145,929 members

Skip to content. | Skip to navigation

Blog

Guest blog: David Hotchin

 

Blog headlines

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

  • Celebrating innovation in eye research
    24 September 2020

    This week Julian Jackson from VisionBridge has shared a report on eye research.

  • Link of the week: Comprehensive Spending Review and Covid-19
    24 September 2020

    This week we are sharing a blog that outlines the funding pressures and uncertainties faced by the health and care system

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

 
 
Friday, 11 December 2020

Guest blog: David Hotchin

This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

Written by a retired friend....obviously, he's used a little poetic licence.

My mum tells a story of when she was a kid. If her and her sisters became ill, the family doctor, would finish his morning surgery at 9.30am, jump in his Morris Minor, and start his home visits.

He'd assess my mum, and her five sisters, prescribe the poison of the day (?iron), and then drink his whiskey that my nana had waiting for him.

He'd do a few more home visits then play golf. Being a GP was a bit of a jolly old jape.

Around the mid nineties, someone, somewhere began to realise life as a GP, was going to change. There were various reasons for this, the main trigger at the time was a large cohort of doctors who'd come from overseas in the 1960's, were due to retire. So they plucked some of the more talented nurses out of the pool (or rather those who were willing to put their head above the parapet), gave them a decent education, and let them loose diagnosing, referring and treating patients. And so, was born, the "multi-disciplinary team.

Primary care was still a jolly old jape. We'd see someone with a verrucae, a snotty kid, a person with a sticky eye, and then something complex and meaty. I went for a swim at dinner, and left on time at night.

The patients were happy, they'd ring for an appointment at 10am, and be seen that afternoon.

Demand, of course, continues to outstrip supply. There are many reasons for this, I have the figures. But basically, we're living longer and we're more complex.

General practice is now on a cusp. Some will survive, some won't.

Those who survive will be those who think imaginatively. They will re define the word "appointment." An appointment won't necessarily mean a ten minute slot with your doctor. It could now be a telephone or a video consultation.

You may no longer see your doctor if you're ill. If your child has a fever, they may well see one of our excellent children's nurses. If you have a query about your medication, it may be that the practice pharmacist deals with you.

This isn't "dumbing down" by the way, nor medicine on the cheap. It's about getting the patient to the right person, in the right place, at the right time.

We need your help to. If a receptionist asks what the issue is, she's not being nosey. She's trying to direct you to the best person to help you.

If we ask you to visit a pharmacist for your verrucae, don't be offended. We're trying to preserve our time for those who need us, patients who are acutely ill, have an exacerbation of a mental health problem, or who have a  symptom of cancer.

We're not doing this because we want to by the way. There's nothing more I'd love than to bimble about the hills in a Morris Minor.

We're doing it because we have to. We want to give the best quality service to our patients.

If we don't change, we won't survive.

And that 'aint gonna' happen.

Not on my watch.

 
Sue Gerrard
Sue Gerrard says:
Dec 15, 2020 11:37 AM

Is this post satirical?

Maria Axford
Maria Axford says:
Dec 15, 2020 01:51 PM

Many thanks for your comment. The blog was written with poetic licence.