Thankyou Adrian F, that's exactly what I meant - although why it provoked
expletives and A RASH OF CAPITAL LETTERS from Adrian K is beyond me!
Best wishes, Bill
----- Original Message -----
From: Adrian Fogarty <[log in to unmask]>
To: Bill Bailey <[log in to unmask]>
Sent: Tuesday, January 28, 2003 4:57 PM
Subject: Re: Trick & Teat is Dead
> London has a greater proportion of its population who are not registered
> with a GP than anywhere else in the country. This is partly related to low
> levels of recruitment and retention of GPs, but is also partly related to
a
> large transient population including commuters, tourists, students,
> transient workers, refugees and homeless. We also tend to see lower levels
> of "simple injuries" because of much lower levels of industry, agriculture
> and recreational sport. We also have greater numbers of elderly in most
> boroughs, although this is not usually a primary care issue, but does add
to
> the complexity of our workload generally. Add to that drug abuse,
> psychiatry, violence and language barriers, and you might appreciate why
the
> inner city of London can be a challenging place to work, although I
suspect
> other metropolitan areas might come close.
>
> So I don't sympathise at all; I have enough to do without also being a GP
to
> the citizens of my borough and many of the surrounding boroughs, as so
many
> patients prefer my hospital because my neighbouring hospitals' waiting
times
> are worse. I'm certainly not prepared to offer a casual no-appointment
> drop-in GP service with a 75 minute turnaround time! Of course primary
care
> problems take a long time to sort out, that's precisely my point, and
that's
> why we have problems running see and treat in such departments. I might
> occasionally have fleeting moments of "empathy" with such patients,
> depending on their situation, but it still doesn't motivate me to suddenly
> become a GP to such patients, just because they couldn't be bothered
waiting
> to see their GP or even registering with one in the first place!
>
> Adrian Fogarty
>
> ----- Original Message -----
> From: "Adrian Kerner" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, January 29, 2003 12:25 AM
> Subject: Re: Trick & Teat is Dead
>
>
> > Bill writes "" I imagine London hospitals have to deal with many more
> > "primary care" problems rather than genuine A&E minors which would make
> "see
> > & treat" more difficult.""
> >
> > What makes "LONDON" any different to the rest of the UK?
> >
> > I believe that the 'primary care' problems, can actually take much
longer
> to
> > sort, than A&E problems. Is it justice to say, I DON'T/ I CAN'T/ I CAN'T
> be
> > ****ed to sort out your problem?
> >
> > These are complex issues...........................
> >
> > Today, and yesterday, I have sorted many problems, that have been
'failed'
> > by primary care. Interesting. I'm Primary Care trained (ALSO).......I
> > sympathise with these patients who have been failed by the
> > """"""""NHS""""""""""".
> >
> > Regards
> >
> > Adrian.
>
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