NHS英格兰推行的加速患者名单验证政策大幅缩短了患者回应时限,从六个月减至三个月,导致大量患者遭错误除名。1根据数据统计,2025年10月至2026年7月间,英格兰全科医生名单共减少483,019名患者,其中最贫困五分之一地区的患者占约30%,约138,400人。1这一政策意外导致脆弱患者失去处方和治疗获取渠道,同时使全科医疗实践面临收入锐减和行政负担加重。
英国医学协会全科医生委员会主席克莱尔·班农博士指出,"当前的名单清理过程存在严重缺陷,导致实践损失数万英镑"。1南安普敦一家大学全科医疗实践因约100名患者被错误除名而损失约10,000英镑,另一家当地实践的损失达100,000英镑但未获补偿。1对此,NHS发言人表示已有强有力的检查措施确保脆弱群体不被除名,患者会通过多个渠道被联系,整个过程可能持续五个月。1
NHS England's accelerated patient list verification policy has inadvertently removed thousands of at-risk individuals from general practitioner registers, according to medical professionals.1 The policy shortened the timeframe for patient response from six months to three months, resulting in 483,019 patients being removed from English GP lists between October 2025 and July 2026.1 Approximately 30% of those removed came from the most deprived areas, with the poorest fifth of practices accounting for around 138,400 of the total removals.1
The unintended consequences have proven severe for both patients and practices. Vulnerable patients have been incorrectly struck off, losing access to prescriptions and treatments they depend upon.1 One university-affiliated GP practice in Southampton reported that approximately 100 patients were wrongly removed, resulting in lost revenue of around £10,000, while another local practice suffered losses of £100,000 with no compensation provided.1 The policy has simultaneously burdened GP practices with increased administrative work and reduced income.
Dr Clare Bannon, chair of the British Medical Association's GP committee, stated that "the current list-cleaning process has serious flaws and is resulting in practices losing tens of thousands of pounds."1 In response, an NHS spokesperson maintained that "strong safeguards are in place to prevent vulnerable groups from being removed, with patients being contacted through multiple channels over what could be a five-month process."1
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