It is the very type of consultations (that others can do so easily) that give us the time to get to know our patients, their histories and their family connections. It has been the ability to put the pieces in the jigsaw (than any experienced GP will tell you) that give the whole picture, and teh family doctor service that has been the envy of the world. It is only by addressing the root causes of illness that we can treat it. We are reaping the rewards of the rule of analgesic ladder being applied in a 10min consultation by multiple clinicians.
Anyone can do our job if they do our training and learn to think about the lists of differentials, think outside the box and applying knowledge of family histories. Anything else short-changes our patients and significant diagnoses are missed repeatedly. We are moving out of our comfort zones with the devolution of secondary care into the community. We need longer to see patients and deal with their multimorbidity - fewer GPs to make way for PAs who only deal with the simple stuff and have to keep interupting us to discuss cases will not achieve the high quality general practice I would like to have available to me in my old age
Not just underfunding but overregulation and too much paperwork in this paperless society. Practices are closing all over the country, some in very stable communities and they are often good practices too. My fervent plea is to dismantle the bureaucracy and let us treat patients without fear or favour. Here's to the heros of Bridlington who remain staunch providers of primary care at the price of their own well-being. Let's hope that they don't get blamed for having too little resilience!
I agree with most of what is said, but I would add that it may be better to use the wording that the patient has used in the letter of complaint rather than assume you know what they are saying and interpret with your own paraphrasing.
Good grammar makes for easier reading and I agree with Peter English here - poor grammar, including where you place yourself in a sentence, can make for very 'clunky reading'
Ensure the complaints process is fit for purpose. Do not assume it will be! If the most senior person is responding, the drafting of the response should be of an equivalent level
The first duty is surely the health and safety of the doctor - a healthy happy and well supported doctor is less likely to be vulnerable or to face a fitness to practice investigation. As a profession we need to be able to provide peer support without it being perceived that we are closing ranks. The writing has been on the wall since the profession has been under seige