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Somerset LMC Weekly update Friday 1st April 2016

Date sent: Friday 1 April 2016

All Somerset GPs and Practice Managers

Somerset Together ‘Option C’.  We are hoping to have some news for you very soon about the possibility of an ‘option C’ that the LMC are discussing with the CCG.  Hopefully this will extend the  deadline for making a  decision to enter into an AJV until 2018. 

Managing workload Some Practices may be  considering stopping some  services that are not core work and are unfunded or even an Enhanced Service.  In order to ensure that patients are not adversely affected by this we would advise the following :-

These measures will ensure that both patients and Practices are shielded from unforeseen consequences of the decision.

GP Responsibility for Diagnostic Tests Undertaken in Hospital NHS England has recently published  a new document  “Standards for the communication of patient diagnostic test results on discharge from hospital”

www.england.nhs.uk/patientsafety/wp-content/uploads/sites/32/2016/03/discharge-standards-march-16.pdf

Principle one of this confirms the current medicolegal position that that “the clinician who orders a test is responsible for reviewing, acting and communicating the result and actions taken to the General Practitioner and patient even if the patient has been discharged”. This is also  in keeping with  joint BMA guidance.

Principle two  goes on to say that  “that every test result received by a GP practice for a patient should be reviewed and where necessary acted on by a responsible clinician even if this clinician did not order the test”. This again  fits with our current understanding of medicolegal responsibility, which is that  GP practices have a secondary responsibility for ensuring patients are aware of and act upon significant test results.

GPC have taken this opportunity to issue a set of three template letters for practices may use to help ensure that test requesters comply with Principle one. These cover:

Which you may find useful.

Meanwhile, the LMC is in conversation with TST and YDH to make sure we have a consistent and  safe approach to dealing with results and to see whether we need to approach the commissioners to discuss a specific arrangement for dealing with tests undertaken in  A&E

New ES and PMS reviews There is a  delay in finalising this in the short term and Practices should receive an explanatory email from the CCG today regarding this.

GPs as Deprivation of Liberty  Safeguards Assessors The County Council is seeking to recruit more doctors to be  DoLS assessors in Somerset.  To be eligible  you must either be Section 12 approved or “have at least three years post registration experience of the diagnosis or treatment of a mental disorder from a variety of medical specialties”  which is a  sufficiently vague criterion so as  to mean that most GPs  could  probably meet it.    Most of the training can now be undertaken online  at www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/dolsresource.aspx,

Those who do it say that this is interesting work, and if you would like to know more please contact  CAHamilton@somerset.gov.uk or 01278 447629 for further information

LMC Office

Due to staff sickness and leave I am manning the office on my own today, if you dont get a reply on one of the lines straight away please do leave a message and I will get back to you as soon as I can. Thank you

Kind Regards

Jill

 

Jill Hellens

Executive Director

Somerset LMC

TEL: 01823 331428

Fax:01823 338561

www.somersetlmc.co.uk

 

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