Guide to What We Do
What are Local Medical Committees?
Local Medical Committees (LMCs) are independent bodies recognised by statute in successive NHS Acts as the professional organisation representing individual GPs and all GPs in each given area. The 1999 NHS Act extended the role of LMCs to include representation of all GPs, whatever their contractual status. LMCs represent the views of GPs to any appropriate organisation or agency. We are not trade unions.
The origin of LMCs goes back to 1911 when David Lloyd George established Local Panel Committees to represent local doctors who took patients on to their panel. These were renamed in 1913 to Local Medical Committees (LMCs). Whilst there have been many changes within the NHS, LMCs have remained the single element of continuity throughout all the reorganisations since then.
What do we do?
We represent the voice of GPs both as individuals, and as a group, to all organisations whose work impacts on their working lives:
GP views are frequently sought and information is shared with practices on a regular basis.
At any time any GP can submit an item of concern to the LMC for discussion.
National Representation and Negotiation
We work hard to ensure the voice of local general practice is heard at National level. We do this by consulting with the General Practitioners Committee of the BMA (GPC). We attend the Annual Conference of LMCs, alongside those from the GPC, where policy is debated. Motions for the Annual Representative Conference of LMCs are distilled from debate at each LMC over the course of the year and are submitted to the agenda committee of conference for their inclusion. The outcome of the debate determines the framework for the profession’s negotiations at both national and local levels.
We provide advice and support to assist GPs as they steer through the NHS. As an independent body we can act as an advocate and offer help on all matters relevant to general practice. The following list is not exhaustive, but demonstrates some of the areas in which the LMC can offer advice, negotiate, mediate etc, as appropriate:
- Professionally led regulation and professional standards – ethical, conduct and performance, including clinical governance;
- Occupational health issues, e.g. sick doctors;
- GP contracts, terms and conditions of service and remuneration;
- NHS regulations/legislation;
- policy from CCG, NHS England, CQC and any other organisation affecting GP life;
- The NHS complaints process and disciplinary procedures;
- Disputes between GPs and other bodies, e.g. CCGs, schools, councils etc;
- Partnership affairs;
- Completion of medical reports / certification;
- Prescribing queries;
- Premises/estates issues;
- Education and training – undergraduate, postgraduate and vocational training, continuing professional development;
- If we are not qualified to offer advice we are often able to signpost our GPs to the more appropriate person.
We regard communication with constituent GPs as essential. This communication takes many forms, such as minutes of our meetings, our annual report, briefings, emails, production of citywide guidance.
Who do we represent?
We currently represent all principal and salaried doctors working in GMS, PMS or APMS practices in Salford & Trafford where the practice pays the LMC levy. In addition, we represent all sessional GPs working in a levy paying Salford or Trafford practice, or who contribute to the LMC’s statutory levy individually.
How are we funded?
Salford & Trafford collects two separate levies from its constituents
- GMS and PMS and APMS practices pay a statutory/administrative levy which pays for the running of the LMC
- We also collect a voluntary levy which we use to contribute to the running costs of GPC via the General Practice Defence Fund.
Further information can be found here
Interested in becoming a member?
Elections to the LMC take place every four years, or when there is a vacancy. Any GP wishing to be involved with the LMC can register this interest by contacting the LMC office or an Executive Member.
The Executive conducts the main business of the LMC . Advice is taken from the full committee to guide discussions and the results of meetings are fed back to the committee.
Information about the current Executive can be found on the Who We Are tab.
The Secretariat provides support to the LMC Executive, as well as being the first point of contact for GPs and practice staff.
Information about the current LMC Secretariat can be found on the Who We Are tab.
Links with other organisations
Salford & Trafford LMC works co-operatively with many organisations and maintains an extensive network of formal and informal contact on behalf of GPs with bodies such as:
- LMCs around the country via the LMC Listserver
- British Medical Association (BMA) Industrial Relations Officers
- General Practitioners Committee (GPC)
- HM Coroner
- Local Government / MPs
- Salford CCG
- Trafford CCG
- Shadow Commissioning Consortia
- Royal College of General Practitioners
- Salford City Council
- Trafford Borough Council
- Local Dental Committee
- Local Pharmaceutical Committee
- Local Hospitals
This contact may be in the form of regular meetings or ad hoc meetings when particular issues of mutual interest or concerns arise.
The LMC’s Subcommittees meet monthly in full session and members attend a variety of other meetings on the LMC’s behalf.