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Practice Management

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...

Asbestos

Following amendments to the Control of Asbestos Regulations, 2006 which states that all non-domestic premises have a duty to manage asbestos, you will be aware that we have been in negotiation with a fully accredited company, Asbestos Surveying Industries Ltd, to secure discounts for such...

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...

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...

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 - 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 - 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...

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 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...

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...

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...

Display Energy Certificate (DEC) - change in requirements

A DEC will be required where the total useful floor area of the building exceeds 250m² which 'is occupied in whole or part by public authorities and frequently visited by the public'. DECs last for 10 years when the floor area is over 250 metres squared and up to 1,000m². Where the...

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...

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...

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...

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...

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,...

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 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...

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...

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 - 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:...

Information Governance - Text/SMS Messaging

Text/SMS Messaging Patients Text or SMS messaging allows practices to contact large numbers of patients within a small time frame. It has been shown to significantly cut Do Not Attend (DNA) rates when used to inform patients of their appointments, but can have other uses including asking...

Innovative Appendix-Chronic Disease Management

This appendix lists innovative ideas/pilots from across General Practice to give examples of the opportunities that exist to deliver care differently. We would like this to be a developing electronic resource moving forwards and would value your input and ideas to share with colleagues across...

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...

Mandatory Training for Practice Staff

There are no statutory regulations that specify how often primary care staff should be trained. Fundamentally, it is important that if anything untoward happened in your practice, the Partners could stand in front of a coroner or judge and justify that the training they had provided for their...

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...

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...

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...

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:...

Notification of Practice Changes

Please can practices keep us informed if there are any changes to your practice workforce, in particular to your GPs, Nurses, other health care professionals and Practice Managers as we are no longer receiving updates from the PCSE. Also, please update us if your practice has merged or you are...

Online Training for Practice Staff

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...

Patient Demographic Services (PDS)

Please refer to the following document for Guidance: Patient Demographic Services, Nov 2008

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...

Pensions

NHS pensions for GPs and other NHS staff are different and complex. We would recommend you consult the NHS Pensions Agency website for up to date and informative advice on your pension. There is also guidance explaining the different schemes that you may have membership to. The BMA has guidance...

Performers List

The National Performers List website can be accessed at: http://www.performer.england.nhs.uk/. These website provides information about the National Performers Lists. There are three national lists for Medical, Dental and Ophthalmic performers. The lists provide an extra layer of reassurance...

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...

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 Manager Audio & Video Podcasts and Recorded Webinars

Practice Manager Supporter - Rachel McCready

Hi - my name is Rachel and have worked in Primary Care for over 20 years. Initially as a Practice Manager and then with Dorset PCT in its various guises, returning to manage the same practice 7 years ago. So I have gone full circle! My role with the PCT was practice facing and providing support...

Practice Manager Updates - 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. These podcasts are audio recordings taken from the practice manager webinars....

Practice Managers

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....

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 Support England (PCSE)

We are still receiving numerous queries from practices regarding issues and concerns with PCSE, however, PCSE restructuring in March 2020 led to our Engagement Officer being removed so we no longer have any direct liaison. We completely understand your frustration and your concerns and as of...

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...

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...

Sharing Challenges & Finding Solutions - 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. Webinar for PMs, Sharing Challenges & Finding Solutions - Managing Change -...

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...

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...

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 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...

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...

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 -...

What is MAPPA?

Multi Agency Public Protection Arrangements This is the name for the 'responsible authorities' in an area tasked with the management of registered sex offenders, violent and other types of sexual offenders, and offenders who pose a serious risk of harm to the public. The 'responsible...

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....