GCW said:
Workload has massively increased, things like chronic disease management. As a ballpark one full time parrner counts for roughly 2000 patients.
Thats interesting we run at that level we were at 1 to 2400 but had to take on another doctor.
The college and academics reckon it should be one full time GP per 1700.
There has been such a massive movement of work into the community.
Drugs that were started in hospital are now routinely started in the community.
Massive amounts of chronic disease we deal with - with no hospital input.
The elderly are getting more demanding and have a much less put up and shut up attitude.
The government has massively inflated peoples expectations, with no money to follow the workload drift.
Then there's all the acute on the day stuff - snotty kids etc and picking out the one case of cancer or other serious illness that turns up in amongst the other rubbish.
Its unsolvable - without more money & wheres that coming from - ?Trident?
No appointment system works - telephone triage / split pre-bookables etc. We usually just about survive until somebody goes on holiday then it goes all wrong.