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Practice Policies

Accepting a Police Caution

Accepting a Police Caution (or being convicted of an offence in any country) requires you to let the GMC and NHS England know. ALWAYS take legal advice before doing this. We would like to remind you of a paragraph of the GMC's document 'Good Medical Practice', paragraph 75 which states: You...

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...

Bullying & Harassment in the Workplace

The BMA has guidance on what constitutes bullying and harassment, what to do if you are being bullied and what to do if you witness it on their website, click here for details. If you need any support or advice in respect of bullying please contact the LMC.

Business Continuity Plans

NHS bodies are required to have Business Continuity Plans to cover contingencies such as flood, fire, national disaster, flu pandemics etc. The LMC strongly recommends (whether or not you are an NHS body) that you should have a plan and we have created the following template that you may wish...

Caldicott

The December 1997 Caldicott Report identified weaknesses in the way parts of NHS handled confidential patient data. The report made sixteen recommendations, one of which was the appointment of Caldicott guardians, members of staff with a responsibility to ensure patient data is kept secure. It...

Certification - Chargeable

In 2001 the Government recognised that GPs were spending too much time doing unnecessary paperwork. After much consideration it produced a consultation document called Making A Difference: Reducing General Practitioner Paperwork However, GPs still receive many requests for reports from...

Certification - Child Performers

Most children taking part in non-commercial performances do not require a licence to perform and, even if a licence is required for commercial work, the Local Education Authority may have discretion as to whether a medical certificate is required. In this instance, a child is considered to...

Certification - Patients Claiming Benefits

Practices are not obliged, either by statute or contract, to complete reports requested by organizations assisting people with their claims for benefit. Practices may choose to do so and may charge a fee. Welfare Rights and CAB usually say that they are not in a position to pay a fee. If a...

Certification - Shared Lives

Shared Lives is a national idea rolled out to Local Authorities to encourage citizens to help share the lives of vulnerable adults. It is an excellent scheme that encourages people within communities to help vulnerable adults and get paid, while saving the state significant sums of...

Confidentiality

Medical confidentiality is at the bedrock of the Doctor-Patient relationship and it is enshrined in a number of codes, guidelines and laws. The GMC has produced updated Guidance on Confidentiality with individual leaflets covering how care guidance applies in a range of situations doctors often...

Confidentiality - Recycling

Introduction We have recently been asked for advice on the data protection implications of using a commercial company for recycling confidential waste paper. The company undertakes to bag up all paper securely, before taking it to their central recycling plant where all employees have been...

Emailing Patients Policies

Email is a popular and convenient form of communication and one which many patients like to use. However, practices must ensure that they have appropriate safeguards in place if they communicate with their patients via email. Please see the following checklist for reference: Checklist for...

Employment Contract Clauses

Confidentiality & Data Protection All Employees must strictly adhere to the applicable GMC Guidance on patient confidentiality and the Practice Data Protection Act Policy. You must not use or disclose confidential information about the Practice’s patients or its business other than as expressly...

Equality Act 2010

At the moment, there are several different laws to protect people from discrimination on grounds of: race sex sexual orientation (whether being lesbian, gay, bisexual or heterosexual) disability (or because of something connected with their disability) religion or belief being a transsexual...

Healthcare Assistants (HCAs) & Care Certificate

Please find resources written by Lorraine Hicking-Woodison (Kent and Medway CSU) and Tanis Hand ( RCN). We are very grateful to Lorraine and Tanis for allowing us to display these documents. The documents displayed here are: Code of Practice for Employers Code of Conduct for HCAs Essential...

Jury Service for GPs

Jury Service for GPs Question: A partner at a neighbouring practice was recently called for jury service and was surprised to learn that under the new regulations he was not automatically excused. We are a small practice and would find it impossible to manage without a locum. Would NHSE /...

Maternity & Keeping In Touch Days

Up to 10 Keeping-In-Touch (KIT) days can be worked by pregnant employees without it affecting their rights to maternity leave or pay. KIT days cannot be taken during the period of compulsory maternity leave (i.e. the first 2 weeks after the child's birth). This article is extracted from the...

Medical Records - Adopted Children

Under adoption legislation, an adopted child is given a new NHS number, and all previous medical information relating to that child is put into a newly created health record. Any information relating to the identity or whereabouts of the birth parents should not be included in the new record....

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...

Nurse Indemnity

Click here to access information on the Clinical Negligence Scheme for General Practice (CNSGP)

Online Patient Services for Children

Consideration should be given to how you handle requests from patients for online access, particularly when dealing with children below the age of 16 who could be classed as Gillick competent and wish to access their own records rather than allow their parents to have access. The link to the...

Parental Responsibility, Access to Children’s Medical Records and Parental Disputes.

Basic principles Parental responsibility refers to the rights, duties, powers and responsibilities that most parents have in respect of their children. Parental responsibility includes the right of parents to consent to treatment on behalf of their children, provided the treatment is in 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...

Potentially Avoidable Appointments

Audit of potentially avoidable appointments and reducing bureaucracy (England only) NHS England has commissioned two pieces of work from the Primary Care Foundation, working with NHS Alliance, to look at ways in which practice workload might be reduced. The GPC is supportive of this...

Pre-employment health questionnaires

Question - Can we ask applicants when they are interviewed for a new job about their health and fitness? This has become a rather difficult question as a result of the introduction of the Disability Discrimination Act, which was implemented in full in October 2004. Disability in this context...

Registering Armed Forces Personnel

The following is in the contract changes for 2015/16 and therefore will apply from 1st April 2015: The GMS Regulations will be amended to allow for armed forces personnel within a specified cohort to be registered with a GP practice for longer than three months and up to a maximum of two...

Release of Data without Consent

Patient data is sensitive personal data and must always be processed in accordance with the Data Protection Principles . It is also protected by the Human Rights Act, the Common Law Duty of Confidentiality and the doctor's professional obligation to respect patients' dignity and privacy....

Wessex LMC Videos

Wessex LMCs PCN Conference - “The Next Steps and building a better future” Clinical Directors Interviews Commissioning Finance Questions IT & Information Governance Population Health Management Removing the Divide The Role of a Sessional GP Where are we now? Where we are now Workforce...

Zero Tolerance

Patients who exhibit habitually unacceptable behaviour, can be a common problem in general practice. Handling such behaviour puts a huge strain on time and resources and causes unacceptable stress for staff, who may need support in difficult situations. The following guidance has been developed...