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Forum Home  →  Discussion  →  Other benefit issues  →  Thread

GP’s overwhelmed with requests for supporting evidence

1964
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Deputy Manager, Reading Community Welfare Rights Unit

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Joined: 16 June 2010

A Birmingham LMC poster is reported to read -

‘GPs provide medical care to their patients and are not in a position to administer nor to police the benefits system. It is not appropriate for the GP to be asked for letters of support or letters to confirm housing or care needs.’

Just saw this in ‘news’. Whilst I can absolutely understand how they feel and whilst I do try to bother GP’s as a last resort when it comes to gathering evidence, I know I’ve been doing it more frequently recently. It’s not just WCA & DLA appeals (and goodness only knows what it’ll be like when PIP appeals start) but the need for supporting evidence for DHP requests, etc. Sometimes there just isn’t any viable alternative sources of evidence/support and some (not all) of the local LA’s we deal with have a tendency to dismiss out of hand DHP requests involving health issues where there’s no independent evidence of the likely effects on health if DHP is not awarded. With mandatory revisions also looming it’s going to be even more important to gather as much helpful evidence as possible at an early stage. There was a time (before the demise of LSC contracts) when we could cover the cost of GP letters via disbursements but those days have gone.

It’s a debate we’ve had before I know, but would be interested to know what others think and whether anyone has a cunning plan to get around the problem.

Pete C
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Pete at CAB

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I don’t think it is fair to say that GPs are being asked to police anything, they are being asked for medical evidence that might or might not support an assertion that claimant has made regarding reasons for entitlement.

Having said that I can easily understand how fed up they are with being asked for letters and I am always grateful when I get a reply!

Stevegale
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Torbay Disability Information Service, Torbay NHS Care Trust

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Where appropriate, we ask people to obtain just patient copy letters from GPs. Have had chats with GPs who are perfectly happy with that approach. We are also encouraging people to write personal statements or obtain these from people they know. It has to be said that a significant number of people have little or no paper evidence, for one reason or another. The other thing that happens (for DLA/ESA) is that clients will disclose problems which the GP knows nothing about, so it’s off to the GP to get it looked at or referred onward to a specialist.

Dan_Manville
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Mental health & welfare rights service - Wolverhampton City Council

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It’s better now that most surgeries are scanning their correspondence. The £10 fee for a print out is within the reach of most.

I find I need to remind certain practices that digital records only cost a tenner though. A lot of places think £50 is the benchmark whatever the information requested.

MNM
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Solicitor, French & Co Solicitors, Nottingham

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I have attached the fee guidance from the NHS regarding fees should anyone need to quarrel over the rates for print outs/records.

As Tony mentioned using the subject access route is a guaranteed way of obtaining GP records.

Disdadvantage : These can go into thousands of pages depending on your client and their history and can be painful to siphon through.

Advantage : Records often include consultant letters and in a number of cases the the letter of referral from the GP to the Hopital which sometimes summarises the patient’s condition which can be helpful and cheaper than requesting a medical report which can up to a few hundred pounds.

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