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​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)

  • Here is my contingency plan

    No Deal = I emigrate to the EU

    Simples :)

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  • Where's Optimus?

    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.

    LOCUM HERE .. Everyone else chill or party
    Don't know about other locums
    but this immediately makes your practice a
    "will not return place"..

    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.

    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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