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Practice 10-Minute Consultation

Covid-19: a remote assessment in primary care

BMJ 2020; 368 doi: (Published 25 March 2020) Cite this as: BMJ 2020;368:m1182

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Rapid Response:

Re: Covid-19: a remote assessment in primary care

Dear Editor

As a GP of some 30 years including a spell in a community in Australia which was 500 miles from secondary care services I find this article on remote assessment very helpful and suggest that there may be a need for a sister article on remote assessment of patients with other potentially serious illness who present during this crisis when resources, especially clinician time, are scarce.

GPs vary in their thresholds for home visits and I recognise that I am more likely to visit than some colleagues. GPs have been graphically characterised as "Pooh-pooers and Wind-uppers!" If colleagues don't recognise themselves as being closer to one of these groups a discussion with fellow GPs may help them.

I wonder if a wider debate around who to visit, who to send directly into hospital (as we have done for cardiac type chest pain for many years) and who to give advice with appropriate safety netting could be a useful outcome of these very dark times.

Competing interests: No competing interests

30 March 2020
Phil Taylor
Lyme Regis Medical and Dental Practice 2 Uplyme Rd Lyme Regis DT7 3LS