1
Doncaster Local Medical Committee Ltd
Oakwood Surgery, Masham Road, Cantley,
Doncaster DN4 6BU Tel: 01302 320010. Fax: 01302 371804
Lay Secretary – office@doncasterlmc.co.uk
www.doncasterlmc.co.uk
UPDATE JULY 2014
Contents
1)
Page
New BMA campaign – Your GP Cares……………………………..……….………2
2) Update on LMC Conference 2014…..…………………………………………..….…2
3) CQRS guide 2014-15 Enhanced services …………………………………………. 3
4) Vac and Imms Update………………………………………………………………..…3
5) Unplanned admissions enhanced service …………………………………………5
6) Pharmacy direction scheme ………………………………………………………… 5
7) Interest on late payments from area team…………………..................................6
8) Updated technical requirements guidance for 2014-2015 contract………….…6
9) Updated Abortion Act guidance ……………………………………………………..6
10) Discontinued product website…………………………………………………….…7
11) Procurement Opportunities…………………………………………………….…... 7
12) Update on smoke cessation service……………………………………….………7
13) GP workforce survey……………………………………………………….…………7
14) Job Vacancies ……………………………………….……………………….………..8
2
We would like to welcome the new LMC lay secretary, Mrs Jane Torn, who took up her
role on 9th June and is currently working alongside Jean who is retiring in the near
future.
New BMA campaign – ‘Your GP Cares’
Just to remind you the success of this campaign is heavily dependent on GP support. If
you haven’t already done so can we please ask you to:

join the campaign via the BMA website www.bma.org.uk/YourGPcares

help raise awareness of the campaign with your colleagues and contacts

engage with the campaign on Twitter using #YourGPcares and following the BMA
@TheBMA if you are active on social media

if you have further case studies to illustrate the issues the campaign is highlighting
please email them to YourGPcares@bma.org.uk

join in the conversation on BMA communities
Update on 2014 LMC Conference
The 2014 LMC conference was held at the York Barbican from 22-23 May. In his first speech
as Chairman of the GPC Dr Chaand Nagpul said that GP’s must fight a ‘quadruple whammy’
of a crisis in workforce, workload, premises and morale. Conference heard how general
practice is in a parlous state, facing unprecedented challenges in workload and underfunding.
The main work areas the GPC has prioritised in the coming months are:
1. Workforce problems
2. Funding for general practice
3. Premises investment
4. Improvement to NHS 111
5. End of 10 minute consultations
www.bma./org/uk/lmc.conference
3
Calculating Quality Reporting Service (CQRS) Guide for 2014-15 enhanced services
The CQRS was updated to support the following services (14/15) as of 4 June 2014:
• Rotavirus (routine childhood vaccination);
• Learning disability health check scheme;
• MMR aged 16 and over vaccination;
• Meningitis C (freshers) vaccination;
• Hepatitis B (newborn) vaccination.
This now allows practices to participate and provide achievement data for the services via the
CQRS system.
For the monthly programmes that began in April 2014 (MMR, Meningitis C and Hepatitis B),
practices will need to enter the first three months of data into CQRS. These services will be
manual entry on CQRS for the duration of the financial year.
Guides on these enhanced services on CQRS can be found at:
http://systems.hscic.gov.uk/cqrs/participation/2014-15/index_html
For further information on CQRS, the service desk can be contacted via email:
cqrsservicedesk@gdi.com
Vac and imms update
HPV vaccination programme schedule changing from three to two doses
From September this year, the number of doses of HPV vaccine that girls aged 12 to 13
years should receive is being reduced from three to two. The two doses should be given at
least 6 and not more than 24 months apart, but, for planning purposes, Public Health England
is recommending an interval of 12 months between doses. Local needs, however, should be
taken into consideration when planning the programme, so that any girls who may have
missed out on their vaccinations can be accommodated.
Also girls who have received 2 HPV vaccine doses under the 2013/14 programme should still
receive their 3rd dose, to complete their course.
For full details of the change to the programme, see the letter from Public Health England,
the Department of Health and NHS England.
4
https://www.gov.uk/government/publications/schedule-change-from-3-to-2-doses-in-the-hpvvaccination-programme
Shingles (catch-up) service specification
NHS England have published the enhanced service specification for the Shingles (catch-up)
vaccination programme. This can be viewed on the vac and imms pages of the BMA website
(see below).
Vaccination and immunisation programmes guidance and audit requirements
The final version of the of the supporting guidance for the 2014-15, vaccination and
immunisation programmes has now been published and is available on the vaccines and
immunisations pages on the BMA website, which have been updated to reflect these
changes. This guidance includes the childhood seasonal influenza and seasonal influenza
and pneumococcal vaccination programmes.
http://bma.org.uk/practical-support-at-work/gp-practices/vaccination
Focus on vaccines and immunisations update
The Focus on Vaccines and Immunisations guidance has now been updated following the
changes to the regulations on 1 April 2014. This now includes information and links to
documents in the devolved nations, and also changes to the new vaccination programmes hepatitis B for newborn babies at risk and meningitis C for freshers.
http://bma.org.uk/practical-support-at-work/gp-practices/focus-vaccinations
Carers and the annual flu vaccination campaign
The annual Flu Plan for 2014-15 has recently been published and, as in previous years,
carers (defined as ‘people who are in receipt of a carer’s allowance, or those who are the
main carer of an older or disabled person whose welfare may be at risk if the carer falls ill’)
are one of the groups of people who can request a free flu vaccination.
The Flu Plan suggests that ‘consideration should also be given to the vaccination of
household contacts of immunocompromised individuals, specifically individuals who expect to
share living accommodation on most days over the winter and therefore for whom continuing
close contact is unavoidable’ potentially broadening the scope of previous programmes
where only the ‘main carer’ would be eligible. However, as this is not clearly defined,
practices should use reasonable clinical grounds and discretion about to whom to give it, in
order to be eligible for payment.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/306638/FluPla
n2014_accessible.pdf
5
Unplanned Admissions enhanced service
A revised version of the joint guidance on the unplanned admissions enhanced service has
now been published, along with NHS England’s service specification:
http://www.nhsemployers.org/~/media/Employers/Documents/Primary%20care%20contracts/
Enhanced%20Services/201415/Unplanned%20admissions/Avoiding%20unplanned%20admissions%20%20guidance%20and%20audit%20requirements%20for%202014_15.pdf
The guidance now makes it clear that:
• There are now no minimum requirements in place for the content of care plans.
• While the guidance does provide some suggestions about what could be included in care
plans and a care plan template, practices should use their clinical judgement to determine
the content.
• The deadline for setting up the bypass number for healthcare providers and same day
telephone consultations for case management register patients with urgent queries is the
end of July.
• The request to provide “any information” on reasons for the use of the above telephone
access as part of the reporting template does not mean that practices will be required to
carry out an audit of telephone consultations or supply statistics. Practices should provide
any information or learning points that they believe would be of value.
The GPC’s “step by step” guide on the enhanced service is being updated to reflect the
above changes and can be accessed via:
http://bma.org.uk/unplannedadmissions
Pharmacy direction schemes
Concerns have been highlighted about a number of schemes that appear to encourage or
have the potential to be associated with prescription direction, (Such schemes could also
have an impact on rent abatement under the Premises Costs Directions).
We know that a number of practices have been approached recently and we would like to
remind them not to tie themselves into any long-term and inappropriate arrangements. We
would suggest that practices report to GPC (info.gpc@bma.org.uk) any concerns about
similar arrangements between practices and pharmacies which incorporate an element of
prescription direction.
We would remind practices of the joint guidance to practices and pharmacies on
prescription direction which was published last autumn.
http://bma.org.uk/practical-support-at-work/gp-practices/prescribing/prescription-direction
6
Interest on late payments from area team
The GPC has sought legal advice on whether practices can charge interest on late payment
from the Area Team and sue through the small claims court (assuming it has not elected to
become an NHS body) for cases of non-payment.
The advice confirmed that this course of action is open to practices and 'The Late Payment of
Commercial Debts (Interest) Act 1998' should apply too (as the GMS Contract does not
appear to have contracted out of this). This allows for interest at the rate of 8% above base
rate, plus a fixed sum and reasonable costs of recovering the debt.
Updated technical requirements guidance for 2014-2015 contract
The guidance on the technical requirements for the GMS contract for 2014-15, has been
updated to include sections on shingles and avoiding unplanned admissions. One new Read
code has also been added to the dementia section following the HSCIC review of the April
Read code release. The guidance is available both on the enhanced services page and
vaccinations and immunisations page on the BMA website
http://bma.org.uk/working-for-change/negotiating-for-the-profession/bma-generalpractitioners-committee/general-practice-contract/enhanced-services
Abortion Act guidance
The Department of Health (DH) has published guidance on compliance with the Abortion Act.
This follows the decision by the Crown Prosecution Service in August 2013 not to prosecute
two doctors investigated for certifying abortions based on the gender of the foetus.
The Crown Prosecution Service highlighted the lack of guidance for doctors about abortion
law and in response to this, the DH agreed to produce guidance on these issues.
This guidance will be particularly relevant to GPs involved in certifying and referring women
for abortion.
A copy of the guidance can be accessed at:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/313459/20140
509_-_Abortion_Guidance_Document.pdf
7
Discontinued products websites
A website with updates in real time - detailing DISCONTINUED products.
http://www.pjonline.com/discontinued_products
The other useful one is the PSNC’s stock shortages
http://psnc.org.uk/dispensing-supply/supply-chain/
Procurement Opportunities
It is recommended that GPs register on the YORTender website to view procurement
opportunities.
https://www.yortender.co.uk/procontract/portal.nsf/vLiveDocs/SD-DEVV6UGE9Y?OpenDocument&contentid=1.001
Update on smoke cessation service
Discussion is ongoing with SWYFT regarding the roll out of the new LES as current costings
by SWYFT are considered by the LMC to be insufficient for practices to engage without
making a loss. In the meantime, until the LES is finalised, SWYFT has agreed to continue
paying those practices who are signed up to the old LES, and have confirmed that payment
will be honoured for both patient activity for those already in the system and any new
entrants.
GP workforce survey
Thanks to the 50 GP’s who responded to our survey, which has indicated that 30% of the 50
respondents, will be retiring in the next 5 years. This, coupled with a reduction of entrants to
the GP VTS scheme, does not bode well.
8
JOB VACANCIES
Our monthly Update is sent to all LMCS in the SY area. We will be happy to advertise your
GP/Practice vacancies
PRINCESS MEDICAL CENTRE
RECEPTIONIST
VACANCY
Princess Medical Centre is looking to recruit a part time Receptionist to join our busy, friendly
Practice team. We are looking for someone with good communication and computer skills
who feels confident in dealing with the public.
The successful candidate will be required to work 10 hours per week, 5 hours on a Monday
and 5 hours on a Friday 8:00am – 1:00pm and 1:00pm – 6:00pm alternate weeks.
Previous experience of working as a GP Receptionist is desirable but not essential as full
training will be given. Main duties are to carry out a range of reception and administrative
tasks in relation to the day to day running of the Practice.
The successful candidate must be flexible to cover annual/sick leave
Please send your CV and covering letter to:
Mrs Sara Lamph
Practice Manager
Princess Medical Centre
Princess Street
Woodlands
Doncaster
DN6 7LX
e-mail sara.lamph@gp-C86014.nhs.uk
Closing Date: 18th July 2014
9
THORNE MOOR MEDICAL PRACTICE
Salaried GP Required
Practice in Thorne, a Market town in the middle of farming country, just off M18/M180
junction for easy commute.
We are wanting to expand our service and are looking for someone to fit in with our friendly
team.
We would like an enthusiastic, motivated and committed Salaried GP, with possibility of
partnership, to help develop our rapidly growing practice/ This is an opportunity to join the
second best practice in the country (according to the NHS England/Ipsos Mori Survey 2013).
We are offering up to £20 K golden hello over 3 years to attract the best. (Spend it how you
like, relocation fees, new car, plastic surgery, holiday or beer).
This is on top of a competitive salary.
We are also willing to support training in any speciality/interest you would like to bring to the
practice.
We have:
•
8,200 patients
•
2 sites geographically close to each other in this small market town. Both sites are
based in LIFT buildings
Not all practices are the same. Most are suffering loss of income and overwork.
We have improved our income over the past year and hope to expand further. Initially we
have relied on locums but now want a more stable staffing structure. We are in no hurry and
are willing to wait.
We are also recruiting admin, HCA and nursing staff as part of our expansion.
We can also offer part time and flexible working. From 5 to 10 sessions per weeks. Come
and create your ideal job,
Don't like early mornings then do 1 session a day 10 till 3. Why not.
Email joe90@doctors.org.uk or ring me on 01427 875432 for a chat. I have 2 young children
so avoid bed time 7:30 to 8, I'm currently half way through the BFG and don't want to miss
the end.
10
THORNE MOOR MEDICAL PRACTICE
Part time Phlebotomist/Health Care Assistant
Mutual assessment period of 3 months with a view to permanent position.
We are a merged practice and the 2 sites are approximately 1.1 miles apart.
We require a Phlebotomist/Health Care Assistant for 25 hours per week (hours negotiable
according to experience, although further training will be available if necessary). Flexibility to
cover additional hours for holidays and sickness is essential.
We are looking for someone who can fit into our busy but friendly and well organised
practice. You will need to be flexible, responding to varying demands and changing
circumstances as the practice develops. The successful candidate will need excellent
communications skills and must be a team player!
Applications in writing with a CV marked Private and Confidential to:
Claire Huby, Senior Practice Nurse – Telephone 01405 741100/01405 746899
11
Church View Surgery, Denaby Main, Doncaster.

Are looking for a Salaried GP (Minimum 6 clinical sessions per week), including
extended hours.


With a view to partnership
We are looking for an enthusiastic GP to join our friendly team as soon as possible.

The practice situated in a new LIFT building with large consulting rooms, which
enables the practice to provide a wide range of services. LIFT building also has the
advantage of an on-site pharmacy and PCT suite.

Current patient population 4300. Clinical support is given from our excellent nursing
team who run minor illness clinics, telephone triage and a full chronic disease
management service.

The practice is paper-light and operates on EMIS Web clinical system.

Additional





Teaching Practice – Medical Students currently, aspiring to GP registrar training status
High QOF achieving practice
Dynamic multi-skilled staff
Supportive network
Wide range of DES/LES involvement
INTERVIEW DATES: To be confirmed


Application to: Mrs Claire Davis, Associate Business Partner

Church View Surgery

Church Road, Denaby

Doncaster, DN12 4AB
Email: claire.davis@gp-c86602.nhs.uk
----------------------------------------------------------------------------------------------------------------------------
12
The Ransome Practice
Bentley, Doncaster, South Yorkshire
Are looking to recruit a Full time Salaried GP
(8 sessions per week including extended hours)
Due to the relocation of one of our GPs an exciting opportunity has arisen for an enthusiastic,
motivated full time Salaried GP to enhance our forward thinking team.
We are a PMS practice currently with 3 full time partners. Patient population 6200 over 3
sites situated in Bentley, Scawthorpe and Woodlands. Two of the sites are health centres and
the other purpose built.
The practice offers a wide range of services. Clinical support is given from our excellent
nursing team who run a full chronic disease management service.
The practice is paper light and operates on EMIS Web clinical system
Additional




High QOF achieving practice
Dynamic multi-skilled staff
Supportive network
Wide range of DES/LES involvement
CLOSING DATE: 31st July 2014
INTERVIEW DATES: To be confirmed
Applications with covering letter to:
Mrs Jane Johns, Practice Manager
Bentley Health Centre,
Askern Road, Bentley
Doncaster, DN5 0JX
E-mail: janejohns@nhs.net
Tel: 01302 330212
If you wish to make an informal visit to the Practice,
please contact Mrs Jane Johns
13
Part Time General Practitioner – Partnership offered (6mths parity)
White House Farm Medical Centre, Armthorpe, Doncaster
4 sessions per week (2 x 2 sessions Monday and Tuesday)
We wish to welcome applicants for our new General Practitioner position. We are a friendly,
forward-thinking, innovative and enthusiastic team, and we are looking for a similar minded
GP with an ambition for personal development.
Sub-Urban GMS practice
List size – 6,700
Current 3 GPS (wte 2 & 3/4)
Computer System – System One (paperlite)
Good QoF achievement
Experienced, friendly Nursing and ReceptionTeam
Enhanced CRB required
CV - Applications to: Practice Manager (Carole Hicking)
White House Farm Medical Centre
Church Street
Armthorpe
Doncaster
DN3 3AH
e-mail carole.hicking@gp-c86021.nhs.uk TEL 01302 831437
-------------------------------------------------------------------------------------------------------------------------
14
MOUNT GROUP PRACTICE
54 Thorne Road, Doncaster, South Yorkshire, DN1 2JP
Friendly, forward thinking 6 partner practice requires a full-time Salaried GP, with a view to
Partnership.








Fully computerised - SystmOne
Providers of high quality care to 12,600 patients.
Split between two well-equipped owned premises.
High QOF achievers
Experienced, dedicated support staff including a Nurse Practitioner and a well
advanced Nurse Triage system.
35 days holiday entitlement (pro-rata).
Protected time for training purposes.
Well established, high earning Practice.
For further details or to arrange an informal visit please contact:
Mrs J McBride
The Mount Group Practice
54 Thorne Road
Doncaster
DN1 2JP
Tel (01302) 361222 / 303431
e-mail address: joannemcbride@nhs.net
Closing date:
18th July 2014
---------------------------------------------------------------------------------------------------
15
HATFIELD PRACTICE
Are currently looking for a
REPLACEMENT GP
(Minimum 6 clinical sessions per week)
With a view to Partnership
Due to a GP’s upcoming retirement an opportunity has arisen for an enthusiastic GP to join our
well established practice.
We are a friendly Practice, with a patient population of 9500. We currently have 5 GP’s and an
excellent team of 5 nurses, who run minor illness clinics, and a full chronic disease management
service.
We are in a spacious and purpose built LIFT building with many community services and
outreach clinics. We are in a pleasant area just outside Doncaster with affordable housing and a
stable community
We are consistently high QOF achievers currently operating on System One clinical system.
Practice in process of applying for training status
START DATE:
Negotiable (following the necessary checks)
Apply with CV and covering letter to:
Mrs S Bryson
Practice Manager
Heathfield Health Centre
Ash Hill Road
Hatfield
Doncaster, DN7 6JH
Tel: 01302 384200 Fax: 01302 351862
Email: sue.bryson@gp-c86003.nhs.uk
16
THE HEALTH CENTRE
MEXBOROUGH
Approximately 6 miles from A1
FULL/PART TIME SALARIED GP WITH A VIEW TO PARTNERSHIP





We seek an enthusiastic forward thinking GP to join our practice with a friendly and
supportive primary healthcare team.
We are high QOF achievers committed to a high standard of care.
GMS practice, using EMIS WEB as our clinical system
Paper light.
Informal chat, visit or telephone enquiries welcome.
Application to: Denise Myhill, Practice Manager, The Health Centre, Adwick Road,
Mexborough, S64 0BY.
Telephone 01709 590590
Email: denise.Myhill@gp-c86005.nhs.uk
Linda.faulkner@gp-c86005.nhs.uk
17
Welcome to:
Dr G Dempsey who started work as a salaried GP at the Lakeside Practice, Askern on
1st June.
Dr Mohammed Abid Ali Khan who started work as a salaried GP at Doncaster 8-8
Health Centre on 1st January (sorry for the late notification but we have only just
received notification of his appointment).
A MONTHLY REMINDER TO ALL GPS THAT THE LMC OFFICERS ARE WILLING AND
ABLE TO PROVIDE ADVICE AND SUPPORT (TOGETHER WITH REPRESENTATION, IF
REQUIRED), TO ANY GP WHO MAY BE THE SUBJECT OF A COMPLAINT.
********************************************************************************************************
All GPs on Doncaster Performers List (and medical students) are welcome to attend
any LMC meeting as an observer. Please let the office know if you plan to attend.
Next meeting Monday 8th September at 7.30 pm at Doncaster Golf Club, 278 Bawtry
Road, Doncaster DN4 7NY
Please send any items for inclusion in the next Update to Jane at the LMC office,
office@doncasterlmc.co.uk tel 01302 320010, fax 01302 371804.