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Guidance

084 Telephone Numbers

Practices may use 084 numbers to help provide a good service to their patients, provided that the cost to their patients is guaranteed to be no more than a standard local call. If your practice uses an 084 number you must demonstrate to the Area Team that these calls are guaranteed not to cost...

24 Hour Retirement for GPs

Introduction In 2006 the NHS Pensions Agency reviewed and clarified the arrangements that enable General Practitioners to take 24 hour retirement in order to trigger their pension benefits. This opportunity exists for GPs of any contractual status, but has particular implications for partners...

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...

Advanced Decisions & Advance Care Planning

Doctors are bound by professional and legal obligations in end of life decisions. They may wish to be actively involved in discussing these issues and helping patients to draw up an Advance Directive or an Advance Care Plan. They may wish to witness the resultant documentation, but they are...

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...

Antibiotic Prescribing in the Community

Guidelines for Antibiotic Prescribing in the Community These guidelines are intended to provide advice on the effective and safe treatment of infections commonly presenting in primary care (doses are for adults unless otherwise stated) in mainly Wessex, but also Surrey Heath, Berkshire East and...

Aortic Aneurysm Screening

The following information is for guidance for GP Practices. Please do not contact the LMC concerning the screening programme as this is handled directly by the NHS. The NHS Abdominal Aortic Aneurysm (AAA) Screening Programme was introduced gradually across England from March 2009. The...

APHO - Practice Profiles

These profiles are designed to support GPs, PCNs, clinical commissioning groups (CCGs) and local authorities to ensure that they are providing and commissioning effective and appropriate healthcare services for their local population. In addition to viewing individual practice profiles, you can...

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...

Blue Badge Scheme

The Blue Badge Scheme enables people with a disability to park in disabled parking spaces. It is for people with a severe mobility problem. It also applies to those who are registered blind, who have severe disabilities in their upper limbs, and children under 3 years with specific medical...

BMA Template Letters for Breaches to Standard Hospital Contract in England

13 September 2016: GPC has launched template letters for GP practices to push back on instances where hospitals breach new requirements in the standard contract. To recap, following lobbying by GPC, NHS England have added the following requirements to the hospital standard contract as of 1...

Bowel Cancer

The National Bowel Screening Programme generates 3,000,000 results per year. It is possible for most practices to arrange to receive the results electronically. This article explains how. We get numerous queries about patients who do not return their bowel screening letters. How you deal with...

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...

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...

Business Planning and Processes / Transfer of Secondary Care Work

Quality First Click here to download the BMA's guidance outlining ways in which you can: manage inappropriate workload collaborate with others develop new ways of working The Interface between Primary and Secondary Care: This briefing document describes the key national requirements which...

Cancard

Cancard Requests - BMA and RCGP statement on 'Cancard' Some concerns have been raised by practices about the Cancard UK website and its proposed 'GP endorsed' ID card. The website offers the ability to apply for: 'A holographic photo ID card. Designed in collaboration with GPs and verified at...

Car Parks

A surgery was sued several years ago, when a patient slipped and injured themselves in the car park, which was slippery following a cold spell causing ice to form. As a result the BMA was asked for a legal opinion on what to do when weather is bad to minimise the practice's risk to...

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...

Certification - Bus Pass

In England, individuals can apply for a bus pass for free travel when they reach the female state pension age, whether they are male or female. The 'eligible disabled' (as described in the list below) may also apply for a pass, and patients may attend with forms for the doctor to sign to prove...

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 - Deaths

The LMC receives many queries on the subject of death certification, cremation and Coronial regulations. The Covid-19 pandemic and associated emergency legislation have added a further level of confusion. We have summarised guidance relating to Death Certification and Cremation during the...

Certification - Dentists

Dentists sometimes discover that their patient suffers from a medical condition which may influence the treatment they are proposing to give. In this event they would generally require medical advice from the GP in order to treat the patient safely. It is not generally necessary for the GP to...

Certification - Jury Service

Medical certificates are not normally required when someone feels they have grounds to be excused from Jury Service. However, the summoning officer will occasionally request one, and we would recommend that you produce a letter stating only the facts for the summoning officer to consider and...

Certification - Low Calorie Diets

Patients often approach GPs with forms to fill out before they can embark on some low calorie diets. You may find this information useful: You do not have to fill out these forms You can charge a reasonable fee for filling out the form Much of the data, weight and BP is part of normal GMS...

Certification - Non Chargeable

The following is a list of obligations relating to Certification by GPs: GPs are obliged to provide data essential for a clinical referral free of charge. A GP has a statutory duty to supply a registered patient, free of charge, with any of the prescribed certificates set out in Schedule 4 of...

Certification - Notes for School Children

Schools Requesting Certificates for Children's Absences Schools are under pressure to reduce non-attendance and will make contact with parents/guardians if there is a concern that the missed schooling is not justified. The parents/guardians turning up and asking for a letter may be to avoid the...

Certification - Parachute Jumps

The profession is divided. Some GPs say 'don't touch them with a barge pole' and others do them and charge appropriately. Considerations: you are not obliged to provide this service if you feel competent to sign these forms you may and you may charge (even if 'it's for charity' ) a small study...

Certification - SCUBA

What should you do if a patient wants you to confirm their suitability to do SCUBA diving? This is not part of GMS so you do not have to provide this service to your patients. You may do so if you feel competent to make this assessment. If you do this work you must consider how you resource...

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...

Certification - Sickness

Sickness of Less Than 7 days You are not obliged to provide a 'sick certificate' for your patients for periods of less than seven days. In these circumstances patients should self certify as below. We have produced a letter for your patient to take to his/her employer to explain this....

Cervical Smears in the time of COVID-19

This guidance was written during the time of the Covid-19 crisis and based on an original protocol from The Orchard Partnership in Wiltshire. Practices can adapt this to their own requirements based on local guidance. For expert advice on infection control (IC) you are recommended to speak to...

Chaperones

The GMC has guidance at: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/intimate-examinations-and-chaperones/intimate-examinations-and-chaperones Wherever possible, you should offer the patient the security of having an impartial observer (a 'chaperone') present during an...

Clinical Commissioning Group Outcomes Indicator Set (CCG OIS)

We have had a number of queries asking us about the service 'CCG OIS' on CQRS. This acronym stands for Clinical Commissioning Group Outcomes Indicator Set. Please see the following for further details: http://www.hscic.gov.uk/ccgois Please note that practices are requested to accept this...

Collaborative Arrangements

Since 1974 the collaborative arrangements have enabled local authorities to secure primary care medical services essential for the provision of education, social services and public health at no charge to the patient. The main areas covered by collaborative arrangements (involving certificates...

Community Pharmacy - A Guide for GPs

This is an excellent summary of how Community Pharmacies work, the funding streams and contracting arrangements and the requirements for being a community pharmacist (training, qualification, control and regulation) written by PSNC, NHS employers and the BMA. The document, together with further...

Complaints

When people have a complaint about an NHS service, they can complain to the provider of that service or the Commissioner. Complaints Made Direct to NHS England A complainant may wish to make their complaint direct to NHS England and more details of how to do so can be found here . If the...

Consent

The Guidance document produced by the GMC Consent: Patients and Doctors making decisions together, expands on Good medical practice, which says doctors need to be satisfied that they have consent from a patient, or other valid authority, before: undertaking any examination or...

Costing a Service

Many practices are beginning to question whether it is financially viable to provide some of the services they are being asked to provide (those locally commissioned services which are non-contractual). The following template may be useful in deciding whether to sign up to provide a new or...

Covid-19 NHS Volunteers

Wessex LMCs have produced a document titled NHS Volunteer Responders. The topics covered are the Volunteer Scheme, Volunteering Roes, Good SAM App, Training for the Volunteer Role, DBS Checks and Involving volunteers in the Oximetry@home scheme. Please click HERE to access a copy There has...

Covid-19 Practice Staff and the Test & Trace Service

We have had a number of queries regarding practice staff who have been contacted by the Test & Trace Service as they have come into contact with someone who has had a positive Covid test. For most of these cases it has been whilst they have been in a clinical setting, seeing patients and...

Covid-19 - NHSE Funding Updates to GP Contract

3rd February 2021 NHSE sent out a letter 'Freeing up practices to support COVID vaccination - further details'. This letter provides further information for GP practices and commissioners on the measures set out in the letter of 7 January 2021, below. 7th January 2021 With the advent of the...

Covid-19 - Advice from Professional and Patient Societies

There is both professional and patient guidance via the links below for the various conditions. You might also like to check our Useful Resources & Links webpage Asthma UK Nice COVID-19 rapid guideline: severe asthma Primary Care Respiratory Society pragmatic guidance for crisis...

Covid-19 - Covid Oximetry @ Home and Covid Virtual Wards (CVW)

Why do we need this service? A hallmark of COVID illness was the late and sometimes unsalvageable presentation of patients to hospitals, often with very low oxygen sats without accompanying severe symptoms of breathlessness. This was termed 'silent hypoxia', and this can only be picked up if...

Covid-19 - CQC

CQC Updates CQC have a webpage with updates for providers about coronavirus (COVID-19). This webpage is updated by CQC as advice and guidance changes due to the pandemic. It is a useful resource as any changes they make to their pages that mention coronavirus are listed automatically. They...

Covid-19 - Face Mask Exemption Letters

Face Masks on Public Transport & in Shops Practices are reporting increases in requests from patients for letters of exemption. The government guidance on exemptions suggests there is no requirement for evidence for exemption, therefore it should be sufficient for an individual to...

Covid-19 - NICE Clinical Guidance

NICE now have a dedicated page for Covid-19 Clinical Guidance. It includes rapid guidelines and rapid evidence summaries. There is also a link to register for e-mail updates. One year on, March 2021, NICE have published a Rapid Guideline: managing COVID-19 MHRA have issued advice on Ibuprofen...

Covid-19 - Operational Guidance for Restoration & Recovery

As the current Covid-19 peak has passed and General Practice is looking to restore services to a new 'normal', we have created a document to cover topics for consideration in this process. We do need to be clear that in this current ever changing landscape, we will keep it as up to date as we...

Covid-19 - PPE and Infection Control

PPE & Infection Control Resources Public Health England (PHE) have a guidance page covering PPE and infection control. There is also a PPE hub set up on the government website to cover guidance on PPE and Infection Control across all healthcare settings. To aid ease of reference, PHE also...

Covid-19 - Practice Privacy Notices

You may recall that back in March 2020, LMC Law provided some information for practices to use, should they so wish, in terms of updating their (patient) Privacy Notices. This information related to the notice issued in response to the COVID-19 pandemic by the Secretary of State for Health and...

Covid-19 - Pregnant Employees

Employers have a responsibility to protect the health and safety of pregnant women who are working. This responsibility is laid out in the Management of Health and Safety at Work Regulations 1999. Under these regulations, employers are required to carry out risk assessments. If there are risks,...

Covid-19 - Remote Consultations and IT

Remote Consultations As primary care moves to a total triage system, NHSE have produced a document with advice on how to establish a remote 'total triage' model in general practice using online consultations. This document works through the set up process including implementation within PCNs...

Covid-19 - Staff Risk Assessments

Risk Assessment Frameworks for Staff in General Practice during Covid-19 Covid-19 has presented a significant challenge in assessing and mitigating risks to all staff in healthcare settings. The early data from Italy indicated a high rate of infection and death amongst healthcare workers and...

Covid-19 - Staffing, Reimbursements and other employment terms

Finances Reimbursement costs NHSE have released the details of the Covid-19 Fund for general practice. The letter contains the dates and mechanisms for claiming reimbursements during covid-19. NHSE issued a further letter detailing £150m additional support for general practice, referred to as...

Covid-19 - Testing

Testing If you're an essential worker, you can apply for priority testing through GOV.UK by following the guidance on testing for essential workers. You can also get tested through this route if you have symptoms of coronavirus and live with an essential worker. Addtionally, PCR covid testing...

Covid-19 - Useful Links and Resources (inc Primary Care Bulletins)

Primary Care Bulletins Bulletins are regularly sent out from NHSE covering Covid-19 issues and updates. You can sign up to have these sent direct to your inbox. Previous issues can be found on NHSE website at:-...

Covid-19 - Vaccination Programme

The BMA have produced guidance on the Covid-19 vaccine programme that can be seen at https://www.bma.org.uk/advice-and-support/covid-19/gp-practices/covid-19-vaccination-programme. The information and documents for the Covid Vaccination Programme (CVP) are being published, and in some cases...

Covid-19 - Vulnerable Highest Risk Patients (Shielding)

People in the Clinically Extremely Vulnerable Group (CEV) On 19th May the government further updated the guidance as shielding is currently paused. Although the advice to shield has ended, clinically extremely vulnerable people must continue to follow the rules that are in place for...

Covid-19 Fit Notes (MED3)

During this time of national emergency there has been a significant increase in requests for GPs to issue Fit Notes. The Government have put in place some measures which should help reduce the workload for GPs, particularly in relation to requests relating to Covid-19. The BMA advises that GPs...

Covid-19 Fitness to Fly & Covid Certificates

Fitness to Fly Fitness to fly certificates are not part of GMS contractual work and so GPs are under no obligation to issue them. If you do decide to issue a certificate then you can charge a private fee. The BMA advises caution when considering undertaking this sort of work as there can be...

Covid-19 ICO Data Protection

GUIDANCE FROM THE INFORMATION COMMISSIONERS OFFICE (ICO) The ICO has updated and supplemented its advice regarding the protection of data during the COVID-19 pandemic. It is a useful recap on the processes health organisations should be following to ensure they are compliant with their data...

Covid-19 Notifiable Disease Information & find your local Health Protection Agency

A Notifiable Disease Covid-19 is now classified as a notifiable disease. This is for all confirmed and suspected cases. The SOP for General Practice during Covid-19 also states that additionally, the local PHE Health Protection team should be informed of patients with symptoms of COVID-19 in...

Covid-19 Practical and Operational Issues

We are aware that there is a lot of information coming from a number of directions. With this in mind we are creating webpages for various issues that we have been asked about. Workforce Covid-19 - BMA Model Contract for Locum GP for temporary use Covid-19 - Face Mask...

Covid-19 Templates, Risk Assessments (inc BAME)

We shall develop this page as time goes by as an evolving resource. If you also have a template that you would like to share with others, please do let us know about it and we will upload here. Guidance note to parents of children returning to school - This template can be used by practices if...

Covid-19 Voluntary PCR Testing in GP Practices for Patients and Staff

PCR covid testing will now be available to practices on a voluntary basis for self-administration. This follows a number of pilots in practices over the last few weeks. This is a supplementary option for practices and does not replace any of the existing routes to access testing. Members of the...

Covid-19- BMA Model Contract for Locum GPs

The BMA have published a model locum GP contract for temporary employment and use within localities. The BMA has assurances from NHSE that localities don't need to use the NHSE contract to claim central reimbursement hence launching their model contract. The model contract template and full...

Covid-19Long Covid Syndrome - (Post Covid)

Post-COVID Syndrome (Long COVID) NHSE have a webpage dedicated to this topic. It tells us that : - Emerging evidence and patient testimony is showing a growing number of people who contract COVID-19 cannot shake off the effects of the virus months after initially falling ill. Symptoms are...

CQC - Challenging the CQC

It is well known that practices are nervous of challenging CQC inspectors during the inspection visit and usually leave complaining until after the visit or even later, when the draft report is received. The CQC often then see the complaint as a reaction to something in the report rather than a...

CQC Interview Questions for "Registered Managers"

Requirements for Registered Managers Current requirements and guidance are can be found on the CQC's website . Schedule 1 outlines the documentation CQC will require for all Registered Managers: Role of the Registered Manager A summary of the role of the Registered Manager can be accessed...

CQC Mythbuster Updates

Prof Nigel Sparrow OBE is CQC's Senior National GP Advisor. He clears up some common myths about CQC inspections of GP and out-of-hours services and shares agreed guidance to best practice. Please click here for a link to the CQC page -...

CQC- Inspections and the Transitional Monitoring Approach

During the Covid-19 pandemic CQC suspended routine inspections and put into place an Emergency Support Framework. Following on from this CQC are now developing a Transitional Monitoring Approach rather than return to the previous routine inspection model. However, CQC has announced inspections...

CQRS - Individual GP Level Data

Purpose of Collection The Government's mandate to NHS England for 2017-18 includes a 2017-18 deliverable to work with NHS Digital and DH to provide General Practitioners (GPs) and general practices with information on the care provision for their patients. To support this deliverable, DH has...

DBS: Risk Assessing Staff for a DBS Check

Risk Assessment Tool This tool aims to help you risk assess staff for DBS checking. It is, of course, for your Practice to make the final decision, based on the arrangements you currently have in place, but we have provided some scenario based guidance to assist you. In this case, the risk to...

DBS: Wessex LMC and Client Agreement

Please read these Terms & Conditions carefully. . . Introduction The Criminal Records Bureau (from 1st December 2012 working with the Independent Safeguarding Authority as the Disclosure and Barring Service) recommends that each Umbrella Body develops a written agreement between themselves and...

DBS: Transportable DBS Check (Update Service)

This is a guide to registering for a Transportable DBS Check Applicants/Individuals You can register online as soon as you have your application form reference number. This is the number (F0….. ) located at the top right hand side of your application form. To subscribe using your...

Dental Problems

The BMA has published guidance to inform GPs of their obligations to patients either requesting emergency dental treatment or asking for an NHS prescription for drugs recommended by private or NHS dentists. It is aimed at all GP's including out of hours practitioners. The guidance can be...

Directed Enhanced Services

April 2021 This page is currently under review - please check back 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...

Drug Driving

An offence of driving, attempting to drive, or being in charge of a vehicle, with certain specified controlled drugs in excess of specified limits came into force in 2012. On 2 March 2015 8 generally prescription and 8 illicit drugs were added into new regulations that came into force in...

DVLA

DVLA - Consent for the Release of Relevant Medical Information You do not need to see the written consent of your patient to share relevant information with the DVLA, the consent will have been given and this is legally assured In August 2009, rules called Consent by Assurance were implemented...

DWP and other patient benefit claim forms

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...

Ebola

Ebola virus disease: clinical management and guidance Gov.uk has a dedicated webpage with guidance, resources and information for professionals about Ebola virus disease, a severe viral haemorrhagic fever (VHF). Additional information about Ebola Virus Disease Ebola is a Filovirus, first...

Electronic Prescribing EPS and eRD inc. Remote consultations

Electronic Prescribing Service - EPS NHS Digital are continuing to drive Electronic Prescribing. Electronic Prescribing Service - Phase 4 was deployed from 18th November 2019, initially to TPP SystmOne following a pilot in 2018. The roll out plans for EMIS, Vision and Microtest will follow....

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...

Falsified Medicines Directive (FMD)

Please see guidance below that has been taken from the Dispensing Doctors Association (DDA) website in relation to the implementation of the Falsified Medicines Directive (FMD): New FMD resources for dispensing & non dispensing practices have finally been published to support implementation of...

FAQs on treating overseas patients (Including Refugees and Asylum Seekers)

Do I have to treat a patient who lives overseas or is not a British citizen? Yes - anyone in England, regardless of nationality and residential status, is eligible to register and consult with a GP This includes all overseas visitors, asylum seekers and refugees, students, and people on work...

FGM Requirements for NHS Staff

Female genital mutilation (sometimes referred to as female circumcision) (FGM) refers to procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons. The practice is illegal in the UK. It has been estimated that over 20,000 girls under the age of 15...

Finance

Statement of Financial Entitlement (SFE) Please see our Regulations webpage for the current SFE and any amendments. Area Teams Check your local contacts https://www.england.nhs.uk/about/regional-area-teams/ Check with what returns are due Check how the returns are claimed Check how often...

Flu 2021/22 Vaccine Information inc Reimbursement

JCVI advice on influenza vaccines for 2021/22 In November 2020 the JCVI published advice on the use of influenza vaccines in the UK for the 2021/22 season. NHS providers delivering influenza vaccinations to health and social care professionals are encouraged to review the JCVI advice and order...

Friends and Family Test (FFT) - Options Available & Guidance

The NHS Friends and Family Test (FFT) is a feedback collection system for providers of NHS funded services. The FFT uses a simple question with a range of possible responses from 'extremely likely' to recommend, to 'extremely unlikely' to recommend. Providers are required to ask at least 1...

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 the...

General Practice Data for Planning & Research

The data held in the GP medical records of patients is used every day to support health and care planning and research in England, helping to find better treatments and improve patient outcomes for everyone. NHS Digital has developed a new way to collect this data, called the General Practice...

General Practice Nurse

Please click here to access our Covid-19 Practical and Operational Issues page Introduction The role of nurses in general practice has changed and evolved in the last 20 years and many of the activities undertaken traditionally by GPs are now undertaken by nurses. The role development has also...

Getting Involved

You may have heard the name Wessex LMCs but do you know what the Local Medical Committee looks like or how it works? Likewise with the BMA - you may hear about the General Practitioner's Committee or GPC but what does that mean or feel like? If you are interested then please consider coming...

GP Appraisals & Employment - Audio & Video Webinars and Recorded Webinars

You can record your reflections on this form or via your learning diary here: https://www.fourteenfish.com/about/learningdiary . CQC is particularly keen to see any evidence of your watching/listening and how you apply it. Sessional GP Discussion with a focus on Pensions Dr Julia Hempenstall,...

GP Health Service & Financial Support for Doctors in Difficulty

What is GPH? Access to confidential mental health and addiction support for GPs and GP trainees across England. How to access the NHS GP Health Service http://gphealth.nhs.uk/ The NHS GP Health Service (GPH) is a service for GPs or GP trainees across England, with issues relating to mental...

GP Leadership Fellows

In the face of unprecedented pressures, the landscape of the NHS is changing rapidly, and the centre of gravity is moving rapidly towards Primary Care. This represents an exciting opportunity for new GPs to be involved in improving frontline services for our patients. With the largest curriculum...

GP Retainer Scheme

What should I know about the Retainer scheme? February 2021 GPC GP Retention Scheme webinar recording You can now view a video of the GPC GP Retention Scheme webinar, where you will learn about how the GP Retention Scheme works for both employees and employers, and tackles some common...

GP Returners

GP Retainers - See our dedicated page for the GP Retainer Scheme launched in 2017 - https://www.wessexlmcs.com/gpretainerscheme Both of these schemes have been refreshed with the advent of the GP Forward View. The Induction and Refresher Scheme has been streamlined and now has a dedicated...

GP Support and Development Scheme

A core part of the role of Wessex LMCs is pastoral support. The LMC offers one to one support for GPs and Practice Managers. Like everyone they might face a range of situations from both challenges in the practice to those in the rest of life. The LMC aims to support and develop individuals as...

GP Trainee - Interview Tips

Going for an interview is a scary process. Because of the way GP selection centres are run you may not have been for an interview for many years, indeed perhaps not since you qualified as a doctor. General Practices are all small independent businesses and will appoint GPs in differing ways...

GP Trainee - Travel Expenses

In July 2019, NHS Employers, the British Medical Association and Department of Health and Social Care (DHSC) agreed to introduce provisions in the terms and conditions of service for NHS Doctors and Dentists in Training (England) for additional mileage/expenses for GP trainees. GP trainees who...

Group Consultations - Shared Medical Appointments

Group consultations, also known as shared medical appointments (SMAs), have been in existence in the USA and Australia for some time, with increased interest in the UK. Research has shown that they have advantages for both patient and clinicians. In line with the GPN 10-point plan there is a...

Guidance on Attending a Coroner’s Inquest

Witnesses may agree to attend voluntarily or may be served with a summons. Failure to answer a summons can result in a fine for contempt of court. It is important to clarify in what capacity the GP is being called. This would usually be as a professional witness. A coroner’s inquest is there...

HCA Competency Standards

We have received a number of queries from practices where HCAs have been informed they must have an NVQ level 3 or equivalent qualification to enable them to be able to give flu vaccinations. This we believe is based on the HCSW Training Standards document 2015 which is attached for information...

Head Injury Assessment for Sport

Head injuries in sport, especially rugby, are very much a hot topic at the moment. The Rugby world cup has further focused the spotlight on the subject. We all agree that sport can play an integral part in promoting physical and mental wellbeing but that the safety of participants is...

Health & Safety - Legionella

Legionnaires' disease is a potentially fatal form of pneumonia caused by the inhalation of small droplets of contaminated water containing Legionella. All man-made hot and cold water systems are likely to provide an environment where Legionella can grow. Where conditions are favourable (ie...

Helpful Guides - For Bookers & Delegates

Need some help with your booking? Take a look at our guidance videos below. How to book a Wessex LMCs event / training Completing your training feedback and receiving your certificate of attendance

Hepatitis B and Occupational Health

This is a complex area and one that keep cropping up. If in doubt after reading this then please contact the office. 1. Is there a requirement under the Regulations to prescribe and administer Hepatitis B vaccination for occupational health purposes? The Regulations requires GPs to manage...

HPV Vaccination

All girls aged 12 to 13 are offered HPV (human papilloma virus) vaccination as part of the NHS childhood vaccination programme. The vaccine protects against cervical cancer. It's usually given to girls in year eight at schools in England. According to Cancer Research UK, cervical cancer is the...

I.T

Remote Consultations See https://www.wessexlmcs.com/covid19remoteconsultationsandit FutureNHS Platform has a wealth of information on the Digital Primary Care Space. It requires sign up to access, but is very quick and easy. Users Check to see if all your staff and partners are using IT...

Infection Control in General Practice

Infection control is one of the major areas in the provision of safe care within any health care setting. It is also one of the priorities in any CQC inspection under Regulation 12 of the, Safe care and treatment, of the Health and Social Care Act 2008. There is a need for practices to be...

Informatics - General Practice Profiles

PHE National General Practice Profiles These profiles are designed to support GPs, primary care networks (PCNs), clinical commissioning groups (CCGs) and local authorities to ensure that they are providing and commissioning effective and appropriate healthcare services for their local...

Information Governance - 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...

Information Governance - 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...

Information Governance - Confidentiality after Death

Access to the Health Records of Deceased Patients Note: Although the UK GDPR does not apply to data concerning deceased persons, the ethical obligation to respect a patient's confidentiality continues beyond death. The Access to Health Records Act 1990 (AHRA) provides a small group of...

Information Governance - 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...

Information Governance - Data Sharing: General Principles

General Principles Before sharing personal information you should ask yourself these relevant questions: What information do you wish to share? What is your purpose in sharing this information? Do you have reasonable expectations to share? Can you achieve your purpose without sharing the...

Information Governance - 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....

Information Governance - Sending Patient Confidential Data via NHS.net email

Hints & Tips. . . Emails sent to secure email domains Always consider first if email is the best way to send the information. NHS.net email is automatically encrypted in transit, therefore any email sent from one NHS.net email account to another (e.g. xxx@nhs.net to yyy@nhs.net) is...

Information Governance - Support Contacts

Please see below details of who to contact if you have queries relating to Information Governance: Hampshire & IOW CCGs Tel: 02380 627579 Email: SCWCSU.IGenquiries@nhs.net BaNES, Wiltshire & Swindon CCGs: Email: GP-IGEnquiries.scwcsu@nhs.net Dorset CCG: Tel: 01305 363567 Email:...

Information Governance - UK GDPR Headlines

BMA Guidance To read the BMA's latest guidance on Subject Access Requests (including fees), Data Protection Officers, FAQs and more go to: https://www.bma.org.uk/advice/employment/ethics/confidentiality-and-health-records/general-data-protection-regulation-gdpr and click on 'further...

Internet Pharmacies

Practices across Wessex have been approached by internet pharmacies who are asking the practice to send out promotional material to patients on their behalf. Whilst there is no problem with practices providing patients with information on the available pharmacy services, we should not be...

Interpreting and Translation Services

How to use the interpretation and translation service Foreign language On 1 October 2009 NHS Hampshire awarded all foreign language interpreting and translation services to thebigword Group. The service is available to all GP practices, dentists, pharmacists and opticians commissioned by...

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 /...

LMC Buying Groups Federation

Wessex LMCs joined the LMC Buying Groups Federation in October 2009 to deliver savings to practices without creating any additional work or inconvenience. All practices were given the opportunity to 'opt-in' to membership at that time and over 300 practices in Dorset, Hampshire and Wiltshire...

LMC Guide to Ear Care

As I'm sure you are aware, ear irrigation is not stipulated within the GMS contract. The GP and or qualified nurse has a duty under contract to assess the patient, undertake the appropriate examination and decide whether ear irrigation is the best course of action. Never refusing appointments...

Locum / Sessional Education & Training

Local education events are not only important for CPD points but provide an opportunity to network with colleagues. However there are plenty of useful online learning resources too. BMA https://www.bma.org.uk/events Learning and development webinars:...

Locum / Sessional GP Appraisal and Revalidation

The RCGP and GMC are aware that fulfilling appraisal and revalidation requirements can be more difficult for sessional GP's and changes have now been made to help others address this. Make sure you (and your appraiser) are clear on what is needed. RCGP Mythbusters A really great guide to read...

Locum Pensions / Indemnity / Finances

Getting your finances in order and ensuring that you access the pension scheme are both important aspects of being a successful locum. As a salaried GP the complexity is generally less but you must remember that you need to fill out a Type 2 medical practitioner form each year to ensure that the...

Managing Bariatric Patients

Obesity in England is increasing and it is estimated that 27% of adults in England are obese and a further 36% are overweight. This equates to 63% of the population being either overweight or obese and 3% of this group will be morbidity obese. We are all aware of the health risks of obesity...

Mandatory Certificate For Council Tax Discount Due To Severe Mental Impairment

People with severe mental impairment may seek special treatment with regards to both the size of the council tax bill and the identity of the person who is liable to pay it. The definition of severe mental impairment for this purpose is different from that used in the Mental Health Act. 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 - Alterations

We are often asked under what circumstances, and how medical records may be altered. This article condenses advice from the Medical Defense Organisations and the GMC: Medical notes must never be overwritten or inked out, and computer records should not be completely deleted. Hard copy errors...

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...

Message in a bottle

The Lions Message in a Bottle scheme is a simple idea designed to encourage people to keep their personal and medical details on a standard form and in a common location - the fridge. The Lions Message In A Bottle Scheme 257 Alcester Road South Kings Heath Birmingham B14 6DT You can...

Newsletters / Updates for Sessionals

BMA SGP Newsletter How to sign up: https://www.bma.org.uk/membership/bma-newsletter?gclid=COLNoIDgqNICFUKZGwodNg4Ayg Capita/NHSE Update from the Deputy Chair of the Sessional sub-Committee of the GPC' dated 17 May 2017 As some of you may already know, I have been meeting monthly with Capita...

NHS Acronym Buster

Have you heard acronyms being used in the NHS and don't know what they mean? The NHS Confederation has published a useful guide to every day acronyms used in the health service - click here

NHS e-Referral Service

The NHS e-Referral Service replaced Choose and Book. General Information Information for patients, including booking, is available at: http://www.nhs.uk/NHSEngland/appointment-booking/Pages/about-the-referral-system.aspx More information National support is available from NHS Digital at:...

NHS Five Year Forward View

NHS England has published its 5 year plan covering 2016/17 to 2020/21 and this will have far reaching implications for the general practice. For the full text of the document click here. Below are a few of the important issues that are included in the plan Summary The recent Government...

NHS Pathways

NHS Pathways (hosted by NHS Digital) is not a service or an organisation and there is no compulsion for local commissioners to use it. It is a clinical assessment tool, that has been designed by NHS clinicians to provide consistency in triage at all telephone entry points to the NHS including...

NHSE GP Resilience Programme

The new General Practice Resilience Programme (GPRP) will operate to deliver the commitment set out in the General Practice Forward View to invest £40m over the next four years to support struggling practices. This programme aims to deliver a menu of support that will help practices to become...

Non-Medical Prescribing Guidance for Prescribers In General Practice

UPDATE FEB 2021 In February 2021, the GMC have published guidance on remote prescribing which has increased during the COVID-19 crisis and likely to continue.. Key updates include: * New advice for doctors not to prescribe controlled drugs unless they have access to patient records, except...

Notifiable Diseases

The Health Protection (Notification) Regulations 2010 Registered medical practitioners (RMPs) have a statutory duty to notify the 'proper officer' at their local council or local health protection team (HPT - see below) of suspected cases of certain infectious diseases. Send the form to the...

Nursing Associates

Please click here to access our Covid-19 Practical and Operational Issues page We have produced a digital guidance book titled A Guide to the Registered Nursing Associate Role In General Practice. Please click on the image to open it. Introduction 'The nursing associate is a new...

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...

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...

Partners - Retiring and New

Retiring Partners Checklist We are often asked who needs to be notified when a Partner retires from the Practice, so we put together some useful information below. The Adam Practice, has very kindly shared this comprehensive check list for retiring partners for you to download (which we have...

Partnerships

Wessex LMCs strongly recommend that all practices have a current partnership agreement. As to terminology, although there are technical differences between an agreement and a deed for the purposes of these guidelines, the terms 'partnership agreement', 'partnership deed' and 'practice...

Paternity tests

Not all GP practices offer these and if you do, be aware of identification checking, as we know of at least one practice where a mother brought in a different child to that which she said was being tested. The following link takes you to the NHS Choices website which has an informative page for...

Patient Feedback & Surveys

For patient feedback to be valid you need over 34 surveys, which means you normally have to distribute 50 surveys to ensure you receive an adequate number of replies (again, each tool varies slightly in its numbers). It is acceptable for you to hand the questionnaires out to patients, but they...

Patient Registration

Guidance on Requirements for Registering with a GP - Standard Operating Principles for Primary Medical Care. Although there has not been any change in national policy in respect of patient registration for primary medical care services - this guidance clarifies the rights of patients and the...

Patient Specific Directions (PSDs) and Patient Group Directions (PGDs)

Patient Specific Directions (PSDs) The Medicines Act 1968 does not permit nurses who are not qualified prescribers to administer or supply prescription only medicines (POMs) unless one of three types of instruction are in place signed prescription signed Patient Specific Direction...

Patients Travelling Abroad - FAQs

Provision of medical care European Health Insurance Card (EHIC) By law, the NHS ceases to have responsibility for the medical care of patients when they leave the UK. People traveling within Europe (including Switzerland, Norway, Iceland and Liechtenstein) are advised to always carry an...

PCN - Clinical Pharmacists Transfer Deadline

The GPC were told by many that the window to transfer Clinical Pharmacists from previous schemes to the new PCN ARRS scheme was too short. They have therefore agreed with NHS England that this will be extended to 31 March 2020. In order to reduce future risk (of including these CPs in the...

PCN - Financial & Legal Opinions

Good progress is being made locally in terms of establishing PCNs. Most areas have agreed their geographical footprint and their member practices. Many have appointed, elected or selected their Clinical Directors. Some are concerned about the Network Agreement, the potential risk of VAT,...

PCN - Funding

In addition to the workforce costs (for the additional workforce and the clinical director) each network will receive a recurrent annual payment of £1.50 per patient (an extension of the current CCG funding, but now non-discretionary) to be used by the network practices to support their...

PCN - Social Prescribing

Please find some links below to useful resources relating to social prescribing: NHS England Social Prescribing Link Workers: Reference Guide for Primary Care Networks NHS England Social prescribing link workers: Reference guide for primary care networks - Technical Annex NHS England - Social...

PCN - What is a PCN?

Practices will form Primary Care Networks through a new Network DES, that as a DES form part of the GMS/PMS contract. Networks will facilitate shared decision making between practices for their total network populations (typically 30-50,000), around funding and workforce distribution, and drive...

PCN Workforce - ARRS

The update to the GP Contract Agreement 2020/21-2023/4 ​​ brings enhancements to the Additional Roles Reimbursement Scheme (ARRS). Additional workforce will be introduced and funded through the Network. Extra Government investment is funding a further 6000 staff through the scheme at 100%...

Personal Administration Fees

Under the NHS regulations, Area Teams must make personal administration payments to all non-dispensing GMS contractors for the following; vaccines, anaesthetics and injections (with the exception of vaccines supplied for the childhood immunisation programme) diagnostic reagents for the Dick and...

Pharmacy - Prescription Direction

'Prescription direction' occurs where a patient is being directed by their GP practice to a certain pharmacy to have their prescription dispensed. Patients have a free choice between any community pharmacy and in some cases, a GP dispensary. Actions by practices seeking to influence a patient's...

PM Key Websites

LMC Law - Book of updates The LMC Law Book of Updates provides you with advice and template documents to support you in your organisations in terms of current thinking around PCNs, GDPR, and partnerships. Things change rapidly in the NHS so we will provide updates when we become aware of new...

Police Requests

Police Requests for Medical Records Statutory responsibility vs professional obligations - a personal view I am proud to be a GP and have enjoyed being part of a respected profession for over 30 years. General Practice has never been "just a job" and has always been a vocation and a...

Possible New GP Training Rotas

Dear Wessex AiTs, The new Junior Doctors contract 2016 and associated rotas are different to what has existed before in general practice. The AiT committee hopes to explain this and provides the following advice to GP trainees working in general practice at any training stage. Please remember...

Practice Manager Appraisals

Wessex LMCs has recognised the value of Practice/Business Managers to General Practices within Wessex and has supported an initiative to develop a system of appraisal for them. The Practice Managers' Supporters Scheme and the linked Appraisal Scheme have been based, with kind permission, on the...

Practice Mergers - Merger Pack & Top Tips

The LMC is often asked to facilitate merger meetings and explain the process involved and has, as a consequence, produced a merger pack which is full of information and advice around this subject. Please note that each CCG will produce its own application template so the one in the pack is an...

Premises

Independent contractors operating under a specific set of regulations provide most NHS primary care. Working with them on premises developments can be complex because they are responsible for securing suitable premises from which they deliver primary healthcare for the local population....

Prescribing & Consultations - Audio & Video Podcasts and Recorded Webinars

You can record your reflections on this form or via your learning diary here: https://www.fourteenfish.com/about/learningdiary ​​​CQC are particularly keen to see any evidence of your listening and how you apply it. Non Medical Prescribing - 9th June 2021 This quarterly update is delivered by...

Prescribing - Self Prescribing & Family Members

The LMC has been made aware of a number of GPs who have been reported to the GMC for self-prescribing. The LMC would strongly advise GPs not to prescribe for themselves or their family, except in exceptional circumstance. The areas of high risk are controlled drugs, psychiatric medication and...

Primary Care Funding - 2020/2021

We have been asked by one of our committees to collate details of the various funds available to general practice in 2020/21. With this in mind we have created a spreadsheet that can be downloaded here. It contains an overview of the funding, how it can be accessed and links to the relevant...

Primary Care Networks (PCNs)

Three major pieces of work have been published recently: The NHS Long Term Plan, The GP Partnership Review and The GP Contract changes for April 2019 and beyond. Individually these would have a significant impact on GPs and their practices but taken together they will have the most significant...

Quality First: Managing workload to deliver safe patient care

The following extract and link has been taken directly from the BMA Website. . . There is now a large and increasing gulf between the workload demands on practices and their capacity to deliver essential services to their registered patients. In a recent BMA Tracker survey, 74% of GPs...

Recording Telephone Conversations

The principles to consider if you are thinking of recording telephone calls within your practice: You must not single out conversations with individual callers - i.e. you can't just record conversations with "difficult" patients, if you are going to record then this must be done as a matter of...

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...

Removing Patients from Practice Lists

Most removals from the GP list are for administrative reasons e.g. the patient has left the practice area or has died. You can, however, also remove patients from your list if there is an irrevocable breakdown in the doctor-patient relationship or violence. Please click here to download an...

Safeguarding: Online Training for Child Safeguarding

Safeguarding Practice Toolkit There is a Practice toolkit on our website which is adapted from the RCGP & NSPCC's and it has been updated for local use. It is a great reference document for practices and their staff. It is practical and can be adapted for your practice. It includes relevant...

Safeguarding: Frequently Asked Questions

Recording safeguarding concerns in patient records: Coding of records: There is considerable confusion and also conflicting advice about how to deal with safeguarding information received by practices from other agencies. The coding and documentation of safeguarding concerns within patients...

Self Management & Long Term Conditions

The Self management programme is for people who are living with a chronic (long-term) condition. The aim is to support people with long term conditions and their carers by: increasing their confidence improving their quality of life helping them manage their condition more effectively Improving...

Seniority - GP Educators

There have been a few reports that some PCOs are not classifying GP educator work as NHS work for seniority purposes. This will reduce supperannuable income and affect eligibility for seniority payments. The GPC view (supported by their lawyers) is that GP educator work should be classified as...

Skill Mix Matrix

The terms 'working at scale' and 'new models of care' have been freely talked about, discussed and form a large part of the General Practice Forward View. There are workforce tools available that practices can access to make comparisons around which members of the team could provide which...

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...

Social Media & Website Comments

The impact of social media on the workplace is increasing and the LMC is receiving a growing number of queries from practices on how to manage social media issues both internally and externally. We have put together a short guide on what to consider, together with links to good practice and...

Spirometry

Spirometry Spirometry is an essential investigation to diagnose and assess in people with COPD and other respiratory problems. There are significant variations in care and outcomes within the UK and internationally and COPD accounts for:- around 115,000 emergency hospital admissions each...

Stalking and Harassment

This question came into the office in 2008 Question One of our doctors is concerned that she is being stalked by a patient and is concerned for her own safety and for that of her young children. What is the best course of action? Answer The Protection from Harassment Act 1997 makes it a...

Starting As A Locum

Starting out as a locum can feel very daunting. You have qualified as a GP and are happy with the challenges of clinical complexity but being self-employed and running yourself as a business commodity can feel like a whole new world. The following links and pages are here to help you along that...

Sudden Death on Practice Premises

Beyond the immediate clinical need of a patient - if a patient is declared dead on the premises how should you proceed? If the death is sudden and unexpected you will need to contact the coroner via the police. The police will arrange for transport of the body from your site - the coroner may...

Support for GP's - What is available?

Support for GPs Click here to download: Support for GPs, What is available? Click here to download: Raising a concern - Advice for GPs Time For Care Document As General Practitioners, we spend much of our time helping and supporting our patients through their many physical and mental health...

Support for Locums / Sessional GPs

Being a locum whilst it gives huge flexibility, can lead to people feeling isolated. It is vital both for you professionally and personally to make sure you look after yourself and keep linked in with others. Each person is different and in the world now there are multiple ways of finding that...

The Cameron Fund

The Cameron Fund is the medical profession's only charity providing help and support solely to General Practitioners and their dependants, who find themselves living in poverty, hardship or distress. The Cameron Fund was set up in 1970, and named in memory of Sir James Cameron - a distinguished...

The Drug Tariff

The Drug Tariff is produced monthly by the Pharmaceutical Directorate of the NHS Business Services Authority, NHS Prescription Services for the Secretary of State and states: what will be paid to pharmacy contractors for NHS services provided either for reimbursement (the cost of the drugs,...

The Emergency Doctors Bag

What drugs should I carry or have accessible? GPs must be able to defend themselves on grounds of good clinical practice. Different practices operate in different settings with different resources around them i.e. a GP practising in a remote rural setting will have different considerations from...

The Future of Primary Care, Ongoing Support For The Management Of The Practice & Innovations

General Practice Forward View Please see this section of our website https://www.wessexlmcs.com/gpfvstps General Practice Improvement Leaders Programme (GPIL) The new weblink is this one https://www.england.nhs.uk/gp/gpfv/redesign/gpdp/capability/ The dates of the next cohorts of GPIL are...

The Healthy Leg Club Concept

Background NHS England undertook a process to review PMS practices with a view to ensuring equitable funding per patient across GMS & PMS practices. As a consequence of this it further highlighted a number of services general practice provides which were not included as Essential or Additional...

The independent investigation into sexism and sexual harassment at the BMA.

Wessex LMCs notes the report commissioned for the BMA and published on 17th October 2019 by Daphne Romney QC relating to the independent investigation into sexism and sexual harassment at the BMA. Wessex LMCs takes the content of this report seriously. To this end the Executive and members of...

The Nursing Team - Apprenticeships/Degrees

The Nurse Degree Apprenticeship Introduction taken from www.gov.co.uk: 'The nursing degree apprenticeship will enable people to train to become a graduate registered nurse through an apprentice route. Apprentices will be released by their employer to study part-time in a higher education...

The Process of Being Revalidated

The LMC is regularly approached by GPs asking who their Responsible Officer (RO) is, and when will they be interviewed by them to be revalidated. We hope the following will be useful but if you require more information the LMC has also produced a booklet Appraisal and Revalidation Guidance for...

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...

Transgender Patients / Gender Reassignment

A number of queries have been raised with GPC regarding the management of patients who present at their general practice with gender identity problems; including questions relating to patient records and confidentiality and, in particular, regarding prescribing and monitoring responsibilities in...

Travel Vaccinations - FAQs

This page is currently under review Funding & charging for vaccines There was a change to the funding arrangements for vaccination and immunisations in the contract changes 20/21. Vaccinations and immunisation became an essential service rather than an additional service All practices are...

Update to GP Contract 20/21 - 23/24

NHS England GP Contract Documents 2021/22 Contract BMA Update April 2021 - NHSEI has confirmed that the temporary changes to the GP contract under the pandemic regulations which were due to lapse at the end of March have now been extended until 30 June 2021. As with previously, this...

Used Medication and Dressings

An estimated £450m worth of prescription medicines are discarded every year in England, Scotland, Wales and Northern Ireland, with around 1% of dispensed items eventually returned to a pharmacy or dispensing GP practice unused or partially used. Guidance in the UK states that any medicine...

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 -...

Wessex Healthier Together

The 'Wessex Healthier Together' project is exploring how parents, carers and community services might be better supported and integrated with hospital based services so that children are able to access the 'right care at the right time from the right person'. The Wessex Healthier Together...

Wessex LMCs opinion statement on Covid-19 antibody testing

The government has announced the start of a major new national antibody testing programme, with plans to provide antibody tests to NHS and care staff in England from the end of May. Clinicians will also be able to request the tests for patients in both hospital and social care settings if they...

What can the LMC do for Locum / Sessional GPs

As the only representative body of all local GPs recognised in statute, LMCs throughout the UK play a vital role in supporting and promoting general practice. In particular: LMC committee members influence the policy of the BMA's General Practitioners Committee through the UK and England...

Workforce Management

Policies & Procedures Keep up to date. Your insurers may offer free HR advice. Refer to www.acas.org.uk Make sure confidentiality agreements are signed https://www.wessexlmcs.com/staffandconfidentiality Expert and impartial advice is delivered by our team of occupational health professionals....

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...