These arise mostly due to PCT’s not satisfied with a GP practice and finally it resorts to taking remedial actions. The life of the Practice GP’s and staff would be ‘hell’ from the beginning to the end of resolution of the issues.
The causes for all these actions may be due to ‘actual incidences’, major complaints of a very serious nature, fraud or similar issues of inactions by the GPs of the practice.
However, in most cases, it may be due to issues based on perceptions only and once PCT takes a stand then it is like an uncontrollable ‘juggernaut’ rolling down the Practice way.
PCT has well qualified admin staff and in some cases create a ‘storm over a tea cup’, churning out by writing phenomenally worded documents of 200-300 pages, explaining the same issues in several different angles and a legal follow up costing both the PCT and the Practice a lot of money, time and wasted efforts.