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Managing Workload

Private Provider Requests to GPs for Investigations under the NHS

Advice for GPs for requests to prescribe sedative prior to dental procedures

Proforma Rejection Template letter - August 2022
We have had numerous queries to the LMC regarding referrals being rejected by providers, if not done on their preferred proforma, website or tick box form. There is no obligation for referrals to be done in this way and a standard referral letter, ensuring required information is included, is sufficient. Please find a link above to a letter template to respond to any of these, inappropriate, administrative rejections.

Template Letter to hospital clinicians regarding request to GPs to prescribe Low Dose Sedative for patients undergoing radiological investigations (June 2023)

We are often asked the question about providing low dose sedatives for patients attending a hospital appointment for imaging. Please see attached communication for your use which we hope you will find helpful.

Information on prescriptions issued after a private consultation

For Information from NHS Kent & Medway explaining to patients why GPs may not provide an NHS FP10 prescription following a private consultation please click HERE. For a printable leaflet please click HERE

Kent & Medway ICB Position Statement on Mixing Private and NHS Treatment

To make sure that the NHS remains free at the point of delivery and access to NHS services is based on clinical need, but not an individual's ability to pay, guidance (Guidance on NHS patients who wish to pay for additional private care ( states that the NHS should never subsidise private care with public money. Click on the heading above to read the full statement.

DoH Guidance: Bureaucracy busting concordat: principles to reduce unnecessary bureaucracy and administrative burdens on general practice
In 2020, the government committed to jointly reviewing bureaucracy in general practice, alongside NHS England (NHSE), with the intention of reducing the burden on GPs and teams and releasing more time for care. Click on the link above to read the full document.

Raising Concerns - Primary to Secondary Care Interface - email addresses have been established for reporting breaches of the interface standards for both hospital and community contracts.

BMA Guidance: Pushing back on inappropriate workload - letter templates to help GP practices push back on inappropriate workload from CCGs, prescribers, hospitals and your area team.

List Management: LMC In Touch Extract 2015

BMA Guidance: Workload Control in General Practice - Ensuring Patient Safety through demand management

BMA Guidance: Prescribing over-the-counter medicines in nurseries and schools - GPs are often asked to prescribe over-the-counter medication to satisfy nurseries and schools. This is a misuse of GP time, and is not necessary.

BMA Guidance: Controlling workload in general practice strategy - Workload is, arguably, the most important factor in managing working conditions for GPs nationally. The BMA proposed a workload control strategy to address the factors involved.

Managing Workload - Requests for School Certificates

Shared Care

The following excerpt regarding Shared Care is from the BMA's Prescribing in General Practice, published April 2018 (click here to access full version of the document)

"Sometimes the care of a patient is shared between the two doctors, usually a GP and a specialist. There should be a formalised written agreement/protocol setting out the position of each, to which both parties have willingly agreed, which is known as a ‘shared care agreement’.

It is important that patients are involved in decisions to share care and are clear about what arrangements are in place to ensure safe prescribing. In some cases, a GP may decline to participate in a shared care agreement if he or she considers it to be inappropriate. In such circumstances the consultant would take full responsibility for prescribing and any necessary monitoring. Guidance covering these issues (Responsibility for prescribing between primary and secondary/tertiary care) was published in 2018 on the NHS England website" (click here to access NHS England's website).