Dear colleague,
We are pleased to present our latest newsletter, which highlights the recent work and collaborative efforts between Brent LMC, Londonwide LMCs and other local stakeholders. Please do make yourselves familiar with your local representatives which can be found here.
Remember the LMC is the only statutory body representing All GPs and practices- if you have any views, concerns or need support – please contact us.
What has Brent LMC been working on recently?
Brent LMC meeting
Brent LMC met virtually on 24 October 2026. Below is a summary of key topics discussed:
Smartcard Incident
- The recent Smartcard update caused major outages resulting in login failure. This has formally been logged as a serious incident and is currently under investigation.
Mental Health Interface Issues
- CNWL suggestion is that GPs administer depot antipsychotic injections has been challenged.
- There was collective agreement that practices lack capacity, safety systems, and contractual clarity.
- A proposal for a Brent‑wide template letter to standardize pushback. This will be shared with practices once it is available.
- Broader concerns were raised about inappropriate transfer of care from mental health services.
ADHD Pathway
- Ongoing NWL task and finish group are reviewing shared‑care responsibilities.
- Concerns were discussed about private providers diagnosing and shifting workload to GPs.
Referral & Registration Issues
- Reports of temporary deregistration’s linked to diversion pathways at Northwick Park were discussed.
- Clarification was given that these were temporary registrations under a pilot scheme, however, please do let us know if there are any permanent deductions from this pathway.
Minor Surgery Payments
- There were reports of significant delays and non‑payment of minor surgery claims across NWL.
- The issue has been escalated to NWL finance leadership for resolution.
Diagnostics & Housebound Patients
- Confusion over responsibility for housebound ECGs requested by hospitals was discussed.
- Spirometry capacity varies by PCN; alternative QOF‑compliant diagnostics are acceptable to use.
Primary Care Collaborative (PCPC)
- There is ongoing uncertainty about Brent’s position within NWL PCPC structures.
- Currently awaiting legal advice to determine next steps.
LES & Contraception Payments
- Widespread delays in LES payments, including contraception services.
Primary/Secondary Care Interface
The LMC continues to receive feedback regarding continued inappropriate workload demands on general practice with regards to the primary/secondary care interface. Members continue to raise these at every appropriate opportunity within meetings, task and finish groups, and forums.
Radiology Improvement Forum – There have been several examples raised with the committee regarding the issues GPs are facing with Radiology. These are being raised in the forum and outside of meetings. If you face challenges please do share these with amy.honor@lmc.org.uk so they can be raised and addressed.
Safeguarding leads
After raising concerns regarding safeguarding with the ICB we wish to confirm who the safeguarding leads are and their emails if practices do have concerns or queries. These can be raised with:
- Dr Bassi – dilip.bassi@nhs.net – Named GP for Safeguarding Children WNL ICB.
- David MacSweeney davidmacsweeney@nhs.net – Designated Nurse for Safeguarding Adults.
- Sue Sheldon suesheldon1@nhs.net – Assistant Director for Safeguarding WNL ICB.
NWL LMC Updates
Pan NWL updates can be found in the regular newsletters. The Londonwide LMCs team covering WNL have recently written to the ICB to raise concerns around the absence of consultation with general practice prior to the allocation of winter funding, all of which is being given to trusts.
GP Support Team
The GP Support team provides expert, confidential and bespoke advice and support to individual constituent GPs and practices in difficulties. – Contact:GPSupport@lmc.org.uk.
Londonwide LMCs’ resources
- 👻 FP69 guidance
- 🌊 GP Survival Guide
- 📝 2026/27 GP contract webinar
- 🤝 Shared care pathways
- 💼 Jobs board
- 🎓 Events and training
Get new deals with the Londonwide LMCs Buying Group
Our Buying Group suppliers not only offer great deals to practices looking to switch, they also aim to offer the best value to existing customers in the Londonwide LMCs area, including explaining new products and features as they get rolled out.
- Hillcroft Surgery Supplies – Get next day delivery and industry leading stock availability, thanks to their investment in substantial warehouse facilities.
- X-on Health – Brings together cloud telephony, AI-powered care navigation, voice agents, ambient voice technology, and data to improve access and reduce practice pressure.
- Practice Index – Pick and choose what you need out of their learning platform, or software to manage HR, finance, compliance and rotas.
- Hippo Labs – Have your call-and-recall work smarter, reach more patients and improve QOF attainment. Hippo Labs automatically customises many types of message.
- Equity Energies – Reduce energy costs, save time, become greener and remove the administrative burden of managing utilities by having experts do it all for you.
- MIAB – You existing policies may have more gaps than you think, particularly in developing areas like cyber and ARRS employment. Rely on MIAB’s specialist expertise to ensure you are fully covered.
- Restore Information Management – Whether you need a room full of records doing or a steady flow of new registrations, Restore take the hassle out of digitising patient records.
- Tickets for Good – Reward yourself and your colleagues with free and discounted tickets to concerts, theatre shows, sports and more!
Get in touch!
All constituents can raise any issues of concern with the LMC at any time and thank you to those that have been in touch since the last newsletter. We rely on you to know where support is needed and are grateful for your queries. Please do reach out to an LMC member or Amy. We are keen to hear from our local GPs and practice teams about any issues you are facing. We are here to represent your views. Please feel free to contact amy.honor@lmc.org.uk.
Yours Faithfully,
Dr Mike Edbury
Chair – Brent LMC
Londonwide’s NWL LMC Team
- Amy Honor, Committee Liaison Executive: amy.honor@lmc.org.uk
- Dr Asiya Yunus, LMC Secretary/Medical Director
- Jamie Wright, Director of Primary Care
- Lesley Williams, Assistant Director of Primary Care