GPs face rising patient expectation in the form of increasing consultation rates, out-of-hours visit requests, violence and complaints. They cannot complain about their patients and are not paid extra for increased workload. Their only sanction against unreasonable demand, sparingly used, is to remove patients from their list.
Once again, doctors are accused of 'feeling for their wallets' when in fact they are committed to preserving equitable access to high quality services, free at the point of delivery. Unless demand can be modified in some way, GPs will eventually be unable to cope and I fear we shall lose a precious national institution.
Sherwood Health Centre