Latest Guidance

Keep up to date with the latest guidance, recommendations and advisory messages

Quality 1st - Managing Workload To Deliver Safe Patient Care

It is in response to GP workload having now reached unmanageable proportions, against a backdrop of escalating demand, which has far outstripped our impoverished capacity, and which is seriously impairing our ability to deliver the care our patients need. In this intense, pressured climate, it is crucial that the safe provision of care to patients remains GPs’ overriding priority, at a time when practices are undermined from doing so by excessive, inappropriate or unresourced work. Quality First: Managing Workload to Provide Safe Patient Care is a handbook to empower practices with practical tools, including model templates, to manage workload and to shape demand, in order to fulfil their responsibility to deliver essential services to patients.

Click on the link below to download:

Quality 1st – Managing Workload To Deliver Safe Patient Care  Full guidance (PDF, 1mb)

Quality 1st – Managing Workload To Deliver Safe Patient Care  Templates (PDF, 72kb)

Child Safeguarding Template

Doctors must be proficient and work within their competence to deal with Child Protection issues.

Click on the link below to download

Safeguarding Children 2014 Experiential Learning Form for General Practitioners.

Child Protection

Click on the link below to download the “Protecting children and young people – the responsibilities of all doctors” – guidance as published by the GMC in July 2012 with effect from September 3rd, 2012

Protecting children and young people

A Guide To Collaboration For General Practice

Please follow the link below to display A Guide To Collaboration For General Practice

A Guide To Collaboration For General Practices v0.2 23-04-15

General Practice Plan - Cornwall & Isles of Scilly

Please follow the link below to display a Plan for General Practice in Cornwall and the Isles of Scilly. General Practice Plan – Cornwall & Isles of Scilly

GP Health Guidance

GP Health


“GPH (GP Health) has been up and running since the end of January. Commissioned by NHS England, it has a central ‘Hub’ with 13 regional spokes. Dr Clare Gerada is the National Medical Director, well known as past RCGP Chair, and also having run the successful Practitioner Health Programme for all doctors within London for the past eight years. Devon is part of the South West Region, and the local Clinical team includes Dr Linda Barry in Cornwall and Dr Andrew Tresidder and Dr Jenny Docherty in Devon.


If you feel you need confidential help with any of the following, please contact the service by emailing us on or by calling 0300 0303 300. The service is available 8am – 8pm Monday – Friday and 8am – 2pm Saturday


After registering with the national service, to collect demographics and a brief resume of the issue, and a short telephone triage, then you will have a choice of local clinicians via the NHS Booking App.


For more information, please see


GPC guidance on GP networks

Please find attached updated GPC guidance on GP networks.  The attached guidance provides information about the different legal structures that can be used by GP networks, including an overview of the pros and cons of each structure.GPC is in the process of putting together a step-by-step guide for practices considering forming a network, which it hopes to launch very soon.

Click on the link below to open up (in a new window) or download the relevant document.

GPC guidance on GP networks

Enhanced Services

Over the next few weeks the GMS contract documentation for 2016-17, including enhanced services specifications and QOF guidance, will be published by NHS England.


The clinical enhanced services specifications (for Childhood flu, Seasonal flu and Pneumococcal, Men C, Pertussis for pregnant women, Shingles catch up, and Dementia) are already available on the NHS England website and the BMA website will be updated shortly to reflect these changes and provide links to these guidance documents.



Focus on Hepatitis B Immunisations

Click on the link below for GPs guidance on Hepatitis B Immunisations

QOF Business Rules
The QOF Business Rules v31.0 have now been published and can be found via the following link:  
Induction and refresher Scheme

NHSE, HEE, the RCGP and the BMA have just announced the launch of a new induction and refresher scheme. A BMA quote about the scheme which was included in the joint press release from Dr Chaand Nagpaul, Chair of the BMA GP committee, is below:

Dr Chaand Nagpaul, BMA GP committee chair, said:


“The announcement of a new, properly funded induction and refresher scheme is a positive step forward that will be good news for doctors who are seeking a route back into full time or part time work as a GP.


It will be helpful to those who have had to take career breaks, particularly those who have taken time away to raise a family or decided to gain experience by working abroad. With a workforce that is increasingly looking for flexibility, this has the potential to be extremely beneficial and will hopefully overcome the huge bureaucratic and time consuming obstacles that currently prevent perfectly competent GPs from returning to work in the UK.


“At a time when there is undoubted evidence of a significant shortage of GPs and problems with recruitment and retention, it is encouraging that NHSE has worked with the BMA‟s GPs committee, Health Education England and RCGP to put this new scheme in place.”

In addition to this release, the following BMA information is now available:

The BMA website has a page explaining the decision and giving the background behind it

BMA News have put together an article about the announcement with comments from Chaand Nagpaul and Tom Black.

New Occupational Health Service including Needlestick Injuries
LMC Buying Group

Cornwall and Isles of Scilly LMC joined the LMC Buying Groups Federation in January 2014 to deliver savings to practices without creating any additional work or inconvenience.

Membership entitles practices to discounts on products and services provided by the Buying Group’s suppliers.


Membership is free and there is no obligation on practices to use all the suppliers. However, practices can save thousands of pounds a year just by switching to Buying Group suppliers. To view the pricing and discounts on offer you need to log-in to the Members section of the Buying Group website:


Not convinced the Buying Group can save your practice money?

Well… why not challenge them to do just that?


The Buying Group offers a free cost analysis service that aims to show member practices how much money they could save just by swapping to buying group suppliers. They can also provide this service for groups of practices working together. For more information, contact the Buying Group on 0115 979 6910 or email


The Buying Group also offers a free recruitment platform to advertise and apply for practice staff vacancies (clinical and non-clinical roles).


Since they are a national Buying Group with thousands of members, this service gives practices a wider reach when they are looking to recruit new staff. You can also increase the visibility of your vacancy post with their featured vacancy package (small fee applies).


They also have a community resource section packed with information, advice and additional online only offers to help you with your day to day work in practice.


Access to the Community section, online only offers and posting job vacancies are subject to completing a membership form. If you are not yet a member or your practice doesn’t have website login details, you can register your practice for free at:


LMC Buying Groups: Q&As

The following Q&As attempt to answer the most obvious questions about the Buying Group and how it operates.


What is the purpose of the LMC Buying Group and how does it work?


The sole purpose of the Buying Group is to save its member practices money by negotiating discounts on goods and services which practices regularly purchase. The Buying Group team negotiate with suppliers, after which they identify ‘approved’ suppliers, who guarantee to give you significant discounts over what you would otherwise pay for their services, in return for the Buying Group’s endorsement and help in making you aware of what they offer.


Does it cost us anything to be part of the group?


No. All practices paying the LMC statutory/administrative levy are automatically entitled to enrol as members. The Buying Group regard this as an added value service your LMC can offer you. Should any practice cease to pay their LMC levies, they will no longer be able to access the benefits this initiative will bring.


Is there any obligation to take up the deals offered?


No. Each practice is free to take up or decline any of the deals the Buying Group have negotiated. If you wish to take advantage of any of the offers in question, you will be given contact details and all communications take place between you and the individual supplier*.


Who are the Buying Group’s approved suppliers?


A full list of suppliers is available on the Buying Group’s website but product/service areas that the group covers includes:


  • Stationery, Office Equipment and Furniture
  • Medical Consumables and Equipment and Testing and Calibration
  • Insurance
  • Energy Broker
  • Confidential Waste Shredding
  • Waste Collection
  • Telecoms
  • Staff Uniforms
  • Asbestos and Environmental Surveys
  • Emergency Oxygen
  • Digital Dictation Software
  • Online Training Courses
  • Medical Record Digitisation and Storage
  • Travax Website Subscription
  • Website Design
  • Merchant Card Services
  • Royalty Free Music
  • Flu Vaccines


Your Details


When a practice signs up for Buying Group membership, they will keep your basic contact details (practice address, telephone number) on a secure database which is used for administration purposes (i.e. to identify which practices are eligible for supplier discounts). On the membership application form, they also ask you how they can use your personal data (i.e. your email address) but even if you do sign up to receive their emails you can stop them at any time by clicking the unsubscribe button.


What if I am not happy with the quality of goods and services supplied?


Always let the Buying Group know if you encounter any problems getting what you want, and they will endeavour to sort it out.


*The Buying Group accepts no liability for any contract willingly entered into by a practice with an approved supplier. Practices are advised to check that the terms of any contract with suppliers are not inconsistent with those the Buying Group have negotiated and are advised to inform the Buying Group team of any discrepancy. The Buying Group do not, however, accept any responsibility for any member practices’ failure to check the terms of the relevant contract and the principle of caveat emptor (buyer beware) applies in all cases. Your rights as a consumer under the Consumer Protection Act are unaffected. With respect to any services to which the provisions of the Financial Services Act 2000 might apply practices are advised to seek independent financial advice as may be appropriate.



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