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RCGP calls for social prescriber in every practice to tackle ‘epidemic of loneliness’

The RCGP has launched a UK-wide campaign to tackle the ‘epidemic of loneliness’ and social isolation affecting millions of patients.

A survey carried out by the RCGP found that three out of four GPs see between one and five people a day who have come in mainly because they are lonely.

The college is calling for every GP to have access to a social prescriber to help people make connections to prevent them becoming isolated and lonely.

Its action plan also calls on better information sharing with the NHS and local authorities to prevent lonely people falling between the cracks.

In Scotland, the RCGP also called for 10-minute appointments to be scrapped so that GPs can play a part in dealing with the loneliness.

RCGP chairs in Wales and Northern Ireland also said 10-minute appointments were ‘unfit for purpose’ and called for the ‘extreme pressures’ facing general practice to be addressed so GPs have enough time to spend with patients.

Professor Helen Stokes-Lampard, RCGP chair, said: ‘Moments of meaningful connection really do matter, but for some people, they are elusive – for some, they might only get these when they see their GP.

‘A national-level campaign to make people aware of how big a problem loneliness is, and the very real adverse impact it can have on people’s health and wellbeing, could help to break down some of the barriers that are keeping lonely people lonely.’

She added that while loneliness was not a medical condition, some research studies suggest it can affect patients’ health perhaps even more than obesity.

‘It can also have a real impact on workload pressures in general practice and the wider NHS, at a time when the whole system is facing intense resource and workforce challenges.’

Dr Alasdair Forbes, RCGP Scotland’s deputy chair, said GPs and their teams had a key role to play in identifying people who are chronically lonely or at risk of becoming lonely. ‘GPs need time to care. That is why we’re calling for an end to 10-minute appointments, as we want GPs to be able to spend a longer time with patients and get to know what really matters to them.’

It has been estimated that loneliness puts people at a 50% increased risk of an early death compared with those with good social connections.

Dr Rebecca Payne, RCGP Wales chair, said it was important to address the underlying causes of illness.

‘Treating patients means listening to them and understanding their concerns – but GPs need time to care. Ten-minute GP appointments are unfit for purpose but the extreme pressures on general practice means it can be impossible for GPs to spend longer with patients.’

Dr Grainne Doran, RCGPNI chair, said tackling loneliness was about more than medical care.

‘We know it can be hard for people who are lonely to know where to turn for support. That’s why we want to see a dedicated professional for every GP surgery - a community navigator.’

It comes as a recent study showed that GP attendance fell in patients who were targeted with loneliness intervention measures.

Professor Stokes-Lampard told last year's RCGP Conference that loneliness can be as bad for health as a chronic long-term condition. She called on the four governments of the UK to cut red tape and tick-boxes in order to give GPs ‘time to care’.

 

Readers' comments (5)

  • 'Loneliness' seems a luxury to many overwhelmed GPS? tfic

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  • A GP in every practice would be a good start.....

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  • Bloody useless 'organisation'.
    There seems to be an epidemic of stupidity down ivory towers way.

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  • i trained to be a doctor to deal with illness. loneliness is not a medical condition but a social one. agreed it may have medical consequences but so does playing football but i don't referee matches as a doctor. at some point people have to take responsibility for their own lifestyle rather than moving the responsibility onto the state. its not healthy to do so and bad for society in general. GPs are an expensive resource trained to deal with medical conditions. these are public health and societal issues. dumping them in general practice is a cop out by government and society of taking responsibility for their own behavior and consequences of government policy. As such these policies are unlikely to be funded and this media hype creates an expectation that is not going to fulfilled such that the GP is left to deal with the disappointment of the general public. shame on the RCGP for being part of this irresponsible soundbite onslaught. I would suggest the RCGP concentrate of trying to save primary care, demand immediate increased funding and follow up by recommending strike action and or withdrawal of services until general practice is restored. It has never committed to longer appointments but only hinted at it. It should develop some guts and recommend minimum appointment times and demand they be implemented. They should demand funding for such statements and only agree to have them implemented once the funding has been given with a guarantee for long term funding, otherwise the policy is immediately withdrawn. They should advise on the maximum amount of patients a GP should see in a day to be considered safe, fund counselling services for the whole of the UK for GPs and recommend a review of the current pension crises as it is encouraging GPs to retire early. They should demand and implement the removal of QOF till GP recovers and veto appraisals for the pointless exercise that they are. The lack of insight by the RCGP is saddening. It should have defended General practice 10 years ago from the onslaught by government and media to demoralise and decimate primary care such that private companies could step in, cut services and make profits for share holders. care now for patients is failing rapidly. GPs can literally do no more. enough.

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  • Classic ivory-tower nonsense. Meanwhile General Practice is dying.

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