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.
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...
You and Your General Practice (YYGP) (Patients’ Charter)
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...
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...
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...
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...
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...
LMC response to the 10yr plan – the good, the bad and the ugly!
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...
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...
Flu and COVID-19 Seasonal Vaccination Programme: Autumn/Winter 2025/26
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...
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...
2025/2026 GP Contract Documents
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,...
