Author: Richard Norfolk

If you see your doctor for a report on your condition, be it general or specific to particular symptoms, you would not unreasonably expect an accurate report. If you were paying for the report, this should put extra pressure on your GP to supply one which would be precise and correct, not vague and open to interpretation.

When applying for life insurance it would appear that around 40% of us have a medical condition which we feel obliged to declare on the application form. This information is then followed up by the insurance company and, provided that it is acceptable to the applicant, they will then contact the GP and ask for a medical report on the individual. This report has to be paid for so the insurance company is quite justified in expecting it to be precise and accurate; unfortunately there are times when it is not.

It is a fact that doctors are often under pressure, with a workload that fails to leave adequate time for attention to details which are apparently rather less than urgent. The result is that there are times when GPs will take the easy way out (presumably to save time) and instead of supplying a report, they will pass on to the insurance company a copy of the patient’s record from the practice computer.

In these circumstances they are not only supplying the wrong sort of information, but they could also be breaking the law by breaching patient confidentiality in supplying information about a patient which the patient had not agreed could be disclosed.

As far as the insurance company are concerned, they have paid for information relating to a specific condition or conditions about which they need full and accurate information, to enable them to assess the risk for life insurance. They are not qualified to take the whole of a patient’s records and from them deduce the risk relating to specific conditions. That is a task requiring a doctor’s skills.

Neither the Association of British Insurers nor the British Medical Association is satisfied with the current procedure. There is concern that the agreement by which insurers are allowed access to some medical information could be damaged if they are allowed open access to the whole of a patient’s medical records.

As a result of this concern an agreement has been made between both parties, whereby the fee paid by the insurance company to doctors will increase by 6% per annum over a five year period. In exchange for this commitment GPs have agreed, through the BMA, to provide the insurance companies with reports of a good quality, which will give them the information which they need. At the same time patient confidentiality will be preserved, as the only information which will be provided will be that which the patient has asked to be divulged.

Thus the cost to an insurer of a GPs report will rise over a five year period from £74.70 to £100. A supplementary report will increase from £19.10 to £25.50 and a medical examination from £82.20 to £110 over the same period.

The BMA have for their part made the point to GPs that life assurance is for the patients benefit and should not be treated lightly; they have asked for accuracy in the preparation of these reports which do after all have a cost benefit for the GPs.

This is a relatively small price for insurers for to pay for accurate information, which should in itself save costs for them by providing dependable facts.

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