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It was refreshing to read Charles Swainson's view of General Practice
as seen through the eyes of an administrator. However, being a Medical
Director with responsibility for Primary Care, it made me wonder who is
responsible for his appraisal, and how he assesses his learning needs.
Sadly, the reality is that his job doesn't require him to know anything
about General Practice - it is what his political masters deem important
which governs his income and job security. Looking at General Practice was
clearly of interest to him, but will it make any difference to how he
imposes budget cutting or how he deals with the government's idea of us
working longer hours?
For when everybody runs late, who cares? Perhaps he should have asked the
families of the doctors who entertained him. General Practice is "fun",
and it is professionally satisfying, but the cost of achieving and
maintaining standards of care is working late into the evening or catching
up on weekends.