As a leading newspaper covering primary care, I suppose you have to publish the views of everyone, including those GPs who in this day and age still think that GPs and not nurses should be the first choice for patients.
I also remember this same colleague describing in a letter to GP a few months before how relieved she was that her quality visit went well.
May I have the opportunity of presenting the views of some of us forward-thinking and entrepreneurial GPs, possibly older than this GP but who are active trainers, PCT professional executive committee members, clinical leads and so on. We deploy and employ innovatively to ensure patients see nurses too so that we are left with enough time to do education, training, PCT work, appraisals, quality assessments and so on.
Becoming the very first pilot practice to open extended hours (8am-8pm) was as a result of our track record. If GPs like me just saw 30-40 patients all day and did nothing else, then we would all have gone out of our profession a long time ago.
Delegating to nurses is a necessity. Managing a patient list with smart delegation to other health professionals helps work, rest and play.
Dr Dinesh Kapoor, East London.