ࡱ> AC@y bjbjEE *''Itt8 +t+++++P+R+R+R+R+R+R+$E-/v+v++++bbbv++P+bP+bb)++-<Rx*<++0+*0R0,+0+,b4v+v+R+0t }:  Discussion Paper on LMC Levies 1.0 Background Changes in GPs contracts and the introduction of PMS make it timely for the committee to consider the basis for LMC levies 2.0 Statutory levy 2.1 GMS practices continue to have to pay the statutory levy that funds the work of the LMC itself, but the way in which this is calculated varies between LMCs. In Somerset we have always calculated the levy on a patient capitation basis and this is the most appropriate scheme now lists are practice based. 2.2 PMS practices are not obliged to pay the statutory levy, but all in Somerset do so, and this is generally the case across England. 2.3 Subscriptions for non-principals. Various attempts have been made to charge non-principals a modest sum for access to LMC services, but these have not generally been successful. It is probably better to roll up the modest cost of providing support for non-principals in the practice based levy as all GPs will be working in a levy paying practice of some kind. 3.0 Voluntary levy The voluntary levy for the support of the GPC via the General Practice Defence Fund is presently paid by all but 10 of the GP principals in Somerset 3.1 There is merit in adopting the Wessex title of National Levy for this 3.2 This levy is also capitation based and therefore lends itself to a practice list calculation. Practices should be asked that the manager or senior partner should sign a variable amount authority so that the national levy is collected along with the statutory levy. Such an authority would allow conscientious objectors to opt out, although if the levy is a practice expense few are likely to want to take this view. 4.0 Access to LMC services 4.1 Any GP working for a Somerset practice as a partner, non-principal, or locum is entitled to use the services of the LMC. 4.2 Similarly, practice managers and lead nurses should be supported in professional matters. 4.3 LMC services must continue to appeal to PMS practices to maintain this funding stream. 4.4 Other parties should be supported in so far as this furthers in interests of general practice in Somerset. Harry Yoxall LMC Secretary. 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