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

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,...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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,...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...

Guidance

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...