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GPs struggle to cope with 21% rise in requests to verify work capability since January

Exclusive GPs are having to cope with rising levels of paperwork under the Government’s drive to reduce the benefits bill, with figures obtained by Pulse showing the number of requests to verify claimants’ ability to work have increased by over a fifth since the beginning of this year.

The figures show that the national crackdown on benefits has resulted in practices having to cope with increasing numbers of forms to support Employment Support Allowance (ESA) claims, which GPs say can take up to an hour of their time to fill out.

The figures obtained under the Freedom of Information Act show 136,000 ESA requests to medical professionals on behalf of the Government in the first three months of the year, the majority of which will be made to the patient’s GP.

This extrapolated across the whole year would total over 544,250 requests for the year - representing a 21% increase in ESA compared with the 448,800 requests made in 2012.

Requests for information from GPs have rocketed since ESA replaced incapacity benefit in 2008, when only 6,640 requests were made.

The GPC said it is meeting with the Department for Work and Pensions (DWP) to ensure that information requested by Atos Healthcare - which runs the DWP scheme - is more relevant.

The GPC also said that the ten calendar days GPs are given to supply further medical evidence for the claims is ‘not realistic’.

The DWP recently said it was planning to pilot a new approach to collecting information from claimants’ GPs, though a spokesperson could not confirm any details about the pilots the options ‘are still being considered’.

The Workplace Capability Assessments, which the Government uses to decides on whether people are eligible for the ESA, have also been criticised by the BMA, MPs and charities, as 38% of decisions are overturned at the appeal stage. Last year a committee of MPs said the assessments have a ‘disproportionate effect’ on the vulnerable.

Dr Nigel Watson, chief executive of Wessex LMCs said GP feedback into the process was important, but that the forms could take from 15 minutes to an hour and this was having a disproportionate impact on the time GPs could spend with patients.

He said: ‘We are spending more time on admin and paperwork and this is going to increase. With the increasing complexity of long term conditions, and patients working longer, not retiring at 60. Now the forms are more complex. It’s not only that you have more forms to fill in - its more complicated to fill in these forms.’

He added: ‘It adds to the other pressure that GPs are facing. If you spend more times filling in forms then you spend less time looking after patients - the time has to come from somewhere.’

Dr John Canning, chair of the GPC’s professional fees and regulation committee and a GP in Middlesbrough, said the GPC was currently holding talks with the DWP to ensure that GPs are only asked for information which was relevant.

He said: ‘We have been talking to DWP about making sure that when we get asked for information - is it relevant, and is it being asked at the right time?

‘It needs to be an appropriate request; we need to ensure that it achieves what it needs to for the department, as opposed to being a bureaucratic exercise. That balance is not right at the moment.’

He added: ‘The request to respond within a week is not realistic with the work we have to do. Many people work part time.’

It comes after the BMA urged ministers last month to ask GPs to provide factual information for every Work Capability Assessment to enable ‘better-informed decisions’ to be made about their patient’s eligibility for benefits.

The figures also come after the GPs were asked to fill out a new form determining whether patients are eligible for the Government’s new personal independence payment (PIP), a scheme - also run by Atos Healthcare - the GPC warned may ‘harass’ patients with a health condition or disability.

A spokesperson for Atos Healthcare said: ‘These figures should be viewed in the context of increasing numbers of assessments during changes to the welfare system. As agreed with the Department for Work and Pensions, we only proactively write out to GPs for further medical evidence where we believe that receiving it may mean we can avoid a face-to-face assessment for the most disabled and unwell. This leads to around 17% of claimants not needing to attend an assessment.’

A DWP spokesperson said they need the information to make decisions about an individual’s eligibility for the ESA: ‘It is important that we are able to make decisions on an individual’s benefit entitlements with accurate and up to date information, and sometimes this will require medical evidence from a claimant’s GP or other healthcare professional.

‘GPs have been clear that they do not want to be responsible for making decisions on peoples’ benefit entitlement, which is why we have processes in place to request the appropriate information from GPs to enable us to make those decisions.’

 

How ESA requests have risen

2008 - 6643
2009 - 159,225
2010 - 260,794
2011 - 311,533
2012 - 448,805
2013 (1st January- 31st March) - 136,064

Source: Freedom of Information request

 

 

 

 

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  • Dr John Canning

Readers' comments (18)

  • Why are you doing it for free?Charge them

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  • I'm now getting inch thick piles of forms to fill, It's getting quite ridiculous - I thought my job was to attend to the health needs of the sick, not their bank accounts! The only way to control this is for a substantial rise in fees charged for forms so that this paperwork is appropriately resourced and unnecessary requests are discouraged.

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  • ATOS collect the money. GPs do the work. Welcome to the Tory vision of privatisation.

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  • Anonymous 8:31- the provision of this report is a statute requirement under terms of service and a fee cannot be charged- there are about a dozen such " have to do as many as asked without charge to the individual " reports ,( fitness for jury service military pension, severe mental impairment for council tax,) but they are all factored on an "agreement as to time taken block payment". The readjustment for the extra work/time is supposed to come from the independent pay review body at the end of the year.
    The Governement has never felt there was a compulsion to follow the DDRB recomendation and usually does not.
    The difficulty facing General practice is the available time to do all the required work, we appreciate HMG does not value our worth.

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  • @Andrew

    Are you absolutely certain about this because i know of a GP who's started charging patients £15 per report

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  • I believe Andrew is correct about not being able to charge. See section 3.1.1 "Contractual Obligations - General Practitioners" of the following DWP document:- http://www.dwp.gov.uk/docs/medical-reports-completion.pdf

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  • The money is irrelevant. We do not have the time to justify doing this work. Our leaders need to remove this from contractual obligations. Paper work has got ridiculous and we have to learn to say NO in unison.

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  • Andrew is correct, you cannot charge for these forms. I work in one of the most deprived areas in Scotland and we get about 5 forms each partner per week! Most of our patients have never worked, will never work and generations here have never worked. Each form has long lists of requests for info on "depression, chronic backpain, drug and alcohol abuse" . If we were to do these properly we would never see any patients. I am aware that we have a "contractual agreement" but I also have a contractual agreement to actually see patients! We decided at the practice that we would fill the in the forms for out patients that could "genuinely not work" and file the other forms in our "to do pile" along with all the other non doctor stuff we somehow all get dumped on us. Clearly we never get to this pile as we're actually seeing real live patients, or at least trying to!

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  • Or you could take a paycut, hire more staff and fill the forms in properly, thereby offering a quality service to your patients.

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  • 1.14 Usually don't answer troll comments but here we go. Yes pay can be cut and in fact GP earnings have been dropping for a while now. There is however a limit to this (which was kind of the point of the article) at which point you start cutting services. In many regions it has now become pretty difficult to hire new GPs - we can't get locums for example. As usual this all boils down to the government asking more for less. You only have to open a paper to day to see how that has been working out in the NHS.

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