What help is available to practices which are having temporary problems managing their list size? Would practices still have to accept patient allocations from the PCO?
A. In the situation that a practice is unable routinely to accept new patients (beyond immediate family members of existing patients), a discussion between the practice and the PCO should take place to allow the situation to be explored. The PCO is expected to work constructively with the practice to try to jointly achieve resolution. This could take the form of, for example, additional support given by the PCO to the practice. In some situations, practices may wish to use the closed list procedure. Informal list closure is not recognised under the GMS contract arrangements and under the regulations practices could still have patients assigned to it. It is recognised that GMS and PMS contractors retain their freedom within the contract not to register new patients, provided they have reasonable, non-discriminatory grounds for doing so in each case. Q. The decision to close the practice list could mean that practices are close to providing unsafe care. As the contract stands, we have co
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