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You can find the current article at its original source at https://www.theguardian.com/society/2018/may/10/gp-patient-bond-stretched-to-breaking-point

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GP-patient bond stretched to breaking point GP-patient bond stretched to breaking point
(2 months later)
Your article (Health of patients put at risk as fewer get to see their own GP, 9 June) sheds light on the desperate need for a trusted relationship between a patient and healthcare professional.Your article (Health of patients put at risk as fewer get to see their own GP, 9 June) sheds light on the desperate need for a trusted relationship between a patient and healthcare professional.
It is alarming to think there has been a sharp decline in the GP-patient bond over the last six years, even though ministers had pledged to bring back this key driver of efficient treatment. This is particularly true for the treatment of chronic diseases, which require patients to make lifestyle changes.It is alarming to think there has been a sharp decline in the GP-patient bond over the last six years, even though ministers had pledged to bring back this key driver of efficient treatment. This is particularly true for the treatment of chronic diseases, which require patients to make lifestyle changes.
From previous medical studies, it has been proven that the most important driver in long-term lifestyle changes is a strong and personal relationship based on trust. Be that with a GP, health professional or even friend or family member.From previous medical studies, it has been proven that the most important driver in long-term lifestyle changes is a strong and personal relationship based on trust. Be that with a GP, health professional or even friend or family member.
Let’s hope that the message is clear on what the healthcare system ought to do in the future to tackle pressing health concerns.Dr Carl Brandt GPResearch Unit for General Practice, University of Southern DenmarkLet’s hope that the message is clear on what the healthcare system ought to do in the future to tackle pressing health concerns.Dr Carl Brandt GPResearch Unit for General Practice, University of Southern Denmark
• The idea that you could get to see your “own GP” is laughable in our area. Patients in Saffron Walden have to participate in a “telephone lottery” at 8 o’clock each morning to try to get any appointment with a GP at all. The reason became apparent when the NHS responded to a recent planning application for yet another large housing development in the town. Our two surgeries already have a weighted list size of over 21,500 and a capacity of just 14,000.Richard GilyeadSaffron Walden, Essex• The idea that you could get to see your “own GP” is laughable in our area. Patients in Saffron Walden have to participate in a “telephone lottery” at 8 o’clock each morning to try to get any appointment with a GP at all. The reason became apparent when the NHS responded to a recent planning application for yet another large housing development in the town. Our two surgeries already have a weighted list size of over 21,500 and a capacity of just 14,000.Richard GilyeadSaffron Walden, Essex
• A few days ago I saw a patient with very severe MS. She is completely bed bound and cannot move any part of her body. She requires 24-hour care which has always been provided by a live-in carer. At the last Atos medical assessment the assessor felt she only needed 12 hours of care in the day and not at night. He was aware that recently she had developed an overwhelming infection in the night and been rushed to hospital by her carer who had heard her moaning from the other room.• A few days ago I saw a patient with very severe MS. She is completely bed bound and cannot move any part of her body. She requires 24-hour care which has always been provided by a live-in carer. At the last Atos medical assessment the assessor felt she only needed 12 hours of care in the day and not at night. He was aware that recently she had developed an overwhelming infection in the night and been rushed to hospital by her carer who had heard her moaning from the other room.
I was seeing her to write an appeal letter against this decision which could clearly be life-threatening for her. I read my letter out to her which detailed her severe disability and requirements and as I looked up I realised she was crying. “I am so sorry, I am so sorry,” she kept saying. “I feel such a burden to everyone. I am so sorry.” As doctors we see the cruel human consequence of legislation.I was seeing her to write an appeal letter against this decision which could clearly be life-threatening for her. I read my letter out to her which detailed her severe disability and requirements and as I looked up I realised she was crying. “I am so sorry, I am so sorry,” she kept saying. “I feel such a burden to everyone. I am so sorry.” As doctors we see the cruel human consequence of legislation.
The questions I have for Theresa May are these: are there quotas for removal of people from disability benefits? Is there a hostile environment to the disabled?The questions I have for Theresa May are these: are there quotas for removal of people from disability benefits? Is there a hostile environment to the disabled?
I think most doctors would agree that it feels like there is.Laura Marshall-Andrews GPBrightonI think most doctors would agree that it feels like there is.Laura Marshall-Andrews GPBrighton
• Join the debate – email guardian.letters@theguardian.com• Join the debate – email guardian.letters@theguardian.com
• Read more Guardian letters – click here to visit gu.com/letters• Read more Guardian letters – click here to visit gu.com/letters
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