Removal of Patients from our List

The Carron Medical Centre aims to provide the best possible health care for its patients. However, there may be circumstances when it would be considered reasonable, or in the best interests of the Practice or the patient, to remove patients from our list. The purpose of this policy is therefore to define the practice guidelines for patient removal ensuring that all cases are dealt with fairly.

Below are examples that will trigger the removal process and the resulting action by the practice.

  1. Physical abuse or Violence, or threats of the same, including any damage to practice premises: Will be immediately reported to the Police and the person will be immediately removed from the list and referred to the scheme for Violent Patients.
  2. Crime and deception. Where a patient fraudulently obtains drugs for non-medical reasons, deliberately lies in order to obtain a service or benefit by deception, steals from the practice or attempts to use the doctor to conceal or aid any criminal activity, they will be immediately removed from the list
  3. Verbal Abuse of a member of staff: Normally one written warning will be issued with any further incident resulting in removal from the list but the practice reserves the right to remove someone instantly depending on the severity and nature of the incident.
  4. Persistent Failure to Attend:  Once an appointment is made, patients are expected to keep it, or inform us that they need to change it. Failure to do so for three appointments at the surgery will trigger a warning letter. Further incidents will result in removal from the list.
  5. Persistent abuse of services:  If the practice is aware that a patient, or relative, persistently ignores requests to follow procedures set down to ensure safe clinical care for them and other patients, two warnings in writing will be given. On a third occasion, the removal of that patient will be made.
  6. Irretrievable breakdown of the doctor-patient relationship: Occasionally a patient’s behaviour falls outside that which is normally considered reasonable and leads to an irretrievable breakdown of the essential doctor-patient relationship. In some cases this can be overcome by changing GP’s within the practice but in others this will not be appropriate and following written explanation the patient will be removed from the practice list.
  7. Distance: If a patient moves outside of the practice boundary they are automatically deemed to have left the practice and will be removed from the list by the Health Authority.