Firstly, we want to acknowledge the trust you have placed in your private consultant for your medical needs. We understand that receiving specialist care is a crucial aspect of your healthcare journey. However, we must bring to your attention recent guidance that has prompted us to reconsider how we handle requests for tests and procedures ordered by private consultants within our practice. This has been prompted by the exponential workload associated with a rise in private consultations.
As of the latest guidance from the British Medical Association (BMA), it is not considered appropriate for general practice to fulfil these requests for several compelling reasons:
1. Additional Workload:
When NHS patients are referred to specialist teams within the NHS, the specialist teams themselves typically request any necessary tests directly, bypassing the involvement of the GP. This approach minimises the workload on GPs and ensures that resources are used efficiently. However, when private consultants request tests, it places additional administrative and clinical responsibilities on our GPs, which would not be the case if the consultation had occurred within the NHS.
2. Unfunded Workload:
The interpretation and management of the test results invariably fall upon the GP team to action and treat. This creates an additional workload for our practice, which is already stretched due to high demand for services. Unfortunately, this workload is unfunded and places further pressure on the NHS leading to longer waiting times for appointments etc.
3. Cost Allocation:
It is a fundamental principle that any patient who opts for private healthcare should bear the costs associated with it. The resources of the NHS should not be used to subsidise private care. By diverting tests and procedures to the NHS, it can inadvertently create a situation where the costs are being borne by the public healthcare system rather than the individual patient.
Considering these factors, we kindly request that, in line with the latest BMA guidance and to ensure the fair allocation of resources, you discuss with your private consultant the possibility of having any required tests conducted through the private healthcare system or directly with NHS specialty teams. This approach will help streamline your care while ensuring that NHS resources are appropriately utilised for the benefit of all patients.
Please be assured that we remain committed to providing you with the best possible care and support throughout your healthcare journey. If you have any questions or concerns regarding this matter, our team is here to assist you and provide further guidance.
Thank you for your understanding and cooperation in this matter. We look forward to continuing to work together to safeguard your health and well-being.