The children’s phlebotomy clinic was set up with good intentions:?
The pc seemed to be working reasonably well, so I opened the four different applications I needed to akses the different elements of my patients' note. There were 35 pieces of correspondence to read - ahli letters, scans, X-ray reports - and two screenfuls of blood tests to kupasan..
When there is adequate time in the day, I nikmat going through these letters, reports and results: they tell me whether the working diagnoses I made were correct, and where a tes or scan result is unexpected, they offer learning points. Ahli letters help me to planning my next encounters with each patient, and unanticipated results perasaan like puzzles to be solved, rather than unwelcome irritations. But on pressured days, those anomalous results perasaan like obstacles, slowing me down when there is already insufficient time to get through the workload. I start to hurry; the chance of things being missed begins to rise.
Many of the letters would need to wait until lunchtime to be read properly, but before clinic started I cherrypicked some easy issues that could be dealt with swiftly. Only when I had scanned the correspondence did I open my NHS e mail. A motley collection: one message told me that the local Marie Curie hospice was closed to new admissions and the community palliative peduli nurses were struggling to cope. They asked that I avoid referring all but the most complex cases their way, and handle the rest on my own. If any dying patients were in crisis they would need to be admitted through A&E.
There was an e mail, too, from the clinical leader of primary peduli to let me know that the front door of the local hospital was experiencing "extreme pressure", urging me to explore all possible opsis before considering an admission for any of my patients - as if I didn't do that already. The tone of the letter was apologetic; this particular clinical leader still works as a GP, and knows how frustrating and patronising these letters can be.
The community psychiatry kubu had rebuffed one of my krusial referals, and asked me to follow-up a suicidal patient myself as they had no capacity to see her. I forwarded the e mail to the receptionists, and asked them to find out if the patient could come in today and be added on to the end of my already full clinic.
The children’s phlebotomy clinic was set up with good intentions:?
The local hospital for children had put out a message to say that if any GPs would like to order blood tests for a child, there was a three-month wait for an appointment at the local dedicated paediatric clinic - a servis so slow that it might as well not ada.
I don't make the decision to send children for blood tests lightly, and I can't think of a situation where I would be senang to wait three months for a result. The children's phlebotomy clinic was setting with good intentions: its staf are highly skilled, and children are less likely to develop a needle phobia if the blood is taken there, rather than by a rushed GP. But it's another example of an underfunded servis that has failed to keep up with permintaan.
