GPs need to experience the breadth of complexity in primary care

The core of being an effective general practitioner is providing holistic person centred care. As Salisbury says, part of this is nurturing relationships and developing continuity with individuals and families over time.1There are clear “unintended consequences” of the drive to expand the primary care multidisciplinary team with the intention of freeing up GPs to manage complexity. One is the cognitive burden of constantly having to make complex assessments and decisions in a system that was designed for rapid flow of low intensity consultations with occasional complex cases. Another is the reduced opportunity to develop confidence and trust from patients.We are now developing a generation of GPs who will not have been exposed to the breadth of complexity in primary care. If newer GPs see only cases of high complexity, as other professionals see single issue cases, how will they have the necessary experience to supervise non-medical practitioners in the future?…
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