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Thursday 30 March 2023

Dear Colleagues,

NWL ICB enhanced services contract update no. 3

Following a review of the NHS Standard Contract and Alliance Agreement by our 
retained legal advisors, we have amended the Londonwide LMCs PCN schedules. For 
PCNs who have not adopted the Londonwide schedules they are available as 
Word<https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.lmc.org.uk%2Fwp-content%2Fuploads%2F2023%2F03%2FLondonwide-LMCs-PCN-Model-Schedules.docx&data=05%7C01%7CIan.Oakley%40lmc.org.uk%7C8667b955662345b7845408db31203aa8%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C638157786706980540%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=6FKvcloO9xbvLkrUhiumT42QLG1gX0ekenRN%2Bo3BAlQ%3D&reserved=0>
 and 
PDF<https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.lmc.org.uk%2Fwp-content%2Fuploads%2F2023%2F03%2FLondonwide-LMCs-PCN-Model-Schedules.pdf&data=05%7C01%7CIan.Oakley%40lmc.org.uk%7C8667b955662345b7845408db31203aa8%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C638157786706980540%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=gQ7YuizlCE0hYd2JkDP6s8WNieTGcQx4a74xPyG0R0Y%3D&reserved=0>
 versions for your reference and review against your own documentation.
We do still have concerns about workload and resourcing as outlined in previous 
messages, but recognise that practices who are planning to participate want 
support with doing so in the safest way possible for them, so this message 
focuses on implementation advice.

Our PCN schedules document has been updated as follows:

1. The Lead Practice

The Lead Practice enters into this agreement for itself and with the full 
authority of the remaining PCN Member practices who hereby agree that the Lead 
Practice shall be their authorised agent and shall, via their agent, be legally 
bound to the terms and conditions of the agreement. (This is included under 
Schedule 4 and highlighted green).

The revised wording in the schedule creates an authority for the Lead Practice 
to act on behalf of the other practices in the PCN and more importantly to bind 
them to any agreement or arrangement that the Lead Practice enters into on 
behalf of the PCN as a whole. This means that even though practices do not sign 
individually they are still bound legally to the terms. The lead practice is 
acting as agent for the other PCN members and therefore, as agent, binds 
legally the others as well as itself.

2. Associate Member

For the avoidance of doubt no Associated Member of the PCN shall have any power 
or authority to vote at any PCN Overseeing Group and shall only be an associate 
member for the purposes of any subcontracting arrangements under a formal 
written agreement. (This is set put under Schedule 2, clause 1.v and 
highlighted green).

The revised wording has been amended to support PCNs who may wish to use the 
services of another provider i.e GP federation who are non-core members of a 
PCN.

3. Transitional Arrangements - Practices signing the ES, commencing in June 
2023.

We understand it is the commissioner's wish for PCNs and practices to have 
signed the contract by 31 March 2023 with scope for PCNs to transition to 
delivery by June 2023 subject to approval of transition plans. Practices may 
wish to caveat signatures to the contract on 31 March 2023 where transitional 
plans are being developed and the following wording has been provided.

'This document is signed subject to each practice within the PCN undergoing its 
own due diligence and capability, in respect of delivering under this contract, 
confirmation of which shall be delivered to the commissioner at least two weeks 
prior to the commencement of the service or services'.

If you have any queries on the above please get in touch with the team via 
[email protected]<mailto:[email protected]>.

Kind regards,

Jamie Wright, Director of Primary Care, North West London
Dr Hannah Theodorou, Medical Director, North West London
Dr Asiya Yunus, Medical Director, North West London
Londonwide LMCs and Londonwide Enterprise Ltd
Tel: 020 7387 2034
Fax: 020 7383 7442
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Londonwide Enterprise Limited is a wholly owned subsidiary of Londonwide Local 
Medical Committees Limited. Registered and office address: Tavistock House 
South, Tavistock Square, London WC1H 9LG. Registered in England No. 6990874. 
Londonwide Enterprise Limited is registered as a Company Limited by Shares. VAT 
no: 130 1454 66. Londonwide Local Medical Committees Limited and Londonwide 
Enterprise Limited do not provide legal or financial advice and thereby 
excludes all liability howsoever arising in circumstances where any individual, 
person or entity has suffered any loss or damage arising from the use of 
information provided by Londonwide Local Medical Committees Limited and 
Londonwide Enterprise Limited in circumstances where professional legal or 
financial advice ought reasonably to have been obtained. Londonwide Local 
Medical Committees Limited and Londonwide Enterprise Limited provide guidance 
and support to GPs and practice teams in the Londonwide area. Additionally 
Londonwide Local Medical Committees Limited provides representation to GPs and 
practice teams in the Londonwide area. Londonwide Local Medical Committees 
Limited and Londonwide Enterprise Limited strongly advises individuals or 
practices to obtain independent legal or financial advice.
Londonwide LMCs
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