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.
NHS Continuing Healthcare needs checklist
The LMC has been advised of practices being told that they must carry out the NHS Continuing Healthcare (CHC) Needs Checklist. If a patient is awarded CHC then they may be eligible for full payment of their care, including, for example, paying fees for a care home,...
Shared Care Agreements/Medications
The LMC receives a lot of questions in relation to Shared Care Agreements (SCA), specifically around Private Providers and whether they have to accept SCA. Shared Care is incorporated within the Community Based Services (CBS) contract, so practices should make sure...
Election to join LLR LMC Board, 2024 – 2028
The LLR LMC has opened its elections following nominations to join the LLR LMC board, electoral term November 2024 - November 2028. Every GP who is connected to a Leicester, Leicestershire and Rutland GP practice and is on the Medical Performers List...
Monitoring of patients with MGUS/Paraprotein
UPDATE JUNE 2024 The monitoring of patients with MGUS was originally identified as a commissioning gap for a non-core service for LLR practices. Following extensive discussion between Dr Mamta Garg (Consultant Haematologist at UHL) and ICB with the...
Bariatric Surgery aftercare following surgery abroad
The LMC continues to be concerned regarding the invidious position that GPs are put in when patients contact a surgery expecting aftercare following private bariatric surgery whether in this country or abroad. We have previously raised this with the ICB and will...
DDRB award announcement 2024
Following the 2024 DDRB announcement, please find info that has been shared by GPCE. If you have any further queries please feel free to contact the LMC office. The DDRB have published their 52nd Report . Paragraph 9 recommends a 6% increase in...
NHS Continuing Healthcare needs checklist
The LMC has been advised of practices being told that they must carry out the NHS Continuing Healthcare (CHC) Needs Checklist. If a patient is awarded CHC then they may be eligible for full payment of their care, including, for example, paying fees for a care home,...
NHS resolution, CNSGP, ELSGP
The LMC has been contacted by practices seeking more information about what NHS Resolution operated state indemnity scheme for general practice covers. Although practices would need to contact NHS Resolutions for advice about any specific circumstance, in...
Data Request for Cloud Based Telephony Statistics
The LMC is aware of that requests have been circulated to practices around the 'Cloud Based Telephony Data Collection – Data Provision Notice'. The GPC has sought legal advice and the briefing guidance is...
Update on Cervical Screening Management System (CSMS) go-live
The CSMS is now live and replaces the previous Open Exeter call/recall IT system. The CSMS is accessed via an NHS smartcard. All providers are asked to update any internal operating procedures and documentation that supports delivery of cervical...
New NHS Vaccination programme against Respiratory Syncytial Virus (RSV)
GPC have issued an update following recommendations by the JCVI, two new RSV vaccination programmes will begin from 1 September 2024: Adults aged 75 – 79 years old Pregnant women to protect infants NHSE intend to commission this from...
Care Quality Commission (CQC)
CQC inspection evidence table Care Quality Commission (CQC) is the independent regulator for Health and Social Care providers in England. CQC inspects general practice using a new methodology since April 2014. CQC questions for nurses in general...
Travel immunisations/vaccines
PLEASE READ THIS GUIDANCE PAGE IN FULL AND CONTACT US IF YOU HAVE ANY QUESTIONS The LMC often receives queries from practices in relation to immunisations, specifically travel vaccinations and what is core and non-core for practices to deliver, so we hope this...
Mediation service for GP practices from the BMA
As part of the BMA extended services pilot we are pleased to offer a mediation service for GP practice staff, encouraging dispute resolution without recourse to formal procedures. Our adviser will: conduct individual meetings with employees conduct a joint...
Updated and simplified pertussis testing in primary care
Further to the recent correspondence regarding pertussis testing in primary care on the 20th May 2024, we have updated and simplified our testing pathway, in order to improve the turnaround times of results. The latest guidance from UKHSA available for...
Advertising guidance within General Practice
The ICB have produced guidance on for practices in relation to advertising for new patient registrations. LLR ICB are supportive of any practice promoting new patient registrations and encouraging patients to access NHS services. However, GP...
EMAS: Procedures for ‘deaths in the community’ following implementation of NHS Pathways at EMAS
11 March 2024 Procedures for deaths in the community following implementation of NHS Pathways at EMAS (002).pdf East Midlands Ambulance Service NHS Trust (EMAS) has changed its procedures relating to deaths in the community. This follows the implementation of NHS...
EMAS: Why am I contacting a GP?
EMAS/General Practice update - May 2024 Why am I contacting a GP v2 We have received complaints about further incidents where EMAS technicians have contacted practices while attending a patient due to a 999 call expecting a GP to speak to them straight away to...
Requests from UKHSA
From time-to-time practices will be asked by UKHSA to assist in vaccinations, investigations or prescribing prescriptions for families or residents in a hostel or home. These are not included in the GP core contract. Some services are commissioned from DHU, but...
Non-Core Services in LLR
MARCH 2024 2024-03-Non-Core-Services-in-LLR-1.pdf The LMC regularly receives requests from practices asking what services are included, or not included in the core contract. This document lists services that the LMC considers are non-core, together with whether...
We are Primary Care Campaign – to help tackle a rise in abusive behaviour towards healthcare workers
A campaign has been launched to help tackle a rise in abusive behaviour towards healthcare workers in primary care. Primary care refers to general practice, community pharmacy, dental, and optometry (eye health) services which are sometimes described to act as the...
LLR Clinician to Clinician (C2C) referral policy
Clinician to Clinician (C2C) Referal Policy We have received reports of practices receiving letters from secondary care requiring patients to be referred to a different specialist or service. In the majority of cases these referrals should be done directly by the...
Freedom to Speak Up
The LMC is the only independent body with a statutory duty to represent all general practitioners. We are a democratic organisation with a governing body of representatives, elected by our members. LMCs were first established by the National Insurance Act...
Oliver McGowan Mandatory Training on Learning Disability and Autism
All GP practices in England must ensure their staff receive training in learning disability and autism, including how to interact appropriately with people with a learning disability and autistic people. This requirement was introduced by the Health and Care Act...