I think you are probably both correct. However, faced with this
situation I would opt for the easy life. I personally think that BUPA
encourages this by telling the patients to get the form signed.
Increasingly these days with NHS patients if they are demanding
referral I refer - however I do state in the referral that the patinet
is demanding referral. Perhaps not in this case, but there is a no-win
situation if the patient subsequently had pathology and did not refer.
I am NOT a high referrer.
Paul Bromley
On 28/11/2007, Geoff Schrecker <[log in to unmask]> wrote:
> I think you are a trained clinician, and if you don't think he will
> benefit from physio, but say yes so that he can claim from BUPA you
> are colluding in fraud. You have done right.
>
> Cheers Geoff
>
> On Nov 28, 2007 5:41 PM, North Mike (F81717) Maylandsea Medical Cent
> CM3 6AH <[log in to unmask]> wrote:
> >
> >
> >
> > Just had a patient slam out because I have said that I do not think his
> > ankle requires physio. (Turned it over yesterday, minimal bruising and
> > swelling, walking normally, needing no analgesia). He insists that as he
> > belongs to a scheme that he is entitled to use it on each and every occasion
> > that he wishes (several previous referrals). I feel I have a duty to refer
> > only if I think it appropriate, not on demand, and that is why BUPA have
> > told him to ask me for a referral. I have said that I am happy to discuss it
> > with BUPA if they care to phone me. He is quite sure that if he asked the
> > physio if it needed physio he would say yes. I agree that he would!, and
> > BUPA know that, and that's why they ask him to see me first rather than
> > self-refer.
> >
> > What do you think?
> >
> > Mike
>
>
>
> --
> Please avoid sending me Word or PowerPoint attachments unless by prior
> arrangement.
> See http://www.gnu.org/philosophy/no-word-attachments.html
>
--
Best Wishes
Paul Bromley
www.informatiks.com
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