Guidance

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...

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...

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...

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...

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,...

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...

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,...

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...

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...

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...

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...

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...

The LMC has been contacted by several practices concerned about private weight loss clinics writing to practices asking them for information about whether a patient has any contraindication to be prescribed medication (Wegovy/Mounjaro). The responsibility to decide...

UPDATE BY DR GRANT INGRAMS, LLR LMC CHIEF EXECUTIVE OFFICER The LMC have been consulting with the ME service, coroners, registrar service, and funeral directors about feedback following the change in the death processes from September 2024. Just as a reminder this...

The LMC Board continues to consider our strategy for Minor Surgery from April 2025. We have written to Dr Caroline Trevithick (CEO, LLR ICB) to request to commence discussions for 2025/26. In addition, we are liaising with other LMCs and have highlighted this with...

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,...

BACKGROUND The LMC receives a number of complaints from practices in relation to ongoing expectation on general practices to provide reviews to children 48 hours after being admitted or being seen in ED with wheeze. Whilst these are small numbers it is a clear...

Practice Protocols The LMC recognises that practices need to develop, adopt and implement protocols within the practice. We have created a library of different protocols which have been shared by local practices and practices are welcome to amend and adopt for...

It is important that practices ensure they consider notifying the appropriate organisations when GP Partners are joining or leaving a practice. We have tried to develop a list of key contacts for practices/Partners to inform of upcoming changes within the...