Personally, I am rather bothered about a GP charging for a doctor-to-doctor letter to an occupational physician where the intention is to assist in the diagnosis of occupational disease, aid decisions on fitness for work, or facilitate adjustments in the workplace. This is not "private work". Surely, this arises directly out of the NHS responsibilities? And the GP benefits from the exchange in receiving feedback about occupational aspects of his/her patient's ill-health.
Kate
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