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GP Office - Kernow LMC member Elections 2022-2025

Inappropriate transfer of work to General Practice

Please complete this short form. Your case will be examined and compared with other submitted cases. The data will be used to engage our health system partners and encourage them to work with us in providing optimised patient care in the right place and at the right time.  

By completing this form, you permit us to discuss or escalate your concern with any relevant disclosed parties. Please specify any restrictions you may wish to impose on this permission.

Inappropriate workload entry form

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SUBMITTER'S INFORMATION

Submitter's details

DETAILS OF INAPPROPRIATE WORK

Please anonymise patient identifiable information.
Please upload document/s with appropriate redaction if needed.
Drop files here or
Max. file size: 512 MB.
    (No other patient identifiable details needed)

    ORIGINATOR'S DETAILS

    Name of individual from which work transfer originated (where relevant):

    OTHER PARTIES INVOLVED

    FURTHER ACTION

    We encourage colleagues to either escalate cases themselves or simply submit data for later analysis. If you need to submit further information on escalated cases please do this via the “DETAILS OF INAPPROPRIATE WORK TRANSFER" section above.

    Please note this form is for the capture of data on inappropriate transfer of secondary care work only. Patient care should not be delayed or compromised whilst addressing this issue. Any immediate concerns for patient welfare should be addressed independently by following your practice's relevant safeguarding protocols.

    GDPR Privacy Permission

    Terms and conditions*
    By using this form you agree with the terms and conditions and the storage and handling of your data by this website.
    This field is for validation purposes and should be left unchanged.

    Last updated on: 
    October 31, 2022
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