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GPs buried under trusts' workload dump

The Noctor calls

Hats off to Pulse for revealing the ‘Noctor’ phenomenon

Hats off to Pulse for revealing the ‘Noctor' phenomenon

That's hospital-based non-doctors with stupidly inflated titles, who apparently see up to half our referrals.

According to the story, ‘Hospitals drive up use of non-medical specialists – without telling patients'. Stuff the patients – what about me? These days, even I don't know whether my elegant, relevant and brilliant referral letter is going to be ignored by a proper doctor or by someone with delusions of grandeur.

OK, this subject has provided much blog and column-fodder in the past, so I won't bang on. But I would like to highlight how flimsy NHS trusts' arguments are when they try to justify this ploy.

It's not about improving services, it's about diverting work. And doing it, ideally, without patients noticing. That's why the favoured official Noctor title bestowed by trusts is one which deliberately aggrandises the role and misleads the punters – I'd really like to meet whoever first put the ‘Con' in ‘Consultant'. And I'd like to refer him for a Noctoscopy.

Copperfield Copperfield

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