Important LMC Briefing on the London PMS Review

In the knowledge that PMS contract reviews must take place before April 2016 (see NHSE letters of February 2014 and September 2014), Londonwide LMCs have sought to engage with NHSE London on their approach and ability to complete the reviews across London within this time frame. This briefing is our understanding of the current position and the action we believe PMS practices should be taking.

Practices can be assured that when Londonwide LMCs have any further information this will be shared as soon as possible.

1. Current position:

  • NHSE London are still developing “The London approach to PMS contract reviews”, with a further version expected next week.
  • A national PMS contract for essential and additional services will be offered across London.
  • Premium funding released from existing PMS contracts must be re-invested in general practice, however the mechanism and the decision making process is yet unclear.
  • The timeframe for completion is 1 April 2016 and appears to be non-negotiable.
  • NHSE London have recognised that some practices may need transitional funding, but again, the criteria and process is unclear.
  • NHSE London are currently in discussion with CCGs to explore a finally agreed approach.

2. Current concerns and risks:

  • The timeframe of 1 April 2016 is extremely challenging.
  • To date, there is little evidence that appropriate consultation with Londonwide LMCs has been undertaken.
  • A full risk assessment can only be undertaken once the final approach has been issued.

3. LMC/Practice action:

  • Ongoing discussions with David Sturgeon, Director of Primary Care Commissioning to clarify issues and concerns.
  • Provide sector based communications to ensure all practices have access to appropriate current information and local support.
  • Provide communication and media support to practices in engaging with patients, public, local media and leading local politicians.
  • Practices should assess the minimum income necessary to remain viable under a new PMS contract and be able to quantify existing 'premium funded services'. Please see our note about the submission of information.

4. Contract facts:

  • The ability for PMS contract holders to revert to GMS contracts is still available, however practices would need to notify NHSEL in writing by 1 January 2016.
  • NHS Health Body Status - Practices need to opt out of NHS Health Body Status by notifying NHSEL as soon as possible - before the review begins. Further details on what practices should do can be found here.
  • An Act of Parliament in 2010 allows NHSE to terminate any PMS contract, giving six months' notice, without cause. Termination of contract notices would need to be issued by 1 October 2015 if they were to be implemented for non-compliant practices by 1 April 2016.
Last updated : 03 Aug 2015

 

GP Contract changes – Coronavirus provisions extended (21 Oct 2020)

At the end of September NHS England wrote to practices and commissioners reminding them of the 2020-21 GP Contract changes and announcing announced the extension of some temporary measures introduced...
Read more »

GMC publish new consent guidance (21 Oct 2020)

The GMC have updated their guidance in relation to consent – the guidance comes into effect on 9 November 2020 and can be accessed at the link below: Guidance...
Read more »

Health Select Committee pandemic report (21 Oct 2020)

Amongst other things,Parliament’s Health and Social Care Select Committee called for improvements in referral handling at the primary/secondary care interface, better staff testing (including for GPs and staff) and quoted...
Read more »

Tips of the Month October 2020 (21 Oct 2020)

We provide weekly tips based on common queries which come through to us from London GPs and practice teams. These are shared via social media and collated for...
Read more »

NHS 111 First roll-out (21 Oct 2020)

By 1 December NHS 111 will be able to book appointments at emergency departments (EDs) within all London hospitals. This will coincide with a campaign encouraging patients to contact NHS...
Read more »

Calling all general practice managers, business managers, HR managers, finance managers, operational managers, managing partners and site managers (24 Sep 2020)

As part of our Practice Manager Development project, we are able to offer you an opportunity to take-up a fully...
Read more »

Appraisal resumes and GMC to consider Coronavirus impact during investigations (23 Sep 2020)

NHS England has instructed GPs to resume the appraisal process from 1 October, although this will be in a form which is intended to reduce the amount of paperwork involved,...
Read more »

Coronavirus protection for London general practice (23 Sep 2020)

As the only truly independent voice for London general practice, Londonwide LMCs continues to provide constructive challenge on behalf of GPs, nurses and the whole team in each and every...
Read more »
Next Page »
« Previous Page