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16. -(1) Subject to sub-paragraph (2), a doctor shall, in addition to and without prejudice to any other obligations under these terms of service, in each period of 12 months beginning on 1st April in each year-
(a) invite each patient on his list who has attained the age of 75 years to participate in a consultation; and
(b) offer to make a domiciliary visit to each such patient,
for the purpose of assessing whether he needs to render personal medical services to that patient.
(2) Sub-paragraph (1) shall not apply in the case of any doctor who is a restricted services principal.
(3) Any consultation pursuant to sub-paragraph (1) may take place in the course of the domiciliary visit pursuant to that sub-paragraph.
(4) In the case of a patient who is accepted by a doctor pursuant to paragraph 6, or assigned to him pursuant to regulation 4 of the Choice of Medical Practitioner Regulations and who has attained the age of 75 years when he is so accepted or assigned, an invitation and an offer pursuant to sub-paragraph (1) shall be made within 12 months of the date of his acceptance or assignment.
(5) A doctor shall, when making an assessment following a consultation under sub-paragraph (1), record in the patient's medical records the observations made of any matter which appears to him to be affecting the patient's general health, including, where appropriate-
(a) sensory functions;
(b) mobility;
(c) mental condition;
(d) physical condition including continence;
(e) social environment;
(f) use of medicines.
(6) A doctor shall keep with the patient's medical records a report of any observations made in the course of a domiciliary visit made pursuant to sub-paragraph (1) which are relevant to the patient's general health.
(7) When inviting a patient to participate in a consultation pursuant to sub-paragraph (1), a doctor shall comply with the requirements of paragraph 14(3) as if paragraph 14(3) referred to an offer as well as an invitation.
(8) Where a patient has participated in a consultation pursuant to sub-paragraph (1), the doctor shall offer to discuss with him the conclusions he has drawn, as a result of the consultation, as to the state of the patient's health, unless to do so would, in the opinion of the doctor, be likely to cause serious harm to the physical or mental health of the patient.
17. -(1) Unless prevented by an emergency, a doctor shall attend and treat any patient who attends for the purpose at any place, and during the hours, for the time being approved by the FHSA under paragraph 29, other than a patient who attends when an appointment system is in operation and who has not previously made, and is not then given, an appointment to see the doctor.
(2) In such a case the doctor may refuse to attend and treat that patient during the surgery period, provided that-
(a) the patient's health would not thereby be jeopardised; and
(b) the patient is offered an appointment to attend again within a time which is reasonable in all the circumstances.
(3) A doctor shall take reasonable steps to ensure that no refusal is made pursuant to sub-paragraph (2) without his knowledge.
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| Book Title: NHS GMS Regulations | ||