Before you applyApplying for Bupa recognition takes just four simple steps. The application can be done online and should take no more than an hour, depending on the complexity of your practice.
How we choose consultants
Our Open Referral is a simple, straightforward authorisation process, which we developed in response to a request from a corporate client to assist them in managing their healthcare costs and ensuring that their employees would not face unexpected charges from consultants whilst maintaining quality of service.
We currently offer it as an option for our business customers, many of whom are large employers who provide health insurance to their staff. Open Referral is similar to services offered by several health insurers, many private hospitals and the NHS. We also use the following criteria:
Review and removal of Bupa recognition
We have a structured process for recognising consultants and we review their practice on an ongoing basis. There are occasions when we need to suspend or review a consultant’s Bupa recognition. This happens very rarely.
Our policy for suspension and/or removal of a consultant’s recognition is based on GMC licensing and standards, and British Medical Association (BMA) guidance.
If, for example, a consultant does not have, or loses, their GMC Licence to Practise we will not recognise them. We may also remove or suspend a consultant’s recognition if we identify treatment practices which represent a threat to patient safety or if fees are excessive, causing complaints from customers about shortfalls or their out-patient benefit being eroded faster than should be expected.
Before removing any consultant’s recognition for matters relating to their business practice, we engage in extensive communication with them to try and reach a resolution. Where the matter is related to patient safety, sometimes we have to act more quickly.
Each year a small number of consultants choose to stop treating Bupa customers and the most common reasons for this are retirement, gaining an academic appointment or no longer continuing in private practice.