Monday, July 19, 2010

Don"t be put off "bothering" your GP Ann Robinson Comment is free

The Times leads currently with the not-very-exciting title that people go to their GP as well mostly with teenager complaints. The "story" is formed on a minute in the paper sealed by a host of signatories who have set up the Self Care Campaign. The arch senior manager of Diabetes UK is between the heading lights of the group.

The signatories, who embody a little really venerable and essential doctors, are edition a declaration observant that people should be speedy to conduct their teenager ailments on their own and not revisit the GP with them.

They have constructed a inform formed on an research by IMS Health. IMS Health"s website says "virtually each vital curative and biotechnology association is a customer of IMS", whilst the inform is saved by the Proprietary Association of Great Britain, that represents manufacturers of over-the-counter medicines.

The target is to daunt people going to the GP so they will see after themselves when they have a self-limiting illness. Nothing wrong with that. But nowhere in the worthy-sounding minute to the Times, or the front-page article, does it discuss that this is an bulletin driven by a traffic organization representing general drug companies that wish to sell you cough and cold remedies over the counter.

The upshot of the Self Care Campaign inform is that:

• In 2009, 18% of visits to the GP were deemed to be for "minor ailments", a solid climb given 1987 when customarily 10% were characterised as minor.

• These usual teenager ailments right afar comment for a fifth of visits to the GP.

• They cost £2bn a year.

• Nearly half of these visits were by 16- to 59-year-olds, not the immature or elderly.

• In 2007, there were 51.4 million GP visits for a teenager ailment alone, and 90% of those people came afar with a prescription.

But here are a couple of thoughts.

In my experience as a GP, there is roughly regularly a great reason that brings someone to see me. If a chairman customarily presents the teenager ailment, it might be that they don"t feel gentle sufficient to speak about the genuine reason they came, similar to depression. Our cancer presence rates loiter at the back of the rest of Europe in a little key areas. People"s hostility to benefaction their symptoms to the GP is cited as a poignant cause.

One person"s "minor" is another"s "major". A cough is customarily teenager and self-limiting, but is additionally a key underline of TB and lung cancer. The open can be told that a cough lasting some-more than 6 weeks needs investigation, but the remarkable conflict of a serious cough in someone who never gets one and has no alternative facilities revealing of a viral illness, might need evident attention.

Older people mostly prologue any revisit to the GP with the words, "Sorry to worry you." There is still a enlightenment that the health service, paid for by taxation payers, bestows caring as a gratuitous gesticulate rather than on condition that an efficient, customer-friendly service. That"s because going to the GP is frequency as acceptable as going to John Lewis.

A revisit with a "minor" ailment provides the possibility to have your red red blood vigour checked, be reminded that a cervical allegation is due or be offering assistance to give up smoking. Most surety health measures in first caring are carried out in this opportunistic way. The health (and cost) benefits of preventing smoking-related disease or treating high red red blood vigour to forestall heart disease or a stroke, need to be equivalent opposite the assets done by revelation people to stop "bothering" their GP.

People are not stupid. If they go to their GP once with a self-limiting viral cold and are told they don"t need antibiotics, they won"t worry to go the subsequent time they have the same symptoms. GPs need to stop treating teenager illnesses inappropriately. There is no need for a inhabitant poster debate with patronising recommendation about shopping over-the-counter remedies and staying warm.

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