Help with referral from GP

Help with referral from GP

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simontrent

Original Poster:

96 posts

210 months

Tuesday 8th November 2022
quotequote all
This is a search for knowledge rather than a rant about NHS GPs. I do appreciate they are overworked and under-supported etc.

I have been having terrible lower back pain and saw the GP yesterday. He appeared concerned when I said the pain had been getting increasing worse over the past 3 months (but his reaction may be subjective). He asked me to arrange a blood test (Kidneys, PSA and some others I didn't know) with reception so he can work out the next steps. I went to reception on my way out and the earliest available appointment was a month away.

I'm worried, and in pain, so decided to investigate a private blood test. I spoke to a local private hospital and they requested details of the blood test directly from my GP. It's not a referral as I'm willing to pay. It's just to speed up the process.

My GP has refused to fill out their form. The administrator at the hospital said she'd never seen a refusal before. I initially thought this was GDPR etc but apparently that's not the issue. The GP flatly refuses to help and claims it's not urgent and I should wait. Surely, me going private enables the practice to offer that blood test appointment to another patient.

Does anyone know if they can do this? It feels bizarre and immoral to me.

I now need to pay for a private GP appointment and then a private blood test........ or wait and worry.



andyA700

3,338 posts

44 months

Tuesday 8th November 2022
quotequote all
simontrent said:
This is a search for knowledge rather than a rant about NHS GPs. I do appreciate they are overworked and under-supported etc.

I have been having terrible lower back pain and saw the GP yesterday. He appeared concerned when I said the pain had been getting increasing worse over the past 3 months (but his reaction may be subjective). He asked me to arrange a blood test (Kidneys, PSA and some others I didn't know) with reception so he can work out the next steps. I went to reception on my way out and the earliest available appointment was a month away.

I'm worried, and in pain, so decided to investigate a private blood test. I spoke to a local private hospital and they requested details of the blood test directly from my GP. It's not a referral as I'm willing to pay. It's just to speed up the process.

My GP has refused to fill out their form. The administrator at the hospital said she'd never seen a refusal before. I initially thought this was GDPR etc but apparently that's not the issue. The GP flatly refuses to help and claims it's not urgent and I should wait. Surely, me going private enables the practice to offer that blood test appointment to another patient.

Does anyone know if they can do this? It feels bizarre and immoral to me.

I now need to pay for a private GP appointment and then a private blood test........ or wait and worry.


Sadely I am having similar problems, where my GP surgery (after outsourcing me to an NHS hub) decided not to OK the CT brain scan which the hub GP had recommended. Fortunately the local NHS group which overseas all the GP surgeries in my area, found out and have told them to sign it off and for me to phone them on Thursday to make sure they have done it. I have also had previous problems where they have refused to authorise a full set of bloods following a visit to a private hospital.

Collectingbrass

2,393 posts

202 months

Tuesday 8th November 2022
quotequote all
If it's a month to get an appointment for the practice nurse to draw the blood samples you should be able to get the blood tests done at your local NHS hospital on a walk up (& wait...) basis, you just need a form from your GP

popeyewhite

21,391 posts

127 months

Tuesday 8th November 2022
quotequote all
simontrent said:
I spoke to a local private hospital and they requested details of the blood test directly from my GP. It's not a referral as I'm willing to pay. It's just to speed up the process.

If you're willing to pay you can get any blood test you want. Personally I'd book a private specialist, they will sort out the appropriate test/s.

simontrent

Original Poster:

96 posts

210 months

Tuesday 8th November 2022
quotequote all
Collectingbrass said:
If it's a month to get an appointment for the practice nurse to draw the blood samples you should be able to get the blood tests done at your local NHS hospital on a walk up (& wait...) basis, you just need a form from your GP
The GP is refusing to supply any forms. They insist I wait.

simontrent

Original Poster:

96 posts

210 months

Tuesday 8th November 2022
quotequote all
popeyewhite said:
If you're willing to pay you can get any blood test you want. Personally I'd book a private specialist, they will sort out the appropriate test/s.
I’m not able to get blood tests unless directed by a doctor. Apparently this is due to authorising but also interpreting the results. I am able to pay an additional amount to see a private doctor for them to then approve me to pay again for bloods.

This process is not fit for purpose.

It feels similar to refusing for a parent to take their child out of a state school to an independent one. I assume that would never happen!

popeyewhite

21,391 posts

127 months

Tuesday 8th November 2022
quotequote all
simontrent said:
I am able to pay an additional amount to see a private doctor for them to then approve me to pay again for bloods.
Yes. this is what i would do if desperate.

ucb

1,040 posts

219 months

Tuesday 8th November 2022
quotequote all
This issue is about funding, and probably liability thereafter.
If the issue is to be sorted out privately then take it down that root. The large hospital groups (Circle, spire, etc) are refusing to allow patients to fund clinic appointments with consultants and then have further surgery, tests etc take place under NHS payments. The difference here is that the shoe is on the other foot.
It might sound petulent anf shortsighted, but it is probably being driven by the CCG.

Sauce

49 posts

114 months

Tuesday 8th November 2022
quotequote all
Can you get the blood tests done at your local hospital? They’ll be processed in the laboratory there anyway.

For any of the bloods I order patients have the option to walk into outpatient phlebotomy 8:30-17:00 Monday - Friday and 9:00 - 13:00 Saturday morning. There was even a drive through service locally during COVID Lockdowns. Very few still choose to wait for an appointment in the surgery now.

andyA700

3,338 posts

44 months

Wednesday 9th November 2022
quotequote all
Sauce said:
Can you get the blood tests done at your local hospital? They’ll be processed in the laboratory there anyway.

For any of the bloods I order patients have the option to walk into outpatient phlebotomy 8:30-17:00 Monday - Friday and 9:00 - 13:00 Saturday morning. There was even a drive through service locally during COVID Lockdowns. Very few still choose to wait for an appointment in the surgery now.
There is no longer a walk in service at any of our hospitals in Kent, you have to use the online booking service for the relevant NHS hub. They then give you a booking reference which you use when arriving at the clinic.

Sauce

49 posts

114 months

Wednesday 9th November 2022
quotequote all
That’s tedious. The walk in service here just makes life so much easier for everyone involved. Results can be back the next day.

Can you book hub HCA appointments online to get bloods taken? We can book those, I don’t know if patients can.

simontrent

Original Poster:

96 posts

210 months

Monday 5th December 2022
quotequote all
As an update, I raised a question (not complaint) to the GP practice. They have treated it as a formal complaint and followed their standard procedure.

Today I received a reply simply implying that I am mistaken. They claim they did not refuse to complete the form, they just needed 2 weeks to do it!

Their reply was a subtle "shut up and f' off". What started as a concerned patient willing to pay to get results, has now turned into a ridiculous "he said, she said". I'll let it drop but it leaves a terrible taste.

Edited by simontrent on Monday 5th December 20:10

anonymous-user

61 months

Monday 5th December 2022
quotequote all
I suggest you arrange a meeting with the practice centre manager.