MRI scans being requested in GP's name

The LMC understand that within a PLTS session on 16/10/25, audiology requesting MRI results in a GPs name will be discussed.

Whilst there are many merits to the work being undertaken by audiology, there are several points that the LMC believe practices should be mindful of:

1. GMC: "Delegating tasks or responsibilities appropriately" states that "You must give clear instructions when delegating, including about what needs to be done, by whom and by when." The LMC believe that this is breeched by allowing a test/MRI to be organised on your behalf.

2. This could result in the GP taking on the risk by proxy for issues which arise (eg patients with metal in their head and are inappropriately given an MRI)

3. It is a breach of the All Wales Communication Standards section 2 " Results of investigations remain the responsibility of the requesting clinician, and under section 3 " It is the responsibility of the requesting doctor to arrange for investigations to be carried out."  

4. Could this set a precedent for more requests and how might this affect GMPI?

The LMC are concerned that although these are very well intended programmes, they are relying upon GPs to act when secondary care colleagues are either not confident to do so, or  alternatively, when secondary care are under resourced.  

Fundamentally this is a practice decision and one that we feel is important to collectively discuss.