This sounds strange but because I have now come out and say that we must look at alternate practice structures, then there is pressure on me to now come up with something. BUT I have no formal model to use, All I can do is to sense that we as GP’s have become grossly deskilled and that only by slowly groping forward can we hope to evolve a different paradigm in GP consulting. This should result in better work satisfaction for GP’s, increased patient confidence and better “patient directed” health care where the patients accept more responsibility for their health outcomes.
This is not easy because I have got into ways of consulting that are comfortable but unsustainable as we are now finding out.
