Dr Abdel-Rahman Nafie’s Post

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MBBS MRCGP FRCEM(1) | Urgent Care physician | OOH GP | UK Family doctor | Emergency physician | Author of Wessex #PortfolioTips Checkpoints | Tomorrow’s Teachers II & Wessex IMG teaching Facilitator

Watching ITV1 Good Morning Britian about a petition to change all GP consultations to face-to-face… what a contraversial topic!! Here are my thoughts about this… I have been working in hospitals for more years than GP surgeries so first of all I think I know exactly how the pressure on the A&E and hospital departments are. From my experience in various GP surgeries, some places have a lot of face-to-face appointments but others have a telephone based triage. I am an advocate for face-to-face, as it is part of my character and expertise I believe you get a lot from those consultations. However the demands to access GPs is OUTRAGEOUS. We contact at least 45 patients same-day appointments in a presumably 4hours sessions. I am not adding the other routine ones or the admin work from blood tests, prescriptions and letters which are not even included in the session time or visible to anyone (people just seeing tip of the iceberg of the GP work) Now if people want GPs to see everyone face-to-face, we would be worse on the accessibility scale where patients would not be able to access their GPs. We are human-beings and physically cannot be available to see everyone with all their complex issues as I can guarantee you there are no GPs who could see the patient and give them everything they want as well as get them in and out of the room and finish their medical notes in 10 minutes. Even any specialist in the hospital or Emergency clinicians definitely get longer than that. The bottom line is if we want the NHS with its current state to survive, we need to think what patients need the most. Is it a relationship with their GP by getting everyone face-to-face or is it accessibility to get appointments when needed? It’s a dilemma that can never be fixed. If any surgery chooses one way or the other, people will complain they are losing on the other bit. Is there something clever that people could suggest to solve those problems and stop the public complaining ??!! Any thoughts? #GPcrisis #Healthcare #ITV #GMB #SavingtheNHS #Doctor #GPappointments #Emergencycare #Primarycare

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