The LMC wrote to ABUHB with concerns that a review was needed with regard to recent anticoagulation developments, which include Nice AF Guidance, the recent transmission locally of TTR and the green light approval for use of Rivaroxaban in primary care in Gwent.

In response, LMC and ABUHB have set up a task and finish group to work for consideration of the service approach needed to tackle various aspects of anticoagulation. This will include consideration of the current anticoagulation ES, in addition the slow loading of warfarin, introduction of NOACs and the funding of any initiatives. This is going to be a priority to be completed as soon as possible.

The issue of TTR read-coding has been raised and a solution is being sought.


Family doctors in Wales are under massive - and mounting - strain. For years, GPs have been saying they’re weighed down by excess patient demand, increased paperwork and declining investment. It’s been described as an “industrial hazard”.

A quarter of GP’s are due to retire in the next five years and others are leaving the profession early due to high levels of stress. Others no longer want the responsibility of running a surgery as an independent contractor.

"In Wales we see about 19 million GP appointments a year and every year that’s increased by three quarters of a million so in ten years we’ve had a 40% increase in consultations." Credit: ITV Cymru Wales

– Dr Debbie Waters, Chair of the Local Medical Committee for the Aneurin Bevan University Health Board


Click Here To View Wales This Week: Why can't I see my GP?

The GPC document - Quality first: managing workload to deliver safe patient care confirms that, despite pressures, the safe provision of care to patients must remain GPs’ overriding priority, and so with reference to this the LMC informs that consultation is underway about how LMC can support practices with this approach.

The LMC has now presented this approach to the Medical Director, the CEO and also at a meeting with the Clinical Directors in August.

It is hoped that this advice, documents and standard template letters, that can be sent back to the requestor, will allow practices to control the influx of innapropriate workload.

We have also included a standardised form, for practices to report back to the LMC, which will allow monitoring of any inappropriate work transfer on a regular basis. This will continue to inform discussion with ABUHB representatives and identify any service gaps in provision. 






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