SCANDAL OF 3.6 MILLION NHS GHOST PATIENTS
They don’t exist... but GPs get £151 for each one despite crackdown pledge
A STAGGERING 3.6 million patients who do not exist are registered with GPs’ surgeries, a Mail on Sunday investigation reveals today.
Despite a crackdown launched three years ago on so-called ‘ghost patients’, the numbers have risen at a rate of almost 6,000 a week.
Doctors in England receive an average of £151 a year for each patient on their books, whether they see them or not. But millions still registered at practices across the country have either died or have moved away.
In 2015, NHS chiefs hired corporate consultancy firm Capita to
tackle the problem as part of a major £330 million contract to run ‘back-office’ services.
But under Capita’s watch over the past two years, the number of ghost patients has risen by almost 20 per cent – from three million to 3.6 million.
The notional cost of the army of phantom patients is almost £ 550 million – enough to hire 28,000 new nurses, 10,000 new doctors, or provide free parking at every NHS hospital in England for three years.
Meg Hillier, the Labour MP for Hackney South and chairman of the Commons’ Public Accounts Committee, said: ‘We are talking about a tremendous amount of money – as much as £550 million – that is being wrongly allocated to GPs with ghost patients on their books. At a time of severe strain on NHS budgets, this could be diverted elsewhere on patients who need it.
‘ The fact that the number of ghost patients keeps going up underlines the chaotic nature of back office functions within the NHS.’
Joyce Robbins, head of t he campaign group Patient Concern, added: ‘Almost four million ghost patients is the size of a small country.
‘GPs are not doing enough to sort this out. It needs to be fixed.’
A spokesman for NHS England, which s ays it f actors ghost patients into its budget allocations, said: ‘We agree that this sit- uation is not good enough and more could be done to speed up the process of removing ghost patients.’
Our investigation discovered examples of ghost patients who have remained on GP surgery lists for years. They include:
A person who died in 1969, but remained on a list for 42 years;
A couple who emigrated to Australia in the 1960s, but were still registered with their London GP almost half a century later;
A Midlands practice that claimed for 24 patients at a single address – they were later found to be illegal immigrants who didn’t live there;
A GP in Scotland who fabricated a patient called ‘M. Mouse’ to fill up gaps in his schedule.
Whistleblower Jackie Huxter, 61, from South London, who worked as a call handler for the NHS 111 out-of-hours hotline between 2012 and 2016, told The Mail on Sunday that the problem‘ goes back decades’.
‘I had access to the NHS Spine database that would bring up patient details when they gave us their name. It was not uncommon to see people registered with two or even three GPs,’ she said.
‘You would have people calling up who were still registered with their doctor from university, their family doctor from when they were growing up, and a new one from where they live and work now.’
She added: ‘I saw it first-hand. I remember one couple, who had emigrated to Australia in the 1960s, had come back home to London to visit family when one of them fell ill.
‘They called 111 and it turned out they were still registered at their old GP practice. They couldn’t believe it.’
Official figures from NHS Digital, which provides IT services to the health service, shows 59.2 million people are registered with a GP in England.
But the Office of National Statistics says the current UK population is 55.6 million, meaning there is a gap – known as ‘list inflation’ – of 3.6 million.
NHS fraud inspectors believe a small number of GPs deliberately keep names on their lists, but that most are simply failing to prioritise the issue.
Most surgeries are private businesses contracted by the NHS to provide patient care.
Patients groups and MPs last night said the worsening problem raised serious questions about the fairness with which patients were being treated.
Surgeries with ghost patients
‘Doctors are not doing enough to sort this out’
are able to divert the money they do not spend on them to their ‘real’ patients. But practices that weed out non-existent patients have no such surplus funds.
In 2011, research found a third of the ghost patients were dead.
Yet the Government’s Tell Us Once system, which is designed to allow bereaved relatives to inform all departments and agencies about a death by ringing a single number, still does not pass such information to GPs.
According to the 2011 study, around a third of ghost patients were duplications, 21 per cent were university students or graduates signed up with multiple doctors, and ten per cent were failed asylum seekers who remained on lists despite being deported.
The British Medical Association rejected suggestions of profiteer- ing by GPs, and described Capita’s work as ‘woeful’.
Dr Richard Vautrey, chairman of the association’s GP Committee, said: ‘There are several reasons why t he number o f pat i e nt s registered with a GP practice may not reflect official population data.
‘Most of these will be people who are in the process of moving house to different areas. Others may have recently died, or some may have left the country.
‘Others may be homeless or simply unaccounted for in Government statistics.’
He added: ‘ Patients should be able to visit their GP when they need to and it is imperative they are not removed from a practice simply for being well and not recently needing an appointment.’ Professor Kamila Hawthorne, vicechairman of the Royal College of GPs, said: ‘Ghost patients are the result of a records management issue from the infrastructure that manages patient registers, not a case of surgeries profiting by keeping patients on their lists when they shouldn’t be there.’
Capita, whose performance on the £330 million contract was last month described as ‘a shambles’ by the Commons’ Public Accounts Committee, declined to comment.
‘One Australian couple were on a list in London’