GP Noticeboard

June 2026

KEY UPDATES FROM YOUR LMC

BHRUT

• Cardiology Meeting: A productive meeting was held on 29th April with Cardiology consultants. A summary of key points including guidance about Heart Failure management and referral guidance is available here.
o ECG’s are no longer required for RACPC referrals as long as the referral criteria is met
o Arrhythmia Clinic eRS pathway is not available. Refer through Cardiology Advice and Refer
o Lipid Clinic referrals should now go to Barts (not BHRUT)
o The current wait time for cardiology appointments is 6-7 weeks
o A&G requests are now being managed within 2-3 days as expected
• GP Alert System: LMC has concerns about the GP alert system at BHRUT and working closely to improve it. We share your frustrations, however we encourage you to continue to use it. This will ensure that the issues affecting practices are properly logged and resolved in a timely fashion. The alert system is available through Resource Publisher and can be searched via the term ‘Alert’ through Emis.
• Cyberlab: The issue with GPs using Cyberlab forms remains unresolved following the Windows update. We understand this to be a national issue. This issue has been raised with BHRUT and has been agreed that while this issue continues, old paper forms will be accepted.
• Radiology: The radiology reports backlog should now be fully resolved. The Trust is aware of the significant delays in accessing imaging and its impact on patient care. Any cases where radiology delay has resulted in clinical harm please raise a GP alert and inform the LMC.

NELFT

• Podiatry: We have confirmation that GPs should no longer be receiving any more requests for antibiotics, urgent osteomyelitis management or referrals to vascular surgery from Podiatry. LMC has worked on members behalf to ensure BHRUT and podiatry are aware of direct care pathways. If any are being received, please return to the sender requesting that they use the agreed pathways.
• ADHD Pathway: LMC has been in discussion with NELFT on the Adult ADHD Pathway. LMC has not approved the current LIS pathway which is being circulated and continues to robustly represent member views on this.

NEL ICB

• MSK Referral Pathway: GPs are advised not to do MRI’s before referring for MSK conditions. If there are any red flag symptoms or a suspicion of malignancy please escalate through the appropriate urgent cancer pathway and use BHRUT radiology.

• Mental Health LTC LIS: The LIS for GPs to provide depot injections for stable psychiatric patients is being developed and LMC is continuing to work to ensure that this is safe, workable and properly renumerated. Whilst LMC, in partnership with Londonwide LMC, are robustly representing member’s views, some aspects of these services will proceed without LMC approval

• Primary Care IT: This has been commissioned to take over from CEG. LMC has highlighted to the ICB the importance for a smooth transition and active engagement with practices to ensure practices can meet LTC LIS targets on time.

JUST A REMINDER….

• A new Vitamin D Product Choice Guidance for adults has been approved and should be available from July 2026. This provides up to date guidance on prescribing by brand and for those with specific dietary restrictions. The guidance will be embedded into the Optimise Rx decision tool within Emis.
• Fezolinetant, for treating moderate to severe vasomotor symptoms associated with menopause, has been approved as a green drug for GP prescribing with A+G support in line with updated NICE guidance on menopause management.
A brief summary and monitoring requirements can be found here
• Sertraline liquid is now a green drug for GP prescribing

• Adult Obesity Management: Significant changes to prescribing criteria particularly with regard to eligibility for Tirzepatide which will have a direct impact on your clinical practice have been summarised here.
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• The Virtual CKD service is now live. Full details, including how to refer can be found here

EVENTS AND EDUCATION

• LMC will have a slot at future PTI’s to update GP's and will be happy to receive your feedback .
• LMC is planning to organise educational events. In the pipeline is a Menopause Talk delivered by a national level speaker.

🏛️ Contact LMC
We are keen to hear from you to ensure your LMC is raising issues on your behalf. We welcome any suggestions on priority issues.
Ravi Goriparthi
Vice Chair
📧 RGoriparthi@nhs.net
Bishakha Chowdhury
Primary Care Director
📧 Bishakha.chowdhury@nhs.net

📬 Office Contact details:
📞 Telephone: 07908 584788 | 📧 Email: lmc.bdh@nhs.net

Look out for dates and details which will be circulated via your practice Managers.

Bishakha Chowdhury