Dear colleague,
We are pleased to present our latest newsletter, which highlights the recent work and collaborative efforts between Harrow LMC and Londonwide LMCs along with other local stakeholders.
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.
Please do make yourselves familiar with your local representatives which can be found here:
- Dr Chaand Nagpaul – Honeypot Medical Practice – Partner – LMC Chair
- Dr Meena Thakur – Honeypot Medical Practice – Partner – LMC Vice Chair
- Dr Ayia Al-Asadi – GP Direct – Salaried
- Dr Basjaer Al-Saigh – Sessional GP
- Dr Kushal Barai – Belmont Health Centre – Salaried
- Dr Mandana Emami – GP Direct – Salaried
- Dr Madhvi Joshi – Headstone Road Surgery – Partner
- Dr Carly Szasz – Elliott Hall Medical Centre – Salaried
- Dr Shahini Shah – VTS Representative
- Dr Richard Wu – VTS Representative
- Penny Farish – Practice Manager observer
- Rupa Yagnik – Practice Manager observer
What has Harrow LMC been working on recently?
Harrow LMC meeting
Harrow LMC met virtually on 2 September 2026. Below is a summary of key topics discussed:
- Integrated Neighbourhood Teams (INTs): The LMC has raised concerns that have been raised about decisions being made without LMC input such as proposals for GPs to deliver mental health depot injections.
- Primary–Secondary Care Interface issues: There has been an increase in poor quality advice and guidance responses, including inappropriate referral rejections. Members were asked to submit examples for escalation.
- Cora Health concerns: Concerns were raised regarding poor communication from Cora Health. The LMC will compile cases and write to the ICB to escalate concerns, including the following:
- Missing: clinic letters and lack of communication.
- Patients discharged without being contacted or understanding booking processes.
- Generic, low‑value correspondence causing delays and extra workload.
- Harrow Health service cessation: Notifications were received with limited detail. Practices were advised not to re‑refer, but clarity is still required. The LMC are looking to seek accountability and next steps from the ICB. Since the meeting, the ICB have sent further communications dated 4 September with outpatient services resuming with procedures due to be transferred to Spire Healthcare.
- Primary Care Provider Collaborative (PCPC): Recruitment is underway for senior leadership roles. PCPC is expected to take on more operational and transformation functions.
- NHS England consultation on MNP & SNP Provider contracts: The consultation closed on 10 September. Londonwide LMCs are preparing a coordinated response but initial concerns about dilution of PCN funding and impact on GP autonomy.
ICB merger
West North London ICB are still in their transitional period, with further structures and staff reconfiguration due to be in place for September 2026.
New Non-Emergency Patient Transport provider (NEPT)
Your practice should have received communications regarding the new provider for NEPT which has been commissioned. The new provider is Community Ambulance Services and can be contacted on 02045680900. This service is soley for appointments with providers where there is no NEPT Provision and appointments at local Acute or Community trusts should be booked with the relevant individual trust’s NEPT team.
Useful contact details on practice websites
The LMC are aware of the amount of time practices spend with patient enquiries when they are awaiting services from trusts or community providers. It can be difficult for patients to know who is best to contact so contact their practice. Some practices have now included a ‘useful contact details’ page on their website which provides contact number for different hospitals and services. An example is Useful Contact Details – Elliott Hall Medical Centre. Alternative links to trust websites ‘Services A – Z’ such as LNWH’s Services A to Z | lnwh allows patients to look for the relevant service which then has information on how the service can be contacted. These approached maybe useful for practices to consider implementing on their websites.
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. These include requesting fit notes after hospital discharge, patients being discharged after non-attendance at a clinic appointment, requesting onward referral which should have been carried out by the hospital clinician, and the patient is asking the GP practice to chase up the hospital investigation results and appointments.
Please also do remember the trusts have Primary Care Liaison Managers who can help. The contacts are:
- ChelWest FT, Shalom Chitewo, GP Liaison Manager for WMH/Chelsea, chelwest.gpqueries@nhs.net.
- Imperial College HT, Joselyn King – Head of GP Partnerships, Jerome Allen – Communications officer, gpliaison.imperial@nhs.net.
- London North West UHT, Aiesha Siyahla, Primary Care Liaison Manager, lnwh-tr.primarycarequeries@nhs.net .
- The Hillingdon Hospitals, Becky Farren, General Manager for Patient Access and Outpatients, thh-tr.bookingcentre@nhs.net.
Push back on inappropriate hospital-generated workload
WNL ICB are looking into a standardised form to allow practices to push back on inappropriate hospital generated workload. Once this is finalised it will be shared with practices. In the meantime I’ve developed a set of EMIS template letters, which can be uploaded onto your EMIS-X system as a document. This allows you to automate production of a letter with patient details and the issue concerned to the relevant hospital department, regarding an inappropriate request within a few keystrokes. The template letters have been trialled by Harrow LMC members, and if any practice is interested in piloting their use, please do contact Amy Honor.
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 Chaand Nagpaul 
Chair – Harrow 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