11, 1111, 1111, 11 there's no limit
111 will be the cause of the collapse of the NHS. It's shocking triage system dumps patients inappropriately on to A&E or GPs. Sometimes I think a random number generator would do better. I can't believe the madness of some of their referrals.
A&E now gets so clogged up with 111 nonsense that it has no capacity to deal with the patients that it should be seeing.
When it came in to our local area, it lead to the collapse of our excellent OOH provider. All that experience was lost overnight. The naivety of Mr Hancock and his blind Faith in technology is beyond belief.
@Merlin, I think we've all been there. Difficult patients, too many scripts, time draining complaints, safeguarding letters to write, coroner on the phone, lots of extras, Docman inbox bursting at the seams,very sick patients whose ambulance hasn't turned up, late visit requests etc etc
We try our best in a broken system. I've been there late into the evening - thinking, "what am I doing here"?
I think most of us can be proud that we try our hardest, we make a big difference to our patients lives and we work hard - for the right reasons.
At the end of the day it's a job. It sounds like you need a break. I'm inferring that you're a partner in a single handed practice. Do you need to think about handing in your contract?
Seriously, we all see in our job that life is short. You don't owe other people anything. It sounds like you have done more than your fair share of good for humanity.
You can always come back, but have a serious think about a long extended break. Your patients will still be there, but you sanity might return.
Sending you positive thoughts and love.
PS - I'm currently loving being a GP - I sooke to our practice manager and made some changes. I've got a much better work life balance now and I think I'm more effective when I'm at work. There can be light at the end of the tunnel, but you have to look after yourself too.
Personally I'm with Shaba on this one. I think too often patients come in looking for a quick fix. We need the tools available for proper shared decision making. We need to work harder to get the government to help the nation tackle the current crises in problem drinking, sedentary lifestyles and problem eating behaviours.
Too often drugs are used to patch up the inevitable metabolic and musculoskeletal consequences of obesity.
I also don't understand why you are highlighting ADHD medications as a bastion of good prescribing. Where is all your evidence for these medications - especially in adults, where we are being inundated by private psychiatrists to write prescriptions for these drugs?
Medication definitely has a large role to play in general practice, but there is nowhere near enough debate on the way different drugs are actually used in every day practise.
How can you justify the way the following drugs are used in the real world; anticholinergics for overactive bladder; gabapentintinoids for neuropathic pain; acetylcholinesterase inhibitors for dementia; tramadol for... well... tramadol for anything (given how many problems it causes and the unpredictable way different people metabolise it)...
The comments above are spot on - as is the article. This is surely one of the biggest problems facing general practice right now.
I'm getting so fed up of consultant dumping and there seems to be nothing that can be done to stem the flow.
Our spineless leaders need to stand up and do something, otherwise the whole profession is going to collapse before our very eyes. I've spoken to two fantastic GPs just this week who have either left or are leaving general practice to pursue other careers. Why is nobody doing anything about this?
You've done a cracking job as editor of Pulse, Nigel. Thanks for backing us and backing what we are trying to do - to improve patient care and continue to maintain general practice. Best of luck in your new role - you will be sorely missed!
Its great to see such support for our Junior Doctor colleagues, but why all the anonymous posts? I fully agree with everyone above - why should GPs cancel their pre-booked appointments to undermine the efforts of our colleagues, who are standing up for a fair deal that recognises their debt, their training and their dedication? Is this the culture of fear that NHS England has created? Let's face it - they are being treated with contempt by a secretary of state who has an idealogical desire to break up the NHS and share it between his hedge fund chums. We shouldn't be doing anything differently, there will be consultant cover in the hospitals and patients will be safe. If we are not united, then we have nothing - it wasn't long since many of us were junior doctors and conditions have deteriorated significantly since then. Stand up for our colleagues and stand proud - I am 100% backing our junior doctors, and am proud to put my name to it.