Dear colleague,
We want to hear from you
Thank you to those of you who contact Bromley LMC committee members about issues. We rely on you to know where support is needed and are grateful for your queries. We are keen to hear from our local GPs and practice teams, so please reach out and tell us about any issues you are facing or queries.
If you have any queries or questions, please contact the LMC via Committee Liaison Executive, Aisha, at Aisha.riaz@lmc.org.uk.
Updates from Bromley LMC
- Dr Liz Brander, longstanding member of Bromley LMC and GP at The Chislehurst Partnership for over 30 years, has retired. As an active and dedicated LMC member we thank Liz for her hard work on behalf of general practice and patients in Bromley and wish her all the best in her retirement
- Bromley LMC and Londonwide LMCs have been involved in discussions with the ICB regarding the PMS Premium matrixes. The LMC raised concerns that there has been no increase to the PMS funding in line with increasing practice costs for staffing and overheads and challenged the overall deliverability of the services within the cost envelope proposed. We challenged the initial payment proposal for SMI Health Checks and following our feedback, the ICB proposed a revised methodology which we considered to be a more reasonable approach.
- Londonwide LMCs and LMC Colleagues will be presenting at the June Practice Manager Forum on the role of the LMC and the new Buying Group offer and training opportunities through Londonwide Enterprises.
- Community Cardiology Service -LMC has been in negotiations with ICB regarding the Community Cardiology service. Community ABPMs are funded centrally, so by removing ABPMs from the Cardiology diagnostic contract, (ensuring that there is community capacity) this funding can then be used to increase capacity. The LMC is reviewing the financial modelling and will feed this back to the ICB.
- Constituent engagement – The LMC is working on constituent outreach so that we can hear about issues that are affecting colleagues working in general practice. The aim of this is for the LMC to support management of local issues locally and/or escalate to Londonwide LMCs. Feedback on national issues can also be fed into GPC through Londonwide LMCs or via your SEL GPCE rep, Penelope Jarrett, penelope.jarrett@nhs.net. We will feedback to constituents the outcome of their queries. We hope to make contact with Bromley practices in upcoming months and look forward to meeting with you.
- Neighbourhood working – Bromley LMC continues to represent practices in discussions around Neighbourhood working, ensuring that general practice views are being heard as plans develop across Bromley. We are engaging with local PCNs and BGPA to promote realistic workloads and support collaborative working in order to deliver benefits for patients without creating additional pressures for practices. We will continue to keep members updated and raise concerns on behalf of Bromley practices.
- Bromley LMC is aware of the issues that practices are experiencing with and have reported to us regarding Ardens Manager which is causing additional workload. We have raised this with ICB colleagues, who are actively looking into the different elements of this. We are advocating for support for practices until the issue is resolved.
SEL Strategic Leadership Network (SLN) of LMC Chairs and Vice Chairs in SEL update – July 2026
- Londonwide LMCs SEL Medical Director Dr Sara Riley has been working with the ICB on practices behalf to seek resolution to the recent Data Transfer Service incident which has generated large volumes of DTS error messages for some practices.
- Acknowledging the workload and clinical risk implications, Londonwide LMCs engagement has ensured that the practice perspective and experience informs all aspects of the ICBs incident response relevant to practices and has been able to present a case i to adjust the financial support available upwards to improve the extent it meet the requirements of practices and the costs incurred.
- Londonwide LMCs continues to engage with the ICBs response on behalf of practices. See the ICBs SEL NET contains the most recent updates and resources including how to seek further support from the ICB.
SEL ENT community service
- Chairs/Vice Chairs met with service leads from Communitas and SEL ICB as part of their ongoing engagement with providers and commissioners. The committee reviewed and discussed service improvement action being taken by the provider to address operational and GP interface issues identified by its members (including prescription requests, radiology requests, communication with practices and patients). The SLN remains engaged in working with the provider to deliver further improvements.
SEL Adult ADHD Referral Triage Service and pathway improvement
- The SLN met with the SEL ICB MH Commissioning Director to feed back GPs experience of the ICBs ADHD Referral Triage Service, Right to Choose (RTC) provider accreditation scheme and wider pathway developments impacting GPs. Looking forward, the SLN will seek direct engagement regarding proposals for a broader system development activity on children and adult neurodiversity to ensure that GP perspectives are heard at system level.
Understanding the impact of cyberattacks on primary care in the UK National Health Service
- Acknowledging that reports on the impact of the June 2024 cyber attack on Synnovis have largely been focused on secondary and tertiary services, researchers at the Institute of Global Health Innovation, Imperial College London are undertaking a study to understand the experience of primary care NHS staff during the Synnovis cyberattack based on surveys and semi structured interviews with GPs and practice staff in SEL. The research team are working closely with LMC to ensure findings are locally relevant and that GP voices are meaningfully represented and help shape cyber strategy and resilience for primary care. The SLN has discussed the preliminary findings and will engage further with lead academics on the development of the final research paper.
Other recent areas of engagement with SEL programmes:
SEL Anti psychotic Long Acting Injections pathway review – Highlighting the present absence of financial modelling and the GP/Pharmacy impact assessment and issues with existing pathways.
Proposed changes to GP access to direct imaging in SEL – Whilst adding some radiological examinations to the CDC GP direct access catalogue was welcomed the SLN pushed back on a ‘CDC-first’ approach to diagnostic bookings for all patients and raised concerns regarding the removal of direct MSK ultrasound access for hands and feet.
SEL Interface Prescribing Policy Improvement – The SLN maintains engagement on the next steps following recent engagement events aimed at co-producing an updated SEL Interface Prescribing Policy document to improve the primary Care/Secondary Care interface.
SEL Medicines Optimisation Plan 2026-27 – The SLN reviewed the draft and raised questions on of behalf of practices prior to its agreement and implementation.
SEL MGUS guideline development – SLN representatives are representing GPs in ongoing discussions on the MGUS referral pathway, referral challenges, monitoring capacity, community follow-up, and future planning across South East London. It is anticipated that the group will revise draft MGUS referral criteria/guideline and begin the outline of business case.
Londonwide LMCs updates
Workforce Training & Innovation (WTI)
Londonwide LMCs Workforce-Training and Innovation (WTI) directorate provides key training courses for GPs and their practice team.
Here is a list of upcoming taught days & courses.
GP Support Team
Bromley practices can access confidential support and advice about practice specific issues via Londonwide LMCs GP Support Team GPSupport@lmc.org.uk. For further information upon what the GP Support Team can help you with, please see this link.
New PCSE list cleanse approach causing practice stability concerns
In October 2025 PCSE changed from giving practices six months to confirm that patients with an FP69 flag were still living nearby and wished to remain on their list, to only three months. Londonwide LMCs have produced guidance for practices, including resources to communicate with patients and a form for practices to report how they are being affected. They are also escalating the problem to NHS leaders, media, politicians and others in positions of influence.
Surviving the 2026-27 GP contract – webinar recording
A recording of the first run of Londonwide LMCs’ webinar is now available on the 2026-27 GP contract guidance page for those people who were unable to attend either session.
You can find out about the effect on London of the contract changes, with our unique patient population and commissioning arrangements, based on the documentation available at the end of April.
Tell us about your practice’s purchasing needs and win a £20 gift voucher
Thank you to everyone that took part in our Buying Group survey, we plan to run another one in the autumn. We will be contacting the winners of the survey prize draw in the next couple of weeks and sharing details in our Londonwide LMCs newsletter.
- Hillcroft Surgery Supplies – Get next day delivery and industry leading stock availability, thanks to their investment in substantial warehouse facilities.
- 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.
- Surgery Connect – Automates more tasks within your phone system, integrates with clinical records and seamlessly bridges in and out-of-hours.
- 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 it 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!
Yours faithfully,
Dr Hannah Josty and Dr Ruth Tinson Co-Chairs, Bromley LMC
Dr Maya Lasrado, Vice Chair, Bromley LMC