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  3. Patients Struck off by GPsA)Thousands of patients are being

Patients Struck off by GPsA)Thousands of patients are being

游客2024-04-21  20
问题                     Patients Struck off by GPs
A)Thousands of patients are being arbitrarily struck off by GPs(普通开业医生)who say they can no longer cope with spiralling numbers. Doctors warned last night that a recruitment crisis has left surgeries with too few staff. This means they are being forced to "deregister" patients—many of whom are elderly and have been with the same practice all their lives.
B)Yesterday the Daily Mail highlighted the case of 95-year-old Lily Dove, one of 1,500 patients randomly struck off by a surgery in Watton, Norfolk, which is under pressure from rising immigration and retirees. The widow, who has lived in the area since 1919 and remembers when the doctor would visit her family in a horse and trap, has a number of health problems.
C)But senior GPs say her case is far from isolated and illustrates a national problem. They say other practices in England have been forced to deregister up to 100 patients at a time. Doctors’ leaders argue that they have no choice but to remove patients because the lack of GPs means they cannot provide care that is safe and of high quality.
D)But relatives and patients fear vulnerable patients are being deliberately removed from lists because they take up the most time and require such dedicated care. Other patients furious to have been kicked off their doctor’ s books yesterday included an 80 year-old widow, a blind child and a mother of 11 children. In another example, a practice deregistered a nursing home of 59 residents, many of whom have Alzheimer’ s, because of a "big change in workload".
E)GPs say the profession is facing a recruitment crisis as their colleagues opt for early retirement or a move abroad. They are not being replaced by younger staff, who are often opting for hospital-based careers. In the case of Watton, which is about 20 miles west of Norwich, surgeries are under pressure from a sudden rise in retirees and immigrants moving to the area.
F)Last night health minister Earl Howe intervened in the case of Mrs Dove, who lives alone, and urged NHS England to "urgently" look into the circumstances of her being struck off. He told GPs to ensure they provided "excellent care" for all their patients, particularly the over-75s and those with longterm health conditions.
G)But it has since emerged that Mrs Dove’ s surgery, Watton Medical Practice, has also removed other vulnerable patients including a 47-year-old former soldier who has lost both legs due to severe diabetes. Dave Pendry, who is wheelchair-bound, now faces a 14-mile round trip to see his new GP in the village of East Harling. Kirsty Hutchinson, a mother to 11 children, will have to travel 16 miles every time one of them is ill or needs an injection. And two elderly widows said they now faced difficult journeys down dangerous country roads to see their doctor.
H)Other GPs warned that more surgeries would follow suit. Referring to the case in Watton, one GP partner wrote anonymously on the Pulse magazine website: "Just wait for the domino effect." The practice which has deregistered a nursing home of 59 elderly residents is the Bellevue Medical Centre in Edgbaston, Birmingham—the practice of Professor Steve Field, the chief inspector of GPs.
I)It says it has been forced to remove a total of 75 patients who live the furthest away since a doctor retired. The decision has upset some relatives who fear the surgery has deliberately targeted the nursing home because the residents require so many visits.
One said: "I think the real reason is that nursing home residents are often difficult to manage, lots of health problems, on a lot of medication. I’m sure that if they were "easier" patients, the surgery would keep them on."
J)The surgery’s executive partner Dr Sukdev Singh insisted the reason was because there had been a "big increase in workload" following the retirement of a doctor. He said about 75 patients were being removed from the list as they lived outside the practice’s boundary. He added: "It’s a national problem. We are struggling to recruit doctors and we do not have the necessary funding."
K)There are no national figures for the numbers of patients who have been removed from surgery lists because of GPs’ workload. But Dr Chaand Nagpaul, chairman of the British Medical Association’s GP Committee, said it was important that surgeries did not "discriminate" against certain patients who may require more time and care. "It would not be appropriate for practices to pick and choose, " he said. He added: "I do not know the circumstances here but these decisions must not be taken lightly and practices must ensure they do not discriminate against certain patients. If there are boundary issues, the practice needs to make sure all patients outside the boundary are taken off the list, not just one cared home. "
L)In Watton, parish council leader Richard Leighton said: "There’ s immigration, because people are coming to work in the slaughterhouse and food factories around here. " British people are also moving here because there’ s work about, and there are retired people who sell up in London and buy a cheaper home here. "They keep building homes here because the Government says the area can take more people, but the infrastructure can’ t cope."
M)Gillian Childerhouse, 80, who is being struck off after being on the surgery’ s register for almost 50 years, said: "I’ve never been much trouble to them as I’m pretty fit but I’ve been dumped along with the rest of them. Older people are not very important in this country. They don’ t want us. We’ re just a damned trouble. "
N)Referring to the case of Mrs Dove, Earl Howe said: "We have asked NHS England to urgently look into the case. We expect practices to work with their patients and NHS England to make sure that residents get the excellent care they need from local GPs, particularly those over 75 or with long-term conditions. "
O)Cancer specialist Dr Clive Peedell, coleader of National Health Action Party, said: "I’ ve certainly heard that up and down the country patients are being removed from practice lists because they can’ t deal with the workload. The pressures are enormous at the moment. There are real staffing issues and we are extremely worried about the lack of funding. The Royal College of GPs says they are short of 8,000 GPs." [br] Because of the immigration, the workload has increased in this area and the GPs can not cope with so many people.
选项
答案 L
解析 此句意为：因为移民，这个地区的工作量增加了，而普通开业医生无法应对这么多的人。根据题干中的immigration可以定位到L段中的In Watton，parish council leader Richard Leighton said：“There’s immigration…”题干是对文中意思的进一步阐述，解释了移民对于工作量的影响。
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