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Managing Workload

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: Pushing back on workload from secondary care - guidance and letters you can use if you need to take action.

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 happens when you are referred by your GP to see a specialist?

This leaflet has been developed with the help and support of NHS England, the British Medical Association and the National Association for Patient Participation, and describes what you can expect to happen when your GP refers you to see a specialist or consultant, at a hospital or a community health centre.