we are still not clear what the wording of the legislation will say.