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The Role of The LMC Local Medical Committee

The Role of The LMC Local Medical Committee. Dr Alan Brook LMC Chairman since 2006 LMC Secretary 1989 to 2002. Representing core values. In representing the core values of the profession LMCs will strive to ensure the values of: Equity and fairness Openness Equal opportunities

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The Role of The LMC Local Medical Committee

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  1. The Role of The LMCLocal Medical Committee Dr Alan Brook LMC Chairman since 2006 LMC Secretary 1989 to 2002

  2. Representing core values In representing the core values of the profession LMCs will strive to ensure the values of: • Equity and fairness • Openness • Equal opportunities • Representativeness by working to ensure that all help and advice provided is representative of all GPs in the area, whether they are in contract with the health authority, working in personal medical services pilots or are non-principals who wish to be represented.

  3. LMC links to GPC • Listserver • Regular Newsletter • Direct contact with representatives • Annual Conference of LMCs

  4. LMC links to PCT • Monthly meetings, both LMC and at PCT • Frequent contact between designated officers

  5. LMC links to local BMA • Professional advice from Industrial Relations Officers • Political connections

  6. LMC links to Practices • All represented; GMS, PMS and ?APMS • Liaison with practice managers • Letters • Newsletter • Website

  7. Links with other bodies LMCs maintain an extensive network of formal and informal contacts on behalf of GPs with bodies such as: • Local health authorities • The Regional NHS office • The NHS Executive • Other LMCs • Local Representatives of Patients • Royal College of General Practitioners • Overseas Doctors Association • Small Practices Association • National Association of Primary Care • NHS Alliance • Members of Parliament • Local government

  8. Finance of LMC • Statutory levy • Voluntary levy • Treasurer • Accountants • Attention to legislation

  9. Representation The LMC will represent and advise on all matters concerning GPs, whether: • As providers of services • As commissioners of services • As professionals

  10. As providers of services: • Independent contractors • PMS doctors • Non-principals

  11. As commissioners of services: • Liaison with consultant and hospital colleagues • Including the work of GPs within PCTs

  12. As professionals: • Education and training ' undergraduate, postgraduate and vocational training, continuing professional development, appraisals • Professionally-led regulation and professional standards ' ethical, conduct and performance, including clinical governance • Workforce planning • Collaboration with the General Medical Council • Collaboration with national professional bodies ' British Medical Association, Royal College of General Practitioners • Occupational health issues, eg sick doctors • Liaison with other professions allied to medicine

  13. Helping individual GPs The LMC will provide help to all GPs on matters relevant to general practice including: • GPs' remuneration • GPs' terms and conditions of service • Handling complaints • Premises • Partnership affairs, Vacancies and Practice splits, Dispute resolution • Human resources, locum reimbursement, sick doctors • Employment matters • Any disputes which may occur between GPs and the PCG/Ts of which they are part.

  14. GPs' remuneration • 1911 National Insurance Act – pooled contract • 1948 National Health Service – GPs remained independent • 1966 Red Book Contract – Expenses • 1990 Red Book Revision • PMS – fixed price local contract for range of services to a community. First pilots introduced from April 1998. • GMS – New Contract effective from 1 April 2004 • APMS - enable primary care trusts to contract with a wide range of organisations to provide services.

  15. The average income before tax for contractor GPs in the UK in 2006/07, by contract type • £103,530 for those GPs working under a General Medical Services (GMS) contract (a decrease of 2.6% since 2005/06). • £118,499 for those GPs working under a Primary Medical Services (PMS) contract (a decrease of 1.5% since 2005/06). 14.5% more than GMS • £107,667 for those GPs working under either a GMS or PMS (GPMS) contract (a decrease of 2.1% since 2005/06).

  16. The average income before tax for contractor GPs in the UK in 2006/07, by dispensing practice status • £99,580 for GMS non-dispensing GPs • £124,045 for GMS dispensing GPs • £115,655 for PMS non-dispensing GPs • £135,546 for PMS dispensing GPs • £104,093 for GPMS non-dispensing GPs • £126,996 for GPMS dispensing GPs

  17. The average income before tax for salaried GPs in the UK in 2006/07 by contract type • £52,551 for those GPs working in a GMS practice. • £55,459 for those GPs working in a PMS practice. • £53,940 for those GPs working in either a GMS or PMS (GPMS) practice.

  18. Contract • Enhanced services: DES, NES, LES; Spending of floor; Commissioning arrangements, Pricing • List closure and Patient Assignment • QOF recording and monitoring arrangements, including challenges • OOH arrangements • Core contract monitoring and breaches • Provision of new services eg. Darzi Centres

  19. If you ever need help Contact your LMC!

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