General Practitioners

– Scottish Parliament written question – answered at on 7 January 2003.

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Photo of Tom McCabe Tom McCabe Labour

Question S1W-32164

To ask the Scottish Executive, further to the answer to question S1W-22072 by Malcolm Chisholm on 1 February 2002, what information it has regarding the number of patients removed from GPs lists in the Lanarkshire NHS Board area and what guidance it gives to GPs to guard against inappropriate removal.

Photo of Malcolm Chisholm Malcolm Chisholm Labour

The numbers of patients removed from GPs' lists in the Lanarkshire NHS Board area each year excluding those removed as a result of death, emigration or change of address are as follows:

1996

1997

1998

1999

2000

2001

Number of removals

754

667

1,096

1,007

435

568

Removals in cases of violence

11

13

17

6

30

6

The terms of service for GPs are set out in the NHS (General Medical Services) (Scotland) Regulations 1995. Except where a GP wishes removal to take place with immediate effect because of violence or the threat of it, the regulations do not require GPs to give reasons for the removal of a patient and consequently no guidance has been issued from the Executive.

The General Medical Council has issued guidance to doctors which states that they must not discriminate against patients on the basis of their lifestyle, culture, beliefs, race, colour, gender, sexuality, age, social status or perceived economic worth. The guidance makes clear that it refers in cases where patients are removed.

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