We recognise that the Practice Managers are usually the heart of General Practice, but the role is often described as isolating with expectations and workload forever increasing. The LMC is here to support all members of the General Practice team including Practice Managers.
As a Practice Manager, it can be really hard to navigate the different areas to ensure you claim everything you should and when, connecting with the right people as well as ensuring the practice is complying with CQC and delivering the contract. We have included a few areas which we hope to provide support and guidance to support Practice Managers.
We are now fortunate to have two Practice Managers on the LMC and offer a wealth of knowledge and experience on practice management:
- Sarah Gibson, County PM board member
- Dinesh Vadgama, CIty PM board member
The website offers a variety of different resources with navigating Practice Management including claims schedules, templates/letters, training and opportunities.
Resources
- Practice templates and protocols provides a series of different protocols that practices can adopt and amend to use within their own practice.
- CQC toolkit: Designed by LMC Board Member, Practice Manager to guide and help practices prepare and be CQC ready.
- Understanding what to claim/how to claim: 2526-UPDATED-Primary-Care-Claims-Schedule-1125.xlsx (Currently under review)
- GP reimbursement scheme: GP Reimbursement Scheme – Leicester, Leicestershire and Rutland Local Medical Committee
- Practice Managers Checklist
- Chaperone Use in Children & Young People (<18)
- Shared Care Agreements (SCA)
- Safeguarding Reports & Training
- Chaperone Guidance: Chaperone Use in Children & Young People (<18)
- Non-core services: 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 whether funding is available to practices via a contract to provide, or whether another service has been contracted to provide.
The original list was created by the British Medical Association and are services that have been agreed not to be covered by the core GMS contract. Practices are not funded to provide any of these services unless they have a separate contract.
This is not an exhaustive list of services that are not included in core funding. ALL OF THESE SERVICES ARE VOLUNTARY.
Please note that just because a service is not explicitly included in this list does not mean it is funded through the core contract. If unsure, please check with the LMC.
Items are marked RED if the LMC does not believe that the commissioners are offering general practices a contract to provide those services.
Items are marked GREEN if there is a locally commissioned service that general practices can opt into.
Items are marked AMBER if there is ambiguity or other LMC concerns.
If a general practice is providing a service that they are not contracted to provide, they can consider stopping it. Before doing so they will need to give their patients 3 months’ notice, and we recommend that they also inform the ICB.
If you spot any errors, or you feel another service needs to be added, please contact the LMC and let us know.
This document was shared with the ICB in June 2023. We are also aware that the ICB have shared with NHS England. Despite further contacts, we have not received any comments from the ICB or NHS England.
This version takes into account the proposed ‘Community-Based Services’ (CBS) contract which will be introduced from April 2024.
For any questions or issues please contact the LMC: enquiries@llrlmc.co.uk
Sickness Locum, Maternity & Paternity Claims
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 reference.
Please take the time to review this as it explains where to submit claims for services and shows the deadlines for claiming as well as contact details for any queries.
Practices are encouraged to submit claims in a timely manner (ideally within the financial year of the activity completed) to support with practice finances and cashflow. If a practice needs to invoice the ICB then please ensure that the instructions in the attached ‘Good Invoice Guide’ have been followed. This will ensure that delays in the processing of invoices will be reduced.
It is important that practices claim on a timely to support cashflow within the practice. The following forms included in this update:
GPC has announced the agreed changes to maternity leave changes – https://www.llrlmc.co.uk/news/maternity-leave-changes/
Maternity
Locum reimbursement to cover maternity leave. Please complete and return to nnicb-nn.eastmidlands-pcgp@nhs.net with a copy of the following:
- Copy of the relevant page of the employment contract or partnership agreement which confirms the length of time the GP will receive full pay during their maternity leave.
- MATB1 Form
- A letter from the GP stating when they plan to start Maternity Leave.
You are entitled to claim support for a maximum of 26 weeks to cover maternity leave.
Also, enclosed is a LOC6 form to be completed in full and returned to nnicb-nn.eastmidlands-pcgp@nhs.net with the relevant supporting documents (i.e. invoices for the period of the claim).
Please ensure that the Invoice Weekly Breakdown tab within the LOC6 form is completed. The sessions completed per GP providing cover along with the invoice amount or salary paid to the GP providing the cover must be entered in the relevant section.
LOC6 forms should be returned monthly using a separate claim form for each absent GP.
Paternity
Locum reimbursement to cover paternity leave. Please complete and return to nnicb-nn.eastmidlands-pcgp@nhs.net with a copy of the following
- Copy of the relevant page of the employment contract or partnership agreement which confirms that the GP will be paid their full salary for the duration of the leave.
- MATB1 Form.
- A letter from the GP stating when they plan to start Paternity Leave.
You are entitled to claim support for a maximum of 2 weeks at a maximum of £1211.64 per week.
Please complete and return the attached LOC5 application Form.
Please ensure that the Invoice Weekly Breakdown tab within the LOC6 form is completed.
The sessions completed per GP providing cover along with the invoice mount or salary paid to the GP providing the cover must be entered in the relevant section.
Sickness
Locum reimbursement to cover sick leave (LOC1). Please complete and return to nnicb-nn.eastmidlands-pcgp@nhs.net a copy of the following:
- The sick note for the period of absence confirming the first day of sick leave
- Confirmation of sick leave taken in the last 52 weeks
- Confirmation of the sickness entitlement
For a salaried GP – extract from the contract stating sick pay entitlement.
For a partner – extract from the partnership agreement stating drawing during sickness.
Attached LOC1 and LOC6 form to be completed in full and returned with the relevant supporting documents (i.e. invoices for the period of the claim and copies of sicknotes).
Please ensure that the Invoice Weekly Breakdown tab within the LOC6 form is completed. The sessions completed per GP providing cover along with the invoice amount or salary paid to the GP providing the cover must be entered in the relevant section.
LOC6 forms should be returned monthly using a separate claim form for each absent GP.
You are entitled to claim support for a maximum of 26 week at the full rate and 26 week at the half rate within a 12 month rolling period. The entitlement begins after the first 2 weeks of sickness. he first 2 weeks of sickness.
For any invoice submitted to the ICB, please ensure the following information is included:
NHS Leicester, Leicestershire & Rutland ICB
QK1 Payables N235
PO Box 312
LEEDS
LS11 1HP
(Please note, any invoice submitted to sbs.apinvoicing@nhs.net without the above information will be rejected by the system – the system does not generate notifications for rejected invoices).
- Practice Managers Academy is an independent organisation and separate from LMC but offers a range of courses and tools to support practice managers.