Guidance

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...

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...

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...

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...

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...

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) 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 practice cover four areas: safety,...

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 vaccinations, specifically for travel and what is core and non-core for practices to deliver, so we hope this guidance...

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...

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...

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...

 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/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...

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 spreadsheet for LLR (updated October 2025) 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...

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...

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...

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...

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...

The LMC has recently received questions from practices about how to informally close their practice list.  We have prepared these FAQs to assist practices. Which practices can informally close their list of registered patients? All practices have a contractual...

NHSE have now published the details in relation to contract changes for 23/24. All of the contract specification details can be found here. We have attached them individually via the links below: Enhanced service specification: weight management programme Enhanced...

GP Management Referral Form There might be occasions when it is appropriate for a clinical or non-clinical person to be referred to access Occupational Health support. This is available to clinical and non-clinical staff working within General Practice in LLR....

The policy for LLR in regards to requests from patients for GP to provide letter to support housing application is, that there is no requirement for GP’s to provide such letters. In fact the councils applications for housing /housing benefits. This is not...