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CCG closes SAS scheme practice due to ‘low number of patients’ on list


By Valeria Fiore
15 October 2018

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A practice caring for patients under a Special Allocation Scheme (SAS) will close next year following an emergency measure that left the practice with few patients on its list.

The Birchtree practice in Stockton-on-Tees currently provides GP services to 460 patients. Of these, 42 are on the SAS scheme – which was introduced in 2004 to ensure individuals removed from other practices’ lists due to violent behaviour are still able to access GP care.

In a statement, NHS Hartlepool and Stockton-on-Tees CCG said: ‘We have taken the decision to permanently close the Birchtree GP Practice on Lawson Street, Stockton-on-Tees on 31st March 2019 due to the very low numbers of patients remaining at the practice.’

In 2016, the CCG had to implement emergency measures to transfer the provision of substance misuse services from Birchtree practice to the charity Change Grow Live.

After being unable to find a long-term provider of GP services and to avoid a sudden closure of the practice, the CCG decided to issue an emergency contract with another Stockton practice to provide GP services from Birchtree until 31 March 2019.

The CCG had already started encouraging patients to register with a new practice, ‘with the intention that Birchtree would close at the end of the contract’, according to CCG chief officer Ali Wilson.

At present, the CCG is looking for another practice that will be able to offer care to patients on the SAS scheme.

In line with national regulations, the new provider will be offered an enhanced payment to be able to safely care for the patients on the scheme.

A CCG spokesperson said: ‘The SAS scheme is a Directed Enhanced Service, which is a national enhanced service commissioned by NHS England. As such, the scheme attracts an enhanced payment, above the payment for the provision of core general medical services.’

BMA GPC chair Richard Vautrey said that it is ‘important to ensure those practices signing up to the enhanced service have the necessary skills and support to enable this challenging group of patients to get the appropriate service’.

According to NHS England, commissioners of SAS services need to make sure both clinical and non-clinical staff are trained in basic safeguarding for children and vulnerable adults, among a series of measures to guarantee the practice provides a safe service.

Non-SAS practices can refuse to register violent patients following amendments to the 2018/19 GP contract, which also allows them to remove ‘mistakenly registered’ violent patients.

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