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.
Opportunity for a LLR Resident Doctor (GP Registrar) to join LMC Board
We are delighted to announce that the LMC board are looking to elect a Resident Doctor (GP Registrar) within Leicester, Leicestershire and Rutland to join the Leicester, Leicestershire and Rutland Local Medical Committee (LMC) Board for the next year. This is an...
Standards for Prescribing and Medicines Optimisation at the interface between Secondary and Primary care settings guidance
Over the last 12 months the Leicester, Leicestershire and Rutland Area Prescribing Committee (LLR APC) has been working with system colleagues to update the guidance relating to Medicines Optimisation at interface between secondary and primary care. This process is...
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...
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 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...
Destroying Lloyd George envelopes/Legacy Manual Records
Practices have been digitising records for many years, although the legacy manual record (Lloyd George envelope) has had to be kept. After many years deliberation, the DHSC has now agreed that it is appropriate and lawful for the manual record to be destroyed, once...
Guidance on the use of AI-enabled ambient scribing products in health and care settings
Currently AI Scribes are being used more and more frequently in general practices. This has been in a vacuum of central advice or local support and was described to me by a fellow informatician as being a ‘Wild West.’ It is against this background, that it is...
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...
LMC Pastoral Support Service for GPs and their teams
The LLR LMC supports practices and their teams to ensure they have access to advice, guidance, pastoral support, and appropriate resources. The PSS (Pastoral Support Service) is a confidential service which is available to GPs and their teams in LLR. The LMC has...
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...
Eye Checks and Display Screen Equipment
The LMC has received a few queries about whether practices need to pay of eye checks for their workers, so we have investigated this and are able to share the following guidance for practices. In summary, the law says employers must arrange an eye test for display...
Maternity Leave Changes
At the end of February, GPC announced a significant enhancement to maternity leave benefits for salaried GPs, following a recent unanimous vote by GPC UK. The number of weeks at half pay for maternity leave will increase from 14 weeks to 18 weeks. This change...
GP Contract Documents 25/26
This section includes the relevant information relating to the key contracts relating to contracts and services delivered by LLR practices in 25/26. This is split into the following areas: National contract 25/26 GMS contract Statement of Financial Entitlements...
Patients on Lithium Shared Care Agreements (SCA)
The LMC has received concerns about patients on Lithium who are discharged from secondary care, and the practice subsequently have difficulty in getting further support from psychiatry. The LMC has raised this with Dr Samantha Hamer, Associate Medical Director,...
Guidance on Nursing Home Flags
PCSE provided guidance on nursing home flags to ensure appropriate payment is received. The article is below: Patients who reside in Nursing Homes, or other Residential Institutions, attract an uplift in Global Sum payments for a GP Practice. For this uplift to be...
Tripartite annual flu letter for 2025/26
The tripartite annual flu letter for 2025/26 has been published today (13.02.25). Please see link below. This sets out which groups are eligible for flu vaccination in 2025 to 2026, and which vaccine should be offered to them. There are no changes to the cohorts...
Self-referring to NHS services in LLR
Residents in Leicester, Leicestershire and Rutland (LLR) are being reminded that they can refer themselves to a range of physical and mental health NHS services, without seeing a clinician first. Self-referral provides patients with more choice in how...
Energy Company Obligation (ECO4)
The ECO4 scheme is a government initiative designed to help low-income and vulnerable households improve their insulation and heating solutions. Private companies have been reaching out to households through cold calls and direct mail to identify eligible homes,...
Claims – Locum, Reimbursement, CBS
The ICB has recently written to practices regarding claims and as we near the end of the current financial year, to ensure all claims are submitted and processed appropriately, please find attached Practice Claims Schedule for the financial year 2024/25 for your...
Removal of old authorisation form from SystmOne and EMIS
You will be aware that the expiry date for authorisations relating to anticipatory / end of life medications was removed on 1st October 2024, with the aim to reduce the administrative burden to GP practices. As part of this process the authorisation form was...
Accelerated Access to Records
Part of the Government’s imposed 2023/24 GP contract in England, included practices contractually obliged to provide patients with online prospective access to their records. Practices’ contracts require them to abide by this from 31 October 2023. The LMC has...
Archived: Completion of Medical Certificates of Cause of Death (MCCD) and Verification of Death (VoD)
THIS GUIDANCE HAS NOW BEEN UPDATED WITH THE NEW RULES RELATED TO THE MEDICAL EXAMINER SERVICE WHICH IS LIVE FROM 9TH SEPTEMBER - PLEASE USE NEW LINK: LLR LMC: DEATH PROCESSES AND THE MEDICAL EXAMINER SERVICE FROM 9 SEPTEMBER 2024 UPDATED RULES FROM 25TH MARCH 2022...
Smoking Cessation Medication (Quit Ready)
The LMC has recently received queries from several general practices as patients have been directed to them to be prescribed Zyban. General practices are not commissioned or funded to provide a smoking cessation service, which includes prescribing. As it is not...