LMC update on Tamiflu in Care Homes
Date sent: Wednesday 3 June 2015
To All Thames Valley Practice Contacts - Please circulate within your Practice.
|Issue date: 03.06.15|
To all BBOLMC practices
Please note that despite repeated requests to meet and sort out the “Tamiflu in Care Homes” issue PHE in Didcot has responded only once since the controversy hit the BMJ and even then negatively
The position of LMC and GPC remains the same as last winter
GPs have no contractual responsibility to treat the well contacts of a case of flu
The evidence base for Tamiflu in these circumstances is weak
No patient should be given a drug without giving informed consent through a consultation
The workload involved in doing this often late in the day can be vast
If PHE and NHSE have agreed a relationship that “PHE advises and NHSE implements” then it is up to NHSE to commission a provider for the work.
My view is that GP practices are unlikely to be in a position to respond in such circumstances
In commissioning a provider, NHSE will have to assess the importance and urgency of the task
Should PHE staff contact you during the next flu season (insisting you treat well contacts in care homes with Tamiflu) I suggest you ask them to contact the Medical Director of NHSE directly to see what arrangements have been made
Care of patients with flu like illness is a GP’s responsibility, and my advice is to use your judgement on the efficacy and cost of Tamiflu in deciding what therapy is appropriate.
I will update you as and when the evidence base changes
This email is being sent to all BBOLMC practices and relevant leads within PHE and NHSE in the hope that action will now be taken. I will let you know if negotiations have progressed and the above advice needs to be altered
Dr Paul Roblin
07799116597 or 01628 475727