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Views And Reviews Primary Colour

Helen Salisbury: Brickbats and bouquets

BMJ 2022; 377 doi: (Published 14 June 2022) Cite this as: BMJ 2022;377:o1443

Rapid Response:

Re: Helen Salisbury: Brickbats and bouquets - Why DO we stay?

Dear Editor,

I guess I am of a similar vintage to Dr Salisbury, but I have not had the fortune of staying in one stable partnership for 20 years. Currently I work in a practice with all of the issues she fears - appointments gone by 9 (on a good day), not much continuity and most of the team are Allied health professionals, funded through ARRS. We are all Salaried GPs, and yes on some days, some of us are harried. However, the contract is held by our local GP federation and nobody is making any profit. And more importantly, our team is skilled, supportive and determined to provide the best care we can.

To some extent, I agree with her that we are not able to do the job we trained for, and some times it is uncomfortable that what we are offering is a long way below what we would be providing if we had enough GPs. But the answer to her question - Why would you stay? - is that I still believe that our patients are getting better care from our current set-up than they would be if all the good, experienced GPs packed up and left.

Competing interests: No competing interests

22 June 2022
Rachel O'Hara