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GPs buried under trusts' workload dump

​GPs asked to provide Brexit plan and practice lead in case of no-deal

GPs must provide a plan for how they will cope in the case of a no-deal Brexit, according to some CCGs.

GPs in Nottinghamshire are expected to carry-out ‘EU exit readiness planning, local risk assessments and prepare plans for wider potential impacts’, and nominate a lead in the practice.

Notices appeared in NHS Nottingham City CCG, NHS Nottingham North and East CCG, NHS Nottingham West CCG, and NHS Rushcliffe CCG board papers, which said GP practices should do this in line with Government planning guidance.

It has been revealed that the Department of Health and Social Care will spend £11m on medicine shortage preparations, in case of a no-deal Brexit, a figure that health secretary Matt Hancock said could rise.

Mr Hancock previously announced that the Government was building extra ‘refrigeration capacity’ in case no-deal Brexit leaves the UK short of certain medicines.

However, he warned GPs not to stockpile medical goods or write longer prescriptions due to Brexit, otherwise they will be 'investigated'.

The Nottinghamshire CCGs' board papers said: ‘The CCGs are preparing for a “no deal” scenario and risks and contingencies are being reported through the Local Resilience Forum (LRF) and NHS England. To support this, the DHSC has released a document outlining actions for providers and commissioners.

‘All NHS organisations and those providing services to the NHS, including GP practices, are required to undertake local EU exit readiness planning, local risk assessments and prepare plans for wider potential impacts.’

GP Dr Steve Kell, former chair of NHS Bassetlaw CCG in Nottinghamshire, told Pulse he received a letter.

He said: 'We got a letter, saying that every practice has to have a lead for exiting the EU and a plan. It was particularly around medicine shortages, I think it's more applicable for dispensing practices.'

A spokesperson for the Greater Nottingham Clinical Commissioning Partnership, which represents  Nottingham City, Nottingham North and East, Nottingham West, and Rushcliffe CCGs, confirmed practices had been asked to review their business plans, but were not required to submit them.

The spokesperson said: 'The CCGs have reviewed business continuity arrangements and completed plans in response to Brexit guidance.  

'As a responsible commissioner, we have also asked practices to review their own business continuity plans against the Government’s Brexit guidance and technical notices.  We have not asked GP practices to submit their own individual plans or identify a senior responsible officer.'

The DHSC EU exit operational readiness guidance states NHS providers - under which GP practices are categorised - must:

  • Confirm escalation routes for different types of issues potentially arising from or affected by EU Exit into the regional NHS EU Exit teams
  • Note a nominated regional NHS lead for EU Exit and their contact details
  • Escalate any issues identified as having a potentially widespread impact immediately to the regional EU Exit team
  • Confirm the organisation's senior responsible officer for EU Exit preparation and identify them to the regional EU Exit team as soon as possible

According to the document, the officer role will involve 'reporting emerging EU Exit-related problems, and ensuring your organisation has updated its business continuity plan to factor in all potential "no-deal" exit impacts'.

Both the BMA and RCGP have publically supported a second EU exit referendum – the latter of which broke its normal protocol of not making political statements to do so – warning that Brexit could ‘seriously undermine’ the NHS and patient safety.

The DHSC did not wish to comment.

Readers' comments (33)

  • Peter Swinyard

    1. Show me the regulation on which you are relying to say that I must produce a Brexit plan. The government has failed to do so in 2.5 years. I plan to take the same time to produce one.
    2. Convince me that the world will fall apart with a No Deal - or WTO-rules - Brexit
    3. Remember the Millenium, when all the great and good went and hid in bunkers expecting civil disturbance (GOK why) and all computers were expected to fail? I worked the night, had little to do and enjoyed the fireworks.
    4. Don't waste time on this when we should be concentrating on forming Primary care Networks to bring more money into our practices and improve patient care.

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  • Cobblers

    Clearly Nottingham is well on the way to Bedlam via Barking.

    Non contractual. TTFO

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  • Cobblers

    Oh and Peter. How exactly are Networks going to solve the manpower crisis?

    It's the latest in a long line of NHSE and HMG bollux initiatives.

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  • Not our job this is the job of the Westminster elite,looks like they can plan getting laid in a whore house with £1000 down their collective underpants at the moment.They can just go and foxtrot oscar.

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  • ".....otherwise they will be "investigated"" - an echt Orwellian ring

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  • Maybe the headline should be: "After failing to come up with a Brexit plan for two and a half years, government turn to brightest minds for assistance"

    Maybe fixing Brexit is just another thing "GPs are expertly placed to undertake"?

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  • Took Early Retirement

    Were a PCT so unwise as to send me such a missive, my response would be:-
    Verpiss Dich, or perhaps, even better Bog ti jebo. (Both EU languages!)

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  • Took Early Retirement

    Sorry- showing my age, CCG, nowadays, which is something TOTALLY different. Like run by GPs, innit?

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  • And then, the Zombies invaded the UK..... get ready!!

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  • Not our job to clear up the mess. The health minister and CCGs are paid to do things like that so they need to show their leadership and justify their salary and take the responsibility if it goes wrong.

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  • No Brexit plan but here is my Brexit message:

    Piss off you tory bastards, you created this mess and now you can own it.

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  • Ha ha ha ha ha!! No

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  • Nhsfatcat

    Here's my Brexit contingency plan.

    We will have 340 million a week to divi up, so I plan a party, a locum, a pay-rise for my staff, an extra 2 GPs to get the ratio below 1:2000 GP/patients and a holiday.

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  • Is someone predicting an epidemic of self-harm amongst the diehard Remoaners?

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  • @Stelvio
    Ha, ha!
    I'm not remoaning.
    Its just polite to clean up after your own mess.

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  • AL "4 TRIES IN ONE GAME" BUNDY

    Sure Mr Hancock is developing an app for this..

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  • AL "4 TRIES IN ONE GAME" BUNDY

    What ???/ NHS eNGLAND IS NOT GOING TO SQUANDER MILLIONS ON MANAGEMENT CONSULTANTS TO DEVELOP BREXIT PLANS FOR US ??

    Lets have a practice run like the lorry drivers
    paid to sit in a jam

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  • AL "4 TRIES IN ONE GAME" BUNDY

    Why doesnt the royal collecge set this as a exam questionnaire for registrars..
    Getting someone to do your work seems to be the ethos..

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  • @Angus - Harold Wilson, in 1972 under a Labour govt, took us into this doomed authoritarian, communist, ever-centralising, and deceptive project in the first place. Yes this Tory govt are idiots, but its the public that voted to leave to start cleaning up the mess.

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  • What do I have to do with Brexit ?? I will do similar day to day clinic. What plan can I make?
    Is it enhanced service!!! May be new qof!!!

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  • Here is my contingency plan

    No Deal = I emigrate to the EU

    Simples :)

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  • AL "4 TRIES IN ONE GAME" BUNDY

    Nhsfatcat | GP Partner/Principal05 Mar 2019 1:46pm

    Here's my Brexit contingency plan.

    We will have 340 million a week to divi up, so I plan a party,,
    a pay-rise for my staff, an extra 2 GPs to get the ratio below 1:2000 GP/patients and a holiday.

    THIS IS AN ABUSIVE USE OF A LOCUM
    LOCUM HERE .. Everyone else chill or party
    Don't know about other locums
    but this immediately makes your practice a
    "will not return place"..

    #metoo
    end the abuse

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  • not a GP partner anymore, so not my problem, LOL

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  • but when Brexit comes I won't be able to speak English anymore will I? can the DOH and BMA help me with a Brexiresilience online mandatory training video?

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  • Nhsfatcat

    |HELLO KITTY | Hospital Doctor|05 Mar 2019 4:31pm

    Ha! Never had a locum refuse to come back. Double pay post Brexit with the millions to dish out

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  • @Christopher Ho Edward Heath took us into the EEC in 1972. The Labour Party at the time just like Jeremy was anti EEC

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  • @Mark Then Harold Wilson held the referendum for 'continued' membership. In any case, I'm not partisan, as both main parties are failures to their supposed core values.

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  • Rogue1

    Physicians were unable to reach a consensus: Should Brexit take place? The Allergists were in favour of scratching it, but the Dermatologists advised not to make any rash moves.

    The Gastroenterologists had sort of a gut feeling about it, but the Neurologists thought the Brexiters had a lot of nerve.

    Meanwhile, Obstetricians felt certain everyone was labouring under a misconception, while the Ophthalmologists considered the idea shortsighted.

    Pathologists yelled, "Over my dead body!" while the Pediatricians said, "Oh, grow up!" The Psychiatrists thought the whole idea was madness, while the Radiologists could see right through it.

    Surgeons decided to wash their hands of the whole thing and the Chemists claimed it would indeed be a bitter pill to swallow. The Plastic Surgeons opined that Mays proposal would "put a whole new face on the matter."

    The Podiatrists thought it was a step forward, but the Urologists were pissed off at the whole idea. Anesthesiologists though it was all a gas, and those lofty Cardiologists didn't have the heart to say no.

    In the end, the Proctologists won out, leaving the entire decision up to the a**holes in Parliament.

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  • doctordog.

    Awesome!
    This is the best website ever!

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  • The government has caused it. I'm not going to fix it. So NO!

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  • I can't believe you are all so flippant about this. As soon as my CCG (Medway) sent us the spreadsheet with questions such as "How would a powercut affect access to records?"and" How will you prepare for a nuclear winter? " I called a practice meeting and declared that I have appointed myself supreme ruler. It is now compulsory for all staff to watch training films such as 28 Days Later and The Walking Dead. We are stockpiling vaginal speculae to ensure continuity of cervical screening plus Kit Kats (for the supreme leaders coffee breaks). Work is in progress to convert my consulting room into a safe room and I have borrowed a shotgun from a friend. Finally I have reassured the staff that, proving they do as I say, I am unlikely to need clause 17.4 of the contingency plan... compulsory human sacrifice. Frankly:I believe a no-deal brexit could be the best thing to happen to my practice (apart from Primary Care Networks of course)

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  • Jmd

    totally agree with Truth Finder

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  • Council of Despair

    my main worry is the rise of Cthulhu - has anyone planned for that?

    what about Godzilla, planet X, alien invasions - surely it must be part of CQC checks by now?

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