John Launer: Faces or candlesticks? Why we need continuity in teams

Sometimes a remark stays in your mind for a very long time because of what it symbolises. One such remark has remained with me for many years. At the time, I was a GP partner during what now seems a golden age. We had a wonderful primary care team, including a practice nurse, three district nurses, a midwife, a community mental health nurse, and other colleagues including two full time health visitors. We didn’t need to employ locums or salaried doctors. We all met once a week to discuss cases that were complex or causing concern. Sometimes a local social worker would join us.One day a man from the local hospital board came along to our meeting. I think he was a non-executive director with a background in banking. He was visiting us because the NHS was going through one of those occasional periods when it becomes fashionable to show…
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