GLASGOW LMC NEWS LETTER MAY 2014

New LMC Website Government and the Scottish General Practitioners After months of consultation and development we are Committee. delighted to launch the new Glasgow LMC website with improved functionality including:- In 20013/14 NHSGGC engaged with GP practices on the offer of Section 17C contracts. The Glasgow LMC  An online contact form to directly contact the committee are not supportive of this locally Medical secretaries negotiated contract but have contributed to  Direct access to GGC Clinical and referral guidance discussions with the Board. Any practice thinking of  Job vacancies and advertisements for GPs moving to 17C or signing a 17C contact would need to Managers and Practice Nurses have these contracts checked legally and financially  Search engine and regularly updated document and seek changes if needed. The LMC is not able to Library offer legal or financial advice. To date, an additional  Regular LMC newsletters updating you on 28 GMS practices have signed up to new 17C st important issues Agreements from 1 April 2014, bringing the total of  Contractual advice and updates 17C practices in NHSGG&C to 39.  Professional and financial guidance documentation 2014/15 GMS Contract  Partnership advice The BMA's Scottish GP Committee has agreed changes to the GMS (GP) contract for 2014-2015 with the  Information relating to the free LMC Practice Scottish Government. The BMA believe that these Mediation service agreements will achieve the following:-  Health related news from local and national media  Reduce unnecessary targets and bureaucracy,  Minutes of the GP Subcommittee meetings reducing interference in consultations and allowing  Information on training courses offered within the focus on the needs of the patient LMC and NHSGGC  Focus primary care resources on the most ………….And much more vulnerable patients in the community This can be found at: www.glasgowlmc.co.uk  Provide greater stability of funding for GP practices  Address some GP practice workload concerns In addition we have 2 new Facebook groups which can  Continue to promote a return to the concept of GP be accessed below: professionalism and leadership Glasgow Local Medical Committee Group for General Practitioners The Scottish Government intends to apply an uplift to https://www.facebook.com/groups/glasgowlmc/ the value of the contract reflecting an element for Glasgow LMC Practice manager’s discussion group expenses and a pay uplift but this will also take https://www.facebook.com/groups/glasgowlmcpracti account of the Scottish Government’s public pay cemanagers policy. The Scottish Government remains committed to the Doctors’ and Dentists’ Review Body (DDRB) Feedback and ideas for improvement welcome. We process and will await the DDRB’s recommendation hope you will choose Glasgow LMC as your home before deciding on the level of the uplift. page and look forward to greater communication with all GPs and a greater opportunity to offer support to In addition, SGPC and the Scottish Government have all General Practices across Greater Glasgow & Clyde stated that they will explore the development of a Scottish Contract as part of a longer term agreement S ection 17 C Contracts (for three years) to create a stable funding A 17C contract is a locally-agreed alternative to the environment for general practice. This will include nationally agreed General Medical Services (also discussions on how a GP contract in Scotland can be known as 17J) Contract for providers of General structured, taking account of: Practice. Legislation has allowed for Section 17C  Moving toward the 2020 vision for health and contracts since 2004. social care Unlike GMS contracts, they are negotiated between  Strengthening primary health care teams in and the Board and the practice, and are not subject to around GP practices national negotiations between the Scottish 1  Addressing issues relating to caring for the elderly developments but also allows us to gather population and those within deprived and rural information which we intend to use to improve the areas working experience of locum GPs locally to the benefit  Scottish Government proposals around seniority of both practices and the locum GPs. There are two and recruitment and retention incentives Sessional GP representatives on the LMC and we are committed to supporting all GPs working in the board Domperidone area. Information regarding future initiatives will be A recent Europe-wide review has recommended highlighted by means of regular updates in this updates to the treatment advice for domperidone newsletter. following evaluation of the benefits and risks of domperidone (see District Nurse Review http://www.ema.europa.eu/ema/index.jsp? The DN Review is a critical part of the Board’s Clinical curl=pages/news_and_events/news/2014/04/news_d Services Review (CSR) and outlines the case for more etail_002083.jsp&mid=WC0b01ac058004d5c1). The investment in the DN services. The review looks at review was triggered following continued reports of best practice and hopes to address the variation in DN cardiac side effects and a small increased risk of service across GG&C. So far it has come up with a serious cardiac side effects was confirmed. A higher number of recommendations on how the workforce risk was observed in patients older than 60 years, should be developed. This includes a better skill mix adults taking daily oral doses of more than 30mg, and with more band 3 staff, investing in ‘agile’ working those taking QT-prolonging medicines or CYP3A4 and providing IT tablets for DNs. inhibitors concomitantly. Health and Social Care Integration would see the DN Advice for healthcare professionals service acting as an ‘enhanced’ gateway to other • Domperidone is now restricted to use in the relief of services in the Community. The LMC are actively symptoms nausea and vomiting involved in the consultation and represented on the • It should be used at the lowest effective dose for the Review Group. We will keep you informed of shortest possible time developments.

Contraindications Cervical Cytology • Domperidone is contraindicated in people: We have been made aware that there is a - With conditions where the cardiac conduction is, or considerable number of ‘out of date’ transport could be, impaired medium/vials used in cervical cytology. Can you - With underlying cardiac diseases such as congestive please check your stocks and dispose of any out of heart failure date vials as these cannot be analysed by the Cytology - receiving other medications known to prolong QT or Labs. potent CYP3A4 inhibitors - With severe hepatic impairment UK Conference of LMCs • Patients with these conditions should have their The UK conference of LMCs takes place in York on treatment reviewed at their next routine appointment Thursday 22nd and Friday 23rd May. Glasgow LMC and be switched to an alternative treatment if has eight representative places. Live coverage of the required conference will be available via the BMA website and you can also get involved and discuss the key topics Sessional GPs on Twitter using the hashtag #LMCconf The LMC is working to strengthen links with Sessional GPs working in the board area. We recognise that From all the Team at the LMC practices are having difficulty obtaining locum cover Dr Michael Haughney, Chairman and that it is in the interests of both practices and Dr John Ip, Medical Secretary Sessional GPs for the LMC to work towards making Dr Georgina Brown, Medical Secretary working as a locum in Glasgow and Clyde attractive to Dr Patricia Moultrie, Medical Secretary Sessional GPs. To this end we have forged a closer Mary Fingland, Office Secretary working relationship with Glasgow Locum Group and Ian Mackie, P.C. Training & Development held two well attended meetings with Sessional GPs. Manager This not only allows us to assist Sessional GPs in Elaine McLaren, Admin Assistant keeping abreast of GP Contract and local service 2