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Sunday 18 August 2019
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Topic: *** AskTheExpert: Insurance

May 12, 2017
A major cyber attack on the NHS computer system has shut down GP practices around England.

A major cyber attack on the NHS computer system has shut down GP practices around England.

Management In Practice understands that some GP practices have had to shut down, while hospital staff found themselves unable to work.

Dr George Farrelly, a GP in East London, said his practice did not have access to patient records and could not prescribe medicines.

Dr Farrelly, who works at the Tredegar practice in Tower Hamlets, said his practice had ‘heard something might happen’ earlier in the day so had printed the appointment list.

April 28, 2017
A North-east London practice has complained that their level of patient care is being adversely affected by an out-of-bounds clinical room.

A North-east London practice has complained that their level of patient care is being adversely affected by an out-of-bounds clinical room.

Driver & Partners practice in Forest Gate, is seeing up to 100 fewer patients a day due to the clinical room being out of service for months, according to practice staff.

The surgery has 7,000 patients on its list and can see up to 250 individuals in one day depending on how many rooms are available.

April 28, 2017
The new deal for general practice has surpassed expectations, but will it be enough to make a tangible improvement to practice finances? Alice Harrold examines the 2017/18 GP contract to find out what practices can expect in the coming year.

The new deal for general practice has surpassed expectations, but will it be enough to make a tangible improvement to practice finances? Alice Harrold examines the 2017/18 GP contract to find out what practices can expect in the coming year

The GP contract for 2017/18 gives the first indications that the Government is waking up to the need to stabilise primary care. The consequences for the NHS of an underfunded general practice are finally getting recognition.

November 22, 2011

Question in full:

In October the Royal College of Nursing (RCN) revealed it was making changes to its indemnity scheme from January 2012. Our medical defence organisation (MDO) covers our healthcare assistants and practice nurses.

September 3, 2011

Question in full:

Every year our insurance premium seems to increase, regardless of whether we have made any claims. What can I do to keep our premiums at the lowest level but still making sure we are adequately insured?

A: Insurers/brokers all have different methods of running insurance products – some putting in inflationary increases every year to keep up with the costs of claims – but you might say, "Why am I paying that increase if I haven't claimed?"

August 25, 2011

Our insurers have asked what sum we would like the buildings to be insured for. How do I calculate the cost of rebuilding the practice?

A: My advice on this would be to employ a chartered surveyor to give you an accurate reinstatement cost for your practice. You can base it upon market value, but there are many other aspects to consider when putting in a figure, such as allowances for demolition and site clearance, external works, fees and inflation over the rebuild period.

August 9, 2011

Question in full:

Our policy covers business interruption but I am unsure on the sum we should be insuring. Please could you advise on an appropriate level and how we should calculate this?

A: Business Interruption can be made up of different types of cover, such as Loss of Gross Revenue and Increased Cost of Working, but can also have varying levels of cover for certain perils occurring.

July 26, 2011

Question in full:

This year our practice has suffered two instances of theft of lead from the surgery roofs, both of which we have had to claim for. Our insurance policy has now come up for renewal and our insurers are excluding protection of the lead from the policy. As they insure the buildings is it right that they can pick and choose items like lead and exclude them?

June 27, 2011

I would love to able to say that you should insure each room/area for, say, £10,000 – but I am afraid that it does not work like that.

Some practices are lavishly furnished and some are frugally furnished, which can lead to under-insuring – the financial consequences are illustrated in the answer to a previous question (click here to read this).

June 21, 2011

Question in full:

If a surgery over-insures its contents, it will pay too much in premiums. If it under-insures, it will only get a percentage back on the claim. How should a surgery get the premium level right when the valuation is less an art than a science?

A: First of all, let's look at the potential causes of over- and under-insuring. Both are usually down to one or a combination of the following.


March 1, 2011

The short answer is 'yes', but there are a few choices that you will need to make in order to make sure that the insurance cover fits your requirements:

You will need to decide whether you want to cover your members of staff on an 'occupation cover only' basis or on a '24-hour cover' basis (both of these I think are self-explanatory). In addition, do you want to provide cover while members of staff are on holiday abroad? If so, then the '24-hour cover' on a worldwide basis fits the bill. The cost difference is minimal.

March 1, 2011

If the surgery premises are owned by the partners and are free of mortgages, you decide whether you want/need this type of cover. However, if you have a mortgage on the surgery premises some lending sources may want this type of cover included alongside your normal surgery insurance buildings and contents cover.

March 1, 2011

It depends on how much money you have put in a ‘rainy day account’. If a partner were incapacitated for eight weeks and the practice were paying from day one, the cost to the practice, assuming a locum cost of £2,000 per week, would be £16,000. However, if the practice agreement said that in the first four weeks of incapacity the practice would pay for a locum, the cost would be £8,000 plus the cost of a locum insurance policy of let’s say £1,200. Grand total = £9,200 – a saving of more than £8,800.