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

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...

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

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...

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,...