There is nothing magic about a med 3;  why not let the nurse give a
private cert?

The DWP accepts all sorts of certificates from 7th day Adventists to
chiropractics.

One day the burden may be lifted...

John 

-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Paul Bromley
Sent: 07 February 2007 15:20
To: [log in to unmask]
Subject: Re: Med certs when seeing Nurse Practitioner?

It looks as though I amy be out of a job then following an investigation
by the GMC aas it is my present policy to issue a Med3 with the
endorsement ' Telephone consultation by Nurse Practitioner'.
I am annoyed that this department has not moved with the times and
understands that good work is done by Nurse Practioners - and by
telephone triage. A bit like the SHOs/Registrars who will not take
admissions from them - without speaking to the GP!

Are we able to issue a Med3 on the basis of a telephone consultation by
us - again something that I do. Sorry but I have not perused the site.
It has been my practice to openly do both of the above and I have yet to
be challenged. It is crazy to have to see patients merely to give a
piece of paper - especially as I DO NOT believe policing time off work
is one of my jobs.

Paul Bromley

On 07/02/07, Adrian Midgley <[log in to unmask]> wrote:
> TIM WALTER wrote:
> > Adrian Midgley <mailto:[log in to unmask]> wrote:
> >
> >> TIM WALTER wrote:
> >>
> >>> We are having a bit of an issue with pts insisting a NP isn't good

> >>> enough for their problem as they need a Med Cert issued.
> >>>
> >>>
> >>>
> >>>
> >>>
> >> Do I hear a motion for the LMCs conference (and/or ARM since it 
> >> applies to the hospital doctors currently required to issue Med 3 
> >> certs at discharge from hospital) on the changes required?
> >>
> >> I'd include a facsimile form (not overprinting a preprinted 
> >> official
> >> form) produced through a computer being recognised as good, and the

> >> delegation to nurses under a doctor's direction and according to a 
> >> standard table of times - if they can diagnose the disease, 
> >> prescribe the treatment, and write the notes, they can do this 
> >> tedious bit of paperwork.
> >>
> >> I'd also suggest that a suitable control mark and system for 
> >> checking back is at least as good as a handwritten signature on 
> >> such forms - the ward stamp etc.
> >>
> >> I'd speak to it at LMCs conf if there is a desire in the assembled 
> >> group here.
> >>
> >
> > I would agree and support all you have said above.
> >
> > Whether or not you/we agree with the spine and C*B cards etc, it 
> > would seem entirely appropriate to use this piece of identification 
> > to bar code printed certificate sheets.
> >
> >
> I'd suggest a simple bit of trailing it - each cert gets an entirely 
> arbitrary number and the computer which printed it remembers that.
>
> If someone asks "What should cert number 57DA90B say?" You tell them.
> Add additional numbers to read back from the printed cert, requirement

> to know the name of the user, only providing that information by 
> ringing the Dept of Work and Pensions head office and reading it to 
> them, whatever feels needed.
>
> That is more the German approach of identifying the certificate - the 
> document - rather than the person about whom it is supposed to be, and

> seems to me appropriate for the purpose.
>
> If you've never heard of 57DA90B it becomes someone else's problem.
>
> The NHS Number by the way should not appear on such a form for the
DWP.
>
> --
> A
>