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At the heart of general practice since 1960

Our BBC doc about rural practices will shed light on issues faced by all UK GPs

Dr Louise Jordan writes

Over the past year the BBC has followed the daily routine of my general practice team at Baslow Health Centre for a documentary series called The Real Peak Practice. When my partner, Dr Abi Waterfall, and I initially agreed to take part in the short series the brief was to look at the impact of the NHS reforms on rural practices.

Every week we have a multi-disciplinary meeting (due to the cramped room in our small premises, the BBC struggled to film this…) where all the doctors, practice nurses, community nurses, community matron and care co-ordinator meet with representatives from social services, mental health, health visitors, a school nurse and a Macmillan nurse. Here we look at our palliative care list and share and discuss new diagnoses as well as patients causing us concern. Discussions around complex elderly and frail patients dominate the agenda as we try to support them in their wishes to stay at home in the light of social services’ budgetary cuts and lack of available care.

No matter how tired and frustrated we may get, these meetings always uplift us. They prove to be inspiring and we rally together to support one another, offering advice and solutions where needed.  

The BBC has been great over the past year. The team filmed every day for the first couple of months and then came back at key moments throughout the year. At first it felt strange to have cameras following us around in our daily routines but we soon got used to it and so did our patients. In truth after the first few days we became unaware of the camera crew: they were very discrete and respectful.

We had one condition to being filmed: that they never interrupt a consultation. The team kept their promise and this means that everything you see is absolutely as it happens, and no one was made fun of or humiliated. We felt very safe with them. There were boundaries and they kept to them. Everything had to be accurate, and everything in real-time.

We also had the right to view the rough cut and edit it for any inaccuracies or issues with patient confidentiality. Sadly we were not allowed to refuse any cuts on the basis that ‘my bum looks big’ or ‘my hair looks dreadful’.

Patients were positive

The BBC took charge when it came to discussing filming with patients. Around half of them were happy to be filmed and were really positive about the experience. They were the real stars of the show, in particular the two incredible gentlemen who allowed the last weeks of their lives to be filmed. They both had their own good reasons for doing this and I sincerely hope that their ability to have a ‘good death’ at home will debunk a lot of the taboos and fear that lie out there.

What became very clear over the course of filming was that the big issues were common to primary care institutions across the UK. From an ever increasing workload with more and more elderly frail complex cases, to a diminishing workforce, massive budgetary cuts and increased bureaucracy, there are an abundance of eye opening matters that have remained unknown to the wider public. Hopefully, the show will help change this.

What really keeps us all going at Baslow Health Centre is the vision and passion shared by everyone at the surgery. We are all committed to providing a bespoke and individualised service to our patients, following them from cradle to grave.

Dr Louise Jordan is a GP in Bakewell, Derbyshire, and will feature in the upcoming series The Real Peak Practice, a two part documentary series coming up on BBC Two on 10 and 11 September. The hastag suggested is #TheRealPeakPractice

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Readers' comments (15)

  • Tell us, did you show them your accounts; particularly how much you make from Dispensing? (The elephant in the room which everyone keeps quiet about when the "Problems" of rural practices are mentioned. ) The last time I heard, a GMS dispensing GP got at least £10k per annum more in profits than his/her urban colleagues. Not really fair, is it?

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  • If it's so bad out there come and work in the inner cities.Rural GP is a nice cushy number

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  • Not interested in showy offy smiley GPs, and the camera switching to sweeping landscapes.
    Give us the real issues please, not some anaemic attempt at recreating Dr Findlays casebook.

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  • Azeem Majeed

    I'm looking forward to watching the documentary.

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  • Wonder why BBC didn't want to show inner city GP life..........because crap does not get good viewing figures!!!! Those urban GP's who are annoyed, quit, you have a choice- I did, happy days post NHS. Don't be a sucker to the man.....

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  • Well I thought it was a good documentary when it aired the first time Louise. I see you have elicited the usual mean-spirited responses from "Anonymous" or whatever Dr angry calls himself these days but I think you can be proud of the way it portrays you and your practice.

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  • Anonymous | Other GP | 03 September 2015 7:49am

    Wow 10 k more per annum..thats virtually nothing.

    GP's are grossly underpaid for the work and stress they tolerate!

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  • Vinci Ho

    Looking forward to watch this.
    To some degree , BBC has shared a common enemy , particularly Darth Vader, after this year row on televised pre-election inter party debate and obviously , most importantly TV licence funding dispute.......

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  • I fail to understand who are these people and what they are talking about as I am fully trained GP with background of specialist and yet I am unable to find a suitable partnership. Suitable partnership means with average income not 300000 K.

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  • Drachula

    Great! I'll look out for it. Not that I'm looking for another partnership after the bruising I got from the last one, but I want all truly good GP practices to survive in order to care for patients, which is what I am passionate about.

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