I think part of the problem is that this used to be the job done by the Doctor's wife. Then it was something done by middle aged housewives, for 'pin-money'.
In the last 15 years, it's changed beyond all recognition. What is billed as, and appears to the patient's to be, a basic clerical job - type a bit, file a few things, make some tea, answer the phone, smile.... - is now a very pressured, actually quite skilled role.
It's a job which requires nerves of steel, endless good cheer, a strong stomach and the constitution and the immune system of an Ox.
Imagine starting at 8am - and bear in mind that every single patient is already at their worst, ill, frightened, in pain, irritated at having to ring - and fielding 180 enquiries in four hours - people with sick kids, dying husbands, major mental health issues. You'll be shouted at, patronised, threatened. You'l be translating incredibly poor English, or trying to use phrase books to make sure that the person ringing isn't describing the symptoms of a heart attack.
In between all this, you'll get no time to go for a wee, or to take a drink. You'll have the phone beeping constantly to tell you there are more calls, there'll be more patients at the desk shouting because they haven't been attended to yet.
If you fit the 'emergency' sick kid in, it'll turn out they have head lice and the newly-returned-from-Mat-Leave GP will scream at you for twenty minutes for making her late to pick her baby up. When the same family ring the following week with the same 'emergency' sick kid and you follow the Doctor's orders to refuse them the appointment, they'll threaten to follow you home and 'do your kid in, yeah!' - but you'll still be expected to work till 8pm for the 'worried-well' to come in and have their free travel vaccs for their £3000 holiday that they couldn't possibly take an hour off work for, (or, God Forbid, PAY for!) - and then walk across town and catch the bus home alone.
In between the genuinely sick and frightened patients, you'll deal with the woman whose forgotten her 90 year old father's repeat px for the fourth month in a row. For the 4th Month in a row, you'll offer to set up a pharmacy collect and deliver service and this time she'll literally spit at you and make a complaint saying you were accusing her of being negligent and calling her stupid because.
When the Doctor refuses to sign the script in Month 5, it's you that will face the 30 minutes of screamed insults in full view of the whole practice.
You'll have to smile at the man you know is abusing his 3 year old son - and make yet another appointment for that son, and keep your mouth shut and say nothing to anyone even though your heart breaks when the kid comes n because the GP is working with SS to build a case but if anyone spooks the bloke, he'll move areas (again) and they'll lose him before they have enough evidence.
You'll sit, in just a blouse and trousers, being coughed at and sneezed at, in the middle of a flu outbreak, pregnant and unvaccinated, with no protection and with growing rumours that the virus is dangerous to pregnant women, because the other receptionist went down with it yesterday and, even though you'd agreed not to work the desk, theirs no-one else and still the phone rings and patients have to be dealt with and cancer referrals made and if you refuse it's the patients that'll suffer.
The training for this: None
The specialist qualifications and support: None
You'll be paid minimum wage.
Should Dr's receptionist's be polite - yes.
Are they human, working in a hideous environment - also yes.
There's a reason I changed jobs!