Dear all,

Following our last meeting we received some issues  that we escalated to Julie 
Sands; we also had a supplementary conversation to discuss steps the ICB and 
PCNs could take.
LLMCs also raised concerns with NHSE London.
It is a complicated picture with national errors and failings.
Julie has advised the ICB wish to write out shortly with possible steps PCNs 
could take to mitigate some of these issues.
If you have evidence of problems you have not yet shared you can email Julie 
Sands direct [email protected]<mailto:[email protected]>; ccing the LMC 
on [email protected]<mailto:[email protected]>

The next LMC-CD forum is Tuesday 24th October 1-2pm on Teams.
Please look out for your invitations.

Please continue to keep us updated on any changes to your PCN leadership or 
membership.
We can also deal with queries and issues off the listserver 
[email protected]<mailto:[email protected]> .
Many thanks
Kind regards
Lesley



Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Phone: 020 7387 2034/7418 Ext: *221
Fax: 020 7383 7442
Email [email protected]<mailto:[email protected]>;
Website: www.lmc.org.uk<http://www.lmc.org.uk>;
From: Lesley Williams via Nwl_cd 
<[email protected]<mailto:[email protected]>>
Sent: Wednesday, September 13, 2023 3:00 PM
To: [email protected]<mailto:[email protected]>
Subject: [Nwl_cd] ACTION PLS: Briefing for CDs following LMC-CD meeting 12/9/23

Dear all
Please find below a summary of issues discussed and actions agreed at Tuesday’s 
(12/9/23) LMC-CD monthly forum.

Links with your (borough) LMC
We have completed our local borough LMC elections and we are holding inaugural 
meetings, where members are considering how to engage with stakeholders 
including yourselves.
We would welcome feedback on how to improve links and provision of 
support/information.

Borough Based Partnerships (BBPs)
Your feedback was that CDs would welcome LMC support/representation at BBPs.  
There was a general experience that primary care leads present (CDs) were in 
the minority and that the data presented focused on General Practice 
achievement, increasing responsibility and workload without considering the 
broader system.  LMCs will again request representation and would be grateful 
if you could also raise this at your meetings.

Issues needing PCN feedback/evidence: Payment issues
If you are missing (22/23) payments, please send your evidence to the LMC 
office on [email protected]<mailto:[email protected]>  so that we can take this 
up with borough teams and/or escalate to Julie Sands as needed.
Many thanks

ARRS issues
We heard from Hillingdon that ARRS roles are being used to compensate for 
vacancies in other parts of the system: physiotherapists; podiatrists; mental 
health workers and MSK first contact workers are being asked to work across 
secondary and community care instead of  supporting General Practice.  This 
work is inappropriate and is taking resource including funding away from 
General Practice patients.  The LMC will raise this with borough teams on 
receipt of your email feedback.

Capacity and Access Pilots

  *   Supporting Resources
Jamie will attend the steering group meeting (13/9/23) and ask for 
clarification of the funding streams to support the first wave pilots and for 
communication of this to CDs so that you can consider whether your PCN would 
benefit from taking part.
Problems highlighted have included losing workforce to support a project 
without matched funding to replace them creating recruitment problems back at 
the practice.


  *   Software and appointment mapping
Some PCNs have purchased non-EMIS software that facilitates total triage and 
new pathways.  However, the ICB is unable to map, count and reward the related 
appointments.  Re-entering this back into EMIS would be onerous and 
time-consuming. The LMC will raise the need for a solution with the ICB.

Timing of the LMC-CD forum – now on Teams!
Following your feedback, the forums will be moved to 4th Tuesdays 1-2pm and 
will be on Teams.
Please look out for your invitations.

Please continue to keep us updated on any changes to your PCN leadership or 
membership.
We can also deal with queries and issues off the listserver 
[email protected]<mailto:[email protected]> .
Many thanks
Kind regards
Lesley

Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Phone: 020 7387 2034/7418 Ext: *221
Fax: 020 7383 7442
Email [email protected]<mailto:[email protected]>;
Website: 
www.lmc.org.uk<https://eur02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.lmc.org.uk%2F&data=05%7C01%7Clesley.williams%40lmc.org.uk%7C6915311992f04306f8ca08dbb461caae%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C638302104372447582%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=m3S2z84XuMyS4rXN1qZzlCDjeW8S7xbdGT78TM5rWTE%3D&reserved=0>;


Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Phone: 020 7387 2034/7418 Ext: *221
Fax: 020 7383 7442
Email [email protected]<mailto:[email protected]>;
Website: www.lmc.org.uk<http://www.lmc.org.uk>;
​​
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