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We should be patient with all patients. Difficult when time is of the essence, I am fortunate that in my practice there is always enough for the history which informs appropriate management. Language and other barriers to communication do need to be overcome if patient autonomy is to be assured.
But what about the patient and their role in the process, do they, also have a responsibility? All who reside in the UK should be able to communicate effectively in English and any newcomers who cannot must be properly supported in becoming so. Such an approach would go a long way to ensuring that those who become patients whilst temporarily in the UK or those few for whom there is an impediment receive the patience they need in the clinical setting.