Consortium of
Lancashire&CumbriaLMCs

The Government announces details of the 2021 Immigration System. Find out more

Please see the LMC summary of the GP contract.

The England LMC Conference took place Friday 22nd November 2019 at the Light, at Friends House, London. This document details the conference resolutions, election results and motions lost.

The webcast for the conference is available to watch online here.

Following the conference, we have written to all GPs in Lancashire and Cumbria about the motion on home visiting. Read our letter here.

Public Health England has asked BMA GPC to cascade the following information regarding a supply issue with the flu nasal vaccine, requiring a phasing of supply of the vaccine:

Recommendations for General Practitioners

GPs are requested to implement the seasonal influenza programme as outlined in the Direct Enhanced Service Specification (www.england.nhs.uk). As part of this GPs are required to call in those children who are eligible for flu vaccination, and to undertake recall for those children in clinical risk groups for influenza. Because of the phasing of supplies PHE recommends planning the childhood vaccination programme using following priorities:

• Children in high risk groups aged 6 months to 2 years – these children should be called and offered quadrivalent inactivated influenza vaccine (QIVe)
• Children in high risk groups from 2 to 18 years should be prioritised and offered LAIV (unless contraindicated).
  • those aged 2-3 years and age 11-18 years should be called in and offered LAIV or a suitable quadrivalent influenza vaccine (QIV)
  • those of primary school age (4-10 years) will be invited through schools, but should be vaccinated with LAIV or QIV if they choose to present in general practice
  • Where a practice does not have LAIV available, vaccination of children in high risk groups should not be delayed and a suitable QIV should be offered as an alternative.
• Healthy children aged 2-3 years should be called and offered LAIV as the practice receives stock. Two year olds who are receiving vaccine for the first season are a higher priority than 3 year olds.

Responsible ordering will help support the direction of stock to those with greatest immediate need as it becomes available. Practice staff are asked to only order vaccine needed for the forthcoming week, even if this is below the maximum quota and to avoid stockpiling. Close adherence to the vaccine storage in the cold chain is essential to avoid vaccine wastage.

Further details on eligible groups can be found in ‘The Green Book’: www.gov.uk

An information leaflet is being developed for parents to explain which children are eligible for vaccination and where this will be delivered and will be posted shortly on the PHE website.

Following further discussions on some of the finer definitions of the scope of CNSGP, BMA GPC are pleased to announce that it has been agreed with DHSC and NHS Resolution that the compiling of safeguarding reports for NHS patients will now be included within scope. It was initially thought that as these reports can be chargeable under collaborative fees arrangements they should be deemed to be private work and, therefore, out of scope. However, lobbying from the BMA extended an alternative view of these statutory reports as being reimbursed by the system rather than a private service to patients. This perspective has been accepted by DHSC and NHSR and, therefore, actions originating from the completion of safeguarding reports after 1stApril 2019 will be covered by CNSGP.