What are collaborative arrangements?
Collaborative arrangements can include:
- family planning
- psychiatric work
- reports for adoption
- children in care and priority housing
- community service certificates for offenders who fail to attend
- visiting medical officers to local authority-maintained establishments
- attendance at case conferences arranged by social services
Setting and agreeing fees for collaborative arrangements
Except for family planning, there are no other nationally-agreed fees for collaborative arrangement work.
Services provided under 'collaborative arrangements' should be decided at a local level, and depend on the needs of an area.
Doctors are advised to set and agree their own fees for this work.
However, basic health information provided by GPs for community care purposes does not attract a fee. Any community care work that goes beyond the provision of basic health data, does.
Collaborative arrangement funding
Funding for collaborative arrangements can be included in CCGs' budgets.
Otherwise, this is a matter for local area teams pending the development of a longer-term solution.
It can also be the case that local authorities make direct arrangements for collaborative fees.
GP practices and local medical committees may wish to contact their Area Team for clarification of arrangements.
Safeguarding reports and case conferences
The GPC (general practice committee) is aware of ongoing problems around the obligations and entitlements of GPs who are asked to attend child protection case conferences or to write safeguarding reports.
Some CCGs, while noting the GP contracts contain no provisions requiring them to contribute to the safeguarding process, have suggested that GPs would need to justify non-compliance.
If a report is not submitted, that non-compliance could breach a doctors’ safeguarding obligations and justify referral to the GMC and possible disciplinary action.
Furthermore, it has been suggested that a CCG could order a breach or remedial notice.
GPC has obtained external legal advice on the issue and we encourage practices to engage with safeguarding processes, but to agree a fee in advance of attending conferences or providing reports.
Our advice on charging
There are no agreed fees for completing safeguarding reports or attending case conferences.
GPC’s advice is therefore to provide the relevant services, but on the basis that a fee will be sought, indicating the rate of charge ahead.
Based on the legal advice we have received, we have produced a template letter to support you in your discussions with the local authority.
The commissioner of the service would be notified that acceptance of such services will be treated as signifying a willingness to engage the GP on the stipulated terms. In the event of non-payment a claim for the fee could then be pursued.