Medical assessments for prospective foster carer and adopters in Wales statement

Joint statement from RCGP Cymru Wales and BMA Cymru Wales.

GPs and their teams have rightly been focused on COVID-19 and the vaccination programme, working hard to make sure patients are safe. The usual business of GPs, and their teams, has been prioritised according to need. We thank those who have been working as hard to ensure as little disruption as possible. However, it is acknowledged that some work has been necessarily paused to give clinicians the space to respond to the pandemic. Medical assessments for prospective carers and adopters are a case in point.

Welsh Government worked to make the requirements around medicals more flexible. The temporary changes mean that the full adult health assessments can be accepted at any stage of the approval process, as long as they are available for the final decision. We are continuing to campaign for some of the beneficial temporary changes, such as the simplified documentation and remote option, to be retained in the longer-term.

The temporary regulations do not remove the need for medical reports as they still must be obtained before the relevant agency can come to a decision on the suitability of the prospective adopters and foster carers. These medical assessments are an important safeguard for both the adults and the children, and they are a statutory requirement. A final decision cannot be made without a medical report being obtained and considered as part of the suitability assessment.

A number of these prospective carers and adopters have postponed their assessments for as long as possible, and now await only their medical assessment before the final decision can be made. While the numbers affected are relatively small, the impact on both adults and children is considerable.

The RCGP and the BMA recognise that the requirement for GP practices to continue to offer adult health assessments for these patients is pressure on an already stretched service. However, they are necessary to maintain sufficient safe placements for vulnerable children. We would like to encourage GP practices to undertake these assessments where possible.

Further information

(For media only)

RCGP Press office – 020 3188 7633/7494/7574
Out of hours: 020 3188 7659

Notes to editor

The Royal College of General Practitioners is a network of more than 52,000 family doctors working to improve care for patients. We work to encourage and maintain the highest standards of general medical practice and act as the voice of GPs on education, training, research and clinical standards.