Look at this from Private Eye‘s wonderful ‘MD’ (aka Dr Phil Hammond) (15-28 October 2021 p 8)
The model of general practice – trying to manage multiple complex risks and needs in very brief encounters – has long been unsafe and unsustainable. You have 10 minutes to help an 80-year-old woman who is arthritic, breathless, recently bereaved and on 12 tablets. It takes three of those minutes to walk her from waiting room to consulting room.She wants to talk about her late husband; you want to ensure her breathlessness was not a red flag for a life-threatening condition or a side effect of the pills you have prescribed.
It takes another three minutes to undress her and get her up on the couch to be examined. And yet her main reason for coming was loneliness.
A study of Norwegian health records, published in the British Journal of General Practice, found that — compared with a one-year patient-GP relationship — those who had had the same doctor for between two and three years were about 13 percent less likely to need out-of-hours care, 12 percent less likely to be admitted to hospital, and 8 percent less likely to die that year. After 15 years, the figures were 30 percent, 28 percent and 25 percent.
Healthcare depends crucially on relationships, and staff knowing and understanding you.
Imagine a GP being resourced enough to combine a vocation as a doctor with the time and stability to develop relationships with patients. Vocation and relationships … just like in a book I recently wrote, which I may have occasionally mentioned in this blog. And which is still ‘forthcoming’…