Guidance

Transgender healthcare is a highly specialised area of clinical practice. Initiation, prescribing, and ongoing monitoring of treatment should only be undertaken by clinicians with the appropriate expertise, training, and experience. The General Medical Council...

In the 2026/27 imposed contract Advice and Guidance will no longer be a separately funded Enhanced Service but becomes part of ‘core.’ The next proposed step is to move away from Advice and Guidance to a Single Point of Access. This will provide just one route for...

The national flu vaccination programme 2026 to 2027 letter has been published setting out the eligibility, timing and vaccines to be used this autumn/winter. To help protect the most vulnerable and keep health and care services running during winter when...

Whether or not a practice can charge for a service is a common query we receive in the LMC office. Although sometimes these may require individual consideration, GPs and Practice Managers should be aware of the main guidance. When Can I Not Charge? GMS Regulation...

NHS England has requested ICBs to send information regarding prevention of Sexual Harassment at work to general practices. This includes a self-assessment checklist, advice for all staff to complete online training, advice to sign the Sexual safety in healthcare –...

The UK Health Security Agency (UKHSA) has recently issued guidance regarding consent for vaccination by non-registered health care service workers (HCSW)- mainly Health Care Assistants in general practice. This clarifies that where a HCSW is providing a vaccine...

This position statement sets out the formal view of Leicester, Leicestershire & Rutland Local Medical Committee (LLR LMC) on local pathway variation from national standards. It defines clear principles and red lines to protect patient safety, professional...

The national flu vaccination programme 2026 to 2027 letter has been published today setting out the eligibility, timing and vaccines to be used this autumn/winter. To help protect the most vulnerable and keep health and care services running during winter when...

This guidance sets out the process for requesting GP IT funded equipment, the process for items not funded under GP IT, and a simple summary of what is in scope.For anything not covered here, please contact your LHIS Project Manager for advice. 1) How to...

The LMC has worked with the relevant personnel regarding palliative care medication authorisitions in LLR, and we can confirm the LLR position regarding palliative care medication authorisations, following recent alignment work across hospital and community...

The Leicester, Leicestershire and Rutland Integrated Care Board (LLR ICB) published the GP Tirzepatide Implementation and Management Weight Management Service Guidance (2025/26–2027/28) and accompanying supporting documents in December 2025. The guidance, spec and...

The LMC is pleased to offer the sub-contracting arrangement for Christmas Eve and New Year’s Eve, 16.00–18.30, which has been facilitated by the LMC in collaboration with DHU again this year. The LMC anticipates that practices will by now have notified the ICB...

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...

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...

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...

From 1 October 2025, practices must have a link to the YYGP document from their website. NHS England has published guidance for GP practices to support the implementation of You and Your General Practice. Your practice may find it help to include a caveat on their...

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...

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...

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...

After an exceedingly long and painful gestation the NHS 10 Year Plan has arrived. It has various targets in it, the longest being for 2040. As an aside the plan was launched with lots of buzz and press releases without the actual document being shared with anyone...

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...

NHS England has published the Flu and COVID-19 Seasonal Vaccination Programme: Autumn/ Winter 2025/26 letter This sets out the eligible groups for flu and COVID-19 vaccination in autumn/winter 2025/26, confirms the timing of the campaign (main campaign starting on...