FAQS WORKLOAD TRANSFER
| Workload Transfer | LMC Guidance |
|---|---|
| DHI requesting bloods prior to acamprosate | Substance misuse services commissioned via local authority and not part of core GP contract, therefore no contractual obligation to provide a phlebotomy service |
| Blood test requests from private providers | There is no contractual obligation to provide blood test monitoring for private providers who cannot delegate bloods on ICE. It is an individual practice decision if you choose to do this on a case by case basis for an out of area NHS patient. |
| Private weight loss clinic requesting validation of inclusion/exclusion criteria | The best strategy is to ask the patient to download the NHS app to gain access to their on-line medical records, which can be shared with any provider. |
| In-health colonoscopy requesting GP to refer to IBD clinic | As they are working to standard NHS contract, they should be doing onward referrals for same condition |
| DHI requesting GP to check bloods prior to initiating acamprosate | Drugs and alcohol detox is commissioned via the local authority and is not part of the core GP contract. As such, there is no contractual obligation to provide a phlebotomy service for this |
Below is some advice specifically related to examples from Emergency Department.
| Role of Emergency Department | Role of General Practice |
|---|---|
| Follow-up of results requested by ED eg: MSU/bloods | Repeat investigations eg: CXR in 6 weeks, U+Es in 2 weeks, BP |
| Fit note for expected duration of illness | Extension of fit note for longer recovery periods |
| Urgent referrals eg: RACP clinic, two-week rule referrals (NB: exception may be straight to test referrals on ICE which need to be done by GP) | Non-urgent referrals (NB: system is working up pathway for Eye Hospital presentations to be booked directly into clinic appointment) |
| Acute medications | Repeat medications |
Link to other FAQs page