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Managing Workload

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.

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

GP Appointments in Kent & Medway - November 2022

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).

What happens when you are referred by your GP to see a Consultant Privately?

Frequently when patients are seen by private consultants they return to the NHS GP practice with requests for onward referral, investigations, and medications. Often these requests are inappropriate, and generate a significant burden of work for clinicians and administrators in practices. The attached leaflet  has been developed for practices to give to patients who are seeing specialists privately. This leaflet sets out what the patient should expect from the specialist and the GP practice. 

What to Expect from your Hospital Appointment

We have refreshed this information poster that you can display digitally or printed, we want to make it clear to patients what to expect from a hospital appointment whether that is in person, on the phone or on-line.