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
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