Hypothetically:
If you saw a patient with a dental abscess in your rooms would you:
a)Give Amoxil/Flagyl and analgesia and send him to a dentist ASAP
b)Send him to the dentist without a script
c)Not even see him as you're "not qualified to deal with it"
d)Phone dentist and consult
e)all/some of the above
Whether a patient is "private" or "public" matters not a damn during a
consultation. The negotiated management should be the same and the
doctor-patient relationship the same.
Of course that's the theory at least!
Tim
-----Original Message-----
From: Richard Johnson [mailto:[log in to unmask]]
Sent: Tuesday, June 15, 2004 8:59 PM
To: [log in to unmask]
Subject: Re: Private GP - his duties and responsibilities
Hi
I am not a dentist.
As the person who writes the prescription, I take legal responsibility
for
that, but as a medic I do not have the knowledge to know if this is the
correct treatment. Therefore, if a dentist suggests treatment, he/she as
the
responsible appropriate profession needs to prescribe that treatment not
dump it onto someone else who is not qualified to take the legal
responsibility.
Richard Johnson
Hick GP, Family Physician. Not a bloody dentist
----- Original Message -----
From: "Tim Nunn - Ubombo" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, June 15, 2004 1:45 PM
Subject: Re: Private GP - his duties and responsibilities
> It's interesting watching the emerging relationship between private
and
> public health in the UK from afar (Swaziland to be precise) We have
had
> the benefit of dealing with this cross-over for many years in Southern
> Africa. It has plenty of problems but most can be amicably sorted!
> Just out of interest why did you say no to giving him a script?
(before
> he tore up the dentists!)He obviously needed the antibiotic
clinically.
> IMHO flexibility (both sides of the fence) is required in this
delicate
> balance (private v public providers)
> Tim
>
> -----Original Message-----
> From: Dr Mark O'Connor [mailto:[log in to unmask]]
> Sent: Tuesday, June 15, 2004 11:05 AM
> To: [log in to unmask]
> Subject: Re: Private GP - his duties and responsibilities
>
> The private GP is at liberty to refer to an NHS hospital for
> investigations
> and second opinion as it's the patients relationship to the state
which
> determines eligibility not the patients contractural relationship with
> the
> doctor.
>
> Last week had an elderly chap with a private prescription for
> amoxycillin in
> hand from private dentist and a face like a football. He wanted a
> conversion
> - I said no, but at least he had seen the apporpirate professional who
> had
> taken on responsibility for his abscess(and who hadn't suggested he
> comes to
> me for NHS script - I checked) - He then slowly and deliberately tore
up
> the
> Private prescription and said "You'll have to give me one now" - I
> replied
> "you have just done a very silly thing and will have to go back to
your
> private dentist and get another one. In addition if I do not have a
> written
> letter of apology to me and my staff for your rude and abusive
behaviour
> today you will be removed from the list within the next 7 days" -
> stormed
> out - Letter arrived 3 days later - reception staff delighted
>
> -----Original Message-----
> From: GP-UK [mailto:[log in to unmask]] On Behalf Of Michael Hendry
> Sent: 15 June 2004 06:36
> To: [log in to unmask]
> Subject: Private GP - his duties and responsibilities
>
> Private general practice is a new phenomenon in this (rural) area, but
> no
> doubt some of you city types have had to deal with the following
> situations:
>
> 1. Patient who has just seen private GP turns up at our surgery with a
> prescription from him, which he wants converted (instantly!) into an
NHS
> one. The said private GP denies having suggested this.
>
> 2. Patient sees private GP, who writes to us asking us to organise
stool
> culture, blood tests etc. He obviously can't deny this one!
>
> We are used to having patients come back to us in this way from
private
> consultations with consultants - to whom we have referred the patient
-
> but
> the private GP doesn't have the benefit of a referral letter with (in
> one of
> the above cases) over 30 years personal knowledge of the patient.
>
> Our feeling as a practice is that patients who choose to see this
doctor
> should expect to pay for the prescriptions he issues, and that he
should
> arrange such investigations as he thinks fit on a private basis too.
>
> At the very least, we should insist that the patients see one of us
> before
> we issue any prescription or make arrangements for investigation.
>
> What does the team think?
>
> --
> Michael
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