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I stepped back from the stress

Having been through a stressful period already in my career I am now much more ruthless about my own self-preservation – it is the main thing that influences my decisions.

lMy day is arranged so I get back to put kids to bed.

lI have a day off a week.

lI downsized and binned my big house to afford a day off.

lI do other things outside general practice both in and out of medicine.

lI've increased my appointment length – if patients have to wait longer I'd rather a pay cut and to reduce list size.

lEvery job must be accounted for by having it put on the appointment screen and an appropriate amount of time left for it – nothing is 'slotted in'.

Money is not a problem for GPs – the problem is time. You can't have both. I'd rather have time and have found out, thankfully early in life, that it is worth sacrificing a new BMW to have it.

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