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Somerset LMC Weekly Update Friday 7th August 2020

Date sent: Friday 7 August 2020

Sent to all Somerset GPs and Practice Managers          This and previous updates are available here

SGPET weekly update with all online education can be found here

Face Coverings - a BMA Statement: The BMA believes that the government must do more to protect healthcare workers in community settings, including GP surgeries, and require those entering a healthcare facility to wear a face covering, as is the case for shops and other indoor settings.
It is for practices to decide how to deliver services to their patients. It is also a practice’s responsibility for them to protect their staff and patients, many of whom may be vulnerable to the most severe effects of Covid-19, from unnecessary risk. Therefore, if a patient refuses to wear a face covering inside a practice, without good reason, the practice can choose to provide services to that patient by means other than face-to-face consultation within the practice.
Practices should inform patients, in advance of their attendance, that a face covering will be required to protect other patients, clinicians and other staff who they will inevitably come into proximity with inside the building. If a patient has a legitimate reason for not wearing a face covering the practice will need to consider this on an individual basis.

LMCs England Conference - Friday 27 November: The deadline for inputting this year's motions is noon Friday 18 September 2020.
This is our chance to influence BMA policy and we want to hear what’s on your mind and if we can, make those thoughts into conference motions so please do forward your ideas by Monday 14th September.

Vacancies on the LMC: There are vacancies on the LMC for representatives for the Bridgwater and Yeovil constituencies. The LMC is the only statutory body to negotiate for all practices on contracts but has a wider range of responsibilities from representing individual practices in dispute to pastoral care. The LMC is active in promoting recruitment to GP in Somerset and has an educational arm the SGPET. It represents all GPs whether partners, salaried, sessional or working for a Trust or OOH and also GPs in training. It has participation from practice managers and specialists like dispensing doctors. Anyone working in the Bridgwater or Yeovil area in any capacity as a GP who is interested in applying can find a wealth of information on our website and is welcome to contact the Medical Director directly on

The national flu immunisation programme 2020 to 2021- update: The second national flu vaccination letter was released on Tuesday 4 August and can be found here.

Flu vaccination advice from the CQC: We have issued some guidance with examples on registration for practices who are undertaking a different model for this year’s flu vaccinations.

Men ACWY vaccinations: The vast majority of school leavers will have their Men ACWY vaccination as part of the school aged immunisation programme in Year 9, and those that may have missed the opportunity when the School Age Imms team visited will have been invited to attend a community catch up clinic every year until they turn 16 or are in school year 11.
There is no requirement for practices to operate active call and recall, but instead offer vaccination to eligible patients when they self- present or opportunistically as they access GP services.
​The only Men ACWY vaccinations GP Practices should be offering are opportunistic immunisations for patients is through the DES for older students as per this document. 

Locum GP Seminar 13th August 6.30-7.30: With sessional GP committee of BMA, giving advice on protecting income, future proofing your career, explore ways to broaden portfolios and sources of financial help.

SW CHIS Survey and engagement dates: CHIS have developed a short survey which should only take 3-4 minutes to complete to help inform the topics on their upcoming GP Engagement Days. Please could at least one person from your practice complete it, more if possible. This will also help inform developments within CHIS, leading to better care for children. If you have any queries, please contact Chris Ellis ( The survey will close Friday, 21st August.
The dates for the first GP Engagement Day Session are: (Booking details will follow soon)

Expressions of Interest from PCNs Wanted for the SW CLiP Pilot - PCN Student Nurse Placements: Have you wanted to offer student nurse placements but haven’t been able to? You can with the HEE funded CLiP pilot which places a group of students across several GP practices in a PCN and helps with the organisation of placements and the provision of supervision and support. Workshops to find out more on 25th Aug and 1st Sept. More info in the notes and flier.​

Top Tips...

QOF Prescribing Indicators for 2020/21: There are eight indicators which support optimising pharmacological management of patients with specific conditions and the prescribing of specified medications. These indicators will remain conditional upon performance.

Atrial Fibrillation (AF007): In those patients with atrial fibrillation with a record of a CHA2DS2-VASc score of 2 or more, the percentage of patients who are currently treated with anti-coagulation drug therapy NICE 2014 menu ID: NM82. Practices will need to score the patients in the AF006 denominator populations folder on EMIS as this populates any patients with a score of 2 into AF007.
You will then need to wait overnight for EMIS to run Population Manager and then review the excluded patients in AF007as these will need to be reviewed for drug therapy. These patients will need to be reviewed by GP and then either anticoagulation contraindicated 413558003 or anticoagulation not indicated 413560001 anticoagulation not tolerated 413561002 or anticoagulation declined 413559006.


Kind Regards



Jill Hellens

Executive Director
Somerset LMC
Crown Medical Centre, Venture Way, Taunton, TA2 8QY

Tel: (01823) 331 428            
Fax: (01823) 338 561
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