Nice blog... I think there is something about valuing patients beliefs and accommodating patients expectations no matter how whacky or far out they are, after all this is the undercurrent of the mental capacity act.
I do think we should not be scared about bringing this up, and sometimes it is hard to do, but if done right then I believe this is useful for some patients.
You know my feelings on religion and mythology, as we have discussed them at BMA events before.
The counter narrative here is what we often see the danger that "dodgy-theology/mythology" can get in the way of good-medicine. Indeed many faith based groups try and promote compassion, while actually using religion to control their 'followers'.
We should be mindful that in more extreme communities spiritual leaders might be offering advice which is poorly evidenced, or not in the patients best interests.
And I guess all the more reason to be aware of what the patients thinks / feels / believes.
I would not expect to go to Spain, and treat patients with the same skill and attention to detail as I can here. I feel there are very valid reasons why there is a difference. I do not think the RCGP is racist.
But I am not 100% sure that Anxiety and Depression recognition and management skills would be best picked up in a 2ndry care environment.
My feeling is that, GPs are dealing with disorders of mental health which are much more subtle.
Most of what we see is of little or no interest to most psychiatrists.
I have no interest in charging patients for appointment, regardless of if they attended.
Those patients who miss appointments are often those is a vulnerable position, leading a disordered lifestyle. These would be hardest hit, and this would cause deeper health inequality.
Should be take DNA more seriously, yes. But engagement with these patients is key.