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

Primary Care Management Academy

The Primary Care Managers Academy is an independent organisation who delivery a series of different training and courses specially tailored for the needs of practice managers dependent on where they are in their career. Please contact the PCMA directly for further...

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...

Guidance

MEDICAL EXAMINER SERVICE UPDATE – January 2025

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...

Guidance

Funding relating to Minor Surgery DES

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...

Guidance

48hr Wheezy Children

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...

GuidanceNews

Local Practice Protocols & Template Letters

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...

Guidance

Checklist for New/Retiring GP Partners

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

Guidance

Safeguarding Payments & Training in General Practice

This page covers: Payments for safeguarding reports and how to claim Safeguarding training Payment for Safeguarding Reports: Did you know practices can claim for any safeguarding reports submitted? If you don’t already claim for safeguarding reports, this is a...

Guidance

Practice Mergers

Advice and tips for practices thinking about merging Be prepared to eat, drink and sleep mergers but remember that the majority of your staff won’t be at the same level as you so will need to hear information many more times than you might think is reasonable!...

Guidance

Removal of patient from GP registered list

The main pathways for a general practice to remove a patient from its registered list are summarised as a flow chart in Annex A. The number in each section refers to Schedule 3 of the National Health Service (General Medical Services Contracts)...

Guidance

Visa Sponsorship for Newly Qualified GP

The BMA has partnered with legal firm Magrath Sheldrick, who oversee our immigration advice service, to develop a webinar on navigating the GP sponsorship process. The webinar is aimed at GP employers and offers practical tips on how to navigate the current...

Guidance

2024/25 Key Contractual Documents

2025/26 Contractual documents coming soon - in the meantime, please see update on 25/26 GP contract following recent announcement We have included the key contractual documents that relate to General Practice. National Contractual documents Local Contractual...

Guidance

Waiting Times Overview for GPs

The ICB publishes the latest RTT waiting times by speciality across the local providers each month. It also breaks down the waiting time for UHL split by speciality across the admitted and non-admitted categories. This is a monthly report that will be updated and...

Guidance

Optum

Following our previous communications in the LMC September newsletter around the concerns raised about the Optum element of the Medicines Optimisation Framework (MOF), we have since discussed these concerns with the ICB on behalf of practices. To outline, Optum...

Guidance

Inclisarin

GPC Update: October 2025 There are widespread concerns with the manner and speed with which NHS England have attempted to push Inclisiran, which is a black triangle injectable drug. As there continues to be a number of questions in relation to this, we have...

Guidance

Shared Care Agreements

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 they are aware of the contract and funding...

Guidance

Local Action (Protecting General Practice in LLR)

Background In August 2024 following the almost universal support for both the referendum and non-statutory ballot, the LMC started to encourage every practice in LLR to undertake at least one of the 10 collective actions. It was always indicated that 'this will be...

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

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...

GuidanceNews

Bariatric Surgery

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...