This change has been implemented by CCGs and creates unnecessary delay, as the patient is going back and forth between GP and hospital.
Catherine Cook, the hospital's infection control nurse, said the gel should be applied "before you touch a patient and after you touch a patient to disinfect your hands".
He said he had to threaten to resign to prevent the promised introduction of the first patient waiting times for treatment being abandoned.
"We have scrutinised the care of any patient where we think there might have been imperfect care and the trust is in contact with all of the patients who have suffered significant suboptimal care.
Earlier this year the appeal court rejected a legal challenge by Debbie Purdy, a multiple sclerosis patient, who wanted a guarantee that her husband would not be prosecuted for helping her to travel to Switzerland to take her life.
At around 10am last Wednesday, Abdouramane Koungoulba, the duty paediatrician at the Fousseyni Dao hospital in Kayes, western Mali, examined a young patient who had been brought in by a relative.
The removal of the cap on private patient income means trusts will be able to make more of their income from private patients, to the detriment of NHS patients because the private sector people will be more valuable.
Antibiotics change the normal gut flora very quickly – wiping out the indigenous, harmless bacteria and leaving the patient susceptible to resistant bacteria such as Clostridium difficile.
"I have a duty of confidentiality, even after a patient has died.
McCarvill said: "Unless someone has a formal diagnosis (of dementia), the response of health professionals will be very different to the patient.
For Carlos Bilardo, the Argentina manager, the moment was a culmination of three and a half years' patient rebuilding of their squad in which his prime task was to marry the outstanding talents of Maradona with the newer players coming through.
