I thought the requirement to use eRS only applied to GP referrals into secondary care
The younger patients recently registered by GP at Hand attract a much lower change to a practice’s Global Sum compared to the elderly patients left behind in the practice where the patient as been deregistered from
See table 3 of https://www.nhsemployers.org/-/media/Employers/Documents/Primary-care-contracts/GMS/Archived-GMS-contract-Changes-2004-2010/2003-2004/Annex-D---Carr-Hill-resource-allocation-formula.pdf?la=en&hash=8F92549EF9671EB9AFCBCA80B3847872EAEBE9A9
See BBOLMC letter to practices at
Nigel Sparrow says he has already responded directly to Paul Cundy as the author of this myth buster letter
I don't think it's that difficult to get the wording right
"I am referring you under the 2 weeks wait system, just so that you get the cancer tests done quickly. However if you ask me to judge how likely cancer is, I would say (1) not very likely (2) a distinct possibility that requires speed of diagnosis and treatment.
You may need to alter some personal arrangements to fit in with the two week wait speed
If you want us to take your views seriously then you should identify yourself
odd comment from anonymous on24.8.15 at 12.14
A GP is practicing illegally if they are not on the performers list after the three month window allowed under the regulations and the LMC cannot influence this.
Breaking rules like this has legal consequences both for the individual trainee and any LMC that advised it was OK
If the anonymous person posting would care to advice his defence society about his attitude to breaking rules, I am sure they would be delighted to put up his annual subscriptions because of a tendency to risky behaviours
Strictly speaking the GP contract obliges a GP to prescribe any medication he/she believes is clinically necessary on an FP(10) and nothing else.
See schedule 6, part 3, para 39 (1) of the GMS regulations
There are undoubtedly situations where paracetamol can be clinically desirable so although we all advise OTC medication purchases, when we do so we are in breach of the regulations. Similarly the practice prescribing policy is also in breach of the regulations so I don't think they should be too critical of the "aberrant" GP
The pressure put on GPs by PHE to prescribe preventively (and quickly to get in within 48h) for many well care home residents will also be felt by pharmacists designated as Tamiflu dispensers
Pharmacists will not have up to date renal function results (like many GPs of dementia patients when blood testing becomes a low clinical priority)