Guidance

The Guidance Section holds a wealth of information on a wide range of subjects relating to general practice.

We have tried to arrange the guidance as simply as we can but we would encourage you to use the Search Guidance facility and the category links detailed below.

Hot Topics

  • Cyber attacks

    We have collated the latest guidance and advice from a range of sources on cyber attacks. This includes how to avoid falling victim to ransomware, and what to do in these situations.

  • Treatment on roads

    Under the Road Traffic Act 1988, the first doctor to provide emergency treatment to the victim of a road traffic collision is generally entitled to charge a fee.

  • Firearms requests

    From 1 April 2016 new information sharing processes between GPs and the police were introduced in an attempt to ensure those licensed to possess firearm and shotgun certificates are medically fit to carry arms.

  • QOF

    Dr Chaand Nagpaul, chairman of the GPC, wrote to NHS England in February 2017 about the suspension of the Quality and Outcomes Framework (QOF).

  • Vaccinations and Immunisations

    The national arrangements for providing vaccines and immunisations are set out in the additional services section of the Statement of Financial Entitlements (SFE).
    Those vaccines and immunisations that are provided as enhanced services will have their arrangements outlined in service specifications.

  • MCP contract

    Following on the from the publication of the MCP contract, guidance has been created on the topic for GPs.

  • Charging Patients

    The National Health Service provides health care to most people free of charge, but there are exceptions. Prescription charges have existed since 1951 and there are a number of other services for which fees are charged.

  • CQC Visits

    By April 2013 all primary medical services were registered with the CQC and CQC monitoring of standards began. However following the first wave of practice inspections, the CQC announced in December 2013 they were amending their approach of inspecting and regulating all GPs and out-of-hours services.

  • Friends and Family test

    The Friends and Family Test (FFT) is a feedback tool that supports the principle that people who use NHS services should have the opportunity to provide feedback on their experience.

  • NHS Pensions

    The NHS Pension Scheme is a defined benefit public service pension scheme, which operates on a pay-as-you-go basis.

  • PMS Contract

    Personal Medical Services (PMS) contracts are agreed between NHS England and GP practices, together with funding arrangements. In England, approximately 40 per cent of GP practices are on PMS contracts.

Latest Guidance

  • Medical notes requests from police

    The BMA professional fees committee has received new legal advice regarding medical note requests received from the police.

  • IR35 and Locums

    In April 2017 some substantial changes are to be made to the IR35 tax legislation.

  • Premises

    GPs have traditionally been responsible for the provision of their practice premises but in recent years a number of other models have been used more often.

  • CQC Support

    To help practices get to grips with the CQC’s new visiting regime we have collated all the latest guidance documents in one place.

  • GMS Contract

    This page summarises the key GMS contract changes from 2003 to 2014, starting with the first three-year GMS contract which was introduced in 2003/04.

  • Medical Records

    The BMA’s latest guidance on the issue of medical records, published in July 2016, relates to fees for access and copying.

  • Scams

    GP practices and their patients in the Nottinghamshire area have been targeted by several scams in recent years.
    This page has been set up to highlight the scams and details on them so you can avoid them.

  • DBS Checks

    The Disclosure and Barring Service (DBS) carries out criminal record checks for specific positions, professions, employment, offices, works and licences included in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

  • Directed Enhanced Services (DESs)

    Directed enhanced services (DESs) are special services or activities provided by GP practices that have been negotiated nationally. Practices can choose whether or not to provide these services.

  • CQC Mythbusters

    Since 2014 Nigel Sparrow, the CQC’s Senior National GP Advisor, published a series of articles to clear up some common myths about CQC inspections of GP and out-of-hours services.

  • Coroner summons reimbursement

    GPs in Nottinghamshire who are summoned as witnesses by the Coroner’s Office are entitled to reimbursement for both travel and the costs of GP locum cover and additional administration time.

  • Revalidation

    Revalidation started on 3 December 2012 and the GMC expect to revalidate the majority of licensed doctors in the UK for the first time by March 2016.

  • Seniority

    Seniority payments, which were paid to a contractor in respect of an individual GP provider, are now being phased out and will end on 31 March, 2020.

  • Out of Area Registration

    The Patient Choice Scheme will allow GP practices to register new patients who live outside the practice area, without any obligation to provide home visits or out of hours services when the patient is unable to attend their registered practice.

  • Fit for Work Scheme

    With their consent, GPs in the roll out areas can refer employed patients who have been, or are likely to be, off sick from work for four weeks or more for an occupational health assessment.

  • Brieflets

    The LMC has produced a number of guidance documents called brieflets which provide an easy-to-read overview of an issue.