I have found that asking the employee to sign a verbal consent to disclosure - then either ringing the GP to chat about concerns or writing to the GP outlining a plan/concerns and inviting them to ring me, has worked on a number of occasions. Some Gp's refuse and say I must request a written report and pay - which isn't always helpful when time is an issue.
I did find Alan's input helpful as it is always good to see things from another perspective
---- "Darcy wrote:
> Dear all,
> My tuppeneth here.
> I'm all in favour of challenging GP notes where my assessment is that
> the employee is fit to return in some capacity with OH support. I use
> the word challenge as it helps create a professional tension the same
> way that we are challenged by HR, managers and employees about our
> assessments and encourages dialogue about our own perspectives.
> The difficult part of the whole process is getting the employee to
> understand and agree that a return to work is appropriate and beneficial
> to their recovery. Once this barrier is addressed I usually do not have
> any difficulties with the GP or specialist.
> To make it work I do the following:
> - agree a return to work plan with the employee even if it commences
> before their Med 3 expires and obtain consent to write to the GP
> - write to the GP or treating specialist informing them of the reason
> for the OH assessment, my findings, recommendations about a return to
> work plan and the support and supervision they may receive whilst at
> work including access to physio, counselling etc.
> - invite the GP to call or write to offer additional information to
> either support or alter my plan
> - implement the plan
> - sometimes write to the GP again to let them know the outcome of the
> I hardly ever write to request a GP medical report but if the GP wishes
> to write to me following my own letter as a professional to professional
> courtesy then I'm happy.
> Paul D'Arcy
> Clinical Nurse Leader
> Occupational Health
> Imperial College Healthcare NHS Trust
> 2nd Floor Hammersmith House
> Hammersmith Hospital
> Du Cane Road
> W12 0HS
> Tel 020 8383 3063
> UK's first Academic Health Science Centre incorporating St Mary's and
> Hammersmith Hospitals, in partnership with Imperial College London
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