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Gender Prescribing Guidance

Date published: Thursday 4 August 2022

In light of the announcement of the closure of the Tavistock gender identity clinic, and ongoing constituent queries about gender prescribing including by private providers such as Gender GP, we are reissuing our gender prescribing guidance. This is a complex issue which we continue to receive enquiries about. Our guidance provides an accessible Q&A which gives some of the background and common scenarios.

Other relevant links:

The LMC will support practices and clinicians regardless of whether they choose to prescribe or not, recognising the complexity of this area. If you have a particular query not covered here, please do get in touch with the LMC and we will try our best to advise. 

Download our gender prescribing guidance​​​​​​​ (pdf). 

New Humber Project - Forensic Medicals in Adults at Risk of Harm

Date published: Tuesday 2 August 2022

A new project covering the Humber region provides an examination service for adults at risk of harm who may have suffered a non-accidental injury as a result of physical abuse or neglect.

This novel project commenced at the beginning of May in North Lincolnshire and the East Riding of Yorkshire. The inter-policy was approved by both Safeguarding Adult Boards and forms part of the multi-agency policies for safeguarding.

Who would benefit from a forensic medical? 
Any adult who satisfies the definition of an adult at risk of harm, (18 or over, has care and support needs, is suffering from abuse or neglect and as a result of their care needs is unable to protect themselves) and has suffered what may potentially be a non-accidental injury.

Further details of the service including: indications of Non-Accidental Injury; how to refer for an examination; and supporting information can be found in the document Forensic Medicals in Adults at Risk of Harm Information for Primary Care Clinical Staff

New Campaign to Helping People Get the Most out of their GP Practice

Date published: Monday 1 August 2022

A new campaign ‘Help Us to Help You – Get the most out of your GP Practice’, highlighting some of the small things patients can do to help get the most out of their GP practice, has been announced by NHS East Riding of Yorkshire Interim Chief Operating Officer, Paula South. The campaign will inform people how they can support their GP practice to relieve some of their pressures and allow staff to deal with more enquiries. 

The coronavirus pandemic has left local GP Practices experiencing huge demand for their services with practices seeing and treating 40% more patients than at the start of the pandemic. Many patients who managed their problems during the pandemic are now visiting their doctor as their conditions become more severe. Waiting times for treatment within hospitals has grown sharply with GPs having to reassess patients for possible referral elsewhere. In addition, practices are also having to pick up on care where hospitals are struggling. 

The campaign aims to help alleviate some of the pressures GP practices are experiencing. The key messages are reassuring that GP practices are open and ready to help. They are experiencing huge demand; however, there are some small things patients can do to help ease the pressure on their GP practice. By adopting these simple habits their GP Practice can treat and see more patients more quickly and more efficiently. 

Paula South, East Riding of Yorkshire Interim Chief Operating Officer, said:
“We understand how frustrating and difficult it is to get an appointment with your doctor at the moment. We want to reassure you that your GP practice is open as usual and ready to help you. However, there are several easy things you can do to help relieve some of the pressures your GP practice is experiencing. These include simple measures such as: making sure you cancel appointments if you cannot make them. In 2021 there were 58,000 missed appointments in the East Riding area that could have been allocated to someone else. All GP practices offer internet services, by signing up to these you can book appointments, request a ‘fit note’, order prescriptions and much more without having to ring you GP practice. Where possible talk to your receptionist and give them some basic information about your health complaint or condition. They are fully trained to identify who may or may not need to see a doctor and they can direct you to another healthcare professional or service where you can get the right treatment more quickly. 

“There are many more measure people can adopt, and further information is available at www.helpyourdoctor.co.uk. We hope that if we all try to adopt some of these simple habits, your practice will be able to deal with more patients, more quickly and more effectively.”

LMC Newsletter July 2022

Date published: Wednesday 20 July 2022

The July edition of the LMC newsletter is out now. In this issue you'll find all our news, events and updates for general practice in the Humber region. Included in this issue:

  • CQC update on general practice inspections, following a meeting the LMC had with the local CQC team 
  • Latest news on a pause to the Firearms Marker system
  • News from the Support Team, including free workshops for practice teams and visits to discuss how we can support practices

Download the LMC Newsletter July 2022

FIT Testing for 2ww Lower GI Referrals - An Update

Date published: Thursday 14 July 2022

The LMC provided guidance to practices in June 2022 in response to experiences of practices having issues with 2ww referrals for lower GI cancers being rejected or delayed.  Following a constructive dialogue with secondary care colleagues at HUTHT we reiterate this advice and add additional comments below.

GPs should follow the NICE 2ww guidance which is outlined below.  Whilst not mandated, the LMC would encourage and support the practice of requesting a FIT at the point of referral with the aim of assisting with risk stratification.  We know that many practices already do this.  No cancer referral should be rejected or delayed due to lack of the test.

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if:
•         They are aged 40 years and over with unexplained weight loss and abdominal pain, or
•         They are aged 50 years and over with unexplained rectal bleeding, or
•         They are aged 60 years and over with: iron-deficiency anaemia, or changes in their bowel habit, or
•         Tests show occult blood in their faeces.
Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer in people with a rectal or abdominal mass.
Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer in adults aged under 50 years with rectal bleeding and any of the following unexplained symptoms or findings:
•         Abdominal pain.
•         Change in bowel habit.
•         Weight loss.
•         Iron-deficiency anaemia

Source: Scenario: Referral for suspected gastrointestinal tract (lower) cancer | Management | Gastrointestinal tract (lower) cancers - recognition and referral | CKS | NICE. 

While there is a NICE diagnostics guideline on the use of faecal immunochemical testing (FIT) to guide referral for colorectal cancer in primary care (Overview | Quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care | Guidance | NICE), this is not part of the 2ww guidance. Many areas use FIT testing as a helpful adjunct to triage referrals, particularly during the pandemic.

In the event that a FIT test has been requested but the result is not available at the time of booking an appointment, the clinical responsibility remains with secondary care. If you or your colleagues have experienced any issues around FIT testing and access to care, please contact the LMC via our main inbox humberside.lmcgroup@nhs.net and we will escalate these immediately on your behalf.

LMC Survey 2022 - Help Shape the Work of the LMC

Date published: Monday 4 July 2022

Survey online

Please take 5 minutes to complete our annual survey and shape the work of the LMC. 

The survey is a key method we use to assess our services to general practitioners and identify how we can improve. We study all the feedback we receive and use the results to help set the LMC’s priorities for the coming year. Previous surveys have helped direct the extension of our support services for practices, as well as our work in supporting PCNs. 

Click on the link or scan the QR code to take the survey, which is shorter than in previous years and should take no more than 5 minutes to complete. You can complete the survey on phones and tablets as well as desktop and laptop PCs. All responses are anonymous.

https://www.surveymonkey.co.uk/r/LMKG7XG

LMC Survey 2022 QR code

Complete the survey and you could win a wellbeing parcel of treats to share with your colleagues!  

LMC Newsletter June 2022

Date published: Thursday 30 June 2022

The June edition of the LMC newsletter is out now. In this issue you'll find all our news, events and updates for general practice in the Humber region. Included in this issue:

  • Take part in the LMC Constituent Survey 2022 - give your views and you could win a prize to share with your team!
  • Update on the NHS Property Services legal case and what practices should do now
  • Extending fit note certification - news on the new rules 

Download the June 2022 newsletter

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The professional voice of general practice across East Yorkshire, Hull, North East Lincolnshire, and North Lincolnshire.