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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

LMCs, the GPC, the NHS and All that Jazz

Dr James Gillgrass

Chief Executive

Surrey and Sussex LMCs


“ 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? amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Statutory body

  • Recognised by successive NHS acts

  • Recognised by PCTs as the GPs’ representative organisation


Independence
Independence amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Fully independent

  • Self financing

  • LMCs are NOT trade unions


Surrey sussex lmcs
Surrey & Sussex LMCs amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

Provides support and information to the LMCs and GPs of

  • Croydon

  • Kingston & Richmond

  • East Surrey

  • West Surrey

  • East Sussex

  • West Sussex


Officers
Officers amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Chief Executive

  • Director of Finance & IT

  • Director of Liaison & Planning

  • Medical Directors


Funding the lmc
Funding the LMC amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • GMS GPs

    • Statutory levy

    • Voluntary levy

  • PMS GPs – both levies are voluntary

    • Administrative levy

    • Voluntary levy


Statutory administrative levy
Statutory / administrative levy amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • 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 amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Set as:

    • Pence per patient o

    • At a different level from Statutory Levy

  • Used for

    • Payment to the GP Defence Fund


Elections
Elections amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Process detailed in the Constitution

  • Held every 4 years

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

  • Co-options


Meetings
Meetings amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Monthly - either

    • Full

    • LMC / PCT liaison meetings

    • Honorarium


Functions and duties
Functions and duties amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • GPs’ contracts

  • Representation of GPs

  • Advisory role

  • Support for GPs and practices

  • Resource


Representation of gps the medico political axis
Representation of GPs amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”- the medico-political axis

  • Local

    • LMCs

    • Annual conference of LMCs

  • National

    • General Practitioners Committee


Annual conference of lmcs
Annual Conference of LMCs amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • 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 amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • 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


GPC amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Negotiators

  • Meets monthly

  • Reports

    • Regional representatives to LMC

    • Published on www.bma.org.uk


The nhs history
The NHS - history amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Set up on July 5th 1948

  • Funded by the taxpayer

  • Organisational changes

  • Largest employer in Europe

  • Budget 2007/08 - £92.6billion


The nhs
The NHS amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • The Government

  • Department of Health

  • Strategic Health Authorities

  • Primary care Trusts


Department of health
Department of Health amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • “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 amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • 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 amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • Responsible for provision of services locally

  • Integration of health and social care systems

  • Administration of Primary Care


Pcts commission

Primary care amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

General Practice

Dentists

Optometrists

Pharmacists

NHS Direct

Walk-in Centres

Secondary Care

Hospitals

Ambulance services

Care services

Mental health services

PCTS commission


And all that jazz
…and All that Jazz amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

  • 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 amongst health service institutions have remained largely unchanged in their functions and structure since 1911. Therein lies both their strength and weaknesses.”

www.lmcs.info


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