In a message dated 12/06/98 11:57:52 GMT, you write:
<< I am getting increasingly annoyed by some of my patients who feel they can
pay
for a one off appointment with a consultant privately, then proceed to plead
poverty and then get listed for their op or generally get into the system
faster on the NHS. >>
Hi Shahid,
Our practice has a 60-70% private referral rate. However the situation you
describe is outlawed in Leeds and rightly so. If you want a private appt.,
fine but if you then want to transfer to the NHS you have to take your turn
waiting for investigations or surgery.
<<I got stroppy when a lady who had seen an ENT man locally and wanted the
private script for Nasocort changed to an FP10. I gave in but she kept on
about how her health insurance was a company perk and as I mentioned above
pleaded poverty.>>
I posted a scenario like this a few months ago. It is very common in our
surgery to meet this situation. However, since the pt. is still on your NHS
list and the disorder justifies the treatment (in this case the Nasocort), the
MDU say that it's perfectly permissable to do as your patient asks. In fact
refusal to oblige may land you in trouble since you are refusing to provide
medication on an FP10 that is prescribable.
Irritating or what?! :-(
Jeremy Sager
GP in affluent part of Leeds
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