& SUMMARY ANNUAL REPORT OF ACCOUNTS

2018-2019 CONTENTS

2 Chairman’s report 11 Buying Group 3 Chief Executive’s report 12 General 4 Our Clinical Leadership Practice Phoenix Programme 5 Our Clinical Leadership 13 Nottinghamshire General CHIEF EXECUTIVE’S REPORT Practice Phoenix Programme 5 The Secretariat Projects 6 New Board of Directors elected 14-16 2018-2019 events When knuckling down to write my message for this annual report, 7 Communications update 17 Pastoral Network I looked back at the last one. I talked about how the government needed to recognise how precious and vital general practice is to 8 Practice Liaison Team Update 18 The next 12 months a well-functioning NHS. Twelve months on, I can talk about how the 9 How we support 18 Treasurer’s Report sector is being incentivised to work in different ways but with general General Practice practice very much front and centre in the planning ahead for the 19 Summary of Accounts provision of and support for front line care. 10 GP-S The emergence of Primary Care Networks (PCNs) has been mooted for some time and after years of various think tanks and entrepreneurial GPs seeing collaborative working as the ideal, we now see some serious intention and initiatives to adopt this way of working as normal for general practice. The new GP contract that launched on 1 April 2019 is arguably the most significant change in GP contracting since 2004 and probably before. We are looking at a five-year deal with the potential to extend elements for another five years with promises of recurrent funding and extra resources reaching practices at an individual level and wider at network level. State-back indemnity is a welcome boost to the profession and represents a pay rise to many GPs in real terms. The new Network Primary Care Direct Enhanced Service will come CHAIRMAN’S REPORT into play on 1 July 2019 and at the back end of 2018/19 there has been a frantic rush to get PCNs into place with Clinical Directors and discussions around internal governance to create footprints for Another year of change, and the contract changes announced this There have been big changes made to MDO subscriptions. There is community services to wrap around. CCGs are also changing in shape year effectively provide a pay rise for the first time in many years. still confusion about how much we still need to pay and there seems and form to adapt to the changing landscape that puts great stock in Not only in direct reimbursement but also in guaranteed changes to be some confusion about what is covered by our national contract. integrated ways of working across the Integrated Care System. This over the next five years for General Practice. Primary Care Networks This is something that the LMC may find it difficult to help with directly; has meant challenging conversations as some practices have had to will be an important new development and the promise of closer a chat with your own MDO is essential as there is evidence that similar think about working together where they haven’t before – so much of collaboration and new funding have been tied together. clinical commitments may be being dealt with differently by different call this change is reliant on good relationships and a belief that the new handlers within the same organisation, and differently again between The LMC held contract workshops and will continue to provide more ways of working can be delivered. different organisations. There is guidance on this on the BMA website information over the next year. For the moment there will be little change and although the LMC may not be able to offer specific advice, we will of As we look back on 2018/19, I think that we can say that as a on the ground and investment follows commitment in the first 12 months. course be able to feed issues back to the negotiators centrally. profession, general practice is bracing itself for the changes and I feel it is important to be involved as local decision making will take place looking at how to lead within the changing landscape. As your LMC, we at this level involving service provision and therefore investment of new The LMC is your representative body, and as always, we will provide are doing the same and looking to ensure that core general practice resources in the local area. updates with these and all breaking issues. Don’t hesitate to contact the is protected and enhanced to make your surgery more sustainable for LMC at [email protected] with any queries you may have. you and for the benefit of all your patients. By Dr Greg Place, Nottinghamshire LMC Chairman By Michael Wright, Chief Executive of Nottinghamshire LMC

2 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 3 OUR CLINICAL LEADERSHIP OUR CO-OPTED LEADERSHIP

April 2018 was start of a new term of office for the LMC clinical leadership, we opened nominations for committee members with six places in Our co-opted membership expanded in 2018 with the regulars joined by a new GP Trainee representative Karl Alvarez, and Joanne Sherwood and Julie the city, twelve across the county and two in Bassetlaw. With 18 nominations, there was no need for elections. We welcomed Dr Martha Berhanu Reid joined as Practice Manager representatives. and Dr Hussain Gandhi onto the LMC Committee. Our two vacancies for Bassetlaw remain unfilled and we have continued to encourage nominations from the north of the region.

Dr Lorna Filby Dr Peter Holden Dr Sue Oakley Julie Reid Joanne Sherwood GP Trainee rep BMA GPC Rep for Derbyshire Sessional + Locum rep Practice Managers rep Practice Managers rep & Nottinghamshire

Dr Martha Berhanu Dr Marcus Bicknall Dr Aneel Bilku Dr Khalid Butt Dr Laura Foxwell Dr Hussain Gandhi Committee Member + Salaried LMC Board Member + Committee Member + GP Committee Member + Committee Member Committee Member + GP GP at Willowbrook Medical GP Partner at Beechdale Partner at Torkard Hill Medical GP Partner at Oakwood + GP Partner at Partner at Wellspring Surgery Practice Medical Group Centre Surgery Elmswood Surgery

THE SECRETARIAT

There were changes within the LMC Secretariat this year as Adele Stewart joined the LMC as Head of Operations, Aleesha Newton joined as Communications Officer replacing Matt Bunn, and Amanda Piper moved from the LMC across to PSS. Dr Helen Garr Dr Adam Harrison Dr Christine Johnson Dr Sonali Kinra Dr Jen Moss Langfield Dr Greg Place Ashleigh Beer Lucy Cassidy Janet Chester Committee Member + Salaried Vice Chairman + LMC Workforce Lead Committee Member + GP Committer Member + Chairman + GP Partner The GP-S team expanded and Ashleigh Beer who previously was the GP-S Admin Assistant Practice Liaison Officer Senior Finance Officer GP at Cripps Health Centre Locum GP + Portfolio GP Partner at Road Treasurer + Locum GP at Ashfield House Business Admin apprentice for the LMC joined the GP-S team. Medical Centre Surgery

Dr Om Sharma Dr Carter Singh Dr Andy Sommers Dr Arun Tangri Dr Kalindi Krishna Tumurugoti Dr David Wicks Raheema Din Nikki Kendall Annie Meakin Aleesha Newton Adele Stewart Michael Wright Committee Member Committee Member + GP Partner Committee Member + Committee Member + GP Committee Member + Board Committee Member + GP Administration Apprentice GP-S Operational Lead Practice Liaison Officer Communications Officer Head of Operations Chief Executive + GP Partner at at Willowbrook Medical Practice GP Partner at Millview Partner at Riverlyn Medical Director + Locum GP Partner at The Fountain Greenfields Medical Surgery Centre Medical Centre Centre

4 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 5 NEW BOARD OF COMMUNICATIONS UPDATE

DIRECTORS ELECTED The LMC’s communications continued to play a vital role over the past year in keeping constituents informed. Following practice feedback in our annual survey there was focus on quality over quantity to avoid sending unnecessary emails to over loaded Once the Committee positions were confirmed, we moved onto elections for the Nottinghamshire Practice Managers. LMC Board. All Committee members were invited to apply, and the election results were In our annual survey, many of our constituents expressed a lack of confidence and knowledge about social media for their practices. We listened announced, on the 6th of June 2018. Michael Wright, the Chief Executive is an employee of the In November 2018 the committee to this feedback and developed new social media workshops which were delivered by our Communications Officer, Aleesha Newton. LMC and therefore was not included in the elections. held an Extraordinary General Meeting to consider a proposal Our social media presence continued to grow, and we engaged with more people online than ever before. We hit a milestone of 1,000 followers The Board Chairman - Dr Greg Place to change the terms of office on our LMC Twitter page and this continues to increase. for committee members. Voting Vice Chairman - Dr Adam Harrison members of the committee were Early in 2019, our quarterly newsletter was transformed. Formally known as ‘Your LMC’, after hosting a competition for a new name, asked to vote for their preference, ‘Notts in Practice’ took its place. The new look newsletter truly has our constituents needs at the heart of its content. Treasurer - Dr Jennifer Moss Langfield the majority voted to increase the term of office to three years, this Company Secretary - Mr Michael Wright was implemented immediately Board Member - taking the end date for current Twitter Feed Website App downloads Dr Kalindi Tumurugoti terms to May 2021. Board Member - Dr Marcus Bicknell Year Impressions New Year Impressions New followers followers

17/18 390,100 169 17/18 46,286 10,642

18/19 408,300 197 18/19 85,650 15,307 159

Change +4.5% +15.3% Change +59.6% +35.9%

From left to right: Website Changes Dr Kalindi Tumurugoti, Dr Adam Harrison, The LMC website continues to be a destination site for our members with regularly updated content. This year we introduced the new Dr Greg Place, workforce section to create a hub for all thing’s workforce related and timed in line with the launch of the Nottinghamshire General Practice Dr Jen Moss Langfield, Phoenix Programme. The new addition has made it easier for our GPs and practices to access workforce information and support. Mr Michael Wright, The page is updated frequently with new and exciting workforce content, check it out at: www.nottinghamshirelmc.co.uk/gp-workforce Dr Marcus Bicknell.

6 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 7 PRACTICE LIAISON TEAM UPDATE HOW WE SUPPORT GENERAL PRACTICE

The new financial year started with long discussions on the impact Where there have been more deep-seated problems we have of the implementation of the General Data Protection Regulations undertaken, with our partner Practice Support Services, deep dive (GDPR) which came into force in May. The team spent many hours diagnostics and from this have put in place measures to help the Representation Educate and Inform liaising with other key stakeholders about how to manage this and practices move forward. Actions have included better financial ■■ NHS England, Clinical Commissioning Groups, ■■ Weekly E-Update and Quarterly LMC Newsletter communicate the correct interpretation of the regulations – it felt a management, mediation services, recruitment plans and interviewing Care Quality Commission little like the millennium year with lots of scaremongering and panic. support with some very positive results. ■■ Information Governance advice ■ Other than the financial impact of the SARs not being chargeable, ■ General Medical Council (GMC) ■■ Advertising practice vacancies Of course, the CQC are ever looming and we have certainly seen practices have got on with this and with the help from our ■■ Performance Advisory Group (PAG) and Performers some activity in the Nottinghamshire area. We have built a very ■■ Training events federations and IG experts, we have managed to continue to support List Decision Pane (PLDP) our practices well in their roles dealing with data and information. open, honest and transparent relationship with the regional inspection ■■ Raising awareness of the Committee’s role team and regularly meet them to understand the inspection ‘hot spots’ ■■ National links with BMA via GPC ■■ Social Media advice and support through We revised our approach internally and have refreshed our but more importantly to understand how we can support our practices ■ ■ Premises working group meetings one-to-one workshops membership database and with the migration to NHS.net email with compliance. We have supported some practices to move out of ■■ Local Authorities addresses, we are building our contacts list back up again. ‘special measures’ and even managed to have a rating changed as we ■■ Fire Marshal training ■■ Sustainability and Transformation Partnership General practice has continued to be under pressure due to workforce felt that the practice had been penalised particularly due to their atypical ■■ First Aid training shortages, cuts in funding and the ever-increasing workload. We have patient demographic. workstreams robustly supported practices this year by encouraging them to ‘push ■■ Primary Care Support England We look forward to continuing to support and encourage general back’ on un-resourced work which lies out of the core contract and have ■ practice to embrace the changes coming quickly in the future. ■ Chairing of Violent Patient’s Schemes (Mid & Greater had constructive conversations with our colleagues in secondary care ) and other areas where we have needed their cooperation. Initiatives from the GP Forward View such as Active Signposting and effective Workflow Management has also been encouraged with some very Support useful support from the federations. ■■ Contract advice – GMS/PMS/DES/LES/LCPHS The preparatory visit report ■■ Resolving practice disputes ■■ Practice visits Annie Meakin from the LMC came through LMC Practice promptly and was extremely ■■ Preparatory CQC visits Liaison Officer “ detailed, enabling us to ■■ Response to complaints and Freedom of Information prepare with more confidence Requests My thanks to Nottinghamshire for the CQC visit. We just ■ LMC for the unwavering support want to say, thank you ■ Fitness to practice issues The LMC have been an invaluable and guidance I have received Nottinghamshire LMC. ■■ Inspections (including pre-inspection visits) source of advice and support for “ throughout my career in General ■■ our practice recently whilst we have – Practice Manager Resilience and Business Continuity Practice in Nottinghamshire - “ dealt with a local practice closing ” ■■ Compliance Policy templates I count myself fortunate to have My practice asked and application for temporary list ■■ Mediation and Mentorship had such an excellent organisation Nottinghamshire LMC “fighting in my corner” as Primary suspension. The practice liaison officer ■■ Raising awareness of issues with the Committee to come in before our has been efficient, knowledgeable and Care has changed and evolved ■■ Assistance with the recruitment process “ next CQC inspection responsive and always ready to offer over the last 38 years. and we found the telephone and face to face contact. ■■ Signposting for legal and HR guidance preparatory visit from Lucy has been excellent offering ■■ Health and wellbeing Retired Nottinghamshire GP the LMC extremely support and guidance during CCG and ■ ” ■ Facilitating federation and collaborative meetings useful. NHSE meetings and we have really felt – Practice Manager that the LMC was “on our side”. Lucy Cassidy LMC Practice ” – Practice Manager ” Liaison Officer 8 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 9 GP-S - FREE PEER TO PEER MENTORING, THE LMC BUYING COACHING AND SIGNPOSTING FOR GROUPS FEDERATION

GENERAL PRACTICE. (Back row, left to right) (Front row, left to right) Helen Shuker - Head of Operations Zenaida Morrison – It has been a successful year for the GP-S team, we’ve seen great Gary Burns – Procurement Consultant, Communications and Marketing Officer feedback, recognition and an expansion in our ability to offer free Very beneficial service, Michael Wright – Chief Executive peer mentoring and coaching. Amanda Piper – Business Support Officer allows you to take a step Nikki Stewart – Business GP-S extended significantly, welcoming Sheffield and Staffordshire to the back and work out what Development Officer. team, and expanding the total number of areas we provide support to. “ is working and what is The team has grown too, we now have over 60 mentors who provide a not working in relation wide range of support for mentees, to enable them to stay within General to work and the impact Practice if they wish. that this has on other It was invaluable to have a professional Around 101 GPs took up the offer of free peer mentoring and coaching areas of life. colleague to speak to during the financial year, with 36 of these from Nottinghamshire, an The LMC Buying Groups Federation, which will celebrate its 10th One of the Buying Group’s major challenges in 2018/19 was the “ in confidence and to increase on the previous year. anniversary in 2019, has continued to expand its offering and reach implementation of GDPR, the new data protection legislation which was obtain an impartial, ” in the last year. introduced in May 2018. Due to the organic growth of the Buying Group 82% of GPs who used GP-s in 2018-19 believed using the service fair and constructive over the last decade, we decided we needed to start from scratch and enabled them to stay in General Practice. We commissioned an Oxford The Federation now works with over 6,700 healthcare providers outlook. obtain new consents about how we store and use members’ personal Brookes University study on how GP-S impacted individuals in their across the UK including GP practices, dental practices, independent data. Although we had a great response to our requests for members home and work life. The results from the study showed improvements pharmacies and GP federations. in self-perception of an individual’s value at work, patient care, work/life to re-register their details, this turned into an ongoing project to regain ” Membership, which is free, gives practices access to an extensive permission from all members. balance and the ability to make changes. range of products and services on which the Buying Group have The new year brought with it a finalist Primary Care Team of the year Looking towards 2019-20 The Buying Group will be ending one supplier contract at the end of ■ negotiated excellent discounts as well as offering a recruitment nomination for the BMJ Awards 2019, Primary Care Category. The ■ Work with other areas around the UK to enable GPs and other 2018/19. A few months ago, Scan and Collate informed us that they package and useful resources and advice in its online community. nomination recognised the hard work and dedication of our team professional groups to access mentoring/coaching. could no longer offer a nationwide service so we could not renew their and the positive impact GP-S has had on GPs and General Practice ■■ Continually working with mentors to ensure they’re well informed, Over the last twelve months, the Buying Group has recruited a fourth contract. A new supplier called Scan House that offers a similar service as a whole. supported and building extra resources for mentors to use with member of the team, Amanda Piper (Business Support Officer), to will be launched to the membership on 1 April 2019. mentees provide greater customer support for members. Having a full team The next 12 months will be focused on building on the work that was in place has meant we could also expand our offering to members ■■ Working on our marketing and campaigns to ensure as many started in 2018/19 as well as developing new ways to help practices including providing a live chat service and launching the new GPs as possible know about the service. and the emerging primary care networks save time and money. recruitment and community sections of the website. ■■ Building our signposting links to ensure GPs who access GP-S are supported as much as possible.

The GP-S team (from left to right): Dr Anjla Sharman, Ashleigh Beer, Dr Ilona Bendefy, Michael Wright, Nikki Kendall, Dr Helen Percival. 10 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 11 NOTTINGHAMSHIRE GENERAL NOTTINGHAMSHIRE GENERAL PRACTICE PHOENIX PROGRAMME PRACTICE PHOENIX PROGRAMME PROJECTS There have been several new initiatives (funded separately from the LMC statutory In recent years there have been growing concerns about It has been decided that a focus on “first fives” and initiatives designed maintaining a sustainable workforce within general practice. to support GP trainees from their training programmes into working levy) we have been working on this year that contributes to the future direction in General Practice is likely to ease some of the workforce issues in The number of unfilled GP posts quadrupled between 2012 and 2014, which has been signaled through the NHS Long Term Plan. the county. while the numbers of GPs fell substantially. Despite new government measures in 2015 designed to train an extra 5,000 GPs by In late January 2019, funding was awarded for two new 2020 and boost the proportion of medical students workforce schemes aimed at increasing the numbers ■■ ■■ choosing general practice as a career, it has emerged of trainees staying in Nottinghamshire following their GP Trainee Transition Scheme GP Preceptorships that more than 1,000 GPs jumped ship between training and through their first five years of work. This works with ST3 GPs to ascertain their needs and Early stages of development but looking at how to support 2016 and 2017. In addition, funding has also been awarded for preferences for life after VTS. new GPs in their first-year post-training and provide a more two further schemes aimed at GPs who have ‘managed’ way of helping them rather than leaving them Although the initial workforce concerns were We work with general practice individually and at scale to primarily about GP recruitment and retention, been working for at least three years. Funds unsupported. have also been allocated to support practice provide opportunities to gainfully employ such trainees and these issues are now affecting the wider retain them within Nottinghamshire. workforce including practice managers. manager development and GPs in Bassetlaw as well. ■■ International Medical Graduates (IMGs) – Tier 2 Visas The number of trainees staying in the county following the completion of their training is uncertain The Nottinghamshire General Practice Phoenix ■■ Medical Assistants We are working with NHS England North Midlands and GPs within their first five years are also leaving the Programme was created by Nottinghamshire LMC colleagues to collate a list of international GP trainees who We are working with GP Fellows at the training hub based local workforce. There are also issues surrounding more in February 2019 to provide project management, require Tier 2 Visas once they have completed GP training. at NEMS to design a pilot for a new role within practices, experienced GPs leaving the profession completely. communications and engagement and admin support to Further to that we have worked with several practices to help ‘medical assistants’ training up existing administrative staff. A workforce schemes in the county. them to sign up as sponsors to fill vacancies and will continue There has been engagement with the local GP workforce over the small group of five practices have been meeting to design a to try to match them up and attract new GPs from further last 12 months and there is now a broad understanding of what would Information about all the schemes can be found on the Phoenix job description and learn from other areas of the country who afield. make a difference to their work-life balance and overall wellbeing. Programme website at: www.phoenixprogramme.co.uk are also running pilots ahead of a wider roll-out in summer 2019. This innovative local work has now morphed into a national roll-out and in Notts we have 20 practices taking part which is more than any other area of the North Midlands NHS England area.

PSS UPDATE ■■ GP Fellowship Lite We are exploring options based on the current HEE model During the last financial year, Practice Support Services (PSS) has 39 diagnostics were completed. of GP Fellowships with a view to offering a modified version continued its ‘Diagnostic’ service through PSS, providing ‘deep of it. Essentially, the existing scheme allows for a salaried GP PSS is also looking to continue to expand its services to practices dive’ resilience and bespoke diagnostics to practices. new out of GP training to undertake other project work that throughout 2019. is part-funded to make their roles more attractive and bridge This service was developed in collaboration with Nottinghamshire For further information please contact: [email protected] the gap from training into mainstream general practice LMC and aims to identify areas of vulnerability within practices with a view to building resilience, working towards a more sustainable model. Some agencies may contact practices offering a tier 2 GP. We urge any interested Practice Managers to engage with us before signing up to any agreements as we can save you the expense of introduction fees etc.

12 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 13 2018-2019 EVENTS

Nottinghamshire LMC 120 delegates attended our annual conference in January 2019. The day was jam- packed with a variety of engaging and interactive workshops covering a whole host Annual Conference of topics including: ■■ Wellbeing at work ■■ Pension planning ■■ How to manage your finances ■■ Social media training ■■ Legal support ■■ HR advice ■■ GP Contract support and guidance We took on feedback from practices about workshops they would like us to organise for the conference and social media training was a hot topic and the popular workshop was led by Dr Hussain Gandhi. The day finished with a positive talk delivered by Andy Whittaker from the Art of Brilliance who caused ripples of laughter throughout the room. Feedback from the conference was 87% positive and we received many comments from delegates praising the event.

New NLMC GP Trainee Subcommittee National Conference of LMCs

The very first Nottinghamshire LMC Trainee Subcommittee took The National LMC Conference took place in March 2019 in place in October. The subcommittee was set up to extend our Belfast where Nottinghamshire LMC presented a lead motion General Practice support to future GPs in training and offer them on GP appraisal and revalidation. Our committee member, a regular meet up spot. By creating a forum where trainees can Dr Carter Singh presented the lead motion discuss issues and concerns, we have been able to offer support and and three out of five parts were carried. solutions to those that attended the subcommittee. We have already made an impact since launching this subcommittee helping a trainee to understand their offer of partnership and making it easier for them to join their new partnership.

NHS 70th Birthday Dr Carter Singh, LMC Committee member, As the NHS turned 70 this year, we hosted a presenting a lead motion celebratory garden party for our members and at the National LMC (left to right) Dr Kalindi families at Hart’s Hotel, thanking them for their Conference. Tumurugoti, Michael valued contribution every day. Wright, Dr Khalid Butt, Dr Laura Foxwell, Dr Carter Singh, Dr Adam Harrison

14 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 15 MORE LMC EVENTS It’s been several years since I had help with a financial and relationship issues from a Pastoral “ Advisor, the support they gave me helped Launch of Practice Managers Forum resolve my issues swiftly...a recent change in my personal circumstances resulted in me asking The newly relaunched Practice Managers Forum took place in June Nottinghamshire Integrated and have been taking place quarterly since then. There has been a Care System Workshops for support from the Pastoral network and again their help has been very valuable. variety of speakers at the forums including, a presentation by Paul As the future structure of the NHS emerged, the LMC Couldrey on Freedom of Information requests. Andy Evans from committee formed an ICS Working Group, to ensure our Connected Nottinghamshire came along to the third PM Forum and constituents could get a better understanding of the new delivered a talk on the NHS app and what practices will gain from Nottinghamshire Integrated Care System. We wanted to make ” using it. sure grassroot GPs were able to voice their opinions directly to To support more of our Practice Managers across Nottinghamshire, those leading on the ICS. The first LMC hosted meeting took we established two forums – a session in North Notts and a session in place in October and was chaired by Wendy Saviour, Managing Nottingham City. This proved to be a success as we had high attendance Director for Nottinghamshire Health and Care Integrated Care to both meetings. It was important for the LMC to engage our Practice System. The lively debate involved our committee members Managers and give them a hub where they can engage with other PMs challenging Wendy Saviour to ensure the needs of General in the area, share information, opinions, and canvas support. Practice were clear and recognised. The outcomes were (Back row, from shared, and further meetings were planned. left to right) The forums have appointed a Practice Manager to chair the meetings Dr Marilyn Horner, and they have been co-opted onto the LMC Committee. They actively Dr Simon Holmes, participate and contribute to the LMC. Julie Reid was appointed for the Dr Mike Elliott. Mid-Notts area and Joanne Sherwood for the Greater Notts area. LMC Annual General Meeting (Front Row, from We had a great turnout to our AGM which took place in left to right) October, it was good to share with so many key initiatives the LMC meet with MPs about GDPR and SARs Dr Jas Bilkhu, LMC have been working on for the past year and our plans. Dr Sue Ward. With the impact of GDPR causing chaos in General Practice, we Our guest speaker was Richard Mitchell, Chief Executive at met with local MPs Alex Norris and Chris Leslie to express and Sherwood Forest Hospitals NHS Foundation Trust. Attendees PASTORAL NETWORK emphasise the impact of SARs have had on practices and the extra got to learn more about upcoming plans and future projects workload they have created. and there was a lively and engaging Q&A at the end of his talk. The Notts LMC Pastoral Network support is provided by Following a letter written by one Practice Manager who asked for several experienced advisors mainly retired GPs who LMC support regarding the extra workload created by subject access are trained to provide support in dealing with personal requests, we created a template letter and encouraged all practices to and professional difficulties; domestic and family issues, write to their MP. This was instrumental in getting our Practice Managers bereavement, patient complaints, relationship issues with in front MPs to get their voices heard. the CQC, NHSE, and the GMC, whatever the concerns the Many Practice Managers were struggling to fulfil the demands of the advisors can help or signpost to professional services. extra workload Subject Access Requests (SARs) had created. Before (left to right: Michael The free and confidential service can be accessed through GDPR, SARs were non-NHS work and were paid for by the requester. Wright, Nottinghamshire contact with [email protected] or calling on 0115 9771341. LMC Chief Executive The initial consultation is likely to be over the phone and The GDPR meeting with MP Alex Norris was well attended with a good and Alex Norris, Labour may be followed up by further calls or face to face meetings. turn out from Practice Managers. It was important for our practices Nottingham North MP) to be able to express how they were feeling about the extra The pastoral lead is Dr Jas Bilhku who has a wealth of workload and how it was affecting them. From the meeting input experience and delivers excellent support and advice. and feedback, we had gained from practices, we liaised with MP Dr Bilkhu helps to identify the best advisor to support Alex Norris and MP Chris Leslie to promote change to happen, depending on the circumstances of the call. not only on a local level but on a national level. In the 2018/19 year the pastoral network has supported Since our discussions, there is now a national payment many GPs, some quickly resolved short term issues and to practices to compensate for the loss of income through other GPs have checked in with issues which have the GDPR changes. spanned several years.

16 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 17 THE NEXT 12 MONTHS SUMMARY OF ACCOUNTS

What we will be striving for over the next ■■ We will always look out for you as GPs and your businesses in whichever entity you choose to deliver Primary Care through. 2018.19 2017.18 12 months on your behalf: ■■ The next year will see CCGs propose to form together to create Turnover £ £ ■■ Ensure the voice of Notts GPs continues to be heard locally and one entity. We will ensure our practices are aware of the proposed Income Stat Levy 444,452 441,033 on a national level, continuing to stimulate debate about the changes and will be pushing for a vote on the merger, so our Other income 22,792 27,850 needs of general practice over the coming years as such a vital practices are able to express their views. Income PSS 15,000 0 player in the care of our citizens across Nottinghamshire. ■■ Future LMC workshops will be organised to enable practices to Total Income 482,244 468,883 ■■ We will encourage closer work with secondary care providers understand more about their finances, contract changes, practice to promote bridging the recognised gap between primary and mergers, as well as other hot topics. Expenditure £ £ secondary care. We developed the new GP/Consultant Twinning Our mission is to be the first port of call for any day to day queries Salaries 313,594 289,074 Scheme which is all about promoting secondary and primary care or practice concerns. Head over to our website, and download Photocopier 2,491 2,118 colleagues working collaboratively to learn about each other’s job our app, to see the vast opportunities and content which is roles and responsibilities. Rent 21,600 21,600 available to support you in whatever it may be you need: www. Service/Utility Charges 8,699 6,761 ■■ Support the integrated care agenda by helping to provide nottinghamshirelmc.co.uk or contact [email protected] for further Telephone 4,482 2,790 a clear ‘general practice offer’ working collaboratively with assistance. GP provider companies/federations/hubs driven by views, needs Post Print & Stationery 7,767 10,515 and desires of practices. Advertising 0 1,923 Travelling 4,498 3,749 Attendance Costs 91,647 70,864 Subsistence 0 249 Insurance 2,340 2,320 Conference and Seminar Costs 17,649 23,648 Repairs and Renewals 364 180 Househould and Cleaning 3,675 2,978 TREASURER’S Training 1,800 2,854 REPORT Sundry expenses 1,476 4,846 Computer Support costs 8,195 12,896 I am pleased to report that the Nottinghamshire LMC accounts We have also increased our spending on events, conferences, Legal and Professional 2,440 5,852 seminars and open meetings, so that we can keep our members remain in a healthy financial position, supported by the profits Depreciation of Tangible Fixed Assets of our subsidiary company Practice Support Services. This is a abreast of the developments within this rapidly changing environment, tribute to the knowledge, experience and professionalism of our especially regarding the evolution of the ICS and PCNs. Plant and Machinery 1,241 1,552 secretariat, who I would like to thank for their continued hard work. Bank Charges 207 193 Workforce pressures combined with this changing landscape and Total Expenditure 494,165 466,962 As a result, we will again be able to freeze the statutory levy at 38 increased external pressures have affected many practices. We have pence in 2018-19 per patient, where it has remained since 2010. a comprehensive portfolio of support services for practices and GPs, Net Deficit -11,921 1,921 As an LMC we strive to deliver more for our constituents year on and we are constantly looking to how we can maximise this. year despite this freeze. One of the most interesting developments coming will be the new Nottinghamshire LMC Ltd Working Capital £ £ In 2018/19 we have increased our spending on attendance costs; Nottinghamshire General Practice Phoenix Program which is Working Capital in LMC Ltd accounts as of 31st March 39,039 50,545 to representing our members in more meetings and events locally looking at the workforce issue - please read more to ensure that the views of GPs and the impacts upon general about this on page 14. Premises Account (Notts LMC Reserves) £ £ practice are heard and understood. This representation ensures Closing balance as of 31st March 57,280 57,205 that we as an LMC are well informed about the tactical, operational By Dr Jen Moss Langfield, and strategic changes going on in Primary Care. Nottinghamshire LMC Voluntary Levy Account £ £ Treasurer Closing balance as of 31st March 54,763 60,789

18 NOTTINGHAMSHIRE LMC LTD ANNUAL REPORT 2018-2019 19 Constituent GP Practices

Nottingham City Sherwood Rise Medical Centre Nottingham North and East and Ashfield Nottingham West Sherrington Park Medical Practice Alice Medical Centre Apple Tree Medical Practice Acorn Medical Practice Abbey Medical Centre Southglade Medical Practice Aspley Medical Centre The Calverton Practice Ashfield House Surgery Bramcote Surgery The Springfield Medical Centre Bakersfield Medical Centre Daybrook Medical Practice Brierley Park Medical Centre Chilwell Meadows Surgery St Luke’s Surgery Beechdale Surgery Giltbrook Surgery Bull Farm Surgery Eastwood Primary Care Centre Sunrise Medical Practice Bilborough Medical Centre Highcroft Surgery Churchside Medical Practice Giltbrook The Medical Centre Bilborough Surgery Ivy Medical Group Family Medical Centre Hama Medical Centre Tudor House Medical Practice Bridgeway Practice The Jubilee Practice Forest Medical Group Hickings Lane Medical Centre Victoria and Mapperley Practice Churchfields Medical Practice The Newthorpe Medical Centre Health Care Complex Newthorpe Medical Centre Welbeck Surgery Clifton Medical Practice Oakenhall Medical Practice Jacksdale Medical Centre Saxon Cross Surgery Wellspring Surgery Cripps Health Centre The Om Surgery Kirkby Community Primary Care The Linden Medical Group The Windmill Practice Derby Road Health Centre Park House Medical Centre Centre The Manor Surgery Wollaton Park Medical Centre Deer Park Family Medical Practice Peacock Healthcare Kirkby Family Medical Centre The Oaks Medical Centre Dr Om Sharma’s Practice Plains View Surgery Kirkby Health Centre The Valley Surgery Dr Phillips’ Practice Bassetlaw Stenhouse Medical Centre Kings Medical Centre Elmswood Surgery Bawtry and Blyth Medical Torkard Hill Medical Centre Lowmoor Road Surgery Fairfields Practice Crown House Surgery Trentside Medical Group Meden Medical Services Family Medical Centre Kingfisher Family Practice Unity Surgery Millview Surgery The Forest Practice Miserton Group Practice Westdale Lane Surgery Oakwood Surgery Grange Farm Medical Centre North Leverton Surgery West Oak Surgery Orchard Medical Practice Greendale Primary Care Centre Riverside Health Centre Whyburn Medical Practice Pleasley Surgery High Green Medical Practice Tuxford Medical Centre Riverbank Medical Services Hucknall Road Medical Centre Roundwood Surgery John Ryle Medical Practice Sandy Lane Surgery Abbey Medical Group Leen View Surgery Selston Surgery Belvoir Health Group Balderton Surgery Lime Tree Surgery Skegby Family Medical Centre Castle Healthcare Practice Barnby Gate Surgery Mayfield Medical Practice St Peter’s Medical Practice East Bridgford Medical Group Bilsthorpe Surgery Meadows Health Centre Willowbrook Medical Practice East Leake Medical Group Collingham Medical Centre Melbourne Park Medical Centre Woodlands Medical Practice Gamston Medical Practice The Fountain Medical Centre NEMS Platform One Medical Practice Kegworth and Gotham Surgeries Hounsfield Surgery Parkside Medical Practice Keyworth Medical Centre Hill View Surgery The Practice St Albans and Nirmala Musters Medical Practice Lombard Medical Centre Queens Bower Surgery Orchard Surgery Major Oak Medical Practice Radford Medical Practice Radcliffe-on-Trent Health Centre Middleton Lodge Practice Rise Park Surgery Ruddington Medical Centre Rainworth Surgery Rivergreen Medical Centre St George’s Medical Practice Sherwood Medical Partnership Riverlyn Medical Centre Medical Practice Southwell Medical Centre RHR Medical Centre

Tel: 0115 977 1341 Email: [email protected] 5 Phoenix Place, Nottingham, NG8 6BA www.nottinghamshirelmc.co.uk