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Practice Management

Practice Manager's Newsletter February 2020

Dear %recipient.firstname%, Please find attached the latest edition of our PM Newsletter, this being the first one of 2020. I hope that you find this useful. With best wishes Dawn Dawn Chalcraft Assistant to Directors of Primary Care Wessex Local Medical Committees Ltd Phone |...

PM Newsletter - October 2019 16th Oct 2019

Dear All Our next PM newsletter is hot off the press and is attached for you. We hope you find this helpful. With best wishes Dawn Dawn Chalcraft Assistant to Directors of Primary Care Wessex Local Medical Committees Ltd Phone | 023 8025 3874 Ext 1022 Email |...

PM Newsletter - August 2019 1st Aug 2019

Email sent by Wessex LMCs, on Thursday, 1 Aug 2019 Dear All Hope this finds you all enjoying some summer sunshine. The PM Newsletter is attached for you in its new format and we hope that you like it and find it useful ! Best Wishes Dawn Assistant to Directors of Primary Care Wessex Local...

LMC Update June 2019

LMC Update June 2019 Over the last couple of weeks, I have spent a considerable amount of time in meetings supporting emerging Primary Care Networks (PCNs), discussing the challenges we face locally with the Chief Executives of our local hospitals, Community providers and with the Chief...

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...

Wessex LMC Update 11th March 2019

Once again I would like to apologise for the number of emails I have sent you in recent days but there is quite a lot going on and all this information is important for you to be aware of. I am sure as time goes by there will be more information coming out about the GP Contract and also the NHS...

GP Partnership Review - final report

Email sent to all GPs, Practice Managers and Practice Nurses In February 2018 the Secretary of State for Health and Social Care announced a review into the future of the Partnership Model of General Practice. The Department of Health and Social Care, NHS England, the GPC and the RCGP agreed...

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...

3Ts - Time to Think

Personal Resilience with Dr Gareth Bryant Take a look at this short film from the Practice Manager Conference 2018 Delegation with Alex Morgan Time Management with Alex Morgan

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...

Caldicott

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

Certification - Deaths

The law requires a doctor to notify the cause of death of any patient whom he or she has attended during that patient's last illness to the Registrar of Births and Deaths. The doctor is required to notify the cause of death as a certificate, on a form prescribed, stating to the best of his or...

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...

Confidentiality

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

Confidentiality - Recycling

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

Confidentiality after Death

Access to the Health Records of Deceased Patients Note: Although the 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 people with...

Covid-19 - Remote Consultations and IT

Microsoft 365 An agreement has been struck between NHSX, NHS Digital and Microsoft to enable all eligible organisations in England to access Microsoft 365 digital tools. It secures access to a variety of Microsoft applications, building on an agreement first announced in April 2018 that...

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 - Practice Staff Risk...

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...

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 consent to share? Can you achieve your purpose without sharing the information? Are you...

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 1,000 meters squared. We asked...

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 - Consent for the Release of Relevant Medical Information

You no longer 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 Since August 2009, new rules called Consent by Assurance were implemented by the DVLA relating to the release of relevant...

Employment Contract Clauses

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

Equality Act 2010

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

Finance

Statement of Financial Entitlement http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/gms-contract-changes 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...

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,...

Health and Safety

Building Maintenance and Equipment (boilers, gas, water, auto doors, air conditioning) Make sure you know where the paperwork is Record when maintenance/servicing is due Contact names for troubleshooting should be made know to staff Supervising Contractors on Site Let all staff on duty know...

Healthcare Assistants (HCAs) & Care Certificate

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

How Your Practice is Funded

The GPC has produced a document, available on the GPC website?, called 'How your Practice is Funded' It is designed to help Practice Managers and staff understand how individual practices receive funding under the general medical services (GMS) contract and is one of a series of guidance note on...

I.T

Users Check to see if all your staff and partners are using IT efficiently and consistently Are all the users accessing up to date templates Consider buying in http://www.ardens.org.uk/ Is there a member of staff running searches? Do you need to source training? ( Via CSU/CCG?) E-referral...

Infection Control

MRSA Swabs for Hospitals (Pre-Op Screening) GPs are often asked to perform MRSA swabs on their patients on behalf of hospitals often as part of an assessment prior to admission for surgery. It has always been the LMC view that MRSA is not a community problem and that this is not part of core...

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...

New GPSoC Framework

Since 2007 GP Systems of Choice (GPSoC) framework has successfully funded the provision of GP clinical IT systems in practices. At present, 81% of GP practices use a system provided through the framework. The Health and Social Care Information Centre (HSCIC) is currently procuring a new GPSoC...

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...

Nurse Indemnity

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

Nursing Homes and Residential Homes

The provision of care in private hospitals and care home generates a considerable number of queries. There are a number of reasons for this: The classification of services under the new GMS contract The reclassification of some former residential and nursing homes to private hospitals The...

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...

Partnerships

Partnership Check that the Partnership Agreement is up to date https://www.wessexlmcs.com/partnerships Check your contract GMS: https://www.england.nhs.uk/commissioning/gp-contract/ PMS:...

Pathology Requests: Providing Adequate Information

Medical problems that require urgent clinical follow up may be detected by diagnostic tests which are processed, and/or reported, in the Out of Hours period. Unless the pathologist has access to an adequate history and accurate contact details, serious difficulties may arise. Adding the...

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...

Patients

PPGs (Patient Participation Groups) Info and resources are here: http://www.napp.org.uk/ppgintro.html Complaints Procedure Make sure all your staff know your procedure https://www.wessexlmcs.com/nhsandsocialcarecomplaintprocedure Friends & Family...

Pensions

NHS pensions for GPs and other NHS staff are different and complex. We would recommend you consult the NHS Pensions Agency for up to date and informative advice on your pension. The NHS pension is currently subject to changes that are expected to be introduced in April 2015, and the Pension...

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...

PM Training Materials and Key Websites - Pre-Reading for Time Management Course : Jane Dawes Video

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...

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 Supporter - Alex Kimber

Hi, I'm Alex Kimber and I have been a practice manager at Bute House Surgery in Sherborne, Dorset since 2010. We're a dispensing PMS practice with an ever-growing list size standing currently around 5800. We've been a TPP SystmOne practice since 2013. Prior to PM life, I held a few roles...

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 Managers Conferences 2014 - Resources

The following resources are now available: 01 Nigel Watson and Carole Cusack Introduction 02 Practice Manager Supporters How Can We Help 03 Andrew Lockhart-Mirams, Peter Farrier Merging & Federating An Accountant's Point of View 04 Julie Perryer Top Tips 05 Anne Moger Wessex Nurse...

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...

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....

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...

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:...

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...

Template Letter for Transfer of Secondary Care

Click on the following link to access the response to the inappropriate transfer of secondary care template.

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...

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...

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, Swindon and Wiltshire All PGDs can be found at:...

Wessex LMC Videos

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

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....