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BMA criticises GMC ‘back to work’ duty

21 Feb 2012

The BMA has warned that GMC plans to hand GPs a duty to encourage their patients to return to work represent the ‘political capture' of Good Medical Practice by the Government.

Pulse revealed in October that the GMC was set to introduce the controversial ‘back to work' clause into Good Medical Practice, in a new draft formulated with input from the Department of Work and Pensions. While GMC Council subsequently amended the wording, the draft guidance still instructs GPs to ‘support patients' in ways which ‘may include encouraging patients… to stay in or return to work'.

But in a strongly worded submission to a GMC consultation, the BMA warned it was ‘concerned about imposing an obligation on doctors to encourage patients back to work': ‘Several respondents saw this as possible political capture of Good Medical Practice. Any efforts by doctors in this regard should have the patient's interests in mind rather than seeking to help the Government's employment strategy.'

The BMA also criticised several of the new responsibilities outlined by the GMC in the guidance as ‘nebulous and probably unenforcable', claiming that duties involving risk reductions were ‘vague, poorly specified and quite possibly unachievable' and arguing requirements that doctors be accessible to patients and colleagues when on duty were ‘unrealistic'.

A GMC spokesperson said: ‘We are reviewing responses to the consultation and plan to publish a revised copy of Good Medical Practice later this year.'

READERS' COMMENTS

Anonymous, GP,
22 Feb 2012
Why not a few like "thou shalt not have any idea on NHS except that of the incumbent government especially so if its Tory".
Is GMC run by muppets? Actually that wasnt a question!.
How come we PAY for this rubbish to be spouted!
I don`t disagree that we should help patients get back to work as a general idea, but that can come from DOH rather than GMC who ideas should be noble pusuit of ethics in a modern world.
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Janette Lockhart, GP Partner,
22 Feb 2012
I don't have many good words to say about the GMC's past performance, which has at times been woefully misguided. However I do agree with the proposed wording about supporting patients, as quoted in the article. From anyone's point of view it is entirely ethical to encourage patients to continue working or get back to work, unless of course there is a medical reason not to do so. Why would anyone with an open mind interpret this GMC advice as being political or supportive of only one political party? This advice is good for patients and therefore belongs in a booklet on 'Good Medical Practice'. It doesn't help informed debate when the BMA and others lock onto a political angle on every subject - it dilutes their credibility - each issue should be judged on its merits, not on whether it chimes with one political party or another.
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