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Cornwall & Isles of Scilly

LMC Newsletter

December 2016

Dawn and Nicky at the LMC Office

would like to wish you all a very
happy Christmas and a peaceful
and prosperous New Year.

Inside this issue:

Sessional GP e-Newsletter

My GMC App.
List Management Guidance.
GP Partners at risk of
becoming an endangered

Significant eventNHS SBS


Please follow this link for the latest Sessional GP Newsletter.

Significant eventNHS SBS.

Training for Practice Staff.
Cornwall Dermatology Group.




Items for the Newsletter should be

sent to the Editor, Dawn Molenkamp
at Victoria Beacon Place, Room
B314, Station Approach, Victoria,
Roche, St Austell, PL26 8LG
Tel :01726 210141

My GMC App
Facing an ethical dilemma in the care of one of your patients?
The new app, My GMP, will help doctors find relevant guidance quickly and easily, and can be accessed
offline once installed.
The GMC have recently released the My GMP App. This gives access to Good Medical Practice as well as all
of the other GMC ethical guidance for doctors, from phones or tablets. It is available for phones and tablets using IOS or Android and can be downloaded for free from the Apple App Store or Google Play.
My GMP has been developed with the help of doctors to make sure its useful and user friendly. It aims to help
doctors follow good medical practice by making GMC guidance more relevant and accessible, especially at the
point of care.
You can favourite paragraphs that are relevant to you, see monthly hot topics and link to online case studies
to help apply the guidance in practice.
Further details of the App can be found by clicking the logos below:

This is phase one of My GMP and the GMC is keen to get your feedback in order to continue to develop
and improve it. When you have used it please fill in our 2 minute survey and tell us what you think of My
John Davey, Regional Liaison Adviser (South West)
The GMC Regional Liaison Service is available to provide sessions on all aspects of GMC guidance.
Email: Website:
Telephone: 0161 240 8148

Mobile: 07586 616 767

List management guidance

We would like to highlight the BMAs guidance on list management (please follow this link). This provides
practices with guidance on list management such as information on formal list closure and informal temporary suspension of patient registration. We are aware that NHS England have sent out guidance on
temporary suspension of patient registration to commissioners, some of the information in this guidance
contradicts the BMAs guidance and we would like to assure practices that we believe our guidance is
within the regulations.

GP partners at risk of becoming an endangered species

Please find below a link to Chaands latest newsletter, which focuses on the latest results from our survey,
particularly in relation to workload pressures.

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Significant event - NHS SBS

Following the below notification sent earlier in the year regarding repatriation of missing items from NHS SBS, GPC
has been liaising with NHS England to ensure the process is as simple as possible, support is provided to practices
where required, and financial compensation is provided. We have now reached agreement and so would like to provide you with some details.
We have made it clear that whilst practices may, following assessment of the correspondence, need to communicate
with individual patients, GPs can in no way be made liable for the failure and delays in the service provided by NHS
SBS. However GPs do have professional and legal duties to assist with the response to this incident.
The process

All items have been triaged by GPs contracted nationally by NHS England and those identified as carrying a
potential risk of ongoing harm have already been returned to practices over the summer, where they were reviewed.

The rest of the items are now being sent to the patients current practice, for filing in their medical record on
completion of a review process.

The vast majority of these items will be DNAs, TR forms or other items with little clinical information therefore
much of the documentation will not have resulted in harm, but all of the correspondence needs to be assessed
to ensure that the interests of patients are protected and potential harm is either identified or ruled out.

Documentation should arrive in practices between 15 and 19 December (by TNT using a secure tracked process). The correspondence will be clearly identified, in a white plastic wallet which has NHS Englands address on.

Included in each bag is a letter which explains the process the practice should follow upon receipt of the correspondence.

If it becomes evident that the patients record is no longer at the practice, please contact NHS England using
the contact details in the letter and they will arrange for TNT to collect the item and deliver to the new practice.

The support

Where the practice identifies items of high priority, they should complete the general response form and return
it to NHS England as soon as possible.

NHS England will support practices with the completion of a clinical review where harm is suggested and will
provide template correspondence to use in communicating with patients who may have suffered harm.

Where there is correspondence with a patient, the template letter provided by NHSE states expressly that the
delay in receipt of the relevant item of correspondence was not the fault of the GP.

NHS England local and regional teams are aware of this process and can be contacted if there are any issues

NHS England has also provided a dedicated phone line and email address on which practices can contact
them with queries (telephone: 0800 028 9723, email:

The payment
In order to support GP practices affected by this incident, GPC England has worked with NHS England to agree
appropriate payment. Practices will receive payments related to the number of items received as follows:
No. of documents* received



Fixed payment of 50


Fixed payment of 100


50 for each batch of up to 10 items

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Significant event - NHS SBS - contd.

* A document is defined as a single complete instance of correspondence, consisting of one or more pages. A document is likely to include a communication such as a letter or notification. Any attachments or enclosures to that communication are regarded as part of the same document.

These payments are intended to provide recompense for the time required to review the correspondence in
the context of the medical records, communicate with patients about the incident where necessary and report
items of high priority to NHS England.

To remove any administrative burden on practices, they will be not required to submit a claim. Payments will
be made through the automated process in January/February.

This process is outside of the normal PCSE process and is being directed and overseen by NHS England
therefore we have been provided with assurances that there should be no problems with the payment process.

NHS England will write to all affected practices with details of their payment and timescales in early January

Training for Practice Staff

At the recent LMC Practice Managers conference the delegates where asked via the evaluation form, if
they would like to see the LMC run training events. The reply to this was Yes and so we are asking the
Practice Managers to have a think around the courses they would like to see us put on. This courses
would in the main be aimed around the Practice Manager and the Admin staff.
To put on a programme of courses and to make sure it is the ones needed we are asking if you could
email the LMC Office with some suggestions for your requirements we will then see if we can provide
The plan will be to hold the events in one of the meeting rooms at the offices in Victoria quite a few of
you have already been to some of the Health and Safety courses run here so will know the venue. The
courses will be mainly half-days, avoiding a Monday or Friday.
So please let us have your thoughts and we will start to put together a programme of events asap for
Please email:

Cornwall Dermatology Group

The Teledermatology Advice and Guidance service has now been up and running since April 2015 and
we are continually trying to improve it's usefulness to Cornish GPs. By completing the following short survey you will provide valuable feedback:
Thank you.
Dr Andrew Sharp - GP Lead for Teledermatology

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The Art of Brilliance
Following the success of The Art of Brilliance presentation by Martin Burder at the LMC Practice Manager
Conference earlier in November, we have asked Martin to come back to Cornwall on Friday 24th February
The event will be Held at Victoria from 9am3pm, lunch is included and the cost of 35 per person which
represents excellent value.
So if you want to know why you should wear your special pants on a Monday, fill in the attached booking
form and come along for a truly uplifting and inspiring day.
The event is open to any member of practice staff, including GPs and team leaders who might need a lift
and a day of laughter. Mood suckers especially welcome.

GP training course in Psychosexual Medicine

We have run a successful introductory course and are planning to start formal seminar training . All are welcome. It will consist of monthly seminars at 4 hours each, to be held at St Michael's Hospital Bristol. I plan to
run the seminar on Tuesday afternoons from 3 - 7 pm. On average it takes 4 - 6 terms to reach Diploma level
but you may sign up a term at a time.
Please circulate to anyone else who may be interested. Please find attached flyer and short introduction to the
training. Please also see
Please email me or phone me for more information
Best wishes
Catherine Coulson
Associate Specialist in Psychosexual Medicine

Cornwall Dermatology Group

The next meeting of the Cornwall Dermatology Group is to be held at Lanhydrock Hotel, Lostwithiel Road,
Bodmin, PL30 5AQ
Thursday 19th January 2017.

Registration & Hot Buffet


Dr Tony Downs, Consultant Dermatologist, Exeter medical & DMC


Coffee & Pudding


Dermoscopy case studies

Dr Tony Downs, Consultant Dermatologist, Exeter Medical & DMC

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Wanted - Enthusiastic GP, passionate about patient care, team work and enjoying life.

Dynamic practice in Newquay, Cornwall a growing coastal town with beautiful scenery and surfing

PMS practice with 16,000 patients, run by a well re-numerated, and occasionally witty, practice

Seeking replacement of full time hours of GPs due to retirement - as full or part time, salaried or

Supportive of flexible and portfolio careers for healthy work life balance.

Actively involved in Education (Medical Students, Foundation Doctors and Registrars, Nurse Students), research, commissioning and Cornwall Health

Outstanding rating for 2015 CQC inspection

Mixed workforce Partners, Salaried GPs, Nurse Practitioner, Clinical Pharmacist, Minor Illness/
Practice Nurses, HCAs

Minor ops, shared care, contract for Newquay Hospital ward rounds, active involvement in commissioning/locality group

PPG & Friends of Newquay Health Centre

Please contact Sheena Pappin, Practice Manager on 01637 893668 or email
for more information or to arrange an informal visit.

Clinton Road Surgery, Redruth

We are looking to hire a salaried GP for to work with us for 3 sessions per week.
One session will be a Tuesday AM the other 2 sessions are to be discussed at interview.
Please write or email (including CV)
Mrs Caroline Pugh
Practice Manager
Clinton Road Surgery
19 Clinton Road
TR15 2LL
01209 216507
Closing date : 02.01.2017

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Opportunity for you to join us as a Partner Pensilva Health

We are a growing, rural practice with a current list size of 4870. In addition to our dedicated staff we have
supportive patients who value our care.
Recent retirements have led to a younger workforce and we are now looking for a new person to join us
so we can continue to provide good quality patient care.
Minimum of four sessions required to join two existing partners and four salaried doctors.
We work in a spacious, purpose built health centre, in a pleasant, surrounding area.
Our dispensary is profitable and efficient.
Work- life balance and opportunities for developing outside interests are encouraged.
Do you have strategies / ideas for primary care in the future NHS?
Please contact Catherine Pickstone on 01579 362249, ,our Practice Manager to learn more or see our Practice.


We require a motivated/enthusiastic part-time Practice Nurse (20hrs/week by negotiation) to join

our team commencing 1st June 2017, to be responsible for Chronic Disease Management,
Dressings, Vaccinations, Phlebotomy, ECGs etc. and to be computer literate. Salary dependant
on experience/qualifications.
Closing date for applications: 31st JANUARY 2017
Please apply in writing with CV to: Alison Jenkins, Practice Manager, Health Centre, St.
Marys, Isles of Scilly, TR21 0HE
Or telephone 01720 422628/email:
for job description/personal specification

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