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Prescribing / Referrals / Treatment / Screening

ABPI Code of Practice for the Pharmaceutical Industry 2016

​​​​​​​The Code sets standards for the promotion of medicines to health professionals and other relevant decision makers in the UK. It includes information on gifts from pharmaceutical companies and the requirements for the provision of information to...

Advice & Guidance: eRS and pre op clinics

Pre-Operative Blood Pressure Measurement and Management

Advice for Doctors providing assistance at Sporting Events (2014)

About this resource The purpose of this resource from the British Medical Association's (BMA) Board of Science is to provide information for BMA members who are interested in, and are considering providing, medical care at sporting events in a professional (whether paid or unpaid) capacity....

Advice for GPs on Military Veterans attending with concerns on use of Mefloquine

Dear all, Please find attached information from NHS England relating to Mefloquine, an anti-malarial which was prescribed to military personnel who were operating or training in Sub-Saharan Africa (not in Iraq or Afghanistan, with few exceptions) over the past 20 years. The attached documents...

Antibiotic Awareness Poster - March 2017

Please below a link to a BVA poster on antibiotic awareness, that has had some input from the BMA, which might be useful for you to display in your reception area. www.bva.co.uk/uploadedFiles/content/News,_campaigns_and_policies/Policies/Medicines/BVA-Antibiotic-poster.pdf

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 Consent Toolkit

http://bma.org.uk/support-at-work/ethics/consent/consent-tool-kit

BMA Guidance: Interface between NHS and Private Treatment

Practical advice for doctors who want to set up in private medical practice and minimise the risk of conflict between private practice and NHS commitments. http://www.bma.org.uk/support-at-work/private-practice/setting-up-in-private-practice/contract-guidelines-on-private-practice

BMA Guidance: Low Value Medicine/Over the Counter (OTC)

Following two consultations on which items should not be routinely prescribed in primary care, and on conditions for which over the counter (OTC) items should not routinely be prescribed in primary care, NHS England published revised commissioning guidance for CCGs on reducing prescribing of OTC...

BMA Guidance: Supporting Pupils with Medical Conditions at School

The Department for Education has issued new statutory guidance and non-statutory advice on the roles and responsibilities of GPs in supporting pupils with medical conditions at...

BMA Prescribing Guidance (April 2018)

The GPC prescribing policy group has updated the Prescribing Guidance , to include a link to the template letters relating to the new requirements on hospitals to reduce inappropriate bureaucratic workload shift. The prescribing guidance is available on the newly updated prescribing pages on...

Criteria Change for NHS England Clinical Pharmacists in General Practice Programme Oct 18

Please see the attached letter from Ian Biggs, Director of Primary Care Workforce & Infrastructure Programmes, NHS England regarding the criteria change for NHS England Clinical Pharmacists in General Practice Programme.

Duty of Care: Hospital Test Results

Joint GPC & Consultant Committee Statement on hospital test results & statement on Duty of Care regarding drugs recommended from out-patient clinics - July 2015 Duty of care regarding communication of investigation results & drugs recommended from outpatients. Dear all, The joint GPC and...

Ebola: GPC/PHE Advice and Guidance

BMA Advice & Guidance: Dealing with a potential Ebola virus case http://bma.org.uk/support-at-work/gp-practices/service-provision/dealing-with-a-potential-ebola-virus-case Public Health England: Information for Primary Care: Managing patients who require assessment for Ebola virus...

EKHUFT Liaison Newsletter May 2014

eGFRs, Pre-op assessment, Test results, GI Histology, Urology Communication Update, Delays in letters to GPs, Switchboard Delays, Consultant Ownership, Delays in MRI Reports, Non-Provision of Med 3s, Instructions to GPs in EDNs, Pre-op Clexane

EKHUFT Liaison Newsletter May 2015

eGFRs/Acute Kidney Injury Alerting, Switchboard delays/mobile numbers, Named GPs, Urgent Prescription Requests, Referrals Under RaTC guidelines, Undifferentiated Cancers Pathway, DART for Locum GPs, Med3s, Test Results/Radiology, Secondary Care to Primary Care Shift, Patients with PEG feeding...

EKHUFT Liaison Newsletter November 2014

eGFRs/Acute Kidney Injury Alerting, Pre-op Assessments, Test Results, Delays in letters to GPs, Switchboard delays, Med 3's Induction, Named GPs from April 2015, DNA/CPRs, EDNs, Undifferentiated Cancers Pathway, Choose and Book, 2 Week Wait Referrals, Orthopaedic Referrals, Surgical Assessment...

EKHUFT/LMC Interface Meeting Newsletter - November 2018

Specialists working with Secondary Care, Follow up of glaucoma patients, Onward referral of patients seen in private treatment centres, Community Hub Operating Centres (CHOCs), Rapid Access Clinics Chest Pain Clinic, New Standard Hospital Contract 2017/19, Lost Referrals, Rheumatology Services,...

Expansion of Clinical Pharmacist in General Practice to benefit more Kent patients July 2017

NHS England has announced that more patients in east Kent, north Kent and west Kent will benefit from having pharmacists working in local GP surgeries, as part of a further roll out of our national Clinical Pharmacists in General Practice scheme. For further information please see link below

Falsified Medicines Directive (FMD)

Following adoption by the Council and the European Parliament, the Falsified Medicines Directive (Directive 2011/62/EU) was published on 1 July 2011 in the Official Journal of the European Union. The Falsified Medicines Directive had to be transposed by member states by 2 January 2013. The...

Full LMC Meeting Newsletter - June 2017

Primary Care Support England (PCSE), GP Staff Training Team, Buff Sheets, Verbal Report from Sessional Pre-Meeting 15th June 2017, Annual Conference of LMCs, Edinburgh – May 2017, Sustainability & Transformation Partnership (STP), General Practice Defence Fund (GPDF)

Full LMC Newsletter- January 2017

Urgent items under any other business: Tamiflu, Firearms Licencing, Primary Care Support England (PCSE), Reports from Sub-Committees, GP Forward View (GPFV), GP Development Fund, Estates, Technology and Transformation Fund (ETTF), CCG Submissions, STP, Prime Minister’s Statement: Deepening...

Gender Incongruence in Primary Care

This guidance aims to explain what should be provided in primary care, signposts further sources of guidance, and highlights some of the underpinning ethical and legal considerations for this group of patients. This covers the management of patients who present at their general practice with...

GMC Guidance: Patients who refuse treatment

http://www.gmc-uk.org/guidance/ethical_guidance/21181.asp

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...

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...

Guides to Community Pharmacy and Pharmacy Regulations 2013

The BMA has produced two excellent documents in conjunction with the NHSE and PSNC. One is a Guide to GP Practices aimed at Community Pharmacists. The other is a Guide to Community Pharmacies for GPs. Both are excellent summaries of how each business works in terms of funding, contracting ,...

Handling of Medicines in Social Care

The Royal Pharmaceuitcal Society has issued guidelines for the handling of medicines in Social Care http://www.rpharms.com/social-care-settings-pdfs/the-handling-of-medicines-in-social-care.pdf

Health and Safety (Sharps Instruments in Healthcare) Regulations 2013

Health and Safety (Sharps Instruments in Healthcare) Regulations 2013 These Regulations implement the EU Council Directive 2010/32/EU on the prevention of sharps injuries in the hospital and healthcare sector. Many of the requirements contained in the Directive already formed part of health and...

Homely Remedies for Adults in Care Homes (Revised April 2016)

This document describes those medications that may be administered by qualified nurses and trained care home staff to their residents suffering minor ailments over short periods.

KMPT/LMC Interface Meeting Newsletter May 2017

Community Mental Health Teams and the Transfer of Care, Single Point of Access, NHS GP Health Service, General Practice / KMPT interface, Referral for Memory Assessment.

LMC Advice & Guidance on The Impact of the National Flu Pharmacy Scheme - July 2015

From September 2015 adult at-risk patients will be able to access seasonal flu vaccinations in participating community pharmacies - please read attached important advice from the LMC.

LMC Response to NHS England's Wasteful Drug Use Action Plan

We would like to highlight to prescribing clinicians in the practice that GPs have a contractual obligation to prescribe medication on an FP10 that the GP feels is clinically necessary whether the medication is available over the counter or not. While we support the premise of saving precious...

LPC Guidance: Patient Dosing Systems

The provision of medicines to patients in care homes, in monitored dose systems (MDS) such as the Manrex, Nomad or Venalink systems has long been a part of the pharmacy dispensing service. There is also the supply to patients in the community using systems which are designed for patients living...

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 in DGS CCG September 2015

IFR Application Process, Cuts to Social Care and DVH - Anne Tidmarsh, Director of Older People and Physical Disability, Workforce Tool Update, Co-Commissioning Update, Community Education Provider Network (CEPNs), Enhanced Services Update, SMS Services for Practices post 30th September 2015,...

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

MHRA Advice: Managing Medical Devices (April 2015)

Medicines & Healthcare Regulatory Agency Advice on managing medical devices: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/421028/Managing_medical_devices_-_Apr_2015.pdf

Migrant Health Guide (Updated 2017)

This resource was was developed by the Travel and Migrant health team in London for primary care colleagues, with “advice and guidance on the health needs of migrant patients for healthcare practitioners". https://www.gov.uk/guidance/nhs-entitlements-migrant-health-guide

NHS Screening Programmes

NHS abdominal aortic aneurysm (AAA) programme NHS bowel cancer screening (BCSP) programme NHS breast screening (BSP) programme NHS cervical screening (CSP) programme NHS diabetic eye screening (DES) programme NHS fetal anomaly screening programme (FASP) NHS infectious diseases in pregnancy...

Non Prescription Medication for Care Homes

Following a query from an LMC that some practices are reporting that they are receiving increasingly detailed requests from care homes about ‘homely remedies’, requesting a GP to sign a form for the administration of these remedies, the GPC Prescribing policy group’s advice is: We approve of...

Patient Group Directions (PGDs)

Patient Group Directions (PGDs) provide a legal framework that allows some registered health professionals to supply and/or administer specified medicines to a pre-defined group of patients, without them having to see a prescriber (such as a doctor or nurse prescriber). Supplying and/or...

Patient Group Directions (PGDs) Updated April 2018

The GPC guidance Patient Group Directions and Patient Specific Directions in General Practice has been redrafted to clarify the position of PSDs, confirming that they do not necessarily have to be in written form, but can also be a verbal instruction. The new guidance is available on the BMA...

Pre-School and Medication

A school (actually a 'pre-school') has told us they cannot administer OTC drugs to a child, only those prescribed by a GP, as this is an OFSTED requirement . They have told parents they will only administer immediate emergency treatment and call an ambulance. The practice have therefore been...

Prescribing Gluten Free Products

https://www.coeliac.org.uk/gluten-free-diet-and-lifestyle/prescriptions/national-prescribing-guidelines/ See Also: GPC Advice: Prescribing in General Practice

Prescription Direction: Joint document from the BMA, PSNC and Pharmacy Voice

'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...

Prescription of prophylactic Tamiflu to the residents of nursing homes

Kent LMC are aware that some practices in Kent and Medway have been approached by Public Health England to prescribe prophylactic Tamiflu to the residents of nursing homes. Of course it is up to individual clinicians to determine how they respond to such requests. We would however like you to...

Private and NHS Interface Guidance

Can patients receive part of their treatment within the NHS and part privately? Private and NHS Interface Guidance (July 2017)?

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...

Responsibility for prescribing between Primary & Secondary/Tertiary Care January 2018

Responsibility for prescribing between Primary & Secondary/Tertiary Care January 2018

Royal Pharmaceutical Society: Improving Patient Outcomes - The Better use of Multi-Compartment Compliance Aids (July 2013)

This report aims to improve patient outcomes with the better use of medicines, through the provision of knowledge and information to pharmacists, healthcare professionals and other stakeholders involved in health and social care. http://www.rpharms.com/support-pdfs/rps-mca-july-2013.pdf

Shared Care

The following excerpt regarding Shared Care is from the BMA's Prescribing in General Practice, published April 2018 (click here to access full version of the document) "Sometimes the care of a patient is shared between the two doctors, usually a GP and a specialist. There should be a formalised...

Violence in General Practice - Guidance for General Practitioners

Introduction The Terms of Service have always allowed GPs to remove a violent patient from their list. Patients removed in this way were then allocated to the list of another GP and few if any attempts were made to deal with the source of the problem. In January 2000 the Department of Health...

What happens when you are referred by your GP to see a specialist?

This leaflet has been developed with the help and support of NHS England, the British Medical Association and the National Association for Patient Participation, and describes what you can expect to happen when your GP refers you to see a specialist or consultant, at a hospital or a community...

What to Expect When You are Referred to a Specialist

Our latest poster has all the information on what patients can expect when they are referred to a specialist.

Zika Virus Infection: Guidance for Primary Care (Updated March 2016)

The joint Zika Guidance for Primary Care has been updated to reflect the new wording for travel recommendations for pregnant women and clarification of advice on sexual transmission. The changes include: 1. Updated travel advice for pregnant women 2. Clarification of...