Important Announcement from Carrington House Surgery – withdrawal of unfunded service

For some time, we have been providing an unfunded post-operative wound care service for the convenience of our patients, despite the funding to provide post-operative wound care being received by the hospitals.

This service has been especially valuable for those needing regular care but struggling with the travel distance to the relevant hospitals.

We regret that, due to increasing demands on our nursing team and financial pressures on NHS General Practice overall (https://www.bma.org.uk/…/responding-to-the-new-gp…), we can no longer continue to provide this service for which the hospital receives payment as continuing to do so compromises our ability to deliver our core General Practice Services.

What does this mean for you?

• From 31st August 2024 we will no longer offer post-operative wound care to any new post operative patients. This includes post-operative wound care from all private and NHS services including dermatology, surgery, and urgent care. Patients will be required to receive ongoing wound care from these services directly.

• We cannot offer dressings or wound care for wounds obtained via trauma or other injury, as the surgery does not have contract to provide care for Minor Injuries.

• Patients currently receiving wound care will continue to be offered a maximum of two dressing changes per week until they are healed and discharged.

• Patients who are housebound will be able to receive post-operative wound care from the local District Nursing service. This should be arranged by the hospital service directly at the time of discharge.

• We will continue to offer post-operative clip/suture removal as this is a separate contracted service.

Thank you for your understanding and support.

Non-NHS private services

Practice private fee charges

Please find below a list of private fees that are charged for any work completed outside of our contractual obligation classed as “private”.

CARRINGTON HOUSE SURGERY PROFESSIONAL FEES (JANUARY 2024)

 

CERTIFICATES & FORMS£
LETTER
Statement of fact to support applications, circumstances, confirm conditions30
Private sick note (Less than 7 days illness)35
Fitness to travel35
Fitness to attend a gym35
Unable to attend a gym due to medical issues60
Student unfit to take exam35
Simple letter (few short sentences)35
INSURANCE 
Private insurance health claim form (AXA BUPA etc) patient request35
Life Insurance no exam130
Targeted report130
Travel insurance cancellation claim form30
Travel insurance cancellation claim form – complicated60
Professional opinion – including detailed letter60
Complicated letter – extracts from records/attachments100
Additional info30
Insurance claim form to cover loans when not working30
EMPLOYMENT
Report from records80 – 100
Local Authority, Police report no examination65
Employment Medical – Basic Questionnaire120
Employment Medical – Local Authority160
Employment Medical – Full medical and report, private260
OTHER FORMS
Criminal injuries compensation proforma40
Council tax exemption form25
DVLA40 – 85
Health certificate to attend university, college, teacher nurse training or other activity35
Police form questionnaire35
OFSTED60
MEDICAL EXAMINATIONS AND REPORTS
Assessment of capacity for LPA170
Medical reports with exam125
Medical reports no exam100
FOSTERING & ADOPTION
AH1 Form = double face to face   Appointment with GP

AH2 Form = single face to face    Appointment with GP

80

30

DWP REPORTS
PIP, Attendance Allowance33.50
SR117.70
MEDICATION/VACCINATIONS
Private prescription30
Prescription for the purpose of travel abroad30
Vaccination / International Certificate of Vaccination30
Hepatitis B – per dose72
Hepatitis B – set of three216
OTHER
S17/4722
Subject Access Request – first requestNo charge
Subject Access Request – second request65

 

Please note these services are no longer available
Medicals for pre-employment, sports and driving requirements (including Taxi medicals, HGV, PSV, shotgun licences etc) are no longer undertaken by the practice.

Speak to our secretaries for any queries about insurance forms and medical reports
Please ring the main surgery number 01494 523211 and select option 4 between the hours of 8.30 and 15.30 on Monday to Friday to speak with the secretary if you have any queries about insurance forms and medical reports.

Forms can take up to 28 days to complete
If we agree to complete non-NHS work, our NHS medical care of our patients takes priority during our working day so any private non-NHS letters or forms can take up to 28 days to complete and return to you. We cannot guarantee they will be completed earlier.

Payment
By Card at Reception . No refunds are given.


Understand non-NHS (private) work

Some services are not covered by the NHS and our practice will therefore charge a fee for completion of this work.

As the British Medical Association suggest
“With certain exceptions written within their contract, doctors do not have to carry out non-NHS work. However, many choose to for the benefit of you and other families they treat.”
“Why does my doctor charge fees?” BMA website. Retrieved 14 February 2023.

Check list for patients

Please can you review the “check list for patients” included below in the frequently asked questions if you are considering requesting we complete any non-NHS (private) work.

Frequently asked questions

Before submitting a form or a request it is worth reading about some important considerations which act as a checklist and can save you time.

  • Always confirm the fee, timescales and that the non-NHS work will be completed before you hand any documents to the practice.
  • Don’t book an appointment with your GP to complete forms without confirming your GP will complete such a form and checking whether you actually need to book an appointment to have the form completed (as this maybe an unnecessary appointment).
  • Do not expect your GP to process forms overnight. NHS work will always take priority and so there is no guarantee non-NHS work will be completed before our set timescale guidance.
  • Not all documents need a signature by a doctor and can be done by other professionals. Please check the form and accompanying guidance as you may get a quicker and cheaper response that way.
  • Remember if you access your records online (see under online access to your records), you can print out a copy of your notes including your medication and this may suffice for a number of requests and is free.
  • If you are told you need a letter of support from your GP by another organisation always challenge the necessity and value of such a letter as in many cases it can be unnecessary bureaucracy for us (despite any fee we charge) with little value to you.

If you are off less than 7 days

You will be charged a fee by us if you request a private sick note for less than 7 days. However, this is unnecessary, and your employer should not request one unless they are concerned about repeated illness.

As Gov UK suggests
“If employees are off work for 7 days or less, they do not need to give their employer a fit note or other proof of sickness from a medical professional. When they return to work, their employer can ask them to confirm they’ve been off sick. This is called ‘self-certification’. The employer and employee will agree on how the employee should do this. They might need to fill in a form or send details of their sick leave by email.”
“Taking sick leave.” Gov.UK website. Retrieved 14 February 2023

If you are off longer than 7 days

A sick note is free if you are off longer than 7 days.

For further information, including a link to more detailed information and how you can get a sick note, see under

The British Medical Association have set out common questions asked of GP practices about non-NHS work.

From the British Medical Association
Intended for GP practices but provides insight into the steps required by a GP practice.

 

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