Lmcs the gpc the nhs and all that jazz
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LMCs, the GPC, the NHS and All that Jazz. Dr James Gillgrass Chief Executive Surrey and Sussex LMCs.

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LMCs, the GPC, the NHS and All that Jazz

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Lmcs the gpc the nhs and all that jazz

LMCs, the GPC, the NHS and All that Jazz

Dr James Gillgrass

Chief Executive

Surrey and Sussex LMCs

Lmcs the gpc the nhs and all that jazz

“ Local Medical Committees (LMCs) are unique. They alone amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

ScHARR report 2003

What is a local medical committee

What is a Local Medical Committee?

  • Statutory body

  • Recognised by successive NHS acts

  • Recognised by PCTs as the GPs’ representative organisation



  • Fully independent

  • Self financing

  • LMCs are NOT trade unions

Surrey sussex lmcs

Surrey & Sussex LMCs

Provides support and information to the LMCs and GPs of

  • Croydon

  • Kingston & Richmond

  • East Surrey

  • West Surrey

  • East Sussex

  • West Sussex



  • Chief Executive

  • Director of Finance & IT

  • Director of Liaison & Planning

  • Medical Directors

Funding the lmc

Funding the LMC

  • GMS GPs

    • Statutory levy

    • Voluntary levy

  • PMS GPs – both levies are voluntary

    • Administrative levy

    • Voluntary levy

Statutory administrative levy

Statutory / administrative levy

  • Set as:

    • Pence per patient

  • Used for

    • Funds costs related to

      • Running of the office

      • Staff salaries

      • Honoraria to members

      • Costs of meetings

      • Website and newsletters

Voluntary levy

Voluntary levy

  • Set as:

    • Pence per patient o

    • At a different level from Statutory Levy

  • Used for

    • Payment to the GP Defence Fund



  • Process detailed in the Constitution

  • Held every 4 years

  • Electors must be on the Primary Care Performers list (from April 1st 2004)

  • Co-options



  • Monthly - either

    • Full

    • LMC / PCT liaison meetings

    • Honorarium

Functions and duties

Functions and duties

  • GPs’ contracts

  • Representation of GPs

  • Advisory role

  • Support for GPs and practices

  • Resource

Representation of gps the medico political axis

Representation of GPs- the medico-political axis

  • Local

    • LMCs

    • Annual conference of LMCs

  • National

    • General Practitioners Committee

Annual conference of lmcs

Annual Conference of LMCs

  • Representatives from all LMCs

    • England- Wales

    • Scotland- Northern Ireland

  • Motions proposed by LMCs

  • 2 days of intense debate

  • Results dictate national policy

  • Conference dinner

General practitioners committee

General Practitioners Committee

  • Craft committee of the BMA

  • Recognised by Department of Health as GMS GPs’ sole negotiating body

  • Representatives elected by

    • Region

    • Annual Conference of LMCs

    • Annual Representative Meeting of BMA

Lmcs the gpc the nhs and all that jazz


  • Negotiators

  • Meets monthly

  • Reports

    • Regional representatives to LMC

    • Published on www.bma.org.uk

The nhs history

The NHS - history

  • Set up on July 5th 1948

  • Funded by the taxpayer

  • Organisational changes

  • Largest employer in Europe

  • Budget 2007/08 - £92.6billion

The nhs


  • The Government

  • Department of Health

  • Strategic Health Authorities

  • Primary care Trusts

Department of health

Department of Health

  • “Provides strategic leadership to the NHS and Social Care organisations in England”

  • Monitors spending

  • Monitors standards and safety of services

  • Collaborative development of policies

Strategic health authorities

Strategic Health Authorities

  • Develop plans for improving health services in their local area

  • Monitor local health services

  • Increase the capacity of local health services

  • Meeting national priorities locally

Primary care trusts

Primary Care Trusts

  • Responsible for provision of services locally

  • Integration of health and social care systems

  • Administration of Primary Care

Pcts commission

Primary care

General Practice




NHS Direct

Walk-in Centres

Secondary Care


Ambulance services

Care services

Mental health services

PCTS commission

And all that jazz

…and All that Jazz

  • BMA

    • The doctors’ trade union

  • NHS Employers

    • Responsible for workforce and employment issues in the NHS

  • NHS Confederation

    • Works with members to improve health and health services

  • NHS Alliance

    • Representational organisation of primary care

Surrey and sussex lmcs

Surrey and Sussex LMCs


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