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I expect it's to stop the people registering with a surgery and asking the UK GP to say they know them (or the "relative" theyve brought along with them) after a few weeks. It says doctors will only be accepted if they know the applicant well.Recent drop in status? If so, perhaps a Covid adjustment?
Who does the UK Govt want to thin the ranks of....unions officials, photographers, journalists...
As in all walks of life, some doctors are more trusting and less confrontational than others.
Or maybe the GPs have lobbied to not be bothered by it especially as so few would actually impose the fee that it should carry
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