ࡱ> :<9y ebjbjEE *''eKKKKK____ k _Z"twhhh!!!!!!!$#p&!Khh!KK".KK!!!|!}_!!*"0Z"!''$!'K! h0" hhh!!hhhZ"'hhhhhhhhh :  LMC Statement on Charges levied by GPs for non-NHS Services Family doctors are not employed by the NHS, but contract with their local Primary Care Trust to provide a range of medical services for their patients. Work outside of this contract is privately charged for in exactly the same way a solicitor, accountant, or other professional person does. GPs are frequently asked to provide certificates or to complete forms for a whole range of reasons from stating that a child should be allowed to wear trainers instead of shoes to go to school, to confirming that an elderly or disabled golfer should be allowed to use an electric cart on the course. The Local Medical Committee (LMC), which represents family doctors in Somerset, has collected a list of about 100 such requests. Each on its own may seem small and reasonable, but together they add up to a significant amount of work. Many of these requests should not involve the GP at all. There seems no good reason why, for example, a person should not be able to declare to the library service themselves whether they have a visual problem this is hardly something that the average library user will lie about. The LMC frequently asks organisations requesting certificates whether they are really necessary, but sometimes it is only when service users apply pressure that things change. We would much prefer that unnecessary requests for certificates were not made in the first place, but levying a charge may be the only way to control the numbers. GPs are already under huge time pressure. Frequently we cannot offer enough appointments, or spend long enough with the patients that we do see. Spending more time on paperwork will only make things worse. Dr Harry Yoxall Medical Secretary Somerset LMC 01823 344314  HYPERLINK "mailto:medsec@somersetlmc.demon.co.uk" medsec@somersetlmc.demon.co.uk 3rd June 2003 A1345STXZeh 5>*H* h 0Jjh U h 5jh 5U h 5>*h jh U@Af g ~  UVWe  %&#$/(/ =!" #$% DdP  <  C AbA&(0[ "\$MD n&(0[ "\$MPNG  IHDRP *gAMAPLTE# pHYsbcbm,<8 IDATx[ Ds $$HBJTlߦ                oz>) tP(XGN@u7Qm`ՁV Y8z1@kYK3yLϦ,ΑUл;7N8 L&ed(6;!ُMR1DE 4U^Tä֯}lWN9_ ='L48cPfic-MiCn` KHI4B\O!7гAJޕ0D$nHFz942%W%l4C6:Y81@~p `8dHي18yEꎣ`Gڕ\z/r^!-YXE%~1a]k^C4˛/9EރCHzz7B.@4χЂ'_Թ/>}z-\$r&xR#$SR81c3)I,9dlZ8Egh9=".8-]T>p:l3N-ՠPe<l.H?VQvyQ/EhTo8h}x20[)#[gyFGQ{p=3, gC RtxW̜|{@K&:({KN#b5bv5܇+΃N{w0{Pԁ!%\ YzO C@VgW?V&kzmQo3ae sʀƸv) > hµuZw01ȫX.)tM J@9Px[Pk{X} )p U]sWs#'7݁jEh&(kRJ6Pml_H PqY P]` j.@|C1^(S c8c<j-b8ߛ4t tw: sYCJjwfg~8Mu>ў7w=IWkx/@6-Df@-_(({([xuϷ"jik즽8^lNh0f#XVC4a짾8/! 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