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DDLMC News Bulletin - November 2019

Issue date: 01 November 2019

Position Statements & LMC Updates

Please click here to view the latest DDLMC Position Statements & Updates.

PCN Updates

GPTF are working with PCNs across Derbyshire to evaluate their needs and help formulate development plans.

If you want to keep up to date with the latest information about PCNs please see our General Practice Task Force PCN mini-site. Please click here to view our PCN Toolkit. For PCN resources visit here .

Latest News:

Update to commissioners - Development and introduction of network services and further information here .

This letter provides an update on future developments for the Network Contract DES.

PCN Conference 2020

The BMA have started planning for their second annual PCN Conference. They want this to be as informative and useful as possible, so they're looking for PCNs and LMCs to share their stories. If you have an example of innovation or good practice that would benefit others, why not showcase it at their PCN conference, which will be held in Birmingham on Saturday 8 February 2020. Whether it’s inventive ways of utilising the funding, success in recruitment, or working well together to deliver PCN services, they want to hear from you.

Please email Dan Hodgson (dhodgson@bma.org.uk) with a short description of your project/work and how it is benefiting your PCNs, teams and/or patients, and they'll get back to you to discuss further. Please also share with GPs and PCNs in your area – they really want to highlight those experiences that will benefit others.

The GP Task Force - Helping You And Your Practice

GP Task Force Derbyshire: Providing Wraparound support for general practice

GP Preceptorship Scheme - REGISTER ASAP

Time is running out to register for our FREE GP Preceptorship Scheme before we open the offer wider.

If you are a NEWLY QUALIFIED GP: (for those CCT between Feb 19 and Aug 20) and would like additional support/advice and coaching.  REGISTER NOW  - so you don't miss out. Please register your interest ASAP to benefit from this scheme.

Moving from GP training to independent practice can be daunting. You might be in unfamiliar roles without the same support systems you had during your ST years. We want to make this transition as straightforward as possible. The GP Task Force are working with GP-S Mentoring to provide all GPs qualifying in the 2019-20 academic year.

Our scheme includes:

- Up to 6 sessions of 1:1 mentoring with an experienced GP

- 1:1 Careers advice including support for those changing role, job brokering and help designing your perfect portfolio career.

Derbyshire Education Network - FREE CPD - NEW DATES AVAILABLE               

The Derbyshire Education Network is for your doctor’s educational needs. DEN Sessions are now open to all clinical staff so you are welcome to join our thriving education and networking sessions.

FREE education sessions for clinical staff  in Chesterfield and Derby. See the Derbyshire Education Network website for details.

Please book through the Derbyshire LMC  website .

North Session -  Gastro Update part 2: Below the Belly Button and Allergy in Children - 14 November 2019

South Session - Balance & ENT  - 27 November 2019

For further information on DEN please click here

Plan Your Perfect Portfolio Career

GPTF offers 1:1 careers advice and coaching, mentoring support and portfolio career opportunities through our  GP ASPIRE  project.

Our interactive guide also lists some of the support available, please click  here  to view this.

Please email  ddlmc.gptf@nhs.net  to arrange a confidential chat to discuss your needs.

Derbyshire Medical Chambers: Locum Work Made Easy - Sign up today!

DMC has now been brought in-house with increased availability.

Are you a GP Practice looking for some locum availability... then look no further.

  • Chambers has a new reduced rate 
  • We have more locum availability than ever

Please see our website for more details.

Mid-career Planning Workshop - 13 November - Spaces Filling Fast!

Whilst support is often available at the beginning of our careers, opportunities to engage in a process of career reflection ten or more years into the job are less common. This workshop will give you the opportunity to take some time out with colleagues to explore what you want from the next phase of your GP career and how this fits together with other aspects of your life. We will also look at ways to manage energy and wellbeing, reflect on some of the reasons for mid-career dissatisfaction and identify workable solutions. To book a space on this workshop, click here .

Update for Practices Using Practice Unbound

Please note that the one year service contract will terminate as of 10 December 2019, therefore access to the one to one coaching being offered at present will cease at this time. The Practice Unbound Workflow Optimisation Scheme will continue to have access to the portal in full. As part of the subscription, this includes all of the current tools, any updates of templates and access to the telephone help desk (0300 303 8145).

The CCG would like to highlight that there is no additional subscription fee to practices for the continuing services provided by Practice Unbound.

First 5 Support

GPTF are working with eGP learning to create a selection of FREE videos and podcasts to address your FAQs.

These can all be counted as CPD. The first podcast covers common acronyms, future podcasts will cover GP resilience, risk management/appraisals and financial planning. You can find the details below :

The series 

Pre-registration Trainee Pharmacy Technician Integrated Training Pilot

Health Education England (HEE) are looking to work with employers to develop and run the pre-registration Trainee Pharmacy Technician integrated training pilot for 48 pre-registration Trainee Pharmacy Technicians (PTPTs), commencing in February 2020.

They are looking for tri-partnerships that will support 48 PTPTs being trained in three of the following healthcare settings:

  • secondary care
  • community mental health
  • community pharmacy
  • general practice
  • care homes

More information is available in our guidance document  to support employers’ expressions of interest. This also includes a link to the expression of interest form .

The guidance should answer most of your questions about the pilot, but please address any further queries to the team at HEE.PHIF@hee.nhs.uk , stating ‘PTPT Integrated Training Pilot’ in the email subject header.

The deadline for submitting an expression of interest is 15 November 2019.


You may already be aware that updated rules around IR35 will come into force in April 2020.

Matt Mayer from the BMA GP sessional committee has written a blog which explains the changes.

Update - Avoidable Admissions

The LMC are currently working with GPs, EMAS and the CCG to develop a whole system pathway to reduce avoidable admissions.

Practices currently report that they still receive a number of calls from paramedics and ambulance technicians for clinical advice.

We would like to reiterate that GPs are neither commissioned nor obligated to provide clinical advice to the ambulance service as this is covered by EMAS’ own internal pathways.

CQC Inspections of Dispensing Practices

Dispensing practices are reporting that CQC inspections of their dispensaries have been extremely vigorous, particularly with regard to standard operating procedures and processes.

We are not aware of an agreed national standard that CQC are using for these inspections and we have raised this with GPC.

We would advise that the same level of focus and scrutiny is given to the dispensary during preparations for a CQC visit.


NHS England has clarified that updated RCGP safeguarding training guidelines, released earlier this year are not compulsory; GPs should however ensure their staff are adequately trained to carry out safeguarding duties.

Roll-out of Electronic Prescription Service - England

Earlier this week, the Department of Health and Social Care announced the roll-out of electronic prescription service (EPS) in England next month following work done in pilot areas. Phase 4 will be rolled out to all GP practices from Monday 18 November 2019, making EPS the default method for prescribing and dispensing in primary care in England. Find out more about the implications for prescribers here . Please see the Phase 4 national roll out schedule.

Flu Immunisation for Practice Staff

The state-funded indemnity scheme for England and Wales does not cover GP practices providing flu vaccinations to their own staff. The Seasonal influenza DES Specification makes clear that staff of GP practices/contractors and other primary care staff are the responsibility of their employer as part of occupational health arrangements. However as we previously reported, we have been assured that the schemes provided by all three main Medical Defence Organisations do cover this activity.

The BMA’s Occupational Health Committee has worked with the Specialist Pharmacy Service to produce a written instruction for seasonal influenza vaccination. The template and advice on how to use it is available here . This advice has also been published on the BMA website

Christmas and New Year Opening Times

We have received a number of queries with regards to Christmas and New Year opening. The LMC asked practices to complete an audit to show patient footfall which was then collated and presented to the CCG in the attached paper ???????. We have re-contacted the CCG who have stated that they have raised the matter with NHSE. Until we have heard anything different, the contract expectations have not changed as practices will need to individually open. We are keeping up the campaign and will let you know when we receive final confirmation from NHSE and DDCCG.

Publication of Report into Sexism and Sexual Harassment at the BMA

In April this year the BMA commissioned a fully independent review into concerns raised by BMA members who had been subject to sexist behaviour and sexual harassment. The review was led by Daphne Romney QC who was also asked to make recommendations to address gender bias and harassment in the BMA drawing on examples of best practice. The full document can be found here .

NAO Investigation into Pre-school Vaccinations

The National Audit Office published a report , which found that NHS England has fallen short of Department of Health and Social Care’s (DHSC) performance standard for the uptake of nearly all pre-school vaccinations in England in 2018-19.  The National Audit Office said that NHS systems for reminding parents to get their children vaccinated are 'inconsistent' and appointments are difficult to book.

NHS Practitioner Health - England

NHS England has announced that all NHS doctors and dentists in England now have access to a mental health service 24 hours a day through a dedicated phoneline and a crisis text service available through the night. This builds on the service already available to GPs in England. To sign up, call 0300 0303 300 or email prac.health@nhs.net (Monday to Friday 8am to 8pm and Saturday 8am to 2pm). Text NHSPH to 85258 for the out-of-hours crisis text service.

GP-S FREE Peer Mentoring and Coaching

GP-S can be used by anyone who would like to explore ways to develop themselves; personally or professionally. GP-S is here to help you get to where you want to be. It can help you:

  • Move forward with your career goals
  • Reach your own personal goals
  • Create a greater work life balance
  • Advance your professional development
  • Build your self confidence
  • Enhance your abilities outside and inside work
  • Achieve your aspirations
  • Enhance leadership skills
  • Build your resilience
  • Strengthen team working

Thanks to GPTF funding, you can take up to 4 free sessions over 12 months to support your development. Contact GP-S today to see how the service may be able to benefit you and to find out more about what they do:

Number - 0115 9796917
Email - contact@gp-s.org
Website - gp-s.org

General Practice Under Pressure – GMC Workforce Report Published

During June and July, 3,876 doctors completed a GMC survey about satisfaction of their role, the environment they work in and their career intentions. Overall the findings showed that GPs are more likely to feel dissatisfied, to have already reduced or plan to reduce their hours, and to be thinking about leaving the profession. The results showed that over the last year 36% of GPs reduced their clinical hours, compared with 21% of all doctors having taken this action. Only 9% of GPs reported always or usually feeling able to cope while rarely or never working beyond their rostered hours, compared with 29% of all doctors. Conversely, 50% of GPs reported often feeling unable to cope and often working beyond their planned hours, compared with 26% of doctors overall. The report also notes that more GPs work less than full time than other doctors (49% compared to 23% of doctors overall), and touches on the changing make-up of GP training, with international medical graduates now representing 23% of all GP trainees, up from 16% three years ago. The results underline what GPC has been saying publicly for many years: general practice is in crisis.

The report containing the full survey results and a wide range of data on the GMC register is available here.

Derbyshire Who's Who

Click here to find out who is your PCN Clinical Director and other area leads

Key Messages from Joined-up Care Derbyshire (STP)

If you have any questions , please get in touch at joinedupcarederbyshire@nhs.net.

Kraft HR Consulting

Kraft’s services are focused around the needs of organisations that don't have in-house HR expertise or need additional capacity or capability. To read more click here.

Events and Training

Upcoming Events and Training

To see all of the events and training opportunities advertised on our website, please click here.

Mid-career planning workshop - 13 November 2019 - click here to book.

First5 Leaders Event - 23 November 2019 - More information can be found here .

Personality disorders and drug seeking behaviour with Dr Patrick Straite - Thursday 28 November 2019 - contact first5derby@gmail.com  for more information.

The Power of Three – Triumvirate Programme! - Cohort 4 still open - click here for information.

Healthcare Professional Invite - CPD study days 2019 - click here .

To view all the PCDC training courses - click here .

LMC England Conference- 22 November 2019.

LMC UK Conference - 06 & 07 May 2020.

Enclosure 3 Adults Safeguarding Meetings

Safeguarding Adults Care Act Section 42 Enquiry Multi Agency Training - 07 November 2019 - click here for more information.

Workshop to Raise Awareness of PREVENT (WRAP) - 21 November 2019 - click here or more information.

Safeguarding Adults Care Act Section 42 Enquiry Multi Agency Training - 03 December 2019 - click here for more information.

Workshop to Raise Awareness of PREVENT (WRAP) - 13 December 2019 - click here or more information.


For the latest job vacancies, click here.

To advertise positions on the DDLMC Website, please email ddlmc.office@nhs.net

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