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Medicine Supply Chain Issues

Dear %recipient.firstname%, The GPC prescribing policy group lead, Dr Andrew Green, recently met with representatives from the Medicine and Pharmacy directorate, of the Department of Health and Social Care, to discuss medicine supply chain issues. This was a very productive meeting and they...

April / May newsletter

This newsletter includes articles on; General Practice Forward View Performance Matters - Prescribing to Vulnerable Adults PCSE Contact Details Out of Area Registrations Global Sum Funding & Uplift Revalidation Guidance for GPs Electronic Discharge Summaries - ULHT Backlog Learning Disabilities...

Changes to clinical pharmacy criteria

GP practices will find it easier to apply for the clinical pharmacists in general practice programme following the relaxation of criteria. Providers covering a population of 15,000 will be able to make an application for a whole time equivalent clinical pharmacist - previously this had been...

Christmas newsletter

This newsletter includes articles on; Practice Manager's conference Recent LMC work Requests from schools Mental capacity assessments Transitional care / Home First Flu vaccinations Firearms update Dental problems Safeguarding guidance Requests for branded drugs Winter indemnity schemes for...

Clinical Pharmacist Next Wave Application Deadline

This is for practices interested in applying for a clinical pharmacist. Provider organisations can submit applications on an ongoing basis through the clinical pharmacist application portal. The deadline for the next wave of applications is 29th September 2017 all applications must be...

December newsletter

Articles in this newsletter include; International Recruitment Call for Special Conference Improving Communication between General Practice & ULHT Performance Matters - Firearms held ny patients Safeguarding Children Conference Government e-petition to save general practice BMA Survey of GP...

Dispensing List Validation

From time to time NHS Engalnd go through a process of validating the dispensing lists of practices. NHS England will write to your practice with a list of patients that they think you should not be dispensing to. We would encourage practices to check whether you agree with the list the NHSE...

End of Life Care - Updated Guidelines

End of Life Care- updated guidelines and paperwork Identifying patients who are End of Life, and providing anticipatory medications for symptom management, are important roles for general practice. The LMC has been working with St Barnabas Hospice, MacMillan nursing, Marie curie, and other...

Gillick-Fraser Competence

GPs frequently see patients who are aged under 18 years of age without the parents being present. If the GP decides to treat these patients without parental knowledge or consent parents may complain about the doctor's actions. It is thus essential that all GPs understand the rules and guidelines...

Handwritten Prescription Requests

Patients frequently attend practices with hand written prescription requests which were issued to them in outpatient clinics. These requests are often illegible, and rarely have enough information for us to safely prescribe. To this end practices have to delay prescribing to get clarity. The...

Hepatitis B Immunisation

GPs are often requested to give hepatitis B immunisation covering three broad areas; for travel for occupational health lifestyle risk or medical conditions Travel Hepatitis B immunisation for travel is not remunerated by the NHS as part of additional services. However, the regulations do not...

Identifying Overseas Patients

The new GMS1 form has sections on it for patients to complete regarding their country of origin and details of EHIC or PRC card. All patients, irrespective of their country of origin, are entitled to free access to general practice services. However, secondary care services are not free to all...

Lessons Learnt

The LMC have been asked to share some lessons learnt from recent Serious Incidents which have affected Lincolnshire patients. Missed diabetes in a child A parent contacted a surgery using an online consultation platform advising that her child had started to wet the bed after having been 'dry'...

Medication Administration Forms - update

Over recent times the LMC has worked to reduce the administrative burden for GPs and other practice staff. One of the changes which we have been able to instigate is regarding Medication Administration Forms (MAF). We had agreed with LCHS that when medication needed to be administered to a...

Medication for Schools

From 1st Oct 2017, schools can purchase their own supply of an Epi-Pen to use in an emergency when the child's own injector is not working. Schools have been able to purchase their own supply of a Salbutamol Inhaler for a couple of years now. Please click on the attachments above to view the...

Medication Reviews & Repeat Prescribing of Potentially Harmful Drugs

Medication Reviews Medication and prescribing errors can cause significant patient harm, and thus can lead to complaints and referral to the Practitioner Performance Team (PPT) or GMC. When these complaints are investigated, the PPT will look at the index case, and also at the records of...

News

CQC seeks views on next phase of regulation The Care Quality Commission (CQC) is consulting on a further set of proposals which will help shape the next phase of regulation for health and social care across the country. The proposals include: Changes to the regulation of primary medical...

Newsletter

Practice In Touch Practice In Touch is the Lincolnshire LMC newsletter. The newsletter is sent out on a regular basis to all GPs & practices in the county. If you do not currently receive a copy of our newsletter & would like to subscribe, please email rosa.larner-peet@lpft.nhs.uk to be added...

NHSE guidance on prescribing over-the-counter medications

In March NHSE published guidance regarding the prescribing of OTC medications. This guidance suggests that the NHS could save £100m per year if medications available OTC were not prescribed. In many circumstances it is appropriate to encourage patients to purchase their own medications, and for...

Performance Matters

The LMC is regularly involved in representing and supporting doctors who have been identified as having 'performance' issues. The LMC has identified a number of themes which recur, and this regular feature from our newsletter will highlight these, so that our members can avoid these...

Prescribing Antivirals to Patients in Care Homes

Practices are NOT required to prescribe antivirals to patients in care homes at risk of influenza The LMC has provided guidance regarding antivirals in care homes in the past, and we understand that some practices have again been asked by Public Health to do this. Our advice remains the same,...

Prescribing in General Practice- BMA Guidance

The BMA has just published guidance for general practice regarding many areas of prescribing practice. This document answers many questions which GPs and LMCs have had regarding prescribing. The guidance is available in the attachments at the top of this page and on the BMA website . Of...

Prescribing of cannabis-based products

The new regulations to widen the availability of cannabis-based medicinal within the NHS came into effect today, 1 November 2018. Prescribing is restricted to a doctor on the GMC specialist register prescribing within their field of expertise where the cannabis-based product is an unlicensed...

Prescribing to Vulnerable Adults

A vulnerable adult is defined in 'No Secrets‟ Governments Guidance of Adult Abuse as: 'someone who is aged 18 and over, who is or may be in need of community care services by reason of mental or other disability, age, or illness and who is or may be unable to take care of him/herself and...

Treatment of Dental Problems

Patients presenting with possible dental problems This guidance informs GPs of their obligations to patients either requesting emergency dental treatment or asking for an NHS prescription for drugs recommended by private or NHS dentists. It is aimed at all GP’s including out of hours...

Withdrawal of Generic Drugs

This alert comes from Andrew Green, GPC representative for East Yorkshire and Lincolnshire: Please be aware that following quality assurance issues a range of generics are being withdrawn across Europe. It is very difficult to know whether this will have an impact on GPs as that will depend on...