London GPs to limit specialist referrals beneath new rationing plans


London GPs shall be urged in opposition to referring sufferers to
hospital specialists and consultants as a part of an NHS rationing programme
launched within the capital, reviews counsel.

The programme may additionally see some outpatient appointments
being axed.

The modifications, a few of which can take impact instantly,
embrace considerably decreasing referrals to consultants, changing some
outpatient appointments with a cellphone dialog, and urging GPs to
discover “alternative routes” of coping with sufferers who want hospital referrals,
the Guardian reviews.

The plans have been communicated in a letter from the North
West London Collaboration of medical commissioning teams (NWLCCCG), which
funds NHS well being providers for greater than two million Londoners, to key
people together with native MPs just below two weeks in the past.

It refers to a monetary restoration plan and admits that
“some concepts, particularly these affecting sufferers, will generate sturdy views
and we might want to make some tough decisions”.

Dr Gary Marlowe, BMA London regional council chair and
London GP, mentioned that whereas the monetary pressures that medical commissioning
teams (CCGs) have been beneath was appreciated, “cost-cutting should not come on the
expense of high quality affected person care or elevated forms and workload for

“All clinicians – whether or not in GP practices or in hospitals – should be capable of make selections over what’s finest for the affected person in entrance of them, primarily based on their very own medical proof base, and never be blocked by arbitrary money-saving restrictions,” he added.

He warned that by limiting referrals sufferers are
prevented from receiving the most effective remedy for his or her particular person situation.

Prof Martin Marshall, the vice-chair of the Royal School
of GPs, mentioned it’s paramount that any initiatives don’t decrease the usual of
care that sufferers obtain.

A spokeswoman for NWLCCCG mentioned: “A few of the proposals
that emerge will see modifications to affected person providers. We are going to have interaction sufferers as
plans develop however as with all change there shall be individuals who don’t agree with
our proposal. Some concepts will have an effect on medical providers and in placing ahead
our plans we wish to emphasise that the security of our sufferers and the standard
of our providers will all the time come first.”

The spokeswoman added that they might guarantee no affected person
waited greater than 52 weeks for remedy.

She mentioned that referrals to consultants in several
specialties would proceed “inside agreed pathways” however that “inappropriate
referrals” can be stopped.


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