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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To ask why so many GPs quite useless?

8 replies

Kleo · 10/01/2021 08:33

So this is a moan but is not meant to be tarring all GPs with the same brush, there's many excellent ones and I now have one. But so many GPs are useless - disinterested, unwilling to refer, don't listen to their patients, don't call back, don't record notes properly etc. There are of course bad examples in all professions but this seems particularly an issue with GPs. Their role is to gatekeep and they often seem to want to keep the gates firmly shut, regardless of, well anything. Patients go to their GP with serious symptoms multiple times and are just dismissed over and over.

I know the appointment times are short, they have a lot of patients on their caseload, there's lots of work outside of appointments. But lots of public service roles are like that - show me a ward nurse that actually regularly leaves at the end of a 12 hour shift, a social worker that doesn't write up evenings and weekends, teachers who don't lesson plan and mark in their own time etc. And GPs get paid much more than those high pressure roles. Many GPs seem wilfully obtuse, and so surface level in their thinking. If they don't know, then there's often so little curiosity and instead a tendency to assume the patient is exaggerating/lying.

Inspired by a recent thread but more than just that. A friend of mine was recently diagnosed with secondary cancer after months of begging for tests. My father has been trying to get the GP to look into debilitating leg and hip pain, including numb spots and a wet feeling, literally for a year. He was sent for a scan which ended up being of elsewhere in his body(!!) and told everything was fine. I had to push him to advocate for himself and after weeks of phone calls he eventually went to A&E in agony and they sent a "task" to the GP to send him for an urgent scan which has finally been agreed... But while the A&E doc wanted a scan of his abdomen the GP has decided to do his hip first....

Is it because GPs are less about health and more about avoiding spending NHS money?

OP posts:
WhenSheWasBad · 10/01/2021 08:37

Don’t blame GPs blame the system.

If they refer too many people it gets flagged by the commissioning group (the local NHS group that pays for everything).
That GP will get a bollocking. NHS is underfunded. Don’t blame GPs for that.

(I’m sure there are a handful of shit ones, but the vast majority really care and are doing their best).

Petitmum · 10/01/2021 10:18

GPs are consultant level specialists in primary care. The system is currently underfunded so much they are working under huge pressure and have their hands tied by commissioning groups...........and many times when they do refer it just means joining an endless waiting list.

Don't assume that this is the way they want to work.

There are some very poor GPs as there are in all professions, it is a thankless job and less and less doctors want to do it!

DynamoKev · 10/01/2021 10:21

The Tories are trying to fuck up the NHS so they can sell it to Trump’s pals in America.
People keep voting for this so it will happen.

Pinkyandthebrainz · 10/01/2021 11:02

Blame the system. Also compassion fatigue is real.

chocolatepowder · 10/01/2021 11:29

It's the system. I have Bupa cover and my gp refers me for everything without hesitation. My poor old dad at 81 has a really lovely gp who spends loads of time with him and does home visits but rarely refers.

Heatherjayne1972 · 10/01/2021 11:34

Its a poor system
I got fobbed off by 5 different gps before a newly qualified gp referred me on - consultant wasn’t impressed
Plus I know 2 young people ( one 31 one 17. Both with cancer). who died because the gp didn’t refer quickly enough

Bohemiagirl · 10/01/2021 11:41

I've found most GPs to be competent, polite and helpful. I can only think of one instance when that hasn't been the case. So I don't agree with the word 'most', not in my experience.

year5teacher · 10/01/2021 11:52

I’ve struggled with GPs in the past. I have chronic hip and knee pain and had to really, really fight to get an x ray and blood tests. Once they didn’t find anything in the tests I was told “there’s nothing we can do”. This was when I was 23! Not exactly a normal condition for someone of my age.
I kept going back and pushing and the appointments would normally last 3 minutes of me being told “yeah... it’s muscle pain”. It was SO frustrating. I FINALLY got referred to physio when I moved to a different surgery (not that it’s done much) but it was genuinely about three years of repeatedly trying to get some kind of help or answer for why I would be near tears in pain three days a week. It was like they ruled out RA, EDS etc and decided it wasn’t important.

When my mum was diagnosed with coeliac disease it took her years of being told she was anorexic, it was all in her head etc.

Most GPs are good. Some GPs are really crap because there’s crap people in every job and the system is geared against them but it can be very upsetting.

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