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A faulty production line

I can’t be the fall guy any more

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I have in front of me a letter from the A&E department. This is what it says:

‘This 15-year-old lad was playing football on Saturday, and lost his ball up a tree. He climbed the tree to recover it, but fell out from about eight feet and landed on his back. He did this four times. On the final occasion he fractured his clavicle.’

These letters give me the material for these articles. Human stories. The utter absurdity of the behaviour of homo sapiens. The basic material for 500-odd magazine columns, since I first started writing them 20 years ago.

The fascinating thing is the ambiguity. The obvious conclusion is that we are dealing with an utter moron, the type of dude Darwin predicted would be weeded out of the gene pool. But there is another interpretation worthy of serious contemplation.

Perhaps we are witnessing one aspect of the indomitable human spirit. The triumph of hope over experience. He kept climbing and he kept falling. It’s almost heroic. By definition, we only see the failures. Who knows how many teenagers keep climbing and get their ball back at the fifth or sixth attempt? There are probably many.

As I read the letter, I’m laughing and crying in equal measure. Because I now know this experience is nearly over for me. Because I can’t go on.

This article may be unique in the annals of Pulse because a decent proportion of it was written in a hospital bed, with 15 electrodes attached to my body and an IV drip limiting the use of my right arm.

The oxygen mask was hampering my vision and the pulse oximeter had to be transferred to a pinky, because I don’t type with those. But hey, a deadline is a deadline.

The fact that I was back in rapid AF and heart failure within an hour of getting back to work after a short holiday is not, I think, coincidental. The escalating workload, the tumbling income, the futility of trying to keep up with demand, the frustration of being the last port of call for so many problems that really are nothing to do with us; the sheer lack of time to practise medicine as it should be practised. It is insupportable that we are dumped on, taken for granted and held responsible for the failings of others. Above all, the total absence of interest in the vacancies at my practice makes the future as a GP partner unbearable to me.

My love affair with my profession is over. I hate this bloody job. I can’t stand going into work any more. It makes me depressed, unhappy and, latterly, literally sick.

I believe there is some currency in the Government’s ‘5,000 GPs’ idea, but I think they’ve got it the wrong way round. I predict 5,000 fewer GPs over the next five years, as people like me reach the end of their tether. I know of literally no one around my own age who is not thoroughly disillusioned. None of us will still be practising at retirement age. And there is no way we can be replaced, let alone the overall numbers of GPs be increased.

I have climbed my tree and fallen out too many times now. If I was stupid, I would get back up and start climbing again. But I realise that next time, I’m going to fall out and break something. In fact, I may already have done so.

Dr Phil Peverley is a GP in Sunderland.

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Readers' comments (156)

  • I left a large NHS multi-site practice in Birmingham a year ago at the age of 49 after 23 years as a partner. I am now a private GP, have 15 minute appointments, am not governed by targets or budgets, and can communicate properly once again with my patients, as I did when I first started. I see my wife, friends and family much more than I did. I look forward to the future now, rather than just hanging on. Dr Phil, you have earned your stripes. Time for your family now. Best of luck!

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  • What can I say that hasn't already been written here before, other than THANK YOU. Love your style of writing in the blogs on Pulse, sad reading this one.
    Get well soon bonny lad.

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  • Get well soon, Phil. And yes, get out if you can. You're a bright lad, and there are lots of other things you could do to earn a living and keep yourself out of mischief once you've recovered.

    I've read your column since you started writing it all those years ago. Back then, you were a breath of fresh air, a counterpoint to Dr Copperfield's jaded cynicism, a doctor whose humour and incisiveness were tempered by an obvious warmth and affection for his patients. Over the past few years the change has been obvious from your writing. You've become disillusioned, and openly frustrated at your own disillusionment. Now your body has forced you to pay attention. Please don't argue with it.

    Meeting a writing deadline while wired up to a load of cardiological hoojamaflips is the ultimate in presenteeism. I'm trying not to be secretly impressed.

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  • Anonymous | 31 May 2015 9:47pm

    you must be a great laugh at parties ?!

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  • Dear Phil,
    thanks for all those wonderful articles and insights that you shared with us over the years.
    Look after yourself, because nobody else in the NHS will look after you or your interest!
    Hope it will all work out.

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  • Bye and thanks for all the fish

    Get well soon Phil. Your blogs are an inspiration and I've enjoyed reading them for many years. Like many others have wisely said, get out now. I've got 206 big sleeps until I do!

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  • Secure environments GP

    Well I've spilt my coffee frequently laughing upon reading your posts. Clearly being electrocuted by cardiologists keeps you going. Get well when your ready....

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  • Chill out a while then go part - time sessional if you need the money . Not so easy to get ill health retired . Can only be done after 1 yr off work. My pension is not liveable on and I need to flex my brain so I am half time sessional on top of it now . It works .for me . Pressure and expectations have gone up exponentially pay is eroded . Worse still the more we shout about it the less interested the potential Gp's are in joining and it gets worse not beter 😔

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  • Balint groups? Who has time for those ffs?

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  • Take care of yourself,you have done your bit my friend

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