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Number of out-of-area patients registered by GP practices quadruples


We have an added benefit/curse of having a Russian speaking partner in our surgery. Word-of-mouth being a powerful thing, there are 37 patients registered more than 25 miles away from the surgery. The number of eastern europeans registered with us, but living outside of catchment area is 12%. In addition to that, another 8 patients feel that our GP's have made a miraculous contibution to saving their lives and insist to stay registered with that Gp after moving out of the area (25+ miles). The way we are dealing with this is by reviewing the OOH registration list and making sure that the arrangement is "practical and clinically appropriate" as per guidance and turning away/cancelling registrations for at-risk groups that are likely to require visiting service. We have tested turning away registrations of OOA patients on those grounds under the watchful eye of NHSE and CQC and the experience has quite straightforward and reasonable from the practice's perspective, so no complaints from us there. Acute care is not a particular issue for this population group, - what is less straightforward is dealing with community teams from other localities and actually our own locality services are sometimes twitchy accepting outpatient referrals for patients living outside of the area. So from my own professional experience, - the disconnect is happening more on the local/CCG level, rather then NHSE, who are mostly on the ball. As long as the practices manages this process appropriately, - OOA registrations are working just fine. On a personal level, - I live close to the practice, and would prefer to be registered with a GP, whom I do not deal with as part of my employment, which rules out local surgeries. So I have identified a good practice on a juicy PMS contract 40 minutes drive away from home in a rather affluent area and would recommend anyone mobile enough to travel to do the same. P.S. I was toying with the idea of excersising my civil right to register with a certain practice in Birmingham just to book an appointment with Proffessor Field to present a complaint regarding stress and burnout due to work pressures, but decided this was a step a bit too far.

Posted date

14 Dec 2015

Posted time