Hot Topics December 07
Hot Topics 12/07
MID MERSEY LOCAL MEDICAL COMMITTEE
The Gables Cowley Hill Lane St Helens Merseyside WA10 2AP
LMC MEETING DECEMBER 2007
• HOSPITAL RE-ADMISSION RESEARCH
Some Practices have received communications from a Roseline Henry-Nweye who states she is a Researcher for Halton & St Helens PCT asking for the names, dates of birth, addresses and phone numbers of older people who have experienced hospital re-admissions.
The LMC is seeking to confirm with the PCT that this is a piece of research that they have commissioned or agreed to. However, we do have concerns and it is strongly suggested that any Practice approached by this person speaks to the LMC before taking action.
• ATYPICAL ANTIPSYCHOTICS
This saga runs on. The LMC is attempting to arrange an LES for the Practices who have been affected by a new dumping of Atypical Antipsychotic prescribing from secondary care in Halton and Warrington. However, this is not the main problem.
The major problem here is the poor quality of information provided by 5 Borough Trust’s Clinicians. Even where there are shared care protocols, Psychiatrists are failing to honour them and potentially in breach of their duties as laid down by the GMC. The LMC would be most grateful for anonymised, in terms of patient details, but named in terms of Consultant details, instances where Practices have had problems with this. Please send as many as possible.
I have written to the Chairman of the 5 Boroughs Trust.
• RELEASE OF INFORMATION FOR CHILD PROTECTION PURPOSES
The recent GMC guidance on children does include a statement about child protection procedures but it is also very clear about confidentiality. For the avoidance of doubt, I have contacted the GMC and their view is that GPs should expect to have consent to reveal information for child protection purposes unless there is a very serious matter of which they are aware but are unable to obtain consent and they believe it is in the child’s best interests that this information is revealed without specific consent. The wording is as follows:
“In the absence of consent or a legal obligation to disclose, Doctors will need to make a professional judgement as to whether disclosure is justified in the public interest ………”
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The GMC believe that disclosure of relevant information for SERIOUS CASE REVIEWS will be usually in the public interest. A full text of the letter is available from the LMC office if you require it.
• DOCTORS’ SUPPORT NETWORK
Doctors’ Support Network is an Organisation to support Doctors with mental health problems. It is run by Doctors. If you are interested, you can find further details at www.dsn.org.uk.
• STORAGE OF LIVING WILLS
• IT SUPPORT – WARRINGTON PCT
Warrington PCT are about to tender for an integrated IT support service to commence in April 2008. The tender specification is stated to include IT support for GP Practices. The LMC is aware that Warrington Practices have expressed concern and we have asked to see a copy of the tender specification.
• PRESCRIPTIONS FOR EXERCISE
Some Practices have been concerned that private Gyms have been sending patients for a full medical and a written confirmation by the GP that the patient is fit for exercise. Trained Physical Trainers should be capable of determining whether somebody is fit for the exercise they are proposing. The Lifestyle Referral forms from Halton & St Helens PCT do not require a statement from a GP that the patient is fit to exercise, merely the information that the Health Trainer requires to determine what they are fit for. Practices do not have to provide a statement that the patient is fit for exercise for private Gyms.
Dr S O’Donnell