Advanced access must raise expenses
Dr Nigel Wood in his letter about advanced access (November 11) explained how he has almost single handedly solved the problem of advanced access.
What he fails to realise is that demand has probably increased but this has been lost in all the measures that he has taken to increase capacity.
Also, he is paying for the increased capacity which in most practices takes the form of telephone triage, nurse activity for acute problems, and the bulk of the work associated with chronic disease management which tends also to be carried out by nurses.
I am glad that Dr Wood is living happily in 'advanced access land' but I would suggest to him that he and his accountant have a good look at expenses.
Dr R A Hutton