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Nearly eight out of ten general practitioners are admitting to altering their medical practices and deviating from standard care to avoid patient complaints or regulatory referrals, a new survey reveals.

Family doctors reported a greater inclination to prescribe certain medications, refer patients, or dedicate more time to writing notes, all to prevent potential backlash.

This approach, termed "defensive medicine," carries risks, potentially leading to overdiagnosis and leaving patients feeling needlessly anxious.

A Pulse survey of 836 GPs found that 78% agreed the threat of complaints had led them to practise more defensively than they felt was truly best for their patients.

One family doctors told Pulse: “I have found myself practising more defensive medicine at times, perhaps investigating or referring where previously I might have watched and waited.

“Despite time constraints, I find myself writing essays in patient notes to make sure I’ve covered my own back, safety-netted clearly.

“This, combined with patient attitudes, has made working in the NHS almost untenable in the current climate.”

Figures from NHS Resolution show it is dealing with around 3,000 cases a year involving GPs.

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Source: The Independent, 10 June 2026

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