{"id":19221,"date":"2022-01-24T15:26:41","date_gmt":"2022-01-24T15:26:41","guid":{"rendered":"https:\/\/bant.org.uk\/?page_id=19221"},"modified":"2024-08-20T18:02:11","modified_gmt":"2024-08-20T17:02:11","slug":"gps-and-other-healthcare-practitioners","status":"publish","type":"page","link":"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/gps-and-other-healthcare-practitioners\/","title":{"rendered":"GPs &#038; OTHER HEALTHCARE PRACTITIONERS"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; el_id=&#8221;top-section&#8221; z_index=&#8221;&#8221; css=&#8221;.vc_custom_1619334407087{padding-bottom: 45px !important;}&#8221;][vc_column][vc_raw_html]JTVCcHJpbnRmcmllbmRseSU1RA==[\/vc_raw_html][vc_column_text]When working with clients, it is important that Registered Nutritional Therapy Practitioners (NTs) work alongside GPs and any other medical\/healthcare practitioners involved in their care. This section contains guidance on when it is appropriate to contact a client\u2019s medical or other healthcare professional and some practical tips for doing so, for example, information to include in a letter to a GP. Also covered is the requirement for client consent to contact a GP and what to do if a client doesn\u2019t provide this consent, or if a client isn\u2019t registered with a GP. Also, guidelines to help ensure NTs stay within their professional boundaries when working with clients taking medication.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221; anchor=&#8221;main_anchor1&#8243;][vc_column]\n\n\t<a href=\"#working-alongside-other-practitioners\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-with-shadow qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Working Alongside Other Practitioners<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#consent-to-contact-a-clients-gp\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Consent to Contact a Client\u2019s GP<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#clients-with-no-gp\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Clients with no GP<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#reasons-to-contact-a-clients-gp\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Reasons to Contact a Client\u2019s GP<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#practical-tips-for-writing-to-gps\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Practical Tips for Writing to GPs<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#medications\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Medications<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;working-alongside-other-practitioners&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397491357{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Working Alongside Other Practitioners:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>Nutritional Therapy is a complementary therapy and clients must never be led to believe it can replace medical care. NTs must never override instructions given by a registered medical practitioner. Collaboration with medical practitioners and the exchange of information between the medical practitioner and the NT can help to provide a thorough assessment of the client\u2019s health status. This is important for the best and safe interests of clients and the NT\u2019s protection.<\/p>\n<p>It is best practice to ensure a client has consulted their GP or other healthcare practitioner for a diagnosis when there are symptoms which may suggest a medical condition. When working with a client with a diagnosed condition, best practice is to write to the client\u2019s GP or medical practitioner (<a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#obtaining-client-consent\" target=\"_blank\" rel=\"noopener\">with the client\u2019s consent<\/a>) at the start of the nutritional therapy process to inform them you will be working with the client. Depending on the condition, the NT may want to request copies of the client\u2019s medical records and\/or test results from the medical practitioner and wait to receive these before commencing nutritional therapy with the client. Pre-approval for nutrition or lifestyle interventions or nutritional supplements may need to be obtained from the client\u2019s GP or medical practitioner.<\/p>\n<p>When working jointly with other healthcare professionals, NTs must acknowledge and record who holds the responsibilities for a client\u2019s care to ensure client safety and continuity of care. If an NT receives a formal referral from another healthcare professional, they must report back to the professional who referred the client once they have gained the client\u2019s consent for this to happen. When working with certain conditions, e.g., <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/specific-conditions\/#cancer\" target=\"_blank\" rel=\"noopener\">cancer<\/a>, <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/specific-conditions\/#eating-disorders-and-disordered-eating\" target=\"_blank\" rel=\"noopener\">eating disorders<\/a>, mental health issues, it is essential to work alongside other healthcare practitioners as part of a multi-disciplinary team. NTs must <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/professionalism-in-practice\/#professional-conduct\" target=\"_blank\" rel=\"noopener\">conduct themselves professionally<\/a>, aiming for full cooperation with any other practitioners they work with.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;consent-to-contact-a-clients-gp&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397536613{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Consent to Contact a Client\u2019s GP:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>A client needs to <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#obtaining-client-consent\" target=\"_blank\" rel=\"noopener\">provide consent for an NT to contact their GP<\/a>. Liaising with a client\u2019s GP without their permission would be a breach of confidentiality, unless there are exceptional circumstances as outlined in <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#disclosing-confidential-information\" target=\"_blank\" rel=\"noopener\">Disclosing Confidential Information<\/a><u>.<\/u><\/p>\n<p>If a client has not provided consent for the NT to contact their GP, the NT will need to decide if they wish to continue working with them. If a practitioner does not feel confident working with a client without the involvement of a GP, they would be within their rights to discontinue working with them and are advised to consider this for their own protection.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;clients-with-no-gp&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Clients with no GP:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>NTs are able to work with clients who are not registered with a GP or other registered medical practitioner; however, they must consider the implications if they had specific concerns about a client that needed to be investigated by a medical professional. A client who presents with <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/red-flags\/#red-flag-symptoms\" target=\"_blank\" rel=\"noopener\">red flag symptoms<\/a> need to be referred to a GP or medical practitioner for assessment and if a client refuses to do so, the NT is advised to discontinue working with them, see <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/red-flags\/#referring-to-a-gp-with-red-flag-symptoms\" target=\"_blank\" rel=\"noopener\">Referring to a GP with Red Flag Symptoms.<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;reasons-to-contact-a-clients-gp&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Reasons to Contact a Client\u2019s GP:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>As outlined in <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/gps-and-other-healthcare-practitioners\/#working-alongside-other-practitioners\" target=\"_blank\" rel=\"noopener\">Working alongside other Practitioners<\/a>, it is best practice to write to the GP of any client with a diagnosed condition. NTs must ensure all correspondence is <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/professionalism-in-practice\/#professional-conduct\" target=\"_blank\" rel=\"noopener\">polite and respectful<\/a><u>,<\/u> especially if making a request or suggestion to the GP. Other reasons for contacting a client\u2019s GP include:<\/p>\n<ul>\n<li>Requesting investigation of client symptoms which may lead to a diagnosis<\/li>\n<li>Requesting investigation of <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/red-flags\/#red-flag-symptoms\" target=\"_blank\" rel=\"noopener\">red flag symptoms<\/a><\/li>\n<li>Requesting details of a client\u2019s health history or copies of test results<\/li>\n<li>Expressing concerns for a client\u2019s wellbeing<\/li>\n<li>Requesting a GP carry out a test for a client<\/li>\n<li>Informing of out-of-range functional test results which require medical investigation<\/li>\n<li>Requesting a GP referral to another healthcare service<\/li>\n<li>Expressing concerns over potential side effects of <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/gps-and-other-healthcare-practitioners\/#medications\" target=\"_blank\" rel=\"noopener\">medications<\/a><\/li>\n<li>Requesting a <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/gps-and-other-healthcare-practitioners\/#medications\" target=\"_blank\" rel=\"noopener\">medication review<\/a><\/li>\n<li>Suggesting a more suitable <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/supplements\/#clients-already-taking-supplements\" target=\"_blank\" rel=\"noopener\">nutritional supplement prescribed by the GP<\/a><\/li>\n<li>Informing a GP of the nutritional therapy recommendations<\/li>\n<li>Requesting pre-approval for a nutritional supplement recommendation<\/li>\n<\/ul>\n<p><strong>Test results <\/strong><\/p>\n<p>If a client\u2019s functional test results contain out-of-range markers, the NT will need to decide whether to contact the client\u2019s GP. The GP does not need to be informed of every test result which falls outside of the \u2018normal\u2019 range, only those instances where it could indicate a medical condition requiring a formal diagnosis. There must always be <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/testing\/#general-guidelines\" target=\"_blank\" rel=\"noopener\">a reason for recommending a client conduct a test<\/a>, therefore if a client has health issues relating to the \u2018out of range\u2019 test results and there is the potential to lead to the diagnosis of a medical condition, the NT is advised to write to the client\u2019s GP (with the client\u2019s consent) enclosing a copy of the test results.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;practical-tips-for-writing-to-gps&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Practical Tips for Writing to GPs:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>When writing to GPs, letters should be personally addressed to the client\u2019s GP where possible, but if the client has not provided the name of their GP, a letter can be addressed to the surgery more generally. Some surgeries provide an email address but if not, practitioners can call the surgery to ask for this.<\/p>\n<p>If a client uses a virtual GP service, the GP letter should either be addressed to a named GP, if they have one, or addressed to a generic &#8216;Dear Doctor\u2019 and sent to the client as an email attachment. The client can then upload the letter when they book an online appointment.<\/p>\n<p>The following client information must be included in a letter to a GP, as this is how patients are identified in the NHS:<\/p>\n<ul>\n<li>Name<\/li>\n<li>Address<\/li>\n<li>Date of Birth<\/li>\n<\/ul>\n<p>Best practice is to copy the client on any correspondence for full transparency. However, as long as the NT has obtained the client\u2019s consent to contact their GP, there is no absolute requirement to copy them and the NT could ask the client\u2019s preference. There may be situations where it would not be appropriate to copy the client, for example if contacting the GP regarding a delicate matter, however, the client\u2019s consent to contact the GP is still required, unless there are <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#disclosing-confidential-information\" target=\"_blank\" rel=\"noopener\">extenuating circumstances<\/a>.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;medications&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Medications:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>Medications are outside the scope of practice of nutritional therapy and NTs must not express an opinion on any medication a client is taking. If a client does not want to take their prescribed medication, they must be referred to their GP or medical practitioner to discuss it and the NT is advised to discontinue working with the client until the medication approach has been agreed. NTs are not qualified to support clients with withdrawal from medication.<\/p>\n<p>NTs must never override instructions or prescriptions for medication given by a registered medical practitioner. If an NT believes there may be a requirement to alter a client\u2019s medication or dosage, or they suspect a client could be experiencing side-effects from their medication, they need to refer the client to their GP to discuss this. With the client\u2019s consent, the NT can provide the client with a letter to the GP, outlining their reasons for the referral.<\/p>\n<p>If an NT is aware of some medication alternatives and wants to make their client aware of the options, they can direct the client to reputable external sources of information, ideally from fully qualified medical practitioners, and then refer the client to their GP\/consultant to discuss the options, however, it is the role of the GP\/consultant to decide on the most suitable medication.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When working with clients, it is important that Registered Nutritional Therapy Practitioners (NTs) work alongside GPs and any other medical\/healthcare practitioners involved in their care. This section contains guidance on when it is appropriate to contact a client\u2019s medical or other healthcare professional and some practical tips for doing so, for example, information to include in a letter to a GP. Also covered is the requirement for client consent to contact a GP and what to do if a client doesn\u2019t provide this consent, or if a client isn\u2019t registered with a GP. Also, guidelines to help ensure NTs stay within their professional boundaries when working with clients taking medication.<\/p>\n<p\/><span style=\"color: #ff0000; font-size: 80%\"><b>(LAST UPDATED &#8211; 20 AUGUST 2024)<b\/><\/span><\/p>\n","protected":false},"author":12,"featured_media":19226,"parent":4059,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"page-handbook-child.php","meta":{"footnotes":""},"tags":[1002,927,1003,425,1004,1005,473,628,1006,1007,480,1008,1009,1010,1011,1012,1013,1014,631,632,633,1015,1016,1017,1018,1019,1020,1021],"class_list":["post-19221","page","type-page","status-publish","has-post-thumbnail","hentry","tag-collaboration","tag-confidentiality","tag-conjunction","tag-consent","tag-cooperation","tag-correspondence","tag-diagnosis","tag-gp","tag-healthcare-practitioner","tag-healthcare-professional","tag-investigation","tag-letter","tag-medication-review","tag-medicine","tag-multi-disciplinary-team","tag-prescribed","tag-prescription","tag-red-flag-symptoms","tag-red-flags","tag-referral","tag-referring","tag-side-effects","tag-surgery","tag-test-results","tag-virtual-gp","tag-withdrawal","tag-write","tag-writing"],"rankMath":{"parentDomain":"bant.org.uk","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"The 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