Advice on 1st October Contract Changes 
All our guidance on the contract updates can be found on our dedicated web page: Contract Updates – Humberside LMC. This includes our original advice on the changes here, and our advice on how to respond to a request for compliance details here.

We also have an LMC podcast available which runs through some common queries we've been responding to and what practices need to to to comply - listen here or search on Apple or Spotify podcasts. The BMA's information, including details of their dispute with the government over the changes, can be found here. 

Review of Local Enhanced Services
HNY ICB is inviting feedback as they review local enhanced services ahead of financial year 2026-27. You are invited to share your thoughts, particularly on any areas where you feel current specifications may require further consideration via a short survey. 

Primary Care Weight Management Service
Humber and North Yorkshire ICB have published details of the new primary care weight management pathway which is now available for referrals. Eligibility criteria are set by NHS England and for the first cohort, the eligibility criteria are:

        ➢ Atherosclerotic cardiovascular disease (ASCVD)

        ➢ Hypertension

        ➢ Dyslipidaemia

        ➢ Obstructive Sleep Apnoea (OSA)

        ➢ Type 2 diabetes mellitus (T2D)

Tirzepatide should only be prescribed in line with the Humber and North Yorkshire Area Prescribing formulary status, i.e., tirzepatide (all strengths) pre-filled pen devices for subcutaneous injection for overweight and obesity is approved as ‘red-specialist use only’, as part of an ICB-approved commissioned service – the model described above is the current ICB-approved commissioned service. 

Eligible patients can self-refer to the service using an online self-referral form – this is the preferred option. GP practices can also refer eligible patients via a referral form on GP computer systems via Ardens. Full details can be found in the update announcement from HNY ICB.

NHS Pension Scheme: End of Year Type 2 Certificates 2024/25
GPs are now encouraged to submit their Type 2 End of Year certificates for 2024/25 to PCSE. Early submission helps ensure pension records are updated in good time and allows any issues to be resolved well before the deadline. Please look out for an email from PCSE no-reply@pcsengland.co.uk with the subject ‘Your NHS Pension Record – Action required’.

Referrals to Community Urgent Eyecare Service (CUES)
We've been asked to remind GPs of the referral route to the Community Urgent Eyecare Service (CUES), an NHS service provided by accredited optometrists which provides urgent assessment, treatment, or referral for sudden onset eye problems such as flashes, floaters, vision loss or minor eye injuries. Patients should self-refer into the service by contacting the participating optical practice of their choice to make an appointment. Download further details on CUES which includes a link to access an online tool to find a participating optical practice. 

OpenSAFELY
Practices using EMIS Web (Optum) and SystmOne (TPP) should continue to accept the Data Provision Notice (DPN) for OpenSAFELY to allow expansion to non-COVID-19 analyses. 

OpenSAFELY has the full support of GPCE and the Joint GP IT Committee. It is a legal requirement for practices to accept the DPN. Data will only be made available under the legal direction once the practice has signalled approval. Following practice feedback, JGPITC is working with NHS England and hopes to simplify the work needed by practices with regard to completing a DPIA. Further information will be shared in due course. Official information on how to active the service is available here. 

LMC Jobs Page
A reminder that practices in the Humber area can post their GP and practice manager vacancies free of charge on the Humberside LMCs Jobs page. Complete the online form to submit a vacancy.

The LMC is working with Chase de Vere, specialist independent financial advisers to host this free webinar which will explain the basics of the NHS Pension Scheme including contributions, the annual allowance, pension benefits, followed by Q&A. More details and online booking here. 

External Events
Our external events page features a range of forthcoming events for general practice colleagues. Events currently open for bookings include: GP study day events on diabetes and dermatology; antimicrobial stewardship for nurses; and a webinar on childhood obesity on Hull. 

NHS General Practice IT Systems Survey
The BMA has launched a clinical systems survey for general practice, designed to understand how digital tools are working across general practice. The survey is open to all staff working in general practice who use clinical systems. It runs until 16 November 2025. Take the survey. 

General Practice Workforce Pressures
The latest GP workforce data showed that in August 2025, England has the equivalent of 28,408 fully qualified full-time GPs. While there is a general rise in FTE GPs since July 2023, GP practices still employ the equivalent of 957 fewer fully qualified full-time GPs than in September 2015.  

At the same time, there continues to be an increase in the number of patients, and GPs are now responsible for about 16% more patients than in 2015. Despite this, over 27 million standard appointments were delivered in August, with an average of 1.36 million per working day, which is an increase from August 2024 (1.32m) and August 2023 (1.29m). Read more in the BMA's pressures in general practice data analysis.  

GP Premises Survey 2025: Summary of Findings
The BMA’s latest survey of nearly 2,000 GPs and Practice Managers reveals serious concerns about the state of GP premises in England. Half of respondents say their buildings are unsuitable for current needs, and over 80% say they won’t meet future demands. Space shortages are affecting staff wellbeing, training, and the integration of new roles under Primary Care Networks within practice teams. A quarter of respondents reported having been invoiced with inaccurate service charges and less than half of these described the charges as ‘resolved’. Read the full results and our recommendations here.

GPC Update
The GPC publish regular updates for LMCs, covering contractual issues, policy, news updates and more. Read the latest updates, published fortnightly by the GPC.