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'We are constantly firefighting'


Horrendous . Very frightening work. And this is the way in-hours care will go too, with 'new ways of working'- small numbers of GPs will be remotely supervising, prescribing for and taking on the risk for various others- nurses, paramedics, physician assistants, pharmacists etc. all with a certain amount of knowledge and experience but working to algorithms or narrow areas of expertise and missing details through lack of clinical acumen and breadth of knowledge. Already general practice has become disjointed by multiple chronic disease management clinics - not without benefits, granted, but increasing amounts of GP time spent responding to requests for prescriptions that are usually but not universally appropriate. I trust my own history taking and examination, and I know the capabilities of my close colleagues that I supervise. There is no way I would want to take on the risk of supervising others on anything near the scale described above, particularly remotely, that I do not work with closely and know well. Indemnity costs are quite rightly high - the risks are astronomical.

Posted date

04 Feb 2017

Posted time