The revised contract clarifies that GP practices can refuse to register people with a 'violent patient' flag on their medical record, under existing rules that allow them to turn away patients where there are 'reasonable grounds' for doing so.
NHS England and the GPC have agreed that where patients are flagged as violent, this constitutes reasonable grounds for a practice to turn them away. Patients whose records carry this warning can also be removed from practice lists if they are registered by mistake.
Guidance on the revised contract from the BMA and NHS Employers says that patients refused registration or removed from practice lists under violent patient rules will be able to access general practice services through the national 'special allocation scheme’.
NHS Employers guidance says: 'Where patients are removed under violent patient provisions, further care will be managed in line with agreed national policies, including where appropriate special allocation schemes.'