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

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...

Guidance

EMAS TCS

In LLR, we have the recognised process of Transferring Care Safely (TCS) which manages inappropriate workload between local providers. It has recently been announced that if GPs wish to raise a TCS with EMAS, they should use EMAS Service to Service...

Guidance

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...

GuidanceNews

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...

GuidanceNews

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...

Guidance

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

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...

GuidanceNews

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...

GuidanceNews

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...

Guidance

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,...

Guidance

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...

Guidance

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...

Guidance

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...