Correction to Sentence 2 above: "guideline implies making several visits"
Why not just do the Immunoblot test first? This guideline implies avoiding several visits to the doctor before the diagnosis is made (which the Daily Mail will no doubt make a headline from).
We really are between the devil and the deep blue sea with NICE exhorting to use antibiotics for vague symptoms and the Chief Medical Officer telling us not to.
Thank you for your brilliant editorship Nigel, and for making some sense of the complex and sometimes maddening world of General Practice
Given that some patient will always continue to be diagnosed in A&E (as that is where acute presentations are often seen) there will logically be a number of times that the patient has previously been seen in General Practice. It seems that the only partially acceptable answer is 1 (and even that we are berated for!). How may times (including 0) do "the experts" think a patient should have been seen by a GP before such a presentation?
Copperfield hits the nail on the head, as usual. Thank you - I know just what you feel like, at the end of every period of leave...
A well thought out and written article which has got me thinking about collective action to improve ways of working. Thank you!
Great letter, well done. I do feel an apology (rather than resignation) should be requested.
I completely agree, an apology is definitely needed to the vast majority of GPs and their staff who are providing an excellent service in the context of unprecedented demand from patients. If no apology is issued I will lose confidence in the CQC as an impartial body.
Thank you to all at Pulse for your proactivity and support for some hardworking but pretty demoralised GPs out here!