Patients' lists exceed population

AppId is over the quota
AppId is over the quota
9 October 2011 Last updated at 14:37 GMT One GP said his practice faced problems after it removed 1,500 patients from its list

The number of people registered with GPs in London is at least a million higher than the population, research by BBC One's The Politics Show suggests.

The total is approximately 9m, compared with the 7.75m population, a series of Freedom of Information requests found.

The system has become "a real mess" because of the difficulty in keeping track of people moving around the city, Labour MP Emily Thornberry has said.

The London Local Medical Council (LLMC) added that names can vanish by mistake.

Lists are "cleansed" by surgeries which cannot contact patients and at least 460,000 names have been removed in the past five years, the figures show.

People would be dropped if they had not spoken to a practice in six months and there was no response to at least two written requests, the Department of Health said.

"This ensures that GPs are not paid for patients who have moved out of the area and who are no longer receiving services from that practice," said a spokesperson.

"If patients are contacted and confirm they remain in the area, then they will remain on the practice list and continue to receive services."

'Nature of London'

But Dr Michelle Drage, from the LLMC, said people could become "really scared" when they tried to book appointments and were told they were no longer registered, thinking they had "done something wrong" when this was not the case.

Surgeries regularly "cleanse" their lists if they lose touch with patients, but this can lead to mistakes

Patients who are wrongly deleted from lists must re-register to keep their doctor.

In the east London borough of Tower Hamlets, this was the case for 61% of those removed in a recent overhaul, the documents showed.

Another 10,000 people had to do the same in nearby Newham in recent months.

Mrs Thornberry, the shadow health and social care secretary and MP for Islington South and Finsbury, said people would not necessarily respond to letters from surgeries, particularly if their English was poor.

"In Islington, between the 2005 election and the 2010 election, there were 65% of the population who had moved.

"It's very difficult to keep up with people," she added. "It's the nature of living in inner London."

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Population raises a stink Chicago area Skunk

Cheryl Corley/NPR

This small juvenile Skunk was caught of des Plaines, Illinois, home owners Richard Kaulbach back. He says it raccoons and opossums in the Chicago area has always given, but this year, skunks have become more productive.

There is a slight stench as Brandon Owen from his truck steps. The biologist is a wildlife technician with ABC humane wildlife control, and his company has 687 skunks captured this year in the northeastern Illinois - about 200 more than in the previous year.

Owen and President of the society, Vito Brancato, are on a Skunk in des Plaines, a suburb near the city of Chicago O'Hare International Airport run.

Brancato, that an animal, they have only a juvenile.

Why stink skunks?

One of the reasons skunks have a bad reputation is because they can really stink. Below, their tails two internal glands produce a thick and oily liquid in particularly smelly compounds.

If the tail is in the air, can a Skunk these chemicals as spray from one or two glands can be up to 20 meters with accuracy for up to 10 meters and with less precision. You can the fluid several times in a matter of seconds release.

The scent is released in self-defense if she feel threatened or provoked. A Skunk is typically a warning that they have their scent by stamping their feet quickly with its tail to build, version, and growl or hiss.

-Tasnim2mountain Shamma, NPR

Source: University of Wisconsin-Madison professor of wildlife ecology Scott Craven

"Very happy, that way we have because we will at least be able to approach the Skunk, probably to spray the slightly less," says Brancato.

This is good news for Brancato as skunks that they use oily substance can spray to defend up to 15 feet - and your goal is good. Find the Skunk in a small cage in homeowner Richard Kaulbach back Green Garden, Brancato, and Owen.

The animal is small. His white stripe is visible, but the head is hidden behind the trap door. Skunks are nocturnal animals - it seems to sleep, and fortunately, of the tail is down.

Kaulbach back has all kinds of wild animals slippers on his farm in the nearly 50 years lived in des Plaines has observed. This was a bad year for skunks was.

"This is an ongoing throughout the summer," says Kaulbach back. "Before we had many raccoons, but this is the first time we have so many skunks had." "This is the second (or third) Skunk what, we have."

Brancato says Skunk population can be great because they have not really natural enemies.

"You know cars, their population, which numbers only of motorways are controlled," he says. "So it pretty well, because they don't really move lot."

Introduced by Warner of Bros.. 1945, the French Skunk Pepe Le Pew to Paris walks on looking for love.

Source: YouTube

It of hard, a real count the number of skunks in the State, says Illinois Department of natural resources wildlife biologist Bob Bluett. But the Department undergoes an estimate include roadkill.

"We have seen a dramatic increase in," says Bluett. He adds that it was a 46 percent increase in the number of skunks from 2009 to 2010.

Licensed by the Department of skunks capture company snared 8,700 from across the country last year most in the Chicago area. No virus outbreak up to reduce their Bluett not sure why the numbers are, but skunks in the Midwest are prone to rabies, and it was more than 25 years.

Nevertheless, Skunk is captured euthanized in Illinois. And because figures are Skunk, there are more opportunities in a pet with a outside cable clutter.

"The first thing we tell them is Fido or Fifi not let inside," says Rebecca Fyffe, of wildlife control policy Institute.

Wash them out with peroxide and baking soda (not tomato juice, as recommends the myths), and make sure that pets have rabies vaccination. Of course, skunks isn't all bad: they love larvae and help to keep down the insect population. And for years they have even their own cartoon mascot, Pepé Le Pew.

But Kaulbach back says there is nothing about a Skunk endearing.

"they really stink," says Kaulbach back. "Sometimes at night it is really bad here."

And which has concluded with the door.

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