----- Original Message -----
From: "North Mike (F81717) Maylandsea Medical Cent CM3 6AH" <[log in to unmask]>
Date: Tuesday, March 2, 2004 11:17 am
Subject: Free private ex locum GP
> Theoretical case
>
> A GP locum has recently had a disagreement with the practice at
> which he
> worked as a PCT employed locum and is no longer employed by the PCT.
>
> He is now offering to see any of his former patients who wish to
> carry on
> seeing him, privately, at no charge. He no longer has access to their
> medical records.
>
> He then sends the patient with a private script to the practice
> having told
> the patient that the practice, with whom they are registered, is
> obliged to
> turn this into an NHS script (allegedly).
>
> He then proposes to send a dictation tape of his consultation for the
> practice to transcribe onto the patient record.
>
> What are the legalities of this, in particular, are the practice
> obliged to
> dispense the scripts and update the records?
>
> Mike
>
This very much smacks of an underlying disagreement; in which case the practice are surely going to be less than inclined to agree with this character in the first place.
They are not obliged to do any such thing, to do so would mean they took on the responsibility for all Rx decisions made by this person (with whom they disagree) - This would appear to be unlikely!
Additionally I suspect the transcription of verbal messages to writing also assumes some responsibility, with the possibility of "No that's not what I said" if anything ever went to complaints / court, so the tapes would need to be held. As magnetic tape is not a permanent record, this is bad practice. I would refuse to accept incoming mail in this format. Even dictating to an .mpg3 file & putting it on CD is dubious, but at least it could be attached to the EPR if the practice want to do so.
Also the practice should charge him for secretarial time, if they were foolish enough to do the transcription.
IMHO.
Mark
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