Dunn Matthew (South Warwickshire General Hospitals NHS Trust) wrote:
> Much as I appreciate Dr Coward's efforts to explain to me what I meant, what I
> actually said was:
Hi Matthew
I don't think you mean that. Perhaps you do.
...and why the formality? :-)
Did I attempt to explain to you what you meant? I think I _did_ question
some of Adrian's interpretation.
I think the tone of your opening line casts aspersions and is a little
aggressive. Please feel free to correct my understanding of that :)
It seems various interpretations were put on our words by others. I was
intrigued by what you wrote, and wondered about what was behind them. It
stopped there for me and I asked the views of others.
My post to a GP list read:
'Hi all
The following is from acad-ae-med - another jiscmail list. Thoughts? '
...nothing more.
> "Most general practice is not acute. General Practice is changing as a speciality,
> but
> it seems that what GPs do best and what has the most impact on the health of
> the
> population are primary prevention, secondary prevention and chronic disease
> management"
> This was actually what I meant: most work in General Practice is not acute. Most
> of the benefit from General Practice to health comes not from doing the simple
> bits of emergency medicine but from doing the complex bits of primary care.
> General Practice is a difficult speciality which is why it is easy to tell the above
> average from the below average GPs. I have worked in areas that have been
> lucky to have GPs with above average ability in disease prevention. I have also
> worked in areas where GPs spend more of their effort on acute care and have
> less time to spend on chronic care and disease prevention. Some of this may be
> due to different abilities of different GPs. Some of it may be due to different
> populations- some groups are less likely to attend their GP for anything other
> than acute care. The efforts of GPs on disease prevention and chronic care have
> a greater effect on our workload in EDs than their efforts in acute care; and a far
> greater effect on the health of the population as a whole.
>
I think that puts a different complexion and probably a different meaning
on your words than the original. Which might have made for greater clarity.
In the interests of fairness I will post your clarified response above to
the GP list.
Kind regards (meant!)
Jel
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