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New guidance to clarify exception reporting rules

GPs must send three invitations specifically addressed to each patient before exception reporting is allowed, new guidance warns.

The BMA and NHS Employers said generic invitations, such as a call to come for flu vaccination printed on a prescription, did not count for the purposes of the contract.

The guidance said there had been some confusion over exception reporting in flu vaccination, but here again three invitations were required first.

The guidance also said it was 'not acceptable' to blanket exception report for age or maximum tolerated doses of a medication. 'Each case needs to be carefully considered and every reasonable attempt made to provide optimal care.'

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