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What about closed lists?

At present our list is closed ­ what happens from April under the new contract?

The term 'closed list' refers to a formal closure in which the practice is closed to patient allocations/assignments.

The term should not be used in relation to the current contract as there is no formal way of closing your list to stop the PCO allocating/assigning patients to you. Instead, the term full is used.

Under the current contract, you have the right to:

 · Refuse to accept individual patients;

 · Declare your list full and refuse to accept new

patients.

But there is no formal way of closing your list to stop the PCT allocating/assigning patients to you.

Under the new GMS contract ­ with similar arrangements expected for PMS ­ you still have the

right to:

 · Refuse to accept individual patients;

 · Declare your list full and refuse to accept new patients.

But if your list is officially open and you refuse to accept a new patient you:

 · Must have reasonable grounds

 · Must avoid discrimination

 · Must give reasons in writing and keep a record

 · Can still be allocated/assigned patients by the PCT (there is a dispute resolutions procedure)

The contract enables you to apply to the PCT to formally close your list which means that ­ other than in exceptional circumstances ­ the PCT will not be able to allocate/assign patients to you.

But once your list is closed you can only accept new patients if they are immediate family members of

existing patients. And the PCO may refuse to offer you further contracts for enhanced services during the closure period

Your list will normally remain closed for 12 months.

Londonwide LMCs Reproduced with thanks from their website: www.lmc.org.uk

Neither Pulse nor Londonwide LMCs can accept any legal liability in respect of the answers given. Readers should seek independent advice before acting on the information concerned.

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