Exclusive: Half of PCTs allow open-but-full lists

Open-but-full practice lists are still operating in about half of PCTs in England despite DoH demands to eradicate them, a GP investigation has revealed.

GPC negotiator Dr Richard Vautrey
GPC negotiator Dr Richard Vautrey

Practices that are open but full do not have formally closed lists, but only accept registrations on a limited basis, such as patients allocated by the PCT or family members of existing patients.

The DoH says there is ‘no legal basis’ for open-but-full lists and has demanded that they are discontinued.

But in at least one PCT, nearly one in three practices are designated as open but full.

Medway PCT, in Kent, told a GP survey that 20 out of its 68 practices have open-but-full lists.

Other trusts are also affected. Thirteen out of 64 practices in Leicester City PCT, and 11 out of 65 practices in East Lancashire PCT are open but full.

Responses from 63 of the current 152 PCTs suggest that around one in 30 practices nationwide are in this position.

A total of 112 practices in the 63 PCTs were open but full. A further 73 were reported as having formally closed lists.

The GPC welcomed PCTs’ acceptance of open-but-full status. GPC negotiator Dr Richard Vautrey said: ‘PCTs are taking a pragmatic approach to this. They recognise that some practices are unable to take on unlimited numbers of patients, often because of premises constraints.’

A DoH spokesman admitted that some practices face ‘short-term problems’ with capacity that could stop them accepting new patients.

But he said: ‘The DoH made its position on open-but-full lists crystal clear in the White Paper ‘Our Health, our care, our say’. Under the new contract, GP practices’ lists are now either open or closed.


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