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GPs buried under trusts' workload dump

Sebastian Pillon

Sebastian Pillon

London-born, Southampton-bred, Manchester-educated.
First5 GP in Bolton.

  • The Friday afternoon dump

    Sebastian Pillon's comment 23 Jun 2018 12:58pm

    I once forcefully (but politely) demanded to speak to a dietician (“but she’s in clinic!”) to ask why a prescription for some food supplements was classed urgent.
    I played dumb, as if the patient’s very existence depended on a single Ensure, asking for her name, registration number and supervisor, so that I could refer the patient on her information directly to an intestinal failure unit for immediate nutrition.

    Turns out those Ensures “could wait until Monday”.

  • 'Striking is just something doctors should not do'

    Sebastian Pillon's comment 12 Jan 2016 10:35pm

    Well done Dr Summerton, you got your name in lights.

    Unless you are working 7 days yourself, you need to apologise for your outdated and frankly pathetic attempt to smear junior doctors. If you had bothered to pay any attention whatsoever over the past THREE YEARS you would realise that junior doctors have been trying to engage the government in negotiation, only to have it fall on deaf ears.

    I hope that your practice does not train any juniors, and I'd urge any in East Yorkshire to ensure your Deanery is aware of this clearly unsupportive practice.

  • GP beware – paediatrics

    Sebastian Pillon's comment 24 Oct 2015 10:34am

    Whilst I appreciate the article for its clarity and ability to provoke thought, I do wonder what I'm supposed to now do with all the children who are due to present this winter with a cough that comes back... Refer all to overburdened paediatrics (who complain that GPs over refer everything) in case they have hidden haemangiomas?
    And children with a limp "however mild" that "persist" need bloods and referral?

    This is an awful lot of children that I don't think paediatrics is set up to deal with. Should it be?
    I don't want to miss ALL or send kids to ICU but at what point to the harms of investigating start to outweight the benefits of discovering a rare illness? Whilst in paediatrics (of which I've done a fair bit) tests are used, GPs use time as a primary diagnostic tool to assess risk.