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
GPC Update to LMCs - 13th January
This week's update from GPC covers updates from the following areas:
- Respiratory Protective Equipment, risk assessments, and provision of respirators
- Impact of Omicron on service provision and workforce
- Requirement for COVID-19 vaccination as a condition of employment
- Confirmatory PCR tests temporarily suspended for positive lateral flow test results
- Capacity constraints in general practice
- COVID-19 vaccination programme
- 2022/23 priorities and operational planning guidance
- GP contracts and variation notices
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.
Rapid Access to Covid-19 PCR Testing for Frontline Workers
In light of the current difficulties being experienced in the access of timely PCR testing LLR CCGs are mobilising the following service with booking enabled from Saturday 1st January 2022. Full infromation is available here .
Increasing the exposure of Foundation Doctors exposure to GP
General Practice needs more GPs and this begins with early exposure in the Foundation Doctor years. Hosting these doctors in your practice gives an excellent opportunity to interact and influence junior doctors and is very rewarding.
The Foundation School is expanding and we also have new medical schools not very far away who will produce some young doctors very soon.
If you would like to find out more about having Foundation Doctors in your practice, please see the attached flyer.
We are running a webinar as well on the 7th of January 2022 at 1pm to find out more, which you can join from the link in the flyer or from the link below.
Microsoft Teams meeting
Join on your computer or mobile app
England LMC Conference - Resolutions and election results
The virtual England LMC Conference took place Thursday 25 and Friday 26 November 2021. The attached document details the conference resolutions, election results and motions lost.
A recording of the conference will be available here .
Official GPC Updates to LMC - 3rd December 2021
- Changes to QOF and IIF
- Additional funding for COVID vaccination programme – but more support is needed (England)
- New COVID-19 Omicron variant – new measures and booster programme extension
- BMA report: Weathering the storm
- Joint statement on Inclisiran
- Integrated care systems – primary care (England)
- LMC England conference 2021 - resolutions
- Scottish LMC Conference 2021
- Sustainability payments for GP practices in Scotland
- GPC Wales GP contract agreement 2021/22
- Supporting general practice
1. The previous GPC updates can be found on the attached GPC updates link.
Recording & Presentation from LLR LMC Annual General Meeting - 2021
Thank you to everyone that joined us at the LMC Annual General Meeting which took place last night, Tuesday 9th November 21.
We would like to thank our speakers, Richard Vautrey (GPC Chair) and David Sissling (ICS Chair). As promised, a copy of Richard's presentation 'Does General Practice have a future in the NHS?' is available here.
You can view the recording of our AGM here for those who could not attend.
LMC Buying Group: Seasonal Flu Vaccine Offers 2022-23
We know that recent flu seasons have been challenging for member practices due to delays, late changes to cohorts and the added complication of the Covid-19 pandemic.
That’s why we will continue to work with all four flu vaccine companies (MASTA, Viatris, Sanofi and Seqirus) for the 2022/23 season to ensure we are in a position to help our members no matter which supplier you decide to use next year.
Our role in this upcoming flu season has been liaising with the providers to collate vaccine information and the terms offered by each provider such as sale or return, reserves, and early delivery. We are then able to share this information with our members, so you feel confident placing your orders, and knowing you have secured the delivery dates to suit your practice.
The Joint Committee on Vaccine and Immunisation advice on influenza vaccines for 2022-23 can be found here.
If you have any questions about how to calculate PPD then please contact us. To view the offers, please visit the LMC Buying Group website. You will need login details to see the deals so if you don’t have these please visit the Members page first to register: https://lmcbuyinggroups.co.uk/members/. This only takes two minutes and will mean you have access to all the information required to get our discounts, how to order as well as other resources:
The Buying Group is happy to help you with any queries you might have about the vaccines available for 2022-23, the PPD, other terms and any other issues you may be experiencing.
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
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.
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.
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:
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