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Contract/PMS/GMS/APMS

LMC Email update

The new financial year started two weeks ago yet many questions about the new contract, Primary Care Networks and Indemnity remain. In this email I will try and help with some of these answers as well as some other important information. Contents: 1. Primary Care Networks. You will have seen...

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...

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...

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 - 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...

Clinical Governance for Health Care Assistants

Clinical Governance for Health Care Assistants Please click here for more information

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...

Developing the Workforce Janaury 2012

DH Document on developing the workforce January 2012 Future Forum 2nd Stage report on developing the workforce January 2012

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...

Friends and Family Test (FFT)

Pleae click here to read the latest guidance from the BMA (released 18.11.14) The LMC has received a number of requests for more information regarding the Family and Friends Test. The Friends and Family Test (FFT) was introduced in acute hospital in-patient and A&E services in April 2013...

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...

GP Contract Agreement 2019/20

The BMA’s GP committee has reached a contract agreement with NHS England spanning the next five years, which introduces widespread changes aimed at addressing both the workforce and workload pressures currently experienced by GPs in England, and improving services for patients by beginning to...

Incapacity Benefit Appeals

A patient has asked for a report to support his appeal after having his Incapacity Benefit withdrawn. Does the GP have to provide a report? No. Under their NHS contract there is no requirement for GPs to provide reports or offer an opinion on incapacity for work to anyone else unless requested...

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...

Named accountable GP for all patients

The GP Contract for 2015/16 built on the requirements of the 2014/15 agreement to provide a named and accountable GP for patients aged over 75 years. Practices must now have a named accountable GP for all patients. Those responsibilities include: Working with revenant health and social care...

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...

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

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%...

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...

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...

Regulations

GP Contract Agreement 2019/20 The BMA’s GP committee has reached a contract agreement with NHS England spanning the next five years, which introduces widespread changes aimed at addressing both the workforce and workload pressures currently experienced by GPs in England, and improving services...

Sutures

ETHICON has reviewed the Drug Tariff suture codes with members of the Association of Surgeons in Primary Care, and made the necessary amendments to ensure that the offering meets the needs of GP surgeries across the UK. You can click here to see the table of the complete range. Codes...

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...

Update to GP Contract 20/21 - 23/24

NHSE have published the Update to the GP Contract 20/21-23/24 The LMC held a number of roadshows, to present this contract update, one of which was presented by Mark Sandford-Wood from the GPC. Mark's powerpoint presentation from the roadshow can be viewed via this link ​​​​​​​

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 -...