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

  • PCN toolkit and useful templates

    Below are the the direct download links for the handy BMA PCN toolkit and useful templates:

    PCN initial meeting considerations and template
    Setting up a PCN checklist

  • PCN DES Guidance - April 2019

    NHS England and the BMA have published the following guidance on Primary Care Network DES.

    Click here to view the guidance documents.

  • NLMC Checkpoint 2019 doc for Practices

    Nottinghamshire LMC Chief Exec, Michael Wright has put together a ‘Checkpoint 2019’ document which focuses on the General Practice landscape across Nottinghamshire within the context of the NHS Long Term Plan and the GP partnership review.

    The document is available to view and download here: NLMC Checkpoint 2019

  • Gender dysphoria services
  • GDPR

    The General Data Protection Regulation (GDPR) will replace the Data Protection Act on 25 May, 2018.
    How this regulation will work in practise is still relatively unknown, but there are things you can do NOW to prepare.

  • Hospital contract templates
  • 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.

  • 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.

  • 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

  • Requests for medical certificates for housing (August 2019)

    We have seen an increase in requests for medical certificates for patients’ housing applications. Whilst we acknowledge it is in the best interests of all for patients to be housed in the best possible conditions, there is no contractual or professional obligation to provide housing certificates free of charge under the NHS. Notts LMC advises local GPs to refuse housing certificates unless they are essential, and they are remunerated for this work.

    Please feel free to use the template letter when responding to such requests from local authorities.

    Template letter

  • Am I covered under the Clinical Negligence Scheme for General Practice (CNSGP)?

    Please find attached below a table that includes what is and what isn’t covered under the Clinical Negligence Scheme for General Practice (CNSGP).

    View it here: Am I covered under CNSGP?

  • CQC Guidance - Mandatory Training

    The CQC are often asked whether they set out mandatory training requirements for GP practices – The CQC does not have a list of mandatory training for members of the GP practice team. This is because exact training requirements will depend on the role and specific responsibilities of practices and the needs of the people using the service.

    Ultimately the practice is responsible for determining what mandatory, and additional, training staff need to meet the needs of their patients.

  • Practice staff as patients - A common pitfall to avoid wherever possible

    Nottinghamshire LMC recommends that wherever possible practices should not have members of staff as registered patients. Being both the employer and the GP of a staff member may potentially conflict them in their provision of care and there is a tender balance to strike.

    Read more here.

  • Nottinghamshire CCG Merger Consultation Documents

    View the CCG Merger Consultation document here.

  • CQC Top Tips: Merging GP Practices

    View the top tips from CQC about merging GP Practices.

  • BMA Top 10 Primary Care Networks Tips

    The BMA have produced a document which looks at the top tips when it comes to entering into a PCN and the agreement that all members of a PCN will be required to enter into; namely
    the Network Agreement.

    View the Top 10 Tips here.

  • FYI Nottingham City Practices: PCN Deputy Clinical Director Role Application Info

    Are you interested in becoming a Deputy Clinical Director for your PCN in order to provide support to your Clinical Director?

    Read more here.

  • FYI NW/NNE and Rushcliffe Practices: View the Clinical Director Application Pack

    Please see below the documents included in the application pack relating to the PCN Clinical Director role for Nottingham West, Nottingham North and East and Rushcliffe practices.

    Please note the closing date for the expressions of interest is Friday 19 April 2019, returning them to Fiona Callaghan, South Nottinghamshire Locality Director f.callaghan@nhs.net

  • NLMC GP Contract meeting presentations available to view

    Thank you to all who attended our GP Contact Open Meeting, we had an excellent turnout and it was really good to see so many of you engaged with the information that was being shared.

    Click here to view more updates about the meeting and access the presentation slides.

  • NOTTINGHAM CITY: PCN Clinical Director Application Pack

    Are you interested in becoming the named accountable clinical director for your PCN?
    The role is an exciting opportunity for Nottingham City Clinicians’ to be at the forefront of supporting the development of networks to provide more joined-up care for patients and to reduce pressures on the primary care workforce.

    View the application pack here.

  • Watch the NLMC Primary Care Networks Video Series!

    We have created a series of short videos which explain and highlight what Primary Care Networks (PCNs) are and what they mean for you and your practice.

    You can watch the videos here.

  • Nottinghamshire LMC guide to writing presentations for an inspection - Updated March 2019

    Here you will find hints and tips on what to include in your 30 minute CQC presentation.

    View NLMC CQC presentation tips here

  • Primary Care Networks Handbook

    The BMA have created this useful handbook to give advice and options to groups of practices looking to establish and develop a primary care network.

    View the full handbook here.

  • NOTTINGHAM CITY: PCN Clinical Director job description

    Are you interested in becoming the named accountable clinical director for your PCN?

    The role is an exciting opportunity for Nottingham City Clinicians’ to be at the forefront of supporting the development of networks to provide more joined-up care for patients and to reduce pressures on the primary care workforce.

    View the draft job description here.

  • Indemnity Changes (Uploaded on 01/03/19)

    GPC England have secured a state-backed indemnity scheme to cover clinical negligence for all GPs and staff working in NHS GP providers, both in and out of hours, for NHS work, from April 2019. Run by NHS Resolution, this will come at no direct cost to practices or GPs, and will mean no longer pay spiralling subscriptions.

  • Changes to QOF (Uploaded on 01/03/19)

    GPC England have agreed to retire 175 points (from 28 indicators) following extensive analysis of all indicators which identified them as ‘low-value’. 101 of those points will be recycled in more appropriate indicators (15 new indicators) with the remain 74 points creating a new Quality Improvement domain.

  • Clinical Negligence Scheme for General Practice (Uploaded on 01/03/19)

    From 1st April 2019, NHS Resolution will be operating a new state-backed indemnity scheme for general practice in England called the Clinical Negligence Scheme for General Practice (CNSGP).

  • Records and Information Group (RIG) Best Practice Guide (Uploaded on 01/03/19)

    Please find attached a doc which provides a framework of principles to support the sharing of information across Nottinghamshire health and care providers to support direct patient care.

  • Weekly Guidance for GPs and Practices (Uploaded on 22/02/2019)

    Read this week’s latest guidance for GPs and Practices.

    (Uploaded on 22/02/2019)

  • NLMC Checkpoint 2019 doc for Practices

    Nottinghamshire LMC Chief Exec, Michael Wright has put together a ‘Checkpoint 2019’ document which focuses on the General Practice landscape across Nottinghamshire within the context of the NHS Long Term Plan and the GP partnership review.

    The document is available to view and download here: NLMC Checkpoint 2019

  • UPDATE: Firearms information for practices (Oct 2018)

    This guidance is designed to advise doctors on how to respond to the initial general request from police firearms licensing officers.

  • Clinical pharmacists and indemnity

    Latest guidance on indemnity which the pharmacist and the GP partnership, as a provider, would need to consider.

  • NHS discounts
  • Social media
  • GP access
  • Raising concerns

    NHS England has produced guidance on raising concerns for primary care providers following the report of the Freedom to Speak Up review chaired by Sir Robert Francis QC.

  • 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.

  • 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.

  • 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.