Dear Kate
working in an NHS OHS providing services to University Staff
we offer all GPS the opportunity to invoice in line with BMA
fees guide and Consultants similarly (see attached)for
university associated reports
this is in keeping with other OHS providers.occasionally a
consultant will ask for a large fee >£200 then we negotiate
but in reality most don't ask
Liz
---- Original message ----
>Date: Mon, 3 Oct 2005 21:39:05 +0100
>From: Robert Lewis <[log in to unmask]>
>Subject: Re: GP's ts and cs in relation to occupational
disease
>To: [log in to unmask]
>
>GPs cannot charge for treatment but can charge educational
and other
>bodies for examinations, reports and certificates. The
relevant clauses
>in the current GMS contract are:
>
>________________
>484 The Contractor may demand or accept a fee or other
remuneration—
>484.1. from any statutory body for services rendered for
the purposes
>of that body’s statutory functions;
>484.2. from any body, employer or school for a routine
medical
>examination of persons for whose welfare the body, employer
or school
>is responsible, or an examination of such persons for the
purpose of
>advising the body, employer or school of any administrative
action they
>might take;
>
>
>484.6 for attending and examining (but not otherwise
treating) a
>patient-
>484.6.2. at the request of a commercial, educational or not-
for-profit
>organisation for the purpose of creating a medical report or
>certificate, or
>484.6.3. for the purpose of creating a medical report
required in
>connection with an actual or potential claim for
compensation by the
>patient;
>--
>Robert Lewis MRCGP AFOM
>[log in to unmask]
>
>
>On 3 Oct, 2005, at 17:16, Kate Venables wrote:
>
>> Dear all - can anyone help resolve a matter of discussion
between
>> myself and a colleague? Especially any of you who have
worked as a
>> GP. I understood that it was part of a GP's terms and
conditions that
>> no fee was chargable for work which related to the
diagnosis of
>> potential occupational disease in their patients. I have
a feeling I
>> first heard this from Sherwood Burge in relation to the
diagnosis of
>> potential occupational asthma. My colleague understands
that there is
>> such a regulation but that it relates only to those
patients of a GP
>> who work for the NHS.
>>
>> The reason why this came up is in the context of
university
>> occupational health - our main occupational diseases are
occupational
>> asthma, WRULD and stress (if you count stress). I have
been at times
>> surprised to be asked for a fee for a letter when I have
initiated
>> communications with a staff member's GP about, say,
occupational
>> asthma. Most GPs don't charge, in my experience, for
letters which
>> are part of an exchange about a potential occupational
disease. But
>> some seem to do so - and I don't think they should!
>>
>> Best wishes - Kate
>>
Dr E Murphy
Lead Consultant Occupational Physician
NHS Grampian OHS
Foresterhill Lea
NHS Grampian
Aberdeen
AB25 2YZ
01224 553663
fax 01224559749
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