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Practice management

NHS England statement re Carr Hill formula

NHS England and the BMA have released a joint statement on the Carr Hill formula this week. I reproduce it below for you. Yet again the review of the Carr Hill formula is deferred for another year. We are disappointed. While we welcome the intentions of NHS England, we do wonder if they...

GPC Advice on Preventing Telephone Fraud

The GPC have issued the following advice note to general practices: The GPC has been made aware that telephone systems used by practices may be vulnerable to fraudsters hacking into them and making premium rate calls. In one instance £2500 - £5000 of calls were placed over one weekend....

Preparing for a CQC inspection

I'm sharing here some tips I have learned over the years in preparing for a CQC inspection- both as a former practice manager, and from my role as Development Manager here at the LMC, assisting practices pre- and post-inspection. Read What to expect on a GP inspection - this is essential...

Preparing for CQC Registered Manager Interview

You can expect to provide assurance that the registered manager is: of good character able to properly perform tasks that are intrinsic to their role has the necessary qualification, competence, skills and experience to manage the regulated activity has supplied documents that confirm their...

Accelerated Access to GP Records

GPC Accelerated Access to Records Programme - October update Following on from the guidance that GPC England (GPCE) shared with practices last Friday, we are expecting to continue dialogue with NHS England in the coming week to ascertain how practices can be best supported in the lead up to the...

2018/19 Indemnity Settlement & the Clinical Negligence Scheme for General Practice (CNSGP)

Please see the information relating to the 2018/19 Indemnity settlement. GPC England and NHS England have agreed the amount to cover the increased cost of indemnity for 2018/19. This will again be £60m and be paid on a per-patient basis equivalent to £1.005 per patient. Practices and individual...

2022/23 NHS Seasonal Influenza

The LMC will include all the information as it prevails relating to the 2022/23 Influenza Season. 02.03.21: Reimbursable vaccines and eligible cohorts for the 2022/23 NHS Seasonal Influenza (flu) Vaccination Programme To highlight to practices that it states the following cohorts are not...

23/24 Contract Specification details

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 service specification:...

Capita - Incorrectly Archived Records

The GPC recently released a statement regarding the PCSE incident whereby thousands of patient medical records were incorrectly archived instead of being sent to the subsequent GP practices. These records have now been sent back to practices, and NHS England is expecting those practices to...

Checklist for new partners joining a practice

LMC Law have put together a list of things practices should consider when a new partner joins a partnership. Please note, that this is from purely a legal perspective and provides general guidance only. This is not an exhaustive list.

Covid19 Medical Exemption Certificates

The patient will need to contact 119 in the first instance. They will be provided with a form that a GP/specialist will be required to complete. The practice will need to log on and record the outcome on SCRa ( https://portal.national.ncrs.nhs.uk/portal/ ). Please note that the portal only...

FIREARMS GUIDANCE AND FLOWCHART

GPC response to the Home Office consultation on statutory guidance to police on firearms licensing and a flowchart to guide GPs and police through the licensing process are now available on the BMA website

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 1911 and has been included in the...

Gender Incongruence in Primary Care

After recent concerns expressed by GPs regarding clinical requests being sent to them for patients going through the gender reassignment process, the BMA have released guidance for GPs that may be concerned on their role as a prescriber in this instance. The guidance consists of: Commissioning...

GMS Contract

NHS Employers The GMS Contact documents are published each year on NHS Employers Website. NHS Employers - The GMS Contract GMS Contract Agreement 2018 -19 GP pay and expenses The GPC have not agreed to accept a further pay uplift of 1% this year. Instead they have agreed that from 1 April...

GP contract five-year framework

The NHS Long Term Plan committed £4.5 billion more for primary medical and community health services by 2023/24. This will support better care for patients outside hospital in their local communities. NHS England and the British Medical Association’s General Practitioners Committee have agreed...

Guidance for GPs - Partnership Agreements

UPDATED JULY 2018 The GPC have produced an excellent Guidance for GPs - Partnership Agreements- it covers all the aspects of what a partnership agreement should encompass, and should enable you to refresh your agreement. We would advise that the partnership agreement be updated each time a new...

Guidance to practices following requests from schools

Practices are often asked to provide letters to schools to support the organisations request, the LMC has provided some guidance to support practices on the most popular requests to inform practices of their responsibility. We have covered the following areas: a. School letters School fit...

How to informally close your practice list

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 right to decline to register any...

LLR LMC Buying Group

LLR LMC joined the LMC Buying Group in March 2011 to deliver savings to practices without creating any additional work or inconvenience. What does the Buying Group offer? Membership entitles practices to discounts on products and services provided by the Buying Group's suppliers. Membership is...

Medical Examiner Service

The proposed implementation of the Medical Examiner service is still most likely to happen in April 2024, although we are advised that it is now more likely to be the end rather than the beginning. We cannot publish definitive local guidance yet until the legislation and national guidance have...

Network DES guidance

The Network DES guidance is available on this NHS England GP contract page, with a direct link here . It includes new sections on: Section 5: Financial entitlements, nominated payee and payment information Section 6: Extended hours access Section 7: Practices and PCNs crossing CCG...

NEW REGULATIONS ON NOTIFICATIONS OF DEATH

The Government has introduced regulations that place a duty on registered medical practitioners to notify the coroner of certain deaths, and what information should be provided. They apply to England and Wales. This becomes law on 1 October 2019. Read the Ministry of Justice’s guidance on...

October 23: GPC Accelerated Access to Records Programme update

Published 13th October 2023 Following on from the guidance that GPC England (GPCE) shared with practices last Friday, we are expecting to continue dialogue with NHS England in the coming week to ascertain how practices can be best supported in the lead up to the 31st October go-live date and...

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 2022 in July last year. The...

Police requests for medical notes from general practice

The BMA has received new legal advice regarding medical note requests received from the police, which are detailed below. Pro forma for practices There is clear guidance regarding the obligations that GPs have with respect to copying and/or release of the GP record. For your reference, these...

Practice Managers Support

We recognise that the Practice Managers are usually the heart of General Practice, but the role is often described as isolating and expectations and workload are forever increasing. The LMC is here to support Practice Managers as much as we can, and have recently done a PM survey to look at the...

Practice Mergers

Advice for practices thinking about merging and top tips. 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! Also, be aware that if there...

Primary Care Leadership Development Offers East Midlands

Please find information below and attached to the latest development offers for Primary Care colleagues. General Practice Improvement Leads programme – applications open for Midlands and East of England regional cohorts Applications are open for the Midlands (starting 17 and 18 September 2019)...

Request for inclusion of information on death registration

Information provided by Registration and Coroner’s Service Manager at Leicestershire Registration Service Death Registrations with Medical Certificate of Cause of Death (MCCD) Any death that isn’t referred to the coroner must be registered by law within five calendar days. The Registrar...

Requirement for COVID-19 vaccination as a condition of employment

The LMC has received several queries from member practices in regards to the requirement for COVID-19 vaccination as a condition of employment. We are looking at the best ways we can support our members practices, but at a time we are still not clear what the wording of the legislation will...

Sub-letting practice space

Generally, if the practice is receiving rent from those subletting, then it would be reasonable for the notional rent to abated. However, if this is not the case and the room is being used to provide services that are supporting the delivery of Primary care this would not be the case, though it...

Training and Events programme

The LMC is pleased to share our engagement events which are open to all LLR members at no cost. To register for any of our events, please email enquiries@llrlmc.co.uk 'Leicester, Leicestershire and Rutland Local Medical Committee Annual General Meeting - Thursday 21st March 2024' - The Highs...

Travel immunisations/vaccines

Funding & charging for vaccines In light of the changes to vaccine guidance, we have updated our guidance and would like to acknowledge Wessex LMC for sharing their guidance. The 2020/21 contract changes saw a change to the funding arrangements for vaccination and immunisations in the GP...

Wellbeing resources

As we continue to face overwhelming pressures in general practice, we encourage practices to focus on their own team's wellbeing. A range of wellbeing and support services are available to doctors, from our 24/7 confidential counselling and peer support services to networking groups and...

Zero Tolerance

We are all aware that practices have a difficult time when they have patients who display consistently unacceptable behavior, which is time consuming, puts a strain on staff and adds extra workload to practices. The following guidance has been developed by the LMC to reflect guidance from...