Hello - I write to you as the Medical Director of Dyfed Powys LMC – an organisation that represents GPs in the Hywel Dda and Powys area.
GPs locally are reporting an increase in the number of patients requesting that GPs prescribe sedation for their imaging procedures at your Healthboard/Trust.
We have the following concerns, and trust that we can count on your support to ensure that if a patient fails to tolerate a scan, it is suggested that the radiologist or prescribing practitioner overseeing the scan arrange sedation themselves if they wish to reattempt; patients should not be advised to contact their GP for sedation.
This position is not intended to be obstructive, but to simply adhere to our duty to provide safe, consistent, and appropriate care for our patients.
We would be grateful if you could discuss this with your radiology colleagues to see if a pre-procedure guideline could be formulated which provides you with the necessary arrangements to ensure imaging goes ahead in these most challenging patients.
We will outline our concerns, which will hopefully explain our refusal to provide such a prescription:
We welcome a conversation with you if you feel that this position cannot be supported, but it will be the advice going forward from DPLMC based on the RCR guidance that the GP does not provide the requested sedation for imaging procedures.
Dr Sophie Bennett
Dyfed Powys LMC