> <<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?! :-(
>
>
I would have thought this was self evident - after all the patient
is only asking the consultant for a private consultation, not you as
a GP. Unless you are paid privately, you are obliged to treat her
as an NHS patient, and use the FP10 accordingly. The specialist
opinion is just that - an opinion. It is the GP who provides
ongoing prescriptions no matter where the opinion has originated.
Tim Barnes
Locum GP, Edinburgh
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