Avon LMCs Newsletter on 04-09-24

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The ALMC Newsletter

Welcome to our weekly newsletter, sharing the latest news and topics of interest for practices.

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– LATEST NEWS –

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I don’t know about you, but I am delighted about the end of the school holidays. Don’t get me wrong, it was lovely to spend time with my kids on holiday, but now I just want my evenings (and house) back.

This is my last push to you all to ensure we have representation from every single practice for the LMC Members’ event next Tuesday 10th September. For ease, I am sharing the registration link within this newsletter, but we only have the capacity for a maximum of two representatives from each practice (Larger multi-practice GP Partnerships have can have two representatives from each of their practices to reflect the need for their larger voice) This is a really important meeting for us to discuss how to act collectively within BNSSG in order to tackle the workload and funding challenges within general practice.

This week I completed my first Medical Examiner process which was very fortunate as this process is to be mandated from 9th September. Although it takes about half an hour to consolidate all the relevant information, it will save time when completing the MCCD. The information shared within Remedy and the Dummies guide (embedded below) was helpful to assist me through this process. Eventually, we will also have electronic MCCDs, and not a moment too soon in my opinion, because I find paper so wasteful and antiquated.

“There is nothing permanent except change” – Heraclitus

Dr Shaba Nabi
Chair Avon LMC

This is your last chance to register for this event taking place face to face at BAWA. The venue is easily accessible from the M4/M5 motorways and plenty of free parking for two representatives from each practice.

Thank you for completing the registration form for attendance.

Please complete the registration form if you would like to attend the AGM.

The Medical Examiner System will become mandatory from the 9th September and you will no longer be able to write a death certificate without going through this process.

Here is a useful “dummies” guide on how to navigate the process, with thanks to Dr Andrea Priestley from Charlotte Keel Medical Practice. Please click the link for CKMP Medical Examiner Service.

Here is a reminder from One Care of how to navigate this new process:
Please click the link here.

Here is a video outlining the new process, with thanks to Dr Hussain Gandhi. (Dr “Gandalf”)

We appreciate your feedback following the Lead Nurse Community of Practice meeting and the subsequent communications regarding prescribing processes. In hindsight, we realise we underestimated the impact of raising this issue at that time and have reflected on it as a team. Whilst we still believe it was essential to highlight the issues we identified; we recognise that it may have been more effective to explore potential solutions first.

Since the meeting, progress has been made in addressing the raised concerns, and exploring ways that practices may implement these changes safely. We have collaborated with partners across the system to develop a Prescribing Processes SOP, which aims to provide examples of how practices may implement safe working practices. The first draft is complete, and we are awaiting further feedback before sharing it with a broader audience for review. There is no current timeframe for completion; however, we are treating this as a priority and will endeavour to share it with practices as soon as possible.

Question: Please can you clarify the exact rules around onward referrals from secondary care? Specifically, what are the rules around other health care professionals, such as physiotherapists and dieticians?

Answer: For secondary care professionals (including non-medical health care professionals), this is covered by the NHS Standard Contract of 2024/25 as follows:

• SC 8.2: Responsibility for urgent care must not be handed back to the GP but delivered by Provider if within their scope
• SC 8.3: Responsibility for urgent care needs collaboration with the GP if it is outside the scope of the Provider and Provider must consider other local services to refer in to
• SC 8.4: Responsibility for onward referral for same non-urgent condition lies with Provider
• SC 8.5: Permission of GP required by Provider before onward referral for a different condition

Health care professionals working within the community are not covered by the same contract.

GPC England has taken its own legal advice and confirmed that practices cannot decline this request from NHS England as doing so will risk breaching their contract.

Read the full guidance below
Please click the link here.

https://managementinpractice.com/news/practices-have-lost-tens-of-thousands-of-pounds-due-to-underpayment-for-care-home-patients-igpm-has-revealed/

Avon LMC plans to discuss this with the ICB

• 10th September 2024: Members event for Collective Action – BAWA, 19.00 – 21.00
• 11th September 2024: Motion deadline for England LMC Conference
• 16th September 2024: Virtual Annual General Meeting Avon LMC, 18.30 – 19.30
• 24th September 2024: Virtual LMC drop in, 13.00 – 14.00
• 12th November 2024: Virtual LMC drop in, 13.00 – 14.00
• 22nd November 2024: England LMC Conference – London, all day
• 14th January 2025: Virtual LMC drop in, 13.00 – 14.00
• 11th March 2025: Virtual LMC drop in, 13.00 – 14.00

• Thursday 29 August General practice bulletin (mailchi.mp)
• Tuesday 27 August General practice bulletin (mailchi.mp)

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– LATEST TRAINING AND EVENTS –

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Please see here for event details.
For further information please contact Bnssg.training.hub@nhs.net

• 2 September / Project Management for Clinicians
  Sign Up Form
• 4 September / Introduction to Supervision of Advanced Practitioners
  Sign Up Form
• 12 September / BNSSG Cancer Lead Forum
  Sign Up Form
• 17 September / BCYP EduForum: Antibiotic Stewardship in Paediatrics
  Sign Up Form
• 18 September / Safeguarding Level 3
  Sign Up Form
• 18 September / Pelvic and Spinal Masqueraders
  Sign Up Form
• 19 September / Dermoscopy Training – Part 1
  Sign Up Form
• 25 September / End of Life Teaching Day with Weston Hospice
  Sign Up Form
• 26 September / Introduction to Personalised Care AARS Role and Health Coaching
  Sign Up Form

Please see here for full event details.
For further information please contact Bnssg.training.hub@nhs.net

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