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Contract GMS/PMS/APMS

GPC Roadshow Highlights February 2017

Kent LMC with our customary efficiency and timeliness succeeded in organising our annual GPC roadshow meeting to occur 24hrs after the contract changes for 17/18 were announced and to book the chairman himself to discuss it with us. Many of the audience commented at question time on the fact...

Accepting Donations from Patients

BMA Advice: This is an area which is governed by both contractual and ethical perspectives. Both emphasise the need for transparency and accountability when considering accepting donations from patients. Contractual issues The requirement to register gifts was introduced by the Health and...

Asylum Seekers and Refused Asylum Seekers Access to Healthcare: Guidance for Doctors

This guidance note summarises the various entitlements and means of accessing healthcare for asylum seekers and refused asylum seekers in the UK. It also provides general advice regarding confidentiality, the provision of information about health services and referring these groups to specialist...

BMA Advice on Road accidents and emergency treatment: Fees guidance

Under the Road Traffic Act 1988, the first doctor providing emergency treatment to the victim of a road traffic accident is generally entitled to charge a fee. A fee may be levied in respect of each person treated (Section 158(2) of the Road Traffic Act 1988). Mileage is also payable in excess...

BMA Focus on: Health Service Body Status

http://bma.org.uk/support-at-work/gp-practices/focus-on-health-service-body-status

BMA Guidance for doctors on fees and collaborative arrangements

Which areas of work come under collaborative arrangements? Fees under collaborative arrangements, Impact of competition law on negotiaing fees under collaborative arrangements, Obligations under collaborative arrangements, superannuation for work under collaborative arrangements, Advice from NHS...

BMA Guidance: Dispensing Quality Scheme

http://bma.org.uk/support-at-work/gp-practices/service-provision/prescribing/dispensary-services-quality-scheme

BMA Model Contract for Sessional GPs

Supporting guidance for salaried GPs & locums: Model contract for salaried GPs: This document explains the minimum Terms and Conditions for salaried GPs, guidance on negotiating salaries and appropriate uplifts and explains the process of changing hours of work in light of the extended access...

BMA Top tips for working out of hours

Out of hours work can be a rewarding part of a portfolio career. There are, however, a number of pitfalls you need to look out for if you're considering this line of work. Click here for some top tips on how to avoid them and some key questions to ask .

BMA Urgent Prescription for General Practice

General Practice is facing some of its toughest challenges. The BMA's Urgent Prescription for General Practice highlights the issues and provides some practical advice on how to meet the challenges. http://www.bma.org.uk/working-for-change/urgent-prescription-for-general-practice

Changes to the 2017-2019 Hospital Contract - April 2017

Please find attached a letter from Chaand Nagpaul about the changes to the 2017-19 hospital contract which are designed to further reduce inappropriate workload on GP practices, and also improve patient care across the primary/secondary care interface. The letter includes links to template...

Charges to NHS patients: GPC Guidance for GPs

Doctors provide many services which can incur fees. Sometimes a fee relates to a specific treatment, in other cases the service in question may fall outside of a doctor's contract. It is a complex area but whatever your branch of practice, you've come to the right place to find extensive...

Contract Variation Guidance and Template Notices

It is a requirement of the Contract that NHS England is notified of any changes that are proposed to the GPs that are named as Contract Holders, preferably in advance and preferably with reasonable notice. The attached document provides guidance on: Practices holding GMS Contracts Merging of...

Data Protection Officer (DPO) Support for Practices

As you may be aware, one of the agreements in this year’s GP Contract changes was that CCGs were to provide the DPO function to practices from April 2019. Kent and Medway have now started to implement this, and we understand recruitment is underway for 5 DPOs that will cover Kent and...

Dealing with difficult patients & Removal of Patients from GP Lists

Kent LMC Advice Please read the GPC Guidance before deciding how to proceed to remove a patient. The LMC advice builds on the GPC guidance with some suggested standard processes and letters that you can adopt. Also attached is a suggested Practice Charter that should be part of your practice...

Doctors & Dentists Review Body (DDRB)

2017: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/562447/DDRB_review.pdf 2016: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/492196/DDRB_evidence_report.pdf 2015:...

Ethnicity and First Language Recording: GPC Guidance

The Ethnicity and First Language DES was withdrawn on 1 April 2011, because it was intended as a two-year catch up to enable practices to record ethnicity and first language for patients already on their list, and following the third year extension for 2010-11, this has now ceased. Despite the...

Focus on identification and management of patients with frailty June 2017

As part of the 2017/18 contract agreement the Avoiding Unplanned Admissions DES was ended. There will now be a contractual requirement to focus on the identification and management of patients living with frailty. This BMA guidance sets out what practices should do to fulfil these...

Free from Infection Certificate and Information (January 2018)

If a patient passes away and the family would like repatriate them to their country of birth, a ‘Free from Infection Certificate’ will be required from the Undertakers. The following provides information on what is required by the GPs in this instance: If the patient has had a post mortem the...

Full LMC Newsletter August 2015

Flu (Housebound), Premises, Primary Care Infrastructure Fund, Premises/Business Rates, NHSPS Lease/Service Charge, Premises Cost Directions 2015, Collaborative Fees, Appraisal Standards, KPCA - Capita working with Anglian Community Enterprise (ACE), LARC, Buff Forms (Community Nurse...

Full LMC Newsletter October 2014

Domiciliary Dentistry, Flu (Housebound), National Review of FHS (KPCA), Interpretation Services, Contract Variations, Local Authority Payments, Friends & Family Test (FFT), LARC Update, APMS Contract, CQC, GPC Report - GPC News, Report from Sessional GP Meeting, Co-Commissioning of Primary Care...

GMC Good Medical Practice Guidance

The GMC provide guidance about fundamental ethical principles that most doctors will use every day, like Consent and Confidentiality. The link below also contains guidance that every doctor needs to know about and follow, even though they may not use it regularly in their day to day work: 0-18...

GMC Supporting Information for Appraisal and Revalidation

GMC Supporting Information for Appraisal and Revalidation

GOS18 referrals do not require GP action (September 2018)

GOS 18 Direct Referral Routes The attached letter was sent to Optometrists by NHS Thanet Clinical Commissioning Group on behalf of the four East Kent CCG’s (NHS Ashford CCG, NHS Canterbury & Coastal CCG, NHS South Kent Coast CCG and NHS Thanet CCG. The letter states that "the CCGs expect...

GP Extraction Service

The General Practice Extraction Service (GPES) collects information from general practice (GP) clinical systems in England and forms part of HSCIC's GP Collections service.... http://www.hscic.gov.uk/gpes

GPC Guide to GP Appraisals

GPC Guide to GP Appraisals

GPC Roadshow February 2018 - Dr Farah Jameel

Presentation from the GPC Roadshow, 7th February 2018

Guidance Regarding the new GMS1 Form

New GMS1 Form instructions for use from 1st October By now your practice should have received an initial supply of the new GMS1 form to be used from 1st October. If an overseas patient chooses to complete the supplementary questions you have to send a copy of the form to either NHS Digital or...

In Touch June 2015

LMC Conference - 21st-22nd May 2015, GP Staff Training Team, 'Quality first: managing workload to deliver safe patient care' - next steps, New Deal for General Practice-Jeremy Hunt, 19th June 2015, KPCA Re-directed Mail, GP IT Deployment Pro-ject Update, Capita selected by NHS England to become...

In Touch September 2014

Co-commissioning of primary care services, Immunising your front line staff, Healing your energy bills, A new Academic Primary Care Unit for Kent, Patricia Wilson, Professor of Primary & Community Care, GMS Contract Variations October 2014, Introduction to Practice Nursing Course, Learning...

Making Connections Canterbury/Ashford August 2014

Mental Health Services Update, Primary Care Workforce Tutor, Workforce, IT Steering Group, Flu (Housebound), Five quids (£5 per patient for the over 75s), Re-organisation of CCGs, Anticoagulation, Mental Health Services (ASD), Out of Hours Procurement, Shared Care Guidelines, Out of Area...

Making Connections Canterbury/Ashford April 2014

Private Providers working in an NHS Environment, Delay in Letters from EKHUFT, Prescribing Incentive Scheme, Mental Health Services - CAMHS, Primary Care Tutor, IT Steering Group, Re-organisation of CCGs, Commissioning Plans, Enhanced Services Update, Community Services Review, Out of Hours...

Making Connections Canterbury/Ashford May 2015

GPwSI Accreditation, Housebound Flu Vaccinations Update, Pharmacists providing Housebound Flu vaccinations, Primary Care Strategy Update, Workforce, Workforce Tool, Multi-speciality Community Providers (MCPs), Enhanced Services Update, Diabetes, Aged 75 and over, Anti-Coagulation, Prescribing...

Making Connections in DGS January 2015

PwSI Accreditation, £5 Per Patient, Imaging, Phlebotomy Collections, Co-Commissioning, Prime Ministers Challenge Fund, Workforce, Out of Area Registrations, LARC, Specification and Training, Safeguarding, Education Board Update, GP/Pharmacy Event, Urgent Care Group, Vision 360 - GP Record Summary

Making Connections in DGS May 2014

Imaging, IFR Process, PwSI, Frequency of Phlebotomy Collections, Primary Care Strategy, Enhanced Services, Shared Care of Dementia Drugs, Denosumab Shared Care, Melatonin Prescribing Guidelines, District Nursing/Flu (Housebound), £5 per Patient, Promoting Collaborative Working in Primary Care

Making Connections in DGS October 2014

Flu Vaccinations (Housebound), Imaging, PwSI, Frequency of Phlebotomy Collections, District Nursing & Community Contract, Navigators, Queen Mary's Hospital, Primary Care Strategy - Workforce, Co-commissioning, Enhanced Services Update - LARC, Shared Care, Safeguarding, LMC Annual Conference

Managing Disputes with PCOs

A dispute resolution procedure is needed to resolve issues that arise within the contract, for example a dispute as to whether a contract provision has been properly performed by either the PCO or the providers, or a dispute involving financial entitlement under the contract. Contracts or...

New to Partnership Payment Scheme Guidance 2020/21

This guidance document sets out the principles and process relating to the newly-established 'New to Partnership Payment' scheme. The scheme will be open to applications from July 2020 from GPs who have become a partner for the first time from 1st April 2020. For full details please click HERE

NHS e-Referral Service (Updated July 2018)

NHS England has issued guidance for managing e-referrals which is aimed at commissioners, practices and providers of acute consultant-led outpatient services which accept referrals from GP practices. The latest paper switch off (PSO) dates for NHS Trusts can be accessed here . GPC England has...

NHS England Armed Forces and their Families Commissioning Intentions – 2017/18 to 2018/19

Executive summary Our commissioning intentions for 2017 - 2019 outline the strategic intentions we are planning to improve the way we commission services for the Armed Forces and their families. In summary to: • Ensure high quality services are accessible to armed forces personnel...

NHS Litigation Authority Dispute Resolution Guidance

Click on the link below for guidance on the essential elements needed for parties submitting, or responding to, applications for dispute resolution. http://www.nhsla.com/FHSAU/Documents/NHS%20LA%20Dispute%20Resolution%20Guidance%20Note.pdf

NHS Primary Care Medical Services in Institutions and Care Homes in the UK

GPC has published updated guidance on NHS primary care medical services in institutions and care homes in the UK. It is available here Greg Lewis Senior Policy Advisor Terms and Conditions of Service Policy Directorate British Medical Association T: 020 7383 6091 |E: glewis@bma.org.uk

NHS Resolution State-Backed Indemnity Scheme for General Practice (April 2019)

From 1st April 2019, NHS Resolution will be operating a new state-backed indemnity scheme for general practice in England called the Clinical Negligence Scheme for General Practice (CNSGP). The announcement on general practice indemnity is included in Investment and evolution: A five-year...

NHSE Advice & Guidance: GMS/PMS and APMS Contractual Arrangements

This page sets out guidance and links to further resources to support implementation of changes to General Medical Services (GMS), Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) contractual arrangements that will apply in England, including: Standard contract...

NHSE PCN & Contract Documentation 2020

The link below provides information on NHS England Enhanced Service Specifications and an update to the GP contract deal 2020/21-2023/24 https://www.england.nhs.uk/gp/investment/gp-contract/

Partnership Advice & Issues

GPC Advice Taking on New Partners: This guidance looks at the cost of employing a salaried GP, including National Insurance contributions and employer's superannuation, the impact of the tax burden for existing partners earning over £100,000 and the benefits of taking on a new partner....

Performers List and GP Register

Performers Lists To train and work as a General Practitioner in the UK you need to be on a Performers list. Performers lists are managed by Primary Care Organisations and you must apply to a Primary Care Organisation to be entered onto them. The GP Register To work as a GP in the UK you...

Phasing Out Seniority Payments (GPC Focus On Series) Oct 2015

http://bma.org.uk/practical-support-at-work/gp-practices/focus-on-phasing-out-seniority

QOF guidance 2016/17

The 2016-17 QOF guidance has been published on the NHS Employers webpage (http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework). The BMA webpage...

Quality & Outcomes Framework (QoF) Guidance & Summary of Changes for GMS Contract 2015/16

The General Practitioners Committee (GPC) and NHS Employers (on behalf of NHS England) have agreed changes to the Quality and Outcomes Framework (QOF) for 2015-16. These changes are: An adjustment to the QOF point value for 2015-16 taking account of population growth and relative changes in...

Quality First: Managing Workload - BMA Advice

BMA Guidance: Quality first: Managing Workload to deliver safe patient care This guidance covers reducing clinical workload that is inappropriate for GPs or practices, so that GPs can be available for and improve access to patients requiring core primary medical care services. It also...

RCGP Guide Supporting Information for Appraisal and Revalidation (March 2016)

This page provides resources, links and guidance on appraisal and revalidation to help GPs demonstrate that they meet required standards. There is a continuing need to ensure that revalidation, delivered through annual appraisal, supports GPs in their personal and professional development and...

Retired Quality & Outcomes Framework (QoF) Indicators (Jan 2015)

Second GPC statement, January 2015 Following concerns highlighted by practices and LMCs this week relating to the request from the Health and Social Care Information Centre (HSCIC) to extract data related to retired QOF indicators (see GPC statement attached), the GPC Executive Team has taken...

Returning your Contract

The BMA has put together the following guidance concerning issues relating to the Guidance on returning the GP Contract and Last Partner Standing. If you are affected by either of these issues then please contact the office to discuss.

Salaried GPs working under New Models of Care: BMA - November 2017

The traditional model of general practice is under pressure, as momentum builds to provide integrated care services at scale. Against the backdrop of rising demand and diminishing resources, many practices are left in a vulnerable position, creating an impetus to take forward new ways of working...

Spirometry in Primary Care: GPC Statement - May 2018

Spirometry is an important part of the diagnostic and monitoring pathways for respiratory disease. In 2016 NHS England released training standards which made the provision of spirometry more onerous. The GPC has issued a statement to address the longstanding concerns about the local differences...

State Backed Indemnity Scheme (April 2019): GPC Guidance

As part of the GP contract negotiations for 2019/20 , GPC England secured a state-backed indemnity scheme to cover clinical negligence for all GPs and staff working in NHS GP providers, both in and out of hours, for NHS work, from April 2019. Run by NHS Resolution, this will come at no direct...

Statement of Fees and Entitlements (SFE) (Updated 2015)

These directions set out the legal framework under which GPs operate and are paid. https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013

Update to the GP Contract Agreement 2020/21 – 2023/24

Investment and Evolution: Update to the GP contract agreement 2020/21 - 2023/24 https://www.england.nhs.uk/publication/investment-and-evolution-update-to-the-gp-contract-agreement-20-21-23-24/ GMS Ready reckoner...

Vaccination and immunisation GMS guidance 2018/19 (May 2018)

The finalised vaccinations and immunisations GMS guidance is now live on the NHS Employers website , and a link to this guidance is also available on the BMA vaccs and imms page .