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Performance Matters

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...

Back Pain in the Older Patient

Back pain is a very common problem for general practice patients, and most of the time it does not have a sinister cause. However, at recent serious case reviews there have been a number of cases where back pain in older patients has been the first presentation of more sinister diagnoses. When...

Blood Test Results

We all receive, deal with, and file, hundreds of blood test results every week. In the vast majority of cases this is a seamless and uncomplicated process. However, over recent months a number of cases have been discussed at performance panels where the main concern has been due to incorrectly...

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...

Commonly Missed Diagnoses

We all know that we make mistakes, and we learn from these mistakes. We also know that we are likely to miss certain diagnoses. The Practitioner Performance Team is, thankfully, realistic about this, and supports GPs who miss uncommon diagnoses. However, when doctors miss common diagnoses they...

Consent

Not getting adequate consent is the fourth most common cause for medical indemnity claims[1]. It also accounts for high proportion of the cases which are taken to the GMC and local Performance Groups. When consent is not adequately obtained, and a claim arises, 75% of claims are settled...

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...

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...

Interruptions

It is well documented that interruptions during consultations are upsetting to both doctors and patients. About 10% of GP consultations are interrupted for one reason or another. When surveyed, patients felt that over 50% of these interruptions were unnecessary, and 20% felt that the...

June / July newsletter

This newsletter includes articles on; LMC Conference Performamce Matters - Gillick-Fraser Competence LHAC Care Portal Quality First - Managing workload GPC Update on Capita/PCSE SystmOne QRISK error Firearms update Coroners office GPC Newsletter GPs as Occupational Health Physicians Articles...

LMC Newsletter - December

This Newsletter contains articles on: SNOMED CT Coding Clarification on the 14 Day Rule for Medical Certificate of Cause of Death (MCCCD) and Cremation Forms Clinical Peer Review Lincolnshire Vacancies GDPR As well as other useful and interesting articles. Please note, articles are correct at...

LMC Newsletter - Practice In Touch - Jan 2020

Please see the latest edition of the Lincolnshire LMC Newsletter, Practice In Touch, attached. Included in this newsletter are articles on: Performance Matters Proposed Changes to Chlamydia Screening Programme PCSE Online Update Lincolnshire Training Hub Update SystmOne - QOF Personalised...

March newsletter

This newsletter includes articles on; General Practice Crisis Meetings Private Administration of Men B Vaccinations Performance Matters - Sepsis GMS Contract Changes 2016/17 Publication of GP Earnings DNA-CPR Countywide Policy Zika Guidance for Primary Care Improving Communications between...

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...

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...

November newsletter

This newsletter includes articles on; Marketing Lincolnshire General Practice - BMJ Careers Fair Performance Matters - Back Pain in Older Patients Department of Works & Pensions (DWP) Consent Patient Registration for GP Practices CQC Registration Doctors Health Intranasal Influenza...

Parental Responsibility

A recent safeguarding Serious Case Review (SCR Family V, published on the Lincolnshire LSCB website) highlighted the importance of knowing who has parental responsibility for a child. In this case, a man had repeatedly taken a child to multiple medical appointments, and the child had received...

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...

Performance Matters - Clinical Coding of Chronic Disease Reviews for QOF

Recent CQC visits to practices, and post-payment visits (PPVs) by CCG and NHSE have highlighted that there are wide differences from practice to practice in how chronic disease reviews are coded for QOF. It is important that practices carry out comprehensive chronic disease reviews for patients,...

Performance Matters - Exposure to Blood Borne Viruses (BBV)

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 will highlight these, so that our members can avoid these pitfalls. Exposure to Blood...

Performance Matters - Unwell Children

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 will highlight these, so that our members can avoid these pitfalls. Unwell...

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...

Reducing the burden of Appraisal

NHSE have recently changed the focus of GP Appraisal. The new focus is aimed at being more developmental and less bureaucratic, so that less time needs to be spent preparing for appraisal. NHSE has circulated a document which sets out the changes; this document can also be found in the...

Sepsis

Sepsis is, if you pardon the pun, a hot topic currently. High profile cases and pressure from groups such as Sepsis Trust UK have pushed sepsis up the political and performance agenda. This higher profile, and a number of recent performance cases, has prompted us to encourage practices to have...

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...