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National Policies / Procedures

New Dementia Identification Scheme – Enhanced Service - FAQ

Email sent by Wessex LMCs, on Thursday, 6 Nov 2014 New Dementia Identification Scheme - Enhanced Service - FAQ NHS England has announced a new dementia identification scheme enhanced service that will run from 1 October 2014 to 31 March 2015. Why? Around 800,000 people in England are...

Open letter re: Proposed naming and shaming of GPs who fail to diagnose cancer

30th June 2014 Open letter re: Proposed naming and shaming of GPs who fail to diagnose cancer. It has been widely reported in the national media that the Government is proposing to introduce a system of naming and shaming GPs who fail to diagnose cancer. The reason given for this is the...

Alternative Provider Medical Services (APMS)

Alternative Provider Medical Services (APMS) Contracts allow NHS England to commission primary care services. This includes essential and additional services from a wide range of providers, e.g. private health companies and social enterprises. Useful Guidance Links: GPC BMA - Alternative...

Avoiding Employing Illegal Workers

When employing new members of staff you need to ensure they are legally entitled to work within the UK, therefore practices need to undertake the relevant checks to ascertain this. If a member of staff is negligently employed by a practice, you can face significant fines and/or a prison...

British Pharmaceutical Industry's Code of Practice

The pharmaceutical industry effectively self regulates and operates to the highest ethical standards as laid out in The Association of the British Pharmaceutical Industry's Code of Practice for the Pharmaceutical Industry (the Code). The ABPI Code covers the promotion of medicines for...

CCG Constitutions

The relationship between Clinical Commissioning Group (CCG) and practice should be characterised by genuine clinical engagement and collaboration. The CCG should not be seen to regulate or penalise practices and practices need to feel empowered to hold their CCG to account for the decisions made...

Directed Enhanced Services

Enhanced Services are Nationally negotiated services, over and above those provided under usual contracts, which the Area Team / CCG is obliged to commission. Locally Commissioned Services (LCS) These are schemes designed to meet local needs They are optional for Practices to provide The CCG...

Doctors Whose Performance Gives Cause for Concern

Sometimes concerns are raised about a doctor's performance, either by colleagues, patients or the general public. NHS England has responsibility for ensuring that GPs on the performers list are safe to practice and maintain high professional standards (see Statutory Procedures). If you have...

Find Your 1% (QUIP Agenda)

As part of the QUIP agenda - looking at end of life care and identifying the 1% of your patients who you believe are likely to die in the coming 12 months may help you improve care. Find your 1% website to find resources to help you with identifying and supporting your patients.

General Practice Contract

The New General Medical Services (nGMS) contract 2003 'investing in General Practice' known as 'the blue book', was agreed in 2003 and implemented in 2004. It was a three-year contract that has seen considerable changes and enhancements year on year since then. GMS Contract Details of all...

Good Practice Guidelines for GP Electronic Patient Records

The links below give useful guidance on all aspects of GP electronic records, produced by the DOH, in conjunction with RCGP and BMA: Good Practice Guidelines for GP Electronic Patient Records, Version 4, 2011 (Full Version) Good Practice Guidelines for GP Electronic Patient Records, Version 4,...

GPFV & STPs

General Practice Forward View (April 2016) GPs and practice teams provide vital services for patients. They are at the heart of our communities, the foundation of the NHS and internationally renowned. But services are now under unprecedented pressure and, as set out in the NHS Five Year...

Informatics

The APHO (Association of Public Health Observatories): http://www.apho.org.uk/ General Practice Profiles are designed to assist GPs, consortia and Commissioning Organisations to ensure that they are providing and commissioning effective and appropriate healthcare services for their local...

Information Governance Requirements for General Practice

The Data Security & Protection Toolkit has replaced the IG toolkit. Information can be found here: https://www.dsptoolkit.nhs.uk/ There is a version for General Practice. The new toolkit is linked to the ten data security standards, published by the National Data Guardian and CQC and link to...

Medical Records - Handling and Retention

A brief summary of the more detailed advice is available here which includes advice about how long medical records should be kept. For definitive advice please click here: Records Management Code of Practice for Health and Social Care 2016 GMC Good Medical Practice requires that: 'you keep...

NHS Choices - Responding to Negative Feedback

Negative comments posted on the NHS Choices website. . . GPC has been made aware that there is some confusion concerning the procedures in place when a practice receives notification of negative comments posted on the NHS Choices website. To clarify. . . Practices are notified of a comment...

Out of Area Registrations and In Hours Urgent Primary Medical Services (Enhanced Service)

Choice of GP Practice NHS England released guidance on the new out of area patient registration (choice of GP practice) arrangements in November 2014, click here to access this. What does this actually mean? Within the guidance was issued it identified 2 elements to this scheme which...

Patient Participation Groups

The Patient Participation DES ended on 31st March 2015. The DES was replaced by a contractual requirement for all practices to have in place and maintain a Patent Participation Group, comprising of members from its registered population. The PPG should: gather the news of patients about the...

PMS & GMS Updates

GMS Contract Changes 2018/19 The contract changes have been announced for 2018/19. NHS Employers and the British Medical Association’s General Practitioners Committee (GPC) have agreed changes to the General Medical Services (GMS) contract effective from 1 April 2018. These changes apply in...

Portable Appliance Testing (PAT)

The frequency of inspection and testing required for each piece of equipment will vary depending on the following: The environment: Equipment in a benign environment is likely to suffer less damage than equipment in an arduous environment. The users: If users report damage promptly hazards...

Referral Management Schemes / Referral Incentive Schemes

GPs should not receive payment for reducing referrals. However, it is important that we look at our referral patterns and pathways constructively. This guidance helps you navigate and stay within the GMC Good Medical Practice code. Conflicts of interest in the new commissioning system - Doctors...

Regulations

GP Contract Agreement 2020/21 NHSE have published the Update to the GP Contract 20/21-23/24 This is an update to Investment and Evolution. NHSE&I have also published a letter detailing the financial implications of this update. We have a dedicated page for the 2020/21 update to contract at: -...

Requests for Disclosure of Data for Secondary Purposes

Examples of secondary uses include commissioning, risk stratification and audit purposes. The guidance document below issued by the BMA outlines the considerations you must make before allowing release of information and how best to release that information. For more information go to:...

Smoking Cessation Prior To Surgery

It is good practice that any patient we refer should be advised of the significant health benefits of smoking cessation. This article provides links to some useful documents that may help you with this. The LMC view is that we support this good practice. We do not support anything that...

Sterilisers

Some practices still use in house sterilisation. This is still possible for practices to do but they must follow quite rigid guidelines if they are to continue to do so. The Health and Social Care Act 2008 - code of practice on the prevention and control of infections and related guidance does...

Summary Care Record (SCR)

What is Summary Care Record The SCR is intended to support patient care in urgent and emergency care settings. The SCR stores a defined set of key patient data for every patient in England except those who elect not to have one. This data makes a summary record created from information held on...

The Future of General Practice

GPC Regional Workshop, 2nd July 2014 The GPC document “Developing General Practice Today: Providing Healthcare Solutions for the future” (2013) represented the start of a period of consultation with the profession by the GPC. It was followed by a workshop in BMA House in London on 15th May...

Transforming Primary Care

Safe, proactive, personalised care for those who need it most. . . The document covers: Transforming Primary Care How Services will change for Patients and Carers? How Staff Working in Health and Care will be Supported? How Health and Care Services will Support the vVsion? Implementing the...

Vaccines and Immunisations - Guidance for Practices

Patient Group Directions PGDs in Dorset, Hampshire and the Isle of Wight (Wessex) All PGDs can be found at: https://www.england.nhs.uk/south-east/our-work/info-professionals/pgd/wessex/downloads/ PGDs in Bath, Dorset, Swindon and Wiltshire South West -...