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Doncaster Local Medical Committee Ltd

Oakwood Surgery, Masham Road, Cantley, Doncaster DN4 6BU

Tel: 01302 320010. Fax: 01302 371804

Chair Dr P Wilson │ Secretary Dr D Eggitt

Lay Secretary Jane Torn – www.doncasterlmc.co.uk

UPDATE November 2014

Contents Page

1)  NHS Property Services ‘Standard Lease’……………………………………………1

2)  Friends and Family Test (FFT) materials…………………………………………….2

3)  Patient Online Toolkit……………………………………………………………………2

4)  Ebola Guidance for primary care……………………………………………………...2

5)  Sending documentation to the Area Team………………………………………….2

6)  Christmas Opening………………………………………………………………………2

7)  Department of Transport guidance for healthcare professional on drug driving……………………………………………………………………………………...2

8)  Payment of NHS Pension Scheme Contributions………………………………….3

9)  Maternity Pay for GP Trainees (Registrars)…………………………………………3

10) BMA 2015 research grants for medical practitioners……………………………..3

11) New Guidance on DNACPR………………………………..………………………….4

12) GP practices to be paid £60 for home visits to out of area patients……………4

13) Job Vacancies ……………………………………….……..………………...………...5

14) Welcome & Goodbyes………………………..……………………………………….12

NHS Property Services ‘Standard Lease’

The LMC has be informed that NHS Property Services is circulating a lease that is being framed a 'standard lease' which has the backing of the BMA. Although GPC has had a number of discussions with NHSPS about developing a standard lease, GPC has not agreed to standard lease nor endorsed one.

The LMC is bringing this matter to the attention of practices who are, or may become, tenants of NHSPS.

This notification is particularly relevant for GP tenants of NHSPS buildings currently in the process of negotiating a new lease with NHSPS. If this is the case, we would strongly advise practices not to sign any lease without seeking specialist legal advice first as well as notifying the LMC.

GPC is urgently raising this issue with NHSPS as it was their understanding that a standard lease was not in circulation.

Friends & Family Test (FFT) materials


NHS England has now published a range of materials relating to the Friends & Family Test that practices can use to publicise the scheme. These can be accessed here.
The FFT becomes a contractual requirement for GP practices from 1 December 2014. The GPC, NHS England and NHS Employers have jointly published guidance to help practices with implementation, which can be accessed here.

Patient Online Toolkit

In preparation for the 2015 GMS contractual obligation for GP online services (online appointment booking, online ordering of repeat prescriptions and online access to the summary information from the patient record), NHS England have produces a Patient Online Practice Toolkit. This can be accessed by the following link. The materials are also available on the RCGP website. The interactive toolkit provides guidance to practices on getting started with records access, identity verification, coercion and proxy access.

NHS England is also inviting feedback and questions from practices on the Patient Online programme and toolkit at this address:

Ebola guidance for primary care

Practices are reminded that easy to understand guidance on how to deal with suspected Ebola cases is available in the BMA website. This website also provides links to the most up-to-date guidance on the Public Health England and Public Health Wales websites.

Sending documentation to area teams

NHS England has reported some confusion among practices about where to send their GMS Contract Variations Notices and Dementia Identification Schemes. Practices should always send this documentation to their area team rather than to the NHS England central office to ensure that the process runs smoothly.

Christmas and New Year openings 2014 - England
As Christmas and New Year approaches, practices should have received a statement from the Area Team detailing requirements for practice opening hours. Please note that Area Teams are mandated by NHS England to collect the information stated on the pro forma. Practices which wish to close early on Christmas Eve and New Year’s Eve should act in accordance with BMA guidance which can be found here. This guidance details contractual requirements and suggests actions practices might consider to ensure patients' reasonable needs are met.

Department of Transport guidance for healthcare professionals on drug driving

The Department of Transport guidance provides an explanation to healthcare professionals of the new drug driving offence. It also provides useful information on the statutory ‘medical defence’ available to patients who have taken their medicine in accordance with the advice of a healthcare professional. The document reminds healthcare professionals of existing advice that one would consider giving to patients about taking medicines that could impair their driving.

Payment of NHS Pension Scheme Contributions

During recent months a number of GP practices have not met the deadline for payment of pension contributions for their staff to the Scheme.

From April 1st 2014, NHS Pension Scheme regulations changed authorising NHS Pensions to charge interest at a rate of 4.7% APR and an administration charge of £75.00 to employers who pay late.

An amount is deemed late where contributions do not reach the NHS Pensions bank account by the 19th of the month, following the month in which the earnings were paid to the member.

In order to avoid inadvertently paying late when using the GP1 payment processing method, please note the following:

·  Ensure that you submit the payment request with sufficient time for the payment to clear. The GP1 submission initiates a Direct Debit payment from your bank account that requires two to five working days (this excludes weekends and bank holidays). Payments submitted by the recommended processing date and time will ensure payment is received on time.

·  Ensure that you press the “SUBMIT” button on the GP1 at the bottom of the screen. A small number of employers have missed making a payment because they have printed the input screen when processing the GP1 without finalising the action. A screen message will confirm your payment has been submitted.

To assist employers in ensuring they will meet the payment deadlines, a GP1 payment processing schedule is provided below for the remaining months of the 2014-15 financial year.

Contribution month / Recommended processing date
No later than 3pm / Payment due by
October 2014 / 14 November 2014 Friday / 19 November 2014 Wednesday
November 2014 / 16 December 2014 Tuesday / 19 December 2014 Friday
December 2014 / 14 January 2015 Wednesday / 19 January 2015 Monday
January 2015 / 16 February 2015 Monday / 19 February 2015 Thursday
February 2015 / 16 March 2015 Monday / 19 March 2015 Thursday
March 2015 / 14 April 2015 Tuesday / 17 April 2015 Friday

If you have any enquiries please email in the first instance.

Maternity Pay for GP Trainees (Registrars)


We understands there may be some confusion for area teams regarding payment of maternity leave to GP trainees. To clarify, each new post on a rotation that a GP Trainee undertakes does not constitute a break in service. Where practices have followed the provisions in the GP trainees framework contract on maternity pay, which are consistent with the Directions to Health Education England (GP Registrars) 2013 and the NHS Litigation Authority (GP Registrars) 2013, the GP Trainee is entitled to receive ordinary maternity pay (OMP) and should be fully reimbursed in accordance with the Directions.
Paragraph 15.3.(b)(iii) of the Statement of Financial Entitlements (SFE) 2013 (page 58) confirms that NHS England should reimburse maternity pay if 'the performer on leave is entitled to that leave under… a contract of employment'.

BMA 2015 research grants for medical practitioners
Applications are invited from medical practitioners and/or research scientists, for research in progress or prospective research. The 2015 research grants will be available to apply for online on the BMA website from 09 December this year. The application deadline is 09 March 2015 at 5pm.
If you have any questions about the BMA research grants, or would like to receive alerts about them, please contact or telephone 020 7383 6755.

New Guidance on DNACPR

A recent court ruling may affect the way you approach DNACPR forms. The BMA, Resuscitation Council (UK) and Royal College of Nursing have jointly issued new guidance called 'Decisions Relating to Cardiopulmonary Resuscitation' which takes into account developments in clinical practice and developments in the law regarding anticipatory decisions about CPR.

Some of the key issues are detailed below:

·  If a patient has capacity there is no need to involve any other individual, unless they so wish.

·  In patients without capacity, merely ticking the box on the form to say they do not have capacity is only acceptable if an assessment of capacity has been carried out and documented in the patients records on the day the form was signed.

·  A person is unable to make the decision for himself if he is unable to:

· Understand the information relevant to the decision.

· To retain the information.

. To use or weigh the information as part of the process of making the decision, or to communicate the decision (in whatever way is appropriate). (Ref - Mental Capacity Act 2005, Code of Practice)

·  If in your opinion the patient does not have a capacity a ‘best interest process’ should be followed, whereby the GP should consult with family members and the care home staff as appropriate. Failure to do this may leave you open to litigation.

GP practices will be paid £60 per home visit to patients registered with an out-of-area practice

The enhanced service, designed by NHS England, will support the updated choice of GP practice arrangements that will be introduced from 5 January 2015. From this date, all practices will be able to register patients who live outside of their traditional boundaries, without being required to provide home visits or out-of-hours care.

Practices will not be obliged to participate in the scheme, and will remain able to refuse registrations from out-of-area patients. They will also not be obliged to offer home visits for patients registered elsewhere. Any patient who requires ‘urgent and local care’ and cannot reasonably travel to their out-of-area practice will be able to access primary medical services nearer their home, under the new enhanced service.

Practices participating in the DES will be expected to provide home visits to registered out-of-area patients in their appointed boundary area, where it is clinically required. If any practice chooses not to sign up for the DES, neighbouring practices that have signed up may have to provide services for wider areas. In such circumstances, national pricing does not apply and would be ‘agreed locally’.

Patients registered out-of-area will be given a review to decide whether it would be more appropriate for them to be registered with a practice nearer their home, should they arrange at least four consultations under the DES within a 12-month period. This will also be triggered if they receive two home visits within the same period.

Only practices that currently maintain an open list will be eligible to sign up to the DES. Existing GP health centres and walk-in centres that already provide unregistered patient services will be ineligible.

JOB VACANCIES

Our monthly Update is sent to all LMCS in the SY area. We will be happy to advertise your GP/Practice vacancies

The Nayar Practice

Salaried GP position

We are looking to employ an enthusiastic salaried GP to join our team, to work 5 sessions per week in our new purpose built premises from April 2015

Salary dependent upon experience

We are a friendly, progressive, high achieving team, dedicated to providing the best quality of care to our patients.

·  GMS with approx 4,300 patients

·  Emis Web

·  Excellent QOF achievers with wide LES/DES involvement

·  Involved in Practiced Based Commissioning

·  Minor ops and Nexplanon fitting

Enquiries and applications (letter and CV)

Please contact Jackie Harper (Practice Manager)

The Nayar Practice, The Martinwells Centre, Edlington, Doncaster DN12 1JD.

01709 444044.

Closing date January 2nd 2015

GP Vacancy at The Edlington Practice

·  Partnership offered after 12 months’ mutual assessment period

·  Full-time preferred (part-time considered)

·  Excellent, modern facilities

·  4,500 patients

·  EMIS WEB

We are looking to replace a partner retiring after more than 40 years’ service. There are opportunities to develop the practice along with our 2 full-time GPs and support team of 3 practice nurses and a healthcare assistant.

For informal enquiries please contact either Partner – by telephone on 01709 444001 or email :

Dr Jadhav () or

Dr Patil ()

To apply please forward your CV to Dr Patil at the Martinwells Centre, Thompson Avenue, Edlington, DN12 1JD or email as above.

Practice Nurse - Maternity leave cover required

at The Edlington Practice

We are looking for a Treatment Room / Practice Nurse to cover a period of maternity leave (starting as soon as is practical until mid-June 2015). There is a possibility of a permanent position around 14 hours per week from June 2015 onwards.

Areas of work to be covered include :

General treatment room duties, ear care, childhood and holiday immunisations, smears, chronic disease management

Pay : Commensurate with experience

Hours : 23 hours (Monday 9am to 2pm, Thursday 9am to 6pm, Friday 9am to 6pm)

Please ring Vicky or Carolyn for an informal chat or to visit on 01709 444001 or apply with CV to Angela Dean ()

DUNSVILLE MEDICAL CENTRE

SALARIED GP VACANCY

4/6 SESSIONS PER WEEK – WORKING MONDAY, THURSDAY AND FRIDAY

Dunsville is a small, quiet but developing village five miles from Doncaster; it is situated on the southernmost edge of historic Hatfield Chase. The Medical Centre was opened in 1988 and has had significant extensions/improvements to the original structure in the past years. Most of the surrounding villages were built around the mining industry although many of the mines have now closed.

The surgery serves a semi-rural population from all social classes in Dunsville, Hatfield, Dunscroft, Stainforth, Hatfield Woodhouse, Edenthorpe, with some areas of Thorne, Barnby Dun, Armthorpe, Kirk Sandall and Lindholme.

Dunsville Medical Centre is an enthusiastic and innovative practice with a list size of 5150 patients and growing every year. We are seeking a salaried GP with a view to a Partnership, working up to 4/6 sessions per week to join 3 existing partners, Drs Jackson, Mohan and Gibson who all have various special interests. The post is particularly suitable for those who aspire to be a GP Trainer; the practice has been a training practice since 2002.