Outcomes
|
|
Extension of Prescribing Responsibilities:
Extension of independent nurse prescribing rights through the use
of training and supplementary prescribing will reduce GP involvement
in cases of minor ailments, minor injuries, health promotion
and palliative care.
|
Ongoing
|
Gluten Free Foods:
A reminder will be issued via the Chief Executive’s Bulletin
to Primary Care Trusts about the potential use of direct supply of
gluten free foods without GP input
|
July 2002
|
Medicines Management and Prescribing:
A significant issues group will be set up of all stakeholders to
support Primary Care Trusts deliver effective strategies on prescribing,
medicines management and pharmacy issues.
|
August 2002
|
Repeat Prescribing and Dispensing:
GPs can issue a single prescription for stable long-term conditions,
dispensed in instalments by the pharmacist
|
December 2004
|
Childcare, Fostering and Adoption – children looked
after:
Health Assessments are to be conducted by the most appropriate medical
professional, e.g. paediatricians/etc., wherever possible
|
July 2002
|
Suitability of potential carers for fostering and/or adoption:
Limiting GP involvement in adult suitability assessment will be evaluated
with the view to limiting their contribution
|
July 2002
|
Certification of sickness for missed examinations:
Need for GP input to be reviewed and revised guidance issued to schools
by the Joint Council for General Qualifications
.
|
July 2002
|
Disability and Benefits
|
Motability Contract Hire Scheme:
GPs will only be approached to provide advice on appropriate adaptations
where there is no other appropriate medical professional to advise
|
Now completed
|
Appeals:
Advice and guidance outlining GPs’ limited legal responsibility
in unsuccessful benefit appeals has been published
|
Now completed
|
Disability and Benefits:
The GP’s role in the process is to be simplified and benefit
forms modified through several pilot studies
|
Ongoing
|
Veterans Agency Medical Reports:
GP input will be both minimised and simplified to war pensions applications
|
End 2003
|
Interface with Departments and Agencies
|
Clinical Governance Reviews by the Commission for Health Improvement
(CHI):
The GP’s role, in most cases, will be streamlined (2-3 hours
approximately) in the clinical governance reviews of Primary Care
Trusts
|
Now completed
|
Social Housing Applications:
GPs will only be approached to provide clinical evidence regarding
housing allocations when their input is essential and no-one
else can provide it.
|
November 2002
|
Documentation, faxes and e-mails:
Department of Health documents will contain a summary sheet of information
forming a reader box.
|
April 2003
|
Infectious Disease and Food Poisoning Notification:
Revised guidance on food poisoning notifications will be considered
to remove the need for GPs to report all isolated cases, prior
to the review of public health law.
|
April 2003
|
Hospital and GP Interface
|
The Modernisation Agency will select three demonstrator sites
to simplify processes and cut out steps in the patient journey.
These sites will build upon the work from the already established
programmes
|
September 2002
|
Other Burdens on GPs
|
Providing reports and sick certificates for employers:
GPs no longer have to sign a certificate of sickness for an absence
less than seven days
|
Now completed
|
Access to Records:
The process of checking records and the fees that GPs can charge
for them will be considered as part of a review
|
Ongoing
|
Countersigning of gun applications:
GPs will be removed from the list of appropriate countersignatories
for shotgun applications
|
November 2002
|
