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Managing performance: PCTs - how are concerns raised?
Information and concerns about potential poor performance are received by the PCT from a variety of sources. Sources of concerns include:
- peer healthcare professionals, eg GP partners and colleagues, the LMC, locum or sessional GP's, the PCT's out of hours service providers, community or practice nurses, pharmacists, secondary care clinicians
- practice managers
- the GP appraisal process (eg if serious concerns arise during an appraisal interview)
- individual patients and patient-based organisations such as patient advice and liaison services (PALS)
- the PCT's complaints system (and from the Healthcare Commission with its responsibility for independent review of complaints against GP's)
- General Medical Council
- the PCT's clinical governance system including audits
- critical incident reporting systems/sudden unexpected incident (SUI) procedures
- people or organisations outside the NHS e.g. police, coroner, local press or the courts
- the LMC, usually via the medical secretary
- whistleblowers.
Response to concerns
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