LMC email update 9th August 2015
Date sent: Tuesday 18 August 2015
Email sent by Wessex LMCs to GPs and PMs, on 18th Aug 2015
There are a few issues that need your attention so I have written a brief email to update you.
1. The 2015/6 Vaccination and Immunisation guidance
2. Top Tips For Employing Locums
3. Needle stick Injuries
4. Reviewing the global sum allocation formula and identifying atypical populations - we need your help
The 2015/6 Vaccination and Immunisation guidance
The 2015/16 vaccination and immunisations guidance and technical requirements to support GMS changes have been updated to include the new and amended meningococcal programmes.
The documents are available to download directly from the NHS Employers website and are also attached.
They can also be accessed via links on the BMA website vaccinations and immunisations pages.
Top Tips For Employing Locums
1. Always agree on terms of engagement when booking a locum (guidance on BMA website). These should include expected duties, length of surgery, extras, visits and admin/paperwork. Pay and overtime. How much notice is required for both parties to cancel.
2. Ensure the locum has proof of inclusion on the performers list, GMC and indemnity. All locums will have had an enhanced CRB check on application to the performers list so will not need subsequent CRB checks for the purposes of booking. Child protection, vulnerable adult and CPR training certificates are a performers list requirement and do not need to be requested by the employing practice.
3. Ensure you give new locums some time to familiarise themselves with practice systems e.g.. the computer, how to deal with results/correspondence, visiting policy,
4. Find out the locums name, introduce them to staff and ensure personalised logins where needed. Appoint a key member of staff who the locum can approach easily with queries.
5. Show locums where the loos and coffee/tea facilities are and welcome them to the GPs/staff room for breaks.
6. Encourage the locum to discuss problems or cases with GPs, nurses and other staff.
7. If the locum is new to your computer system they may not be able to use your QOF templates. Allow for this by for example getting the locum to list patients they have seen so that others can add the data to the system.
8. Give and ask for feedback from the locum when they have finished. This could be done informally and followed up formally with a simple feedback questionnaire.
9. Include locums in your SEA and complaints processes. This is good governance for both practice and locum and will help the practice with CQC and the locum with appraisal.
10. Locums can struggle to get patient and colleague surveys for appraisal. If you are arranging these surveys at your practice then consider including locums that you use. Again this benefits both parties.
Remember that if you treat locums well you will have more chance of recruiting them into partnership or as employees.
If you employ a locum regularly they might be regarded as employees by HMRC.
Pay locums promptly on receiving invoices.
Late payment will damage your reputation with locum groups and make it more difficult to get locums. Locums need prompt payment especially of pension contributions (form A) which they must submit within 10 weeks.
Provide locums with a receipt of invoice (usually now done electronically) and itemise payments separating the professional fee, pension contribution and expenses.
This was produced by Dr Mark Selman South West Sessional GPC representative and shared with his permission.
Does your practice have a Needlestick policy? I am sure it does as you require it for CQC, but do you know what it contains?
A practice recently had a patient with a needlestick injury (NHS Choices guidance below) and advised the patient to attend A/E and then ended up on in the local paper - read the article here.
The LMC will confirm with CCGs and hospitals that the National Guidance is in place as the LMC's view is that GPs are not in the best place to access the resources to manage this potentially serious problem.
NHS Choices guidance on Needlestick Injury
If you pierce or puncture your skin with a used needle, follow this first aid advice immediately:
- encourage the wound to bleed, ideally by holding it under running water
- wash the wound using running water and plenty of soap
- don’t scrub the wound while you’re washing it
- don’t suck the wound
- dry the wound and cover it with a waterproof plaster or dressing
You should also seek urgent medical advice: go to the nearest accident and emergency (A&E) department, or contact your employer’s Occupational Health service, if you injure yourself at work
Reviewing the global sum allocation formula and identifying atypical populations
As part of the contract negotiations for 2015/16 the GPC and NHS Employers agreed to re-examine the Carr-Hill Formula. This review process is now underway, led by NHS England, with representation from the BMA GPs committee.
Some practices have atypical profiles that the current formula does not adequately reflect, we have known this for some time and repeadely raise the issue nationally, well now is your chance to do something about it is the GPC and NHS Employers are looking at this.
The LMC will send out a separate email to all practice managers shortly about this important topic.
Dr Nigel Watson
Churchill House, 122-124 Hursley Rd
Chandler's Ford, Eastleigh
Hants. SO53 1JB (Registered Office)