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Independents' Day

Prayer for serenity on confusing contract

The supporting documentation for the new GMS contract reads like a medical degree syllabus and data entry manual combined. Management of almost any common disease has suddenly become confusing and riddled with audit.

I shudder at the thought of computer-administered interviews to improve recognition of depression, and wonder at the statement that 'recognition improves outcome even when the patient does not comply with treatment', and the need annually to review patients who abuse alcohol to ask how well they are doing!

The Serenity Prayer, as used by Alcoholics Anonymous, comes to mind: God grant me the serenity to accept the things I cannot change, the courage to change the things I can and the wisdom always to know the difference.

I keep a copy of it in my consulting room.

Dr Elizabeth Williams


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