I am losing hope. I know my patients are too. Many of them are on the phone for hours trying to reach us, and many feel aggrieved when they wait so long to see us.
I understand why the government has asked us to identify the 20% of firms with the lowest face-to-face meeting levels. I too wish my family couldgo to a general practitioner if necessary.
But we cannot use it like another stick to beat the already kneeling workouts. We need to understand why this may be the case, support them in their attempts to provide the best possible care, and have an honest conversation with patients about what primary care can realistically and safely provide.
Because it 's not out of laziness, as damaging rhetoric would have you believe. In a way, I would like it to be - because for someone at the start of this career, I would rather do that than set foot in a system that is breaking down, with low morale. below and so many General practitioners hang up in front of met their stethoscopes for good.
We have a labor force running on empty, going to work every day with their lights flashing and no prospect of delivery. fuel on the horizon. Any further demonization of GP will perpetuate the problem we are trying to solve.
While you can't see the carts stacking up, the ambulances do the tail outside and the same bursts of pandemonium you can in a hospital, primary care is dizzying. We provide over 300 million patient visits each year, compared to 23 million A&E visits. Many practices are at breaking point and for them using remote consultations is the only way to survive.
I share the frustration of the patients. I want to see them. The ability to sit in a room and close the door, watch theminto their eyes and touching their arms, to see the whole person they are, is a sacrosanct part of what attracted me to the profession.
But what we are seeing now is what happens when an increase in the number of patients, the number of consultations and the complexity of their conditions is not accompanied by an increase in the number of patients, the number of consultations and the complexity of their conditions. proportional increase in resources.
In England we now have 0.46 qualified general practitioners per 1,000 patients, compared to 0.52 in 2015 (2,222 patients for each GP, up from 1,923 in 2015), and an average of just £ 155 per year to spend on each patient.
On top of that , the demand for general medicine has increased sharply this year. We are catching up with the problems that patients manage on their own, font vaccines, face mental health fallout from the pandemic , managing the rise in viral illnesses as the lockdown is eased, and supporting more and more patients with waits for their referrals to the hospital , inquiries and procedures.
Many of our secondary care colleagues still offer remote appointments, but no one is assuming that's because they are on the golf course. It's easy to attack the Guardians, but we are the Guardians of a system under immense pressure, without a magic key.
And our way work was encouraged. For years, the NHS has been called Luddite for failing to embrace the technology. It 's easy toforget that barely a year has passed since former Health Secretary Matt Hancock said remote consultations should be the norm . And with the pandemic as a catalyst, we have been encouraged to innovate and evolve further and faster than we could have imagined.
For a large proportion of patients, the mixed model was welcomed: the mother who sends photos of her boy 's eczema so that he does not have to miss school; the adolescent with crippling social anxiety who cries softly on the phone; the elderly lady with a urinary tract infection who does not want to sit in a waiting room which has become a petri dish for insects. We don't hear about these stories in the media.
The data applaud on the doorstep made me feel bad Comfortable. Because we are not heroes or villains. We are ordinary people who come to work every day wanting to do our best, like many others in the health service. We can't work more than three or four of those 14 hour days between us - it's just not sustainable.
We can choose d "be part-time or half-human. Patients and practices clash, but now, more than ever, we must unite. A gloomy winter is coming. And