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PCN Documents and Enhanced Services 19/20

All Somerset GPs and Practice Managers Dear Colleagues Please find links to the following documents 1. Network DES Specification 2. Network DES Guidance 3. Network DES Registration Form 4. Network Agreement 5. Network Contract VAT Information Note 6. GP contract 2019/20: NHS England...

Somerset LMC weekly Update Friday 18th May 2018

All Somerset GPs and Practice Managers This and previous updates can be found here A cup of tea and biscuit needed, its a long one this week, we have tried to reduce and include as many links as possible Somerset GP Board Early Help Assessment Form again Vaccs and Imms Guidance 2018/19...

Somerset LMC weekly Update Friday 9th September 2016

All Somerset GPs and Practice Managers This and previous updates can be read here LARC Contract Advice for NHS General Practitioners on Military Veterans attending with concerns on use of Mefloquine Capita BMJ Careers Somerset LMC Members Benefits Package Letter...

Somerset LMC weekly Update Friday 15th April 2016

All Somerset GPs and Practice Managers This and previous updates can be found here NEW LMC Chairman PSU (Provider Support Unit) GP Options Documents Firearms guidance update – message on behalf of John Canning, Chair of the Professional Fees...

Weekly Update Friday 2nd April 2015

Prostap Annual Flu Immunisation plan 15/16 Men C Freshers Programme Vaccine Update special March edition Vaccination and Immunisation programme 2015/16 New Out of Ours Service From 1st July GP networks GPC Database GP Networks a Step by Step Guide Prostap Prostap DCS prefilled subcutaneous...

Primary Secondary Care Interface Guidance

We know, general practice is facing unprecedented and mounting pressure from rising patient demand and widespread staff shortages. A significant extra burden is resulting from inappropriate and unnecessary work being transferred to general practice from secondary care settings. Doctors and...

Responsibilities for Prescribing between Primary and Secondary/Tertiary Care

This guidance is the result of work by a representative, cross-system, stakeholder-led Task and Finish Group,which was asked to look at prescribing across the primary and secondary care interface. At every stage, the ambition behind this important work has been to support prescribers to ensure...

(PCN) National Information and Key Dates

GP Contract Agreement England 2020/21 GPC England has negotiated an update to the GP contract 2020/21 - 2023/24. This contract will build on the Primary Care Networks created in 2019 (with additional funding and additional workforce), expand recruitment and retention initiatives for GPs...

2015/16 GMS Contract Quality and Outcomes Framework

The Quality and Outcomes Framework (QOF) rewards contractors for the provision of quality care and helps to standardise improvements in the delivery of primary medical services. Contractor participation in QOF is voluntary. Changes to QOF are agreed as part of wider changes to the General...

2017-19 NHS Standard Contract: updated January 2018

The NHS Standard Contract is mandated by NHS England for use by commissioners for all contracts for healthcare services other than primary care. Where commissioners are placing new contracts with providers, they must now use these updated versions of the relevant Contract with immediate...

Building the Workforce-The New Deal for General Practice

NHS England, HEE, RCGP and the BMA GPs committee (GPC) are working closely together to ensure that we have a skilled, trained and motivated workforce in general practice. We have jointly produced a ten point action plan to address immediate issues, and to take the initial steps in building the...

Deprivation of Liberty: A practical Guide

The DH commissioned from the Law Society a comprehensive guide to the law relating to deprivation of liberty safeguards. This has a helpful section on care homes and other health settings. Full Guidance

Emergency E-Referrals MPH

Eye Casualty - GP Emergency same day referrals can be sent via the following routes. Patient is sent to eye casualty with the physical referral letter. Please note that the eye clinic is not a walk in clinic and patients are only directed to it if that is the outcome of the triage by our...

Fitness to Fly in Pregnancy

Please see the following advice leaflet from the RCOG concerning fitness to fly during pregnancy. https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/air-travel-pregnancy.pdf There is no statutory requirement for GPs to complete the airline form for...

Focus on General Practice forward View

The GPC We have gone through the document in detail, and the BMA policy directorate has produced a 'Focus on the GP Forward view' and a Funding Analysis Focus on Annex 1: Funding analysis of the GP Forward View

Focus on GP Contract Payments 2015/16

Payments to GP contractors will change from 1 April 2015 to reflect negotiated contract changes and the Government's acceptance of the Doctors and Dentists Review Body recommendation for contractor GPs. 2015/16 Doctors and Dentists Review Body (DDRB) recommendation The DDRB recommended that...

Focus on Phasing out Seniority Payments

Seniority payments are being phased out. The seniority scheme will end completely on 31 March 2020.During the six year phasing out period, those who were in receipt of seniority on 31 March 2014 will continue to receive payments. GPs not already in receipt of seniority on 31 March 2014 will...

Focus On PMS Reviews and Transistion to GMS

Background As part of the 2013/14 contract imposition, the Government in England planned far-reaching changes to practice funding to reduce the wide variation in funding per patient between practices. Practices with above average levels of funding as a result of GMS correction factor payments...

Focus on Seniority Payments

This Guidance note has been produced by the GPC (General Pracitioners committee) to help GPs and LMCs understand the funding arrangements for seniority payments Full Guidance Here

Focus on the global sum allocation formula (Carr-Hill Formula) - England

The global sum allocation formula, or Carr-Hill Formula, has been used as the basis of core funding for GMS practices since the inception of the new GMS contract in 2004. This short explanatory paper has been produced now because the allocation formula is newly relevant to many GP practices. See...

Focus on the Governments New Deal

This short paper provides an overview and brief analysis of the Rt. Hon. Jeremy Hunt's 'New Deal for General Practice', set out in a speech delivered on 19 June 2015.Ostensibly the Health Secretary's speech was intended to set out 'the first steps in a new deal for general practice', though many...

Focus on the new IT requirements of the GP contract in England

Please see the GPC guidance 'Focus on the new IT requirements of the GP contract in England'. This sets out the requirements for: Referral management and use of the NHS Number Summary Care Record GP2GP record transfers Online prescriptions Online...

GDPR- Headline Requirements with GPC and NHS Digital guidance

NHS Digital have now published a GDPR guidance note . This guidance is from the national GDPR working group and Information Governance Alliance and will help organisations to make the changes needed due to the implementation of the GDPR in May 2018 The GPC IT committee lead Dr Paul Cundy who a...

General Practice Contract

Details of all the changes to the GMS Contract, since it was introduced in 2003, are available from the NHS Employers website, where you will also find a useful Summary of the changes for 2015/16 changes, which can also be found here

General Practice Forward View Announcements

NHS England published the General Practice Forward View in April this year. It set out a plan, backed by a multi-billion pound investment, to stabilise and transform general practice. It includes practical and funded actions in five areas; investment, workforce, workload, infrastructure and...

General Practice In england

This briefing paper provides general background for Members and their staff on NHS primary medical services provided by general practitioners (GPs) in England. Jump to full report This briefing paper provides general background for Members and their staff on NHS primary medical services...

GMS contract changes 2017/18

Technical Requirements 17/18 Summary of 17/18 Changes GMS Agreement Financial uplift FAQ Sickness Absence Reimbursement GPC Roadshow: 2017/18 Contract Changes - presentation from 21 February 2017 GPC England has concluded negotiations with NHS Employers, and we have reached an agreement on...

GMS Ready Reckoner 2020/21

This ready reckoner has been produced by NHS England and NHS Improvement in partnership with the BMA General Practitioners Committee (GPC) and is intended to provide an indication of the changes in income streams that may affect a GMS practice and Primary Care Network (PCN) from 1 April 2020.

GMS/PMS Contract 2018/19

Implementing the 2018/19 GP contract GMS Contract Guidance and Audit requirements 2018/19 Technical Requirements for 2018/19 GMS Contract Changes August Version 3 GPC England has concluded negotiations with NHS Employers for amendments to the 2018/19 GMS (and PMS) contract. The agreement...

GP Contract 15/16 Key Changes

Named GP for all patients [contract] Online access to medical records Online appointment booking Assurance of Out of Hours provision QOF Minor surgery Armed Forces Maternity and Paternity cover Avoiding Unplanned Admissions Patient participation Alcohol enhanced service Publication of GP...

GP Contract 2016/2017

The GPC have said that the changes offer immediate financial support for practices, recognising the actual components of rising expenses, and is designed to deliver a net pay uplift rather than a pay cut. There is no new clinical workload requirement or any change to QOF, but the deeply...

GP Contract 2020/21 2023/24

Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan (full document) NHS England Enhanced Service Specifications PCN 20/21 cover Note PCN Update May 2020 GPC Contract Update via u tube GP Contract Agreement England 2020/21 GPC England...

GP Contract Issues

GP Contract Issues Updated 2013

GP Earnings and Expenses Report 2013/14

The Health and Social Care Information Centre has now published the GP Earnings and Expenses Enquiry Report (EEQ) for the financial year 2013/14. The report was produced by the Technical Steering Committee (TSC) which includes representatives from the four UK health departments, NHS Employers...

GP Forward View-BMA Webpage

The BMA website has been updated with a specific section for the GP Forward View. They have pulled everything into one hub page and any updates/new information/guidance specific to the GP Forward View will be linked through this central page. GP Forward View

GP Funding Changes

The BMA has produced a 'Focus on...' document about funding changes this year in general practice. You can read it here. It gives the figures, nationally, for the additional funding included to cover CQC fees, professional indemnity fees, national insurance contributions etc

GP Partnership Review

General practice is recognised as the foundation of and the front door to the NHS. Over 85% of doctor-patient contact occurs in general practice,1 ensuring the health and wellbeing of our communities.The Partnership Review was established because general practice and GP partners are facing major...

GP Partnership Review Final Report

General practice is one of the most important and respected institutions in our communities; it is the foundation of the NHS. It has been credited as a major reason for the NHS being one of the most cost-effective models of healthcare, outperforming many countries in the Western world which...

GP Services To Care Homes

The Local Medical Committees (LMCs) of Cornwall, Somerset and Devon have collaborated with the South-West peninsula Clinical Oversight Group to produce guidance for GP practices and care homes in relation to the contractual framework expected of GPs providing GP medical services to care homes....

GPC Focus on funding and support for general practice

GPC welcomes any funding or support for General Practice but recognises that it is incredibly difficult to keep track of what is available and how the different pots of money relate to one another. We are also concerned that often the time between announcement of funds and the closing date for...

GPC Focus On MCPs

Overview In October 2015, the Prime Minister announced the intention to create a new ‘voluntary’ contract for GPs in England that would provide ‘at scale’ general practice (i.e. over populations of at least 30,000-50,000 patients, but possibly larger depending on the services they cover). Over...

GPC Guidance on List Closures

The following guidance is based on information contained in ‘Quality first: Managing workload to deliver safe patient care’, available on the BMA website at: https://www.bma.org.uk/advice/employment/gp-practices/quality-first Formal list closure GMS and PMS practices can apply formally to...

Guidance for commissioners on temporary suspension of patient registration

NHS England has developed guidance for commissioners responding to growing requests from practices temporarily to suspend patient registration. NHS England wants to ensure that commissioners understand the risks involved and are able fully to assess requests.

How the 2015-16 Contract affects Sessional GPs

2015-16 changes to the GP contract do not just impact on GP contractors - they affect salaried and locum GPs too. All GPs should read the guidance on the contract changes as a whole, but below are four of the main aspects of the agreement that apply to sessional GPs along with an explanation of...

Indemnity payment – briefing note

As part of the 2017/18 GP contract agreement, it was agreed that £30m would be paid to practices to cover 2016/17 rises in indemnity insurance costs for all doctors delivering GMS work. This amount has been based on average rises in costs using figures received from surveyed GPs and medical...

Interim Seniority Figures 16/17

Seniority payments are part of an individual GP's pay. The payment that a GP receives is based in part on how much they earn compared to a published interim seniority figure (ISF). The ISF for 2016/17 has been announced as £94,982 in England and £87,219 in Wales. Further information can be found...

Kings fund implementing the NHS Five Year Forward View

TheNHS five year forward view (Forward View), published by NHS England and other national NHS bodies (2014), sets out a shared view on how services need to change and what models of care will be required in the future. Its key arguments are that much more attention should be given to prevention...

List Management Guidance

This guidance is intended to help practices to ensure the safe provision of core services to patients, while fulfilling their professional duty and contractual obligations. GMS and PMS practices in circumstances of unmanageable workload demands, may need to take steps to safely control their...

LMC Guide to funding and support for General Practice

Our thanks to Humberside Group of Local Medical Committees Ltd for sharing this useful Document A practice Guide to funding and support for General practice

Locum reimbursement for parental leave (maternity, paternity & adoption) and Sickness

Locum reimbursement for parental leave (maternity, paternity & adoption) Eligibility When a salaried GP or GP partner is absent from the practice due to a period of parental leave (maternity/paternity/adoption) the practice is eligible to receive funding towards the cost of cover for that...

Medical Indemnity Guidance for GPs

The BMA has issued guidance about medical indemnity in a bid to help GPs cope with spiralling costs. The association has worked with the medical defence organisations to produce a report which outlines what exactly indemnity is, what options are available to GPs and why the cost of premiums is...

Named Accountable GP for all patients

GPC Advice as follows What is 'named GP' contract requirement? This contractual requirement builds upon the 2014-2015 agreement to provide a named and accountable GP for over 75s. The 'named accountable GP for all patients' requirement has now been extended to all patients from 1 April...

NHS England standard hospital contract guidance and Template letters

The 2017/18 NHS standard contract for secondary care trusts came into force on 1 April 2017. The NHS standard contract for secondary care trusts has placed new requirements on hospitals to reduce inappropriate bureaucratic workload shift onto GP practices. Many of those changes to the standard...

NHS Primary Medical Services Directions

These directions set out the legal framework under which GPs operate and are paid.

Online Access and GP appointments online

NHS England has published a guide containing support to general practice to make sure that at least 25% of their appointments are available to book online. It covers a full list of the types of appointments to include, important things to consider and configuration hint and tips. Online Access...

Patient online Access

The General Medical Services (GMS) and Personal Medical Services (PMS) contracts (2014/15) include the requirement for general practices to offer and promote to patients: online appointment booking, online ordering of repeat prescriptions and, by 31 March 2015, online access to summary...

Patient Registration

Private Practice

BMA Focus on Private Practice aims to clarify what GPs can and cannot charge for privately under the GMS contract.

Publication of NHS payments to general practice and GP net earnings - England

GP practices will be aware that, from 1 April 2015, it is a contractual requirement for practices to publish on their practice website by the end of the financial year (ie 31 March 2016) the mean earnings for all GPs in their practice relating to the previous financial year (ie...

QOF Business Rules V36

QOF business rules Version 36

QOF guidance 16/17

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...

QOF guidance 2018/19

On the 20 March 2018, NHS Employers and the British Medical Association’s General Practitioner Committee (GPC) agreed a number of changes to Quality and Outcomes Framework (QOF) effective from 1 April 2018. These changes apply in England only. The key changes are: The average practice list...

Quality First:Managing workload to deliver safe patient care

GPs and practices are under unprecedented pressure. There are about 340 million consultations annually in general practice in England, an increase of 40 million per year from five years ago. This represents the single greatest rise in volume of care within any sector of the NHS. The increase...

Responsible, safe and sustainable: Towards a new future for general practice

This report is the culmination of a major project launched over a year ago which has included: regional GP consultation events hosted by LMCs; a regional event specifically targeted at sessional and trainee GPs; patient deliberative events; and the major GP survey undertaken in the early months...

Responsive, safe and sustainable: our urgent prescription for general practice

Please find a link below to the paper 'Responsive, safe and sustainable: our urgent prescription for general practice', which was published on Thursday 14th April at midday. Document link

Retired QOF Indicators GPC Statement

Indicators no longer in QOF Practices in some areas have been asked again to accept requests within the Calculating Quality Reporting Service (CQRS) for the extraction of indicators no longer in QOF. GPC advised LMCs in 2015 on this data extract, (see below) confirming our position that that...

Safe Working levels in General Practice

Read the full paper here General practice is in crisis, with a marked increase in workload at a time of underinvestmentand a shortage of GPs. Demand will continue to grow due to an aging population and it isessential that GPs are able to protect themselves and their patients from excessive...

Salaried GPs working under new models of care

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...

Saving General Practice

This GPC England report focuses on the need for urgent action to address the funding deficit impacting general practice, the requirement for a sustainable expansion of the workforce, the importance of a strategy for reducing workload pressures, the need to remove the burden of the current...

SFE and DES directions Consolidated Version October 2015

The Department of Health has published the General Medical Services Statement of Financial Entitlements (Amendment No.3) Directions 2015 The document sets out amendments to the GMS contract for GPs from October 2015 affecting global sum, dispensing and seniority payments. Please find the...

Somerset Practice Quality Scheme

Briefing: Somerset Practice Quality Scheme; a framework for innovation 1 Purpose 1.1 To explain the context and contents of the local GP quality scheme pilot in Somerset. The pilot is an alternative approach to the Quality and Outcomes Framework element of the General Medical Services...

Somerset Practice Quality Scheme Evidence Paper

This evidence paper accompanies the SPQS proposal and sets out the evidence and rationale for the proposal. It briefly summarises the development of QOF, the criticisms of QOF and why we think SPQS might deliver better value for patients, clinicians and commissioners. The development of QOF It...

Somerset Practice Quality Scheme Learning points to assist other areas

1 INTRODUCTION 1.1 Somerset introduced a local alternative to the national GP quality incentive scheme (Quality and Outcomes Framework), in 2014. The Somerset pilot is regarded by NHS England as an early pilot of co-commissioning arrangements. This brief paper is intended to help colleagues in...

SPQS Evaluation

South West Academic Health Science Network Evaluation of Somerset Practice Quality Scheme Introduction NHS England engaged with the clinical community in Somerset as part of the Improving General Practice call to action in autumn 2013. The view of GPs, the Clinical Commissioning Group and the...

Sudden Death on GP Premises

Beyond the immediate clinical need of a patient - if a patient is declared dead on the premises how should you proceed? If the death is sudden and unexpected you will need to contact the coroner via the police. The police will arrange for transport of the body from your site - the coroner may...

Summary QOF Changes 17/18

Summary QOF Changes 17/1817/18

Supporting Sustainable General Practice in the South West

After three months of development and piloting, NHS England South (South West) has launched an initiative aimed at helping General Practices to considering their sustainability status and to explore options for responding to the current challenges facing General Practice and the wider Primary...

Technical Requirements 19/20

Updated Technical Requirements and Coding Documents for 2019-20 Please be advised that the Technical Requirements for 2019-20 have been updated and now include information for the Network Contract DES, 2019/20 Dementia Data Collection, National Diabetes Audit 2019-20, Childhood Seasonal Flu and...

The Future of Primary Care

The UK has been at the forefront of modern primary care development, and many countries continue to look to the NHS as a model to emulate. However, primary and community care services now face major challenges;with an increasing workload, an ageing population, and increasingly complex medical...

The multispecialty community provider (MCP) emerging care model and contract framework

NHS England have released the Multispecialty Community Provider (MCP) Emerging Care Model and Contract framework. A link to the framework can be found here. The first draft of MCP contract was released in December

The Primary Care Digital Services operating model

The Primary Care Digital Operating Model 2019–21 (previously known as the GP IT Operating Model) has been published. It covers the policies, standards and operating procedures that clinical commissioning groups (CCGs) are obliged to work to and support the provision of digital requirements under...

Workforce Minimum Data Set

Workforce Minimum Data Set - GPC Focus on May 2017 Introduction The GPC has been active in dialogue with the Department of Health (DH), HSCIC and the Information Commissioner’s Office (ICO) to address some of the concerns about the submission of the Workforce Minimum Data Set (WMDS),...