I can’t remember how many ‘extras’ (when we run out of appointments - patients who feel their matter is urgent are put on an ‘extras’ list) I saw yesterday. It all blurs into 1 with eStuff etc. But one patient said they called 104 times to get through …I hate this for them…
But genuinely: what more can we do? We already squeeze in concerns about other matters, address issues for family members, do SO much digitally. We already start earlier, finish later and forgo practice meetings so that time can be spent sorting out extras.
I genuinely love my job, and we are trying our flat-out best (whilst running on fumes) and I really feel for those who struggle to access us or other services. I was struck yesterday that about a quarter of what I was helping with was still with us in primary care because of…
Delays in definitive, more advanced or expert management in other services (that are also chock-a-block ofc)… I dearly hope things improve for patients and colleagues soon. Arbitrary targets and bigger sticks to beat with will not make that happen though. We need structural…
Society-wide, cross-professional investment and change. Health and social care and well-being is bigger than the NHS, and deserves more than a few quick fixes and some shiny new machines, or badges in place of honesty, action and support

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More from @DuncanShrew

10 Sep
Wow - after such a challenging a year or so, it’s so wonderful to receive this news today: Principle Fellow of the Higher Education Academy 😅 thanks so much to everyone who has #supported me on this journey! @BSMSMedSchool 1/n
For those of us in academia that are curriculum, rather than research, focused - this is quite a big deal. I often feel (even joke out loud) that I’m not a ‘proper academic’… I think there’s imposter syndrome throughout every sector and industry, so it’s nice…2/n
My portfolio of evidence included work I’ve done to support improvement and wholesale change in assessment strategies in #MedEd (largely drawing on work such as pubmed.ncbi.nlm.nih.gov/23662874/) 3/n
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