Non Compliance

Those that DO NOT regularly attend for their Long Term Condition reviews or medication reviews will be subject to our non compliance protocol:

What is the doctor’s role?

A doctor’s primary concern is to do their best for their patients; this includes giving advice and treatment, and arranging investigations in accordance with the current evidence base and the patient’s best interests.

Why can non-compliant patients present difficulties?

All practices will have a cohort of patients whose autonomous choices conflict with the suggested course of action of their doctor. Given that there is no obligation to provide a treatment requested by a patient that is not to their overall benefit, this can give rise to clashes between doctor and patient.

What are the commonest scenarios in relation to non-compliance?

  • A patient has been started on a treatment, but declines to attend for subsequent review and/or monitoring checks. This scenario puts a GP in an invidious position, in that a decision has already been taken that it is in the patient’s best interests to commence a particular treatment. This can create a new risk that must be balanced when judging what is in the best interests of the patient.
  • A patient who declines the investigation or treatment of symptoms with a potentially serious and/or treatable underlying cause.

After a failed review you will receive a letter regarding your compliance.  After your 3rd notification we will seek to remove you from the practice due to breakdown in doctor/patient relationship.

This is of course a last resort, you are a very important member of your healthcare team.  To be involved in your own health care may mean for you, or your family member, to take part in every decision possible.

This will give you greater control over your situation. It will also help to ensure your health choices are influenced by what matters most to you.

Zero Tolerance

Our practice has signed up to the NHS Zero Tolerance Campaign which makes verbal abuse, threat and physical violence to all NHS staff unacceptable. Any such behaviour from any patients may result in their removal from our practice list.

Hylton Medical Group operates a zero tolerance policy to any abuse or bad behaviour towards its staff, doctors or other patients. This could be physical, verbal or online abuse.

GPs and staff have a right to care for others without fear of being attacked, abused or treated badly in any way. To successfully provide our services a mutual respect between staff and patients has to be in place. All our staff aim to be polite, helpful, and sensitive to all patients’ individual needs and circumstances. We would respectfully remind patients that very often staff could be confronted with a multitude of varying and sometimes difficult tasks and situations, all at the same time.

However, aggressive behaviour, be it physical, verbal or online, will not be tolerated and may result in you being removed from the practice list and, in extreme cases, the Police being contacted.

In order for the practice to maintain good relations with our patients we would like to ask all our patients to read and take note of the occasional types of behaviour we see that are unacceptable:

  • Using bad language, shouting or raising of voices at practice staff.
  • Any physical violence towards any member of our team or other patients.
  • Verbal abuse towards staff or patients in any form including shouting.
  • Racist, xenophobic, sexist, homophobic or other intolerant Language, discrimination or sexual harassment will never be tolerated.
  • Persistent or unrealistic demands that cause stress to staff will not be accepted. Requests will be met wherever possible and explanations given when they cannot be met.
  • Being perceived to bully or manipulate a staff member to obtain something.
  • Causing damage to, stealing or not returning practice equipment from the practice’s premises, staff or patients.
  • Obtaining drugs and/or medical services fraudulently.