>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.
Entirely agree with the need for *working* extended team. That is the one
difference with Dr Findlay - there is less isolation. However the
maintainace of a good team has to be worked at - takes time but
certainly a worthwhile investment.
> 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.
Could not agree more with these sentiments. Life is a lot easier in our
type of community when the wider definition of health needs can be met.
Whilst life in the Black Country may not be perfect, one certainly
feels that GP is rewarding and has a future. Sure we have to persuade
NHSME to believe that UK GPs still offer some of the best care for
comparably poor reward. Having recently looked at Italian Health
Service with the aid of other members of GPUK I do feel rather lucky to
be practicing here.
Colin J Browne The Black Country Family Practice
Queens Rd, Tipton, West Midlands, England
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|