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GPs buried under trusts' workload dump

LMCs could face legal action over template letters for GPs to refuse benefit requests from patients

Exclusive LMCs could face legal action over advice to GPs to refuse requests for support from benefit claimants, as campaign groups consult lawyers over communications they claim are ‘staggeringly ignorant’.

Pulse has learnt that two disability activist groups have sought legal advice about taking action against LMCs and they also say there may be grounds for action against individual GPs if they are ‘involved in acts of discrimination’.

But local GP leaders said that the LMCs’ advice was consistent with that provided by the Department of Work and Pensions (DWP) and that the fault lies with the system set up by the Government and not GPs.

The move deepens the row over the support GPs provide for patients who are appealing their benefits being withdrawn.

GPs are facing rising pressure from patients requesting information to protect their benefits, with a 21% rise in requests to verify work capability since January.

As a response, two LMCs have issued template letters for GPs to refuse requests for additional support from benefit claimants, with one considering a ‘just say no’ campaign to support practices who refuse to take on the unfunded work.

But Pulse has learnt that two pressure groups - Black Triangle and Disabled People Against Cuts (DPAC) - are now planning legal action against the LMCs involved.

Dr Stephen Carty, a GP in Edinburgh and the the Black Triangle Campaign’s medical adviser, said they had taken legal advice over the LMC advice and that they felt they had a case.

He added: ‘LMCs are one-trick ponies whose only function is to prevent GPs doing unpaid, or pro bono, work. I think this is a staggeringly ignorant position to take.

‘Any GP working at the coalface will have stacks of examples of patients who have completely fallen to bits over the Work Capability Assessment. There are lots of admirable things LMCs do but this is a disgrace and I have urged doctors to withdraw their LMC subscriptions and stop paying them.’

Dr Carty added that they were also considering action against individual GPs, pending the outcome of the DWP’s appeal against a tribunal ruling from May this year that said the Government’s Work Capability Assessment process discriminates against people with mental health problems.

He added: ‘If the High Court found that the current process was discriminating, then there may be grounds for taking legal action against individual GPs if they were involved in acts of discrimination. If there were legal clarity on this, it would already be happening.’

But LMC leaders said that they had not heard of any legal action yet, and that these requests are outside the normal care provided by GPs.

Wessex LMC chief executive Dr Nigel Watson said: ‘What we have said to patients is that if the appeals people want further clinical information, which only we can give, then we’re more than happy to do that if the appeals people write to us. But what a lot of these people want is not a medical report, just a letter to say that we support the patient.

He added: ‘Some of the disability groups then say that GPs just do things they get paid for and have got quite difficult about it but we’ve just then tried to explain that we provide care for patients, this is what we do, and I think it is not helped sometimes by the fact that there is an inconsistent approach - some practices will do it and others won’t.’

Dr Peter Higgins, chief executive of the LMCs in Lancashire and Cumbria, defended the template letter they drafted to refuse supporting benefit appeals, and stressed the decision on whether to use it or not was still pending.

He told Pulse they had not heard anything yet about legal action, and added: ‘All that we quoted was off the DWP website so I can’t really see where they are going with that.’

The move comes as a group of GPs have supported the Black Triangle Campaign’s work against the DWP and the Work Capability Assessment process by signing an open letter to the BMA.

The letter called on the BMA to endorse an alternative template letter, prepared by Dr Carty, which could reduce the workload of providing supporting information in patients’ benefits appeals. It further said it is GPs’ duty under GMC guidance to take action if they feel that ‘patient safety may be seriously compromised by inadequate policies or systems’.

But a BMA spokesperson said they had already undertaken ‘substantial work’ to point out problems with the WCA.

He said: ‘BMA representatives have met government ministers to put our objections to them directly. We have recently written to the employment minister asking for changes to be made as soon as possible to the way the system is undertaken. We have also met with disability groups including the Disability Benefits Consortium, an umbrella group representing disability charities.’

Readers' comments (82)

  • Ildiko Spelt

    and also agree with anonymous 12:57 , I get the same situation ....

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  • @11.49 - sorry just wiped the spattered coffee off the computer screen. OK then so if I do the job for nothing then who will feed, house and clothe my kids?
    Or can I claim some sort of benefit for that?

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  • This comment has been deleted by the moderator

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  • 11.49 is joking!
    Don't all lose your sense of humour and reality.

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  • >Don't all lose your sense of humour and reality.

    It's actually hard to tell. Plenty of the posters here are indeed asking that we give up our evenings and work for free (and getting abusive when we decline). Is 11.49 that far away from this?

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  • Obvious troll at 11.49 is obvious.

    Its the interweb kids- learn to spot sarcastic / trolling posts...

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  • Basically the government have done the right thing and tried to reign in our spiraling disability benefit bill and get more people back to work. The problem is the tests have been made very sensitive to pick up the malingerers and so some genuine cases get sucked up into the net. General practice however is not the appropriate place to bring this problem, we are here to sort out medical problems not cash flow! Unfortunately we all see far too many cases (daily in fact) where the claimants chain smoke whilst sitting around drinking from cans of lager watching Sky Sports on huge TVs whilst their unwashed children go neglected and hungry. This is not what the welfare state was designed for - it is a stately net! People who claim benefits should be grateful that in this country you can only fall so far. I've been to countries where poverty means starvation, sleeping rough and true destitution. Given that General practice is overwhelmed with competing priorities, the only fair thing to do is refuse to take on occupational health work or charge more. The simplest thing would be to privatize all GP access and then this problem would melt away as all work would be appropriately paid for.

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  • "This is like taking legal action against a plumber who refuses to fix your taps for free..."

    Almost:
    it's action against the plumber who refused to write a report for free to say the tap cannot work despite Atos seeing water coming out of it!

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  • Anonymous @3.49

    You miss the fact that that same plumber would charge a call out fee to observe that phenomenon.

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  • Anon 11:49 here. My apologies to all those who did not recognise the futility in my tongue in cheek post. Of course it's ridiculous to expect anyone in health to work for free - and that's the point. Dr Carty's lawyer doesn't work for free nor, according to those who've looked up his private fees, does Dr Carty. If LMCs are successfully sued for supporting GPs who do not wish to do unfunded work because it’s for the greater good, where will it stop? And that was the point of my somewhat facetious post.

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