Q: Is it worth filling in the forms for these temporary Patient?
A: YES, probably
Under the new contract the payment for temporary patients has been subsumed into the global sum. So, is there any point filling in a temporary resident form since there is no extra money for providing this service?
Well, yes, probably: Payment for temporary patients was included into the global sum on the basis of historic payments to your practice over the last five years. The temporary patient forms you fill in now will inform the current level of services provided to temporary residents and will help to determine any necessary adjustments to global sum payments in the future. The blue book Investing in General Practice* - 2.28 sets out that where the treatment of temporary residents is insufficiently accounted for within the global sum this may be resourced either by a variation to the global sum or as a local enhanced service where, for example, a new holiday park has opened close to the practice resulting in a large influx of temporary residents. It is important therefore to record all non-registered patients who are treated, including those requiring emergency or immediately necessary treatment.
Useful tip when seeing Temporary Residents
I picked up a helpful tip recently at an IT conference.
The Spearker, A GP, said that after seeing a temporary resident he prints out a home visit summary, so that days consultation would be included. He the gave the summary to the patient to take back to their own practice.
This of course relies on the patient having being registered on the clinical system which, in my experience of locuming at different practices, tends to happen now. I certainly had not thought of this simple tip.
Most clinical systems allow for a macro to be made on each computer (or perhaps the reception station) so that on leaving the consultation at the push of one button a summary sheet with the selected information is printed (consultation, drugs,etc).
UK Residents on Holiday
The Regulations state:
16.—(1) The contractor may, if its list of patients is open, accept a person as a temporary resident provided it is satisfied that the person is—
(a)temporarily resident away from his normal place of residence and is not being provided with essential services (or their equivalent) under any other arrangement in the locality where he is temporarily residing; or
(b)moving from place to place and not for the time being resident in any place.
(2) For the purposes of sub-paragraph (1), a person shall be regarded as temporarily resident in a place if, when he arrives in that place, he intends to stay there for more than 24 hours but not more than three months.
(3) A contractor which wishes to terminate its responsibility for a person accepted as a temporary resident before the end of—
(a)three months; or
(b)such shorter period for which it agreed to accept him as a patient,
shall notify him either orally or in writing and its responsibility for that patient shall cease 7 days after the date on which the notification was given.
(4) At the end of three months, or on such earlier date as its responsibility for the temporary resident has come to an end, the contractor shall notify the Primary Care Trust in writing of any person whom it accepted as a temporary resident.
If, however, the person is only in the area for less than 24 hours they can be provided with immediately necessary care or, if not urgent, then they can be refused and told to see their own GP upon returning home. This will depend on clinical judgement.