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GPs not 'gaming' on exceptions

A detailed analysis of the exception reporting system has challenged claims of widespread gaming after finding exclusions examined were 'appropriate'.


Exception reporting rates run at less than 6% nationally, but researchers found even when rates seemed suspiciously high there was an acceptable explanation.

Their study analysed whe-ther patients with a stroke or a transient ischaemic attack had been excluded according to the GMS contract rules.

It found even in practices with high rates of exception reporting, all exclusions seemed appropriate with 'little evidence' to suggest otherwise.

Study author Dr Colin Simpson, research fellow in general practice at the University of Aberdeen, said: 'It is unlikely a GP would take the risk of making a false report, placing them and their practice in legal jeopardy.'

Dr Laurence Buckman, dep-uty chair of the GPC, said: 'It's time for the Government to tell the public the truth – that GPs are not cheats and we are doing our jobs properly.'

The study, presented at a meeting of the British Pharmaceutical Society and published in the British Journal of Clinical Pharmacology this month, took data from 310 practices in Scotland.

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