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Iain wrote:
> Hmmm. I say having lots of free time is OK, but sitting in
> surgery, seeing patients, taking phone calls from consultants,
> secretaries, district nurses, social workers, CPNs, carers,
> home helps, etc, etc, etc (all of them wanting ME to do something)
> is not OK, IMHO.
Yeah, Iain, but that is the nature of medicine, and always was, right
back to beyond Dr. Findlay. In the course of an average day, I get maybe
three calls from folk who want me or others to do things, and to be
frank, they are normally quite reasonable requests. The reason many GPs
can't handle it is either because the extended 'team' isn't working, and
the poor GP has to decide everything, or that they are so burned out they
can't cope with the daily pressures of work.
I'll give you an example. One of our district nurses came and told me
that her supervisor had suggested that it wasn't a good idea for them to
take bloods in the community (for us) and the nurse told the good lady to
sling her hook and not interfere with a perfectly good working
relationship.
We have a care manager who deals with all our social services stuff and
we never have any major problems. We went fund holding partly so we could
keep our CPN on site because she is so good we've given up using
consultant psychiatrists.
Now I'm not saying everything in the garden is rosy, and its not, cos the
current DoH/NHSE are a waste of space, but I can honestly say that GP in
Spennymoor in 1996 looks good to me and all my partners.
Andrew
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Dr. Andrew N. Herd MRCGP
General Practitioner & Journalist
Medical Adviser to County Durham Health Commission
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