Unveiling the NHS Primary Medical Services Policy and Guidance Manual: A Hidden Gem for GP Practice Managers

Managing a General Practice (GP) can be a complex endeavour, particularly when navigating the intricacies of NHS contracts. While many practice managers may not be aware, the Primary Medical Services Policy and Guidance Manual (PGM) is a crucial resource available to guide contract management and decision-making. Despite its public availability, it remains underutilised. Understanding how commissioners make decisions can empower practice managers to ask the right questions and advocate effectively for their practice.

Key Sections for Practice Managers

The PGM is comprehensive, but several sections are particularly pertinent for practice managers. Here’s a breakdown of the most relevant areas:

  1. Contracts Described:
    • This section offers detailed descriptions of the various contract types, including General Medical Services (GMS), Personal Medical Services (PMS), and Alternative Provider Medical Services (APMS). Understanding these contracts can help practice managers navigate their options and obligations.
  2. Assurance Framework for Contract Reviews:
    • Contract reviews are essential for ensuring compliance and performance. This framework provides guidelines on how reviews are conducted, what criteria are used, and how outcomes are measured.
  3. Managing Patient Lists:
    • Effective patient list management is critical for practice efficiency and financial stability. This section covers registration principles, handling inappropriate patient behaviours, and temporary suspension protocols.
  4. Contract Variations:
    • Practices often need to make changes to their contracts. The manual provides templates and procedures for various contract variations, including boundary changes and contractor changes.
  5. Premises Running Costs and Service Charges:
    • Financial management of premises is a significant concern for GP practices. This section explains the policies around running costs and service charges, offering guidance on what expenses can be claimed and how to manage these effectively.
  6. Sub-contracting of Clinical Services:
    • For practices that sub-contract clinical services, this section offers an assurance framework to ensure compliance and quality standards are maintained.

When Things Go Wrong

No practice is immune to challenges, and the PGM provides clear guidance on handling adverse events, disputes, and contract breaches. Key chapters include:

  • Contract Breaches, Sanctions, and Terminations: Understanding the implications of breaches and the processes for sanctions and terminations can help practices navigate these difficult situations.
  • Managing Disputes: This section outlines the procedures for resolving disputes, which can be crucial in maintaining a smooth operation and avoiding escalation.

General Operational Guidance

Several general topics are also covered, which are essential for the day-to-day running of a GP practice:

  • GP IT Operating Model: Ensuring data and cyber security is paramount, and this section provides the necessary protocols.
  • Locum Cover and GP Performer Payments: Guidance on managing locum cover and payments for parental and sickness leave helps practices maintain service continuity.

Conclusion

The Primary Medical Services Policy and Guidance Manual is a valuable resource for GP practice managers, offering detailed guidance on managing contracts, patient lists, financial matters, and more. By familiarising themselves with this manual, practice managers can enhance their ability to make informed decisions, advocate for their practice, and ensure compliance with NHS standards.

For more detailed information, you can access the full manual here.

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