Guidance

The Guidance Section holds a wealth of information on a wide range of subjects relating to general practice. We have tried to arrange the guidance as simply as we can but we would encourage you to use the Search Guidance facility.

Guidance

Change to software for maternity services: Badgernet

The communication below has been written by ICB/UHL, and we have agreed to circulate to practices. The LMC have been consulted regarding this change, and we have requested changes to make the system support general practice, but there have been limitations due to...

Guidance

OpenSAFELY

NHS England issued a Data Provision Notice (DPN) in July 2025 which requires GP Practices to provide the OpenSAFELY Data Analytics Service. This has the support of the Joint GP IT Committee, which is co-chaired by GPC and RCGP, who are encouraging practices to...

GuidanceNews

NHS Health Checks – City Practices

Following the communication in the September newsletter regarding the new NHS Health Checks contract with Leicester City Council. The council has informed us that they have now completed their internal governance approval process for this service, and are looking...

Guidance

Firearms Licensing – Updated Guidance for GPs

Following the tragic incident which took place in Plymouth in 2021, the Home Office has issued new Firearms Licensing Guidance, which came into effect on 1 November 2021 The guidance outlines new statutory requirements relating to the medical suitability of...

Guidance

Using AI Scribes in General Practice

In 2017, Dr Ingrams (LMC Chief Executive) wrote an article about whether AI would replace GPs, which is available to read here . His conclusion was that AI will enhance our work but could never replace GPs. I concluded “I look forward to the improved efficiency and...

Guidance

Rabies (Post Exposure) guidance

POST-EXPOSURE This does not happen very often, but when it does, practices need to know what to do. Details are per Chapter 27 of the Green Book. If a patient has been exposed the risk is determined by a combination of the country they were in and the type of...

Guidance

Treatment for Dental Problems

A common query from practices is whether they can or should provide treatment to a patient with a dental problem. Treating patients with dental problems is not a GP responsibility, even if a patient is not registered with a dentist because: GPs are not trained to...

GuidanceNews

DDRB Uplift 2025

The Review Body on Doctors’ and Dentists’ Remuneration has published it 53rd Report which includes recommendations for increases for GP Contractors and Salaried GPs. The government has accepted the recommendations. The commitment by the government is to: uplift the...

Guidance

Wellbeing Support for GPs

NHS Practitioner Health Programme (formerly GP Health) Practitioner Health is a free, confidential NHS service for doctors and dentists including trainees across England with mental illness and addiction problems, who are working or looking to return to clinical...

Guidance

LMC Corporate Documents

The LMC holds a series of corporate documents which are available to be viewed below: LLR LMC Constitution The Nolan Principles LLR LMC Code of Conduct & Conflict of Interest Policy LLR LMC Board - GP Trainee role description Any questions relating to the...

Guidance

Practice Managers Support

We recognise that the Practice Managers are usually the heart of General Practice, but the role is often described as isolating and expectations and workload are forever increasing. The LMC is here to support Practice Managers as much as we can,...

Guidance

Guidance on Private Weight Loss: Bariatric Surgery

More patients are travelling abroad to have cheap bariatric surgery in Turkey, Egypt and other countries. If they are not entitled to NHS care, then this includes general practice. There are some procedures that are so high risk that the LLR Bariatric Surgery...

Guidance

MCCD – Requirement to be seen in life

Myth buster time. There was an erroneous ‘rumour’ that GPs could only complete an MCCD if they had seen the deceased in person anytime during their lifetime. After some digging, I found that this had come from the Regional Medical Examiner and not from anyone...

Guidance

CBS Additional information 25/26

As with 2024/25, only the following services can be delegated to another provider by practices: Children and Young People Phlebotomy Service – 12 – 15 years and 364 days Ear Irrigation Vaginal Ring Pessaries Wound Care, Dressings, Suture & Clip Removal CBS...