General practice responsibility in responding to private healthcare
A Statement from Spilsby GP Practice regarding Shared care with private providers.
We have increasing calls from private providers for sharing care of our NHS patients. The surgery is committed to the general NHS constitution principle of keeping as clear a separation as possible between private and NHS care. Please see below the guidance we follow from the BMA in our General practice responsibility in responding to private healthcare and to read the full guidance by clicking on the provided link.
“Shared care” with private providers
Sometimes the care of a patient is shared between two doctors, usually a GP and a specialist, and there is a formalised written ‘shared care agreement’ setting out the position of each, to which both parties have willingly agreed. Where these arrangements are in place, GP providers can arrange the prescriptions and appropriate investigations, and the results are fully dealt with by clinicians with the necessary competence under the shared care arrangement. There is NHS guidance available about this.
Shared Care with private providers is not recommended due to the general NHS constitution principle of keeping as clear a separation as possible between private and NHS care. Shared Care is currently set up as an NHS service, and entering into a shared care arrangement may have implications around governance and quality assurance as well as promoting health inequalities. A private patient seeking access to shared care should therefore have their care completely transferred to the NHS. Shared care may be appropriate where private providers are providing commissioned NHS services and where appropriate shared care arrangements are in place.
All shared care arrangements are voluntary, so even where agreements are in place, practices can decline shared care requests on clinical and capacity grounds. The responsibility for the patient’s care and ongoing prescribing then remains the responsibility of the private provider”.
