No, no implication at all. I draw a distinction between senior presence and senior cover as A&E has a hierarchy that
general practice does not. GP is essentially delivered by the GP which is fine, except a very expensive way of providing
what is often a simple service to the patient. For example issuing a sick note can and should be done by a nurse. We
badly need a staff grade level within general practice - something like the barefoot doctors. There lies true cost
containment for the NHS.
Best wishes,
Rowley Cottingham
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