London-born, Southampton-bred, Manchester-educated.
First5 GP in Bolton.
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”.
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Unless you are working 7 days yourself, you need to apologise for your outdated and frankly pathetic attempt to smear junior doctors.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.
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.