PHE ASKING GPS TO PRESCRIBE PREVENTIVELY IN OUTBREAKS, PARTICULARLY IN CARE HOMES

Date sent: Friday 27 January 2017

To All BBOLMC Practices

Issue date: 27.01.17

We are again seeing flu outbreaks in care homes, and PHE continue to contact practices asking them to prescribe Tamiflu to asymptomatic contacts of confirmed cases.

BBOLMC and GPC believe this activity falls outside a GP's contract obligations

I have been in dialogue with NHSE for over 2 years on this issue, and recently briefed the new TV Medical Director on the problem (prior to him contacting central NHSE).

My initial optimism that a solution would be found has been dashed

It seems that NHSE have no intention of procuring an outbreak service (e.g. For flu, iGAS, Hep A or other infectious diseases) either from GPs or any other provider

My advice remains as it was in 2015

(See link at https://www.bbolmc.co.uk/email3427)

If you are contacted by PHE or NHSE about prescribing for asymptomatic contacts of infectious disease, you should make it clear that this service has not been commissioned from GPs and they should refer the problem to the on-call director of NHSE (SC)

Kind regards

Dr Paul Roblin

CEO BBOLMC

Tel: 07799116597 or 01628 475727

www.bbolmc.co.uk

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