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Des Spence's article makes several interesting points, most of all
raising the possibility of GPs no longer carrying strong opiates. Surely
in this age when home visits are dwindling and both palliative care and
acute care services in the community are improving then stocking
controlled drugs is an unnecessary burden for the GP and a potential risk
to the patient.
High profile cases of doctors causing patient death both
intentionally and more recently unintentionally mean public confidence is
understandably low when it comes to GPs administering opiates.
The same way a surgeon wouldn't attempt to administer the insulin if
their patient went into DKA, isn't it time GP's focused on medications
with which they have greater experience?