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How dare BUPA be so heavy handed. I hadn't realised that the fees would be capped to £30 follow up, not a reflection of our accountability, 4-5 years full time training and compulsary registration with CPD. Afterall, BUPA is a commercial company, not a medical registrant. totally agree with cost of running a practice in some areas very high and unrealistic not to be able to get patient to top up. We need to contact companies that provide BUPA as a "perk" to their employees and let them know what is happening too, after all they are not the only insurance company around. I have been told that the BMA took a firm stand with them too, when BUPA tried to dictate terms and when they threatened to withdraw BUPA provision, BUPA had to back down. I shall be writing in to them this month. Thanks for setting this rolling