22 September 2013

Latest GPC News Sept 2013

Contents Include: Click here for full document

With note regarding collaborative fees, the LMC are trying to clarify the situation with our Area Team and will inform you when we hear.

GPC Contract Survey....

results now available. See here for more..

NHSmail for Sessional GPs

We have been informed of forthcoming changes to NHSmail accounts for sessional GPs that are currently linked to their previous PCT. We have sought clarification from the NHSmail team at the Health and Social Care Information Centre, and they have provided the advice below:

If you are a sessional/locum/salaried GP and require an NHSmail account for securely exchanging data, please contact the GP practice NHSmail Administrator for which you carry out most work. The Administrator will need to liaise with the CCG Local Organisation Administrator (LOA) to request an account is hosted and administered via the GP Practice on your behalf.

If you work across several GP practices on a regular basis, it may be more appropriate to have your account hosted and administered by the CCG. If this is the case, please contact the Local Organisation Administrator (LOA) in your local CCG, who can normally be found via the IT department.

If you have any issues registering an NHSmail account please email

GP Practice Visit Scheme

There has been considerable press coverage of the BMA’s GP practice visit scheme for MPs in recent weeks. Since June 2013 the BMA has invited MPs to come and see firsthand the day-to-day workings of a GP practice and understand the pressures GPs face.

A total of 100 MPs from across the political spectrum have accepted the BMA's invitation, including Shadow Chancellor Ed Balls, Speaker John Bercow, and former Health Secretary Andrew Lansley. To find out more and to see whether your local MP has accepted the BMA’s invitation, please see:

MMR, Childhood flu and shingles

The FAQs on MMR, Childhood flu and shingles have all had the following FAQ added to them

Where a practice has been using Read codes not included in the service specification, guidance and audit requirements or Business Rules for enhanced services and vaccination programmes, are practices expected to re-code patients?

Yes, all services being supported by CQRS, require that practices who intend to participate in these services record their achievement in the clinical systems using the appropriate Read codes. This should be recorded using the relevant Read codes in the service specification, guidance and audit requirements or Business Rules from the date those services commence. As such, practices would need to re-code using the relevant codes.

Enhanced Service FAQs

FAQs on the four new enhanced services are now available on NHS Employers’ website. They can be found here:

Collaborative Fees

Following changes to the NHS in April 2013 there has been confusion amongst doctors, Local Authorities, Area Teams and CCGs as to who is now responsible for payment to doctors for work that falls under the term collaborative arrangements (including Mental Health Act and child protection work).
Following pressure from the BMA's General Practitioners and Professional Fees Committees, NHS England has now confirmed with us that Area Teams, pending the development of more consistent future arrangements, have been told to maintain any arrangements for collaborative fees that were previously managed by PCTs. Where it is clear that PCT funding for collaborative arrangements was included in CCGs’ budgets it will be for CCGs to manage the payments, but otherwise this is a matter for Area Teams pending the development of a longer term solution. Where local authorities have previously made direct arrangements for collaborative fees (rather than going through PCTs), these arrangements should continue. GP Practices and Local Medical Committees may wish to contact their Area Team for clarification of arrangements within their local area. NHS England will shortly be conducting an audit into the legacy arrangements for collaborative fees. They will also be seeking to agree with local authorities, in advance of the next financial year, a more consistent approach to collaborative fees that takes the outcome of the audit into account.