2. Surrey & Sussex LMC Role & Support for Sessional Colleagues
Dr Julius Parker
SSLMCs Chief Executive
Dr Clare Sieber
SSLMCs Medical Director

3. What is the LMC
Statutory Representative body for all local NHS General Practitioners
Established in 1911 by Lloyd George National Insurance Act
Links GPs with their National Negotiating Committee [The General Practitioners Committee at the BMA]
Funded by a capitation based Levy from all practices [currently 39 pence per patient]

4. Who are SSLMCs? Third largest UK LMC Confederation
LMC Secretariat based at Leatherhead
Support and advice to GP colleagues and practices within Croydon, East and West Sussex, Surrey, Kingston and Richmond
Five constituency based elected Committees meet bi-monthly
Website:
Twitter: @sslmcs

5. Sessional Colleagues Represented on all five Committees
Elected Deputy Chair of East & West Sussex LMCs are Sessional GPs
LMC Secretariat x 2 of 5 LMC Medical Directors and LMC CEO sessional GPs
Attend LMC [England] and LMC [UK] Conferences
No direct Levy for salaried and locum Colleagues as the Levy is practice based
All LMC advice and support services are available to any NHS GP working within Surrey and Sussex LMC Confederation area

6. What Does the LMC Do? I
Liaison meetings with key NHS Stakeholders, including CCGs, Public Health and NHS England and with PCSE and CQC, LPC and GP Health Programme
Provide pastoral support to GPs
Complaints and investigations by NHS England, GMC and Ombudsman
Partnership disputes, including between practice and salaried GPs
Support and advice for GPs and Practice Managers on a full range of contractual and professional issues including job plans

7. What Does the LMC Do? II
Regular letters and updates, including LMC Line, covering contractual and professional issues, BMA guidance, PCSE updates
Negotiate Locally Commissioned Services with CCGs
Negotiate delivery of elements of the GP Forward View with CCGs and NHS England
LMC Negotiation during PMS Review ensured inclusion of BMA Model Contract within Local PMS Contracts

9. Current Updates Indemnity issues
Appraisal in light of Dr Bawa-Garba case
Pensions and other PCSE issues

10. Indemnity
NHS England recognise the personal cost of indemnity is a bar to GP workforce recruitment, retention and working-time commitment, especially OOHs
DH has announced negotiations on a State Supported Indemnity Scheme, planned commencement April 2019, which will create a level playing field with Trust Colleagues
Will cover all GPs working within NHS Contracts delivery, thus In-Hours practice, OOHs and ‘Primary Care Hub’ and equivalent work
Interim average annual inflationary uplift reimbursement, available to all GPs working within practices
Indemnity Organisations: MDU have introduced a transitional benefit scheme, MPS and MDDUS approach awaited
Emphasise the importance of your entire scope of work, particularly hubs, online-consultations and prescribing

11. Appraisal After Bawa-Garba Case
LMC met NHS England Local Responsible Officer and Medical Director
Updated guidance being disseminated via Senior Appraisers to all Appraiser learning sets
LMC guidance to all local GPs, with likely BMA and GMC guidance to follow
Reflection is a key part of working life, but, professional not confessional
Recognition that individuals are working within at times a very challenging system
Development of Primary Care ‘Freedom to Speak-Up’ Guardians

12. Pensions & Other PCSE Issues I
LMC meets with PCSE Regional and Local Managers every two months
Raises generic and individual issues
Escalates problems for both BMA and Senior PSCE resolution
Negotiated Medical Performers List transfer ‘fix’ directly with Local NHSE Team
Generates practical advice, guidance and support
NHS England PCSE Medical Performers List is currently thought to be only 75% accurate

13. Pensions & Other PCSE Issues II
New PCSE online portal
Discrepancies with the Total Rewards Statement
Type II self assessment forms: BMA concerns & amnesty
Performers List
Legal action v PCSE

14. What Next?
‘Survive & Thrive’ Workshop held in January with GP Health Programme
‘Returning to Work After a Baby’ to be held shortly
Recruitment events
Sessional Conference : including BMA Sessional Sub-Committee Speakers and high profile updates

15. Your LMC Would Like:- To hear from you
To receive your contact details, if you would like to be included on our distribution lists
To offer you the LMC Observer Scheme if you might be interested in joining your LMC

16. Any Questions?