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Newsletter - October 2024 |
Welcome to our latest newsletter. This month, as practices continue to take collective action, we have an update and advice on unfunded work. Our interface update has some positive indications of the impact collective action is having. There's also news on GPs and the ARRS scheme, and an offer of support for practices affected by the riots earlier this year.
Contact the LMC with your queries via humberside.lmcgroup@nhs.net. |
Collective Action UpdateThank you to every practice now taking part in collective action to protect patients and practices. Practices can continue to take action using the safe sustainable action menu. It is up to each practice to choose which actions to take, and whether to do one, or many. None of them represent a breach of your contract, but they will help you manage your workload and keep you and your patients safe. The BMA have released a new short video on unfunded work. GPs are asked to consider serving notice on any voluntary services currently undertaken that plug local commissioning gaps and stop supporting the system at the expense of your patients, practice and staff.
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Focus On... The Role of the LMC part 2
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Dr Zoe Norris, Chief Executive Medical Director, continues a series of posts on the LMC.
Our work is probably evenly split at the moment between direct practice support – queries from GPs or practice managers, and system support. While Dr Rolan Schreiber, our Medical Secretary, tends to lead on clinical queries or pathway issues, I spend more time doing the contractual queries, partnership difficulties, or support for colleagues with complaints or performance issues.
We attend meetings with all our PCN Clinical Directors across the Humberside region, and link into the primary care collaborative and ICS primary care executive. Both of us then attend meetings to represent our practices at system level, that is within our 4 “Places” (North Lincs, NE Lincs, Hull and ERY) and with the wider Humber and North Yorkshire ICS.
Some of these meetings might be around patient removals, list closures or allocations, or quality concerns. Others are broader around outpatient transformation programmes and the strategic direction of the ICB. At all of these, our role is to make sure general practice isn’t forgotten. It’s to remind people that there are a range of practices and PCNs, of different sizes and make-ups who are all working incredibly hard trying to look after their patients.
We spend a lot of time explaining how the GP contract works, and reminding system partners that our practices are small businesses with personal liability and no chance to overspend their budget! There is a lot of relationship building that goes in, and we try to be seen as a firm but fair critical friend to the system. This means that our concerns are taken seriously, and the door is open at the early stage of any change for us to articulate the impact on general practice of an idea from another part of the system.
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Support Offer from Humberside LMCs - Response to August 2024 Riots Affecting General PracticeThe LMC are in receipt of some ICB funding specifically earmarked to support practices that were affected by the far-right rioting and domestic terrorism that mainly occurred in Hull, but also spilled out into Grimbsy and Scunthorpe, back in August of this year. These events had both a direct impact on colleagues from minority backgrounds, and created wider distress amongst staff who live and work in those areas. It was recognised that there was a lack of immediate and tailored support and education that could be offered, and that the impact on staff extends beyond the short term. Our funding means we are able to offer two types of support – the first is aimed directly at minority colleagues, and the second is aimed at wider team support & training. If you feel that your team has been affected in this way and would benefit from some support, please get in touch with us directly and we can discuss your requirements and what is available in more detail. This funding is limited and so if you are in need, we would urge you to contact us as soon as possible for a discussion - email humberside.lmcgroup@nhs.net.
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Interface UpdateInterface Officer Simon Nichols continues to assist practices with interface issues. This month's update includes: - The impact of collective action
- Midwifery requests
- MAR charts
- DEXA scan requests
- Pathways
Click below for the latest interface update. Contact us with your interface queries at humberside.lmcgroup@nhs.net.
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GP Additional Roles Reimbursement Scheme (ARRS)The updated PCN DES bringing in the GP ARRS was released this month. GPs employed via the Scheme must be within 2 years of their CCT on 1/10/24 and PCNs will be required to provide terms no less favourable than the BMA salaried GP model contract, in line with the GMS/PMS contract. GPC England and the Sessional GPs Committee have released guidance for PCNs, and individuals employed under this scheme. It can be found here.
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Free eLearning Module - Tourette SyndromeThe charity Tourettes Action has launched a new learning module, developed with clinicians, to learn what Tourette syndrome is, the symptoms of the condition, co-occurring features and differences that accompany it, differential diagnosis and support and specialist input. This course is aimed primarily towards GPs. The course can be found on their website here or the NHS learning hub here.
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Community Urgent Eyecare Service (CUES) The Community Urgent Eyecare Service (CUES) provides urgent assessment, treatment or referral for sudden onset eye problems such as flashes, floaters, vision loss or minor eye injuries. Patients should be signposted to the CUES website https://primaryeyecare.co.uk/services/urgent-eyecare-service/ to find a local optometrist practice.
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GPMPlus Courses As we shared recently, GPMPlus are winding down their commissioned services due to loss of funding, but there are still a number of courses available between now and the end of the year. Places are limited so you are urged to book as soon as possible - view courses here. This is one of the courses still available: New to General Practice Partnership, Thursday 7 November, 09:30-11:30Becoming a practice partner can be a daunting decision to make. Or being a new partner and being faced with running a business and taking full responsibility can also be very challenging. - Understand the benefits and responsibilities of being a partner.
- To have greater understanding of the finance and business aspects of partnership
- To develop the practice as a team with effective communication.
- To have a greater understanding re processes and systems and how to manage change.
- To stress the importance of self-care and team resilience.
- To have effective clinical and non-clinical governance strategies.
Fully funded places available. For more information or to book a place (first come, first served), please click here. This course is facilitated by experienced GP partners and partner practice managers and is an interactive two hours, which includes several exercises for you to explore your own learning needs and allows you to take ideas and actions back to your practice for further development.
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Huntingdon's Disease Webinar for GPsFriday 24 January 2025, 13:00-14:00
OnlineA free webinar by the Huntingdon's Disease Association. The role of the GP is crucial in ensuring people living in families where there is Huntington's disease receive the right support at the right time. Providing the right care for people with Huntington's disease can be challenging, as needs change throughout the course of disease progression. Support also needs to be given to family members who are at risk of inheriting the gene and may be considering being tested to see if they too will go on to develop symptoms. At the moment there is no cure. Speakers: - Dr Nayana Lahiri, Consultant Clinical Geneticist, St Georges University Hospital - how to support Huntington's disease family members around questions of genetic testing and having children.
- Dr Marianne Novak, Consultant Neurologist, St Georges University Hospital - supporting your Huntington's disease patients to manage their symptoms.
More information and online booking: Huntington's Disease Association - Supporting people in Huntington's disease families: a webinar for GPs
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GP Forum Study DaysPlaces are still available on the following primary care programmes. Certificates of attendance will be issued and the sessions are free to attend. Musculoskeletal - Thursday 14 November 2024, 11:45-16:00
The Pelham Suite, Cambridge Road, Grimsby DN34 5SZ
Contraception and Sexual Health - Wednesday 4 December 2024, 11:45-16:00
Mercure Grange Park Hotel, Willerby HU10 6EA Full details including how to book your place can be found on the GP Forum study days flyer.
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10th Biennial National Meeting on HeadachesWednesday 22 - Saturday 25 January 2025
Lazaat Hotel and Restaurant, Wood Hill Way, Cottingham HU16 5SX The 10th Biennial National Meeting on Headaches, organised jointly by the British Association for the Study of Headaches (BASH) and the department of neurology under the auspices of International Headache Society (HIS), is taking place over 4 days from the 22nd-25th of January. The meeting runs for four days. - Wednesday is for specialist nurses and general practitioners
- Thursday and Friday for all healthcare professionals
- Saturday is general public/patients
The meeting attracts 16 External CME credits by the Royal College of Physicians (code 148501). Programme: Hull-BASH-programme-2025-correctedpdf.pdf Online registration: Events - BASH
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BMA GP Opinion Survey 2024This annual survey gathers GPs’ views on current issues and opportunities facing general practice, helping to influence and inform this year’s contract negotiations in addition to the longer-term strategy of promoting and protecting the future of general practice. The survey is open to all GPs in England, including partners, salarieds, locums, and GP registrars at ST3 and above. It is open to GPs working in all settings and practices, wider primary care roles, trusts, urgent care, and secure or out-of-hours settings. Participants do not need to be a member of the BMA but will need a GMC number to ensure that responses are coming from eligible GPs based in England. All responses will be anonymised. The survey will close on Monday, 11 November at 09:00. Take the survey here: https://www.research.net/r/FP9JLQJ
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BMA Sessional GP NewsletterThe sessional GPs committee of the BMA have published their latest newsletter which includes updates on: - GP unemployment
- GPs in ARRS
- Salaried GP earnings and expense report 22/23
- Sessional GP employment by integrated care boards
- Sessional GPs conference recap
Read the BMA sessional GP newsletter.
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Make Savings on Products and Services via LMC Buying Group Approved SuppliersThe LMC Buying Group has an impressive list of suppliers that cover a variety of products and services, from stationery and office equipment to medical consumables and confidential information shredding. They regularly identify savings between 20% and 45% made on office items from our supplier, Whittaker Workplace Solutions. They can supply your practice with everything it needs to run smoothly, including stationery and office products, catering and cleaning supplies and printer cartridges. To order from them, you can phone, email, fax or order online at all times. If you are looking for a company that can provide confidential information protection and secure document shredding, hard-drive destruction and associated recycling services, the Buying Group have the perfect supplier for you. Through Shred-it’s partnership with the Buying Group, all members can access 50% off standard rates. Shred-it supplies their services to organisations of all sizes in the private, public and third sectors. To access the discounts, you would have to sign up with the Buying Group. Membership is completely free for practices. For those of you who are already members, accessing these discounts is incredibly simple, all you have to do is visit the Buying Group's website and click onto the supplier page you are interested in.
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NHS Pension Scheme Awareness Session: Administering Employee AbsencesTuesday 5 November 2024, 09:30-11:00
OnlineThis session will explore the influence of the scheme on absences highly likely to occur during your financial year. It will clarify the impact of absence(s) on both employee and employer contributions and scheme membership. It will also explore the influence of your payroll system including how to assess existing levels of autonomy to ensure you are administering the scheme correctly. Cost of session: £15.00. More information and online booking: NHS PENSION SCHEME: ADMINISTERING EMPLOYEE ABSENCES Tickets, Tue 5 Nov 2024 at 09:30 | Eventbrite
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New Dispensing FeescalesThe new dispensing feescales for England and Wales, effective from 1 October 2024, have been published, showing a reduction in the average dispensing fee to 218.7p per item (average), a decrease of 0.2p compared with April 2024. This reduction is based on a new methodology designed to further smooth out the fluctuations seen in the previous biannual fee adjustments. Dispensing fees are intended to cover the costs of running a dispensary, including staff expenses. However, from April 2025, the average fee is set to reduce further by 5.37p per item (on average) to 213.3p (compared to the October 2024 rate). This continued downward trend may prove to be a tipping point for some dispensing practices, as the cumulative impact of underfunding in rural practices takes its toll. GPC England continues to work closely with the Dispensing Doctors Association; both organisations recognise and promote the value of dispensing practices to their patients and within their communities.
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LMC Jobs PageA 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.
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HNY Primary Care Workforce and Training Hub All the latest opportunities available via the hub can be viewed on their news feed. Opportunities available this month include: - CPD Funded Training 2024/25 - For Nurses, NAs & AHPs
- Upcoming BiteSize CPD Webinars - For Nurses, NAs & AHPs
- NHSE NEY Advanced Practice Funding Applications 2024/25 - Portal Reopened for Applications
- Advanced Practice - Upcoming Educational Events and Conferences
- Apprenticeship Updates
- NHS England Apprenticeship Levy Transfer Service
- NHS England funds access to software that supports functional skills learning (until March 2027)
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GPMPlus Courses in NovemberDuring November, GPMPlus are offering a diverse suite of courses, ranging from: looking at the importance of building the culture and values within your practice, to understanding neurodiversity in the workplace, to preparing a five-year business plan for your practice. As we advised last month, GPMPlus are winding down their training programme but at the time of writing the following courses all have small numbers of places available - book your place ASAP if interested. View the full GPMPlus programme for November and December 2024. Courses can be accessed free of charge, thanks to funding from NHSE (optional charitable donation of £10). They are delivered by experienced GPs and practice managers. Team Values and Culture, Tuesday 5 November, 09:30-11:00 - more detailsTiny Habits for Wellbeing, Wednesday 6 November, 12:30-14:00 - more detailsNeurodiversity, Friday 15 November, 09:30-11:00 - more details1/3/5 Year Business Planning, Tuesday 19 November, 09:30-11:00 - more details Financial and Business Resilience, Wednesday 20 November, 14:00-15:30 - more details
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Humberside LMCs and the NHS People Promise - Practice Nurse Forum We held our first virtual forum for practice nurses from the Humber area at the beginning of the month. We were delighted with the attendance and engagement and really look forward to working with practice nurses over the coming months. We will be joined by Dr Aarti Bansal, GP and Clinical Net Zero Lead for Humber and North Yorkshire ICB for our next forum on Tuesday, 10 December, 12:30 to 13:30. Join the forum via MS Teams. We’re also working with practice nurses to create an agenda for a face to face event in the spring, updates to follow. The People Promise is an NHS England initiative to improve the experience of working in the NHS for everyone. You can find a brief overview of The People Promise here. For further information, contact us via humberside.lmcgroup@nhs.net
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Discovering a Career in General Practice Nursing - Fully Funded Training Discovering a Career in General Practice Nursing is a single module available to nurses or nursing associates, either qualified or in training, who are looking for a real kickstart to their career by providing information and insight into the role of a General Practice Nurse. This online module is offered through the University of Cumbria and fully funded by HEE for students residing in England. . This fully funded, distance-learning course is tailored to those looking to develop their nursing career and is especially suited to individuals who may be exploring other opportunities within the sector to accommodate work-life balance objectives.
Start dates: 13 January 2025 10 March 2025. The module is offered as:
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We Need to Talk ConsultationThe local NHS across Humber and North Yorkshire has launched We Need to Talk – a conversation with people through social media and in-person focus groups about the future of the NHS in our area. The process will lay bare some of the difficulties faced by the NHS, whilst giving people an opportunity to signal how they might want the NHS to change to meet the challenges of today and the demands of the future. In a snap poll carried out by NHS Humber and North Yorkshire Integrated Care Board (ICB) ahead of the public engagement, almost 63 per cent of the 428 people who responded said the NHS needed to change. There's further information about We Need to Talk and details of how people can get involved in the conversation at www.ourNHS.org as well as a link to a short survey.
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Free Online Conference - Supporting Male Victims of Domestic AbuseWednesday 13 November 2024, 09.30–12.30
Via ZoomThis is the twelfth annual national conference on male victims of domestic abuse hosted by the charity ManKind Initiative. It will focus on: - Latest academic research
- Hearing directly from two male survivors about their experiences
- Learnings and conclusions for Domestic Abuse Related Death Reviews featuring male victims (the new name for Domestic Homicide Reviews)
For more information and online booking visit the conference website.
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GP Contract Changes and Implementation
The following elements have been uplifted from this month: Global sum has been uplifted to £112.50 per weighted patient for GP practices to implement the DDRB uplift. Locum reimbursement rates have increased, along with the pay elements of workforce-related transformational funding.
From 1 October, newly qualified GPs can be recruited as part of the additional roles reimbursement scheme (ARRS) and PCNs can request the funding as outlined in the updated PCN contract DES (see above). In addition, three other PCN funding streams have been increased to reflect the DDRB uplift: core PCN support, the care home premium service and the enhanced access service. The maximum reimbursement rates for existing ARRS staff have been uplifted with effect from 1 October to align with Agenda for Change pay scale uplifts.
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GP Registration GMS1 Form Phased Out‘Register for a GP surgery’ is a free service for GP practices across England which simplifies online patient registrations. All GP surgeries in England must offer the national service from 31st October 2024. As part of this change, the GMS1 form will be phased out and replaced with a new paper registration form (PRF1) for those patients who are not able to register using the new digital service. The PRF1 reflects the new online registration form that has been developed. The GMS1 form will not be available to order from the PCSE website from 31st October 2024. More details: Register with a GP surgery service web page.
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Vaccination Data Dashboard – Winter 2024 Campaign UpdateThe Vaccination Data Dashboard has been updated to support the main launch of the autumn/winter Flu and COVID-19 campaigns, alongside co-admin capabilities. This provides GP surgeries with a view of their eligible patients, national invite status and their seasonal vaccination status to support local call and recall. For guidance on access, setup and functionality refer to the Vaccinations Data Dashboard homepage.
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Frontline Healthcare Worker Winter Vaccinations Eligible frontline health and care professionals may be offered a COVID-19 vaccination by their employer or can book a vaccination appointment online. The seasonal flu vaccine is available to all eligible frontline healthcare workers, including clinical and non-clinical staff, through their employer. Find out more in the seasonal vaccination letter. Communications materials to support winter vaccination uptake for frontline healthcare professionals can be downloaded from the Campaign Resource Centre. Posters can be downloaded from the Campaign Resource Centre for practice use to encourage staff to have winter vaccines.
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Latest Free Cancer Champion Awareness Sessions Announced1 in 2 people will develop cancer at some point in their life. Being aware of the signs and symptoms of cancer and detecting it early can save lives. The Humber and North Yorkshire Cancer Alliance’s free cancer awareness sessions can teach you about what to look for, cancer prevention, the national cancer screening programmes, and much, much more. Dates for sessions – virtual part one (one and a half hours) - Monday 4th November, 11:00-12:30
- Wednesday 13th November, 09:30-11:00
- Friday 22nd November, 13:00-14:30
- Thursday 28th November, 10:00-11:30
- Tuesday 3rd December, 11:00-12:30
- Wednesday 11th December, 13:00-14:30
Book your place on Eventbrite.
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GP Pressures: Latest Workforce and Appointments DataGPs continue to treat many more patients than they have done in the past. The latest data shows a record 63.47 million patients registered with practices in England, while there are over 1,000 fewer GPs compared to 2015. As a result, each full-time equivalent GP is now responsible for an average of 2,282 patients, 345 (or 18%) more than in 2015, and appointments level at an average of almost 1.5 million per day. All of this puts staff at your GP surgery under immense strain, with knock-on effects for patients. Learn more about the pressures on general practice.
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CPD Funded Training 2024/25 - Nurses, Nursing Associates & Allied Health Professionals HNY Primary Care Workforce and Training Hub Team have shared details of 2024/25 CPD funded training available for eligible individuals (nurses, nursing associates, and allied health professionals) in general practice in Humber and North Yorkshire. Full details can be found in the collated training brochure.
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GPC UpdateThe GPC publish regular updates for LMCs, covering contractual issues, policy, news updates and more. Read the latest updates, published fortnightly by the GPC.
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LMC Gender Prescribing Summary Updated We've recently updated our summary of of guidance on managing gender incongruence in primary care. As a continually evolving area of medicine, colleagues in primary care may find the existing guidance difficult to access during the busy working day when patients are presenting for care. We compiled this document based on common FAQs directed to us by constituent GPs and practices. Download gender prescribing summary.
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Pelvic Organ Prolapse – Is Self-Management an Option?
This NB Medical Education article follows research funded by the NIHR and led by the University of Stirling which is the first to look at self-management of pessaries for prolapse.
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Humberside LMCs
Suite 1 Parkgate House, Hesslewood Office Park, Ferriby Road
Hessle
East Yorkshire
HU13 0QF
United Kingdom
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