Hurried GP consultations 'a scandal', RCGP chair warns

Hurried consultations in general practice are 'a scandal that needs to be named' because they are undermining GPs' ability to deliver high quality care, the RCGP chair has warned.

Professor Martin Marshall (Photo: Grainge Photography)

Writing in a new weekly column, Professor Martin Marshall hit out at short GP consultations, saying that they were making it hard for doctors to understand the needs of their patients.

Hurried consultations, he added, were ‘fine for no one’ as he labelled doctors' lack of time with patients ‘the greatest impediment’ to modern general practice.

His warning follows GPonline analysis of NHS Digital figures which showed that the amount of GP time available per patient in England has dropped by almost 10% over the past four years - it now stands at 55.2 minutes per patient per year.

GP consultations

Professor Marshall argued that rushed appointments were preventing GPs from building trusting relationships with patients - leading to the prescription of ‘unnecessary’ antibiotics and antidepressants.

‘GP consultations in the UK are among the shortest in Europe,' he wrote. 'In an average 9.2 minutes patients present just under three separate problems. Not so much time for pleasantries. Not much time for proactive care. Not much time to really understand what patients are seeking from their consultation.

‘How do you put a price on building the kind of trusting relationship which results in fewer unnecessary antibiotics or antidepressants, fewer investigations and fewer specialist referrals? Hurried consultations are a scandal that needs to be named.'

In an interview with GPonline in September, Professor Marshall previously called for GPs to be given the freedom they needed to be able to offer high quality care to their patients, which included longer consultations.

He said this could be achieved by reducing the number of consultations GPs delivered each day, highlighting increased time with patients would increase GP job satisfaction and retention.

Meanwhile, former RCGP chair Professor Helen Stokes-Lampard said in May it was 'abundantly clear’ that the standard 10-minute appointment was unfit for purpose. The RCGP instead recommended that appointments of at least 15 minutes were made the norm by 2030.

Professor Martin has previously said the college remained committed to securing longer consultations to improve patient outcomes.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in


Just published

Sign pointing to hospital

NHS England seeks to clarify GPs' responsibilities when using advice and guidance

New guidance from NHS England has set out the clinical responsibilities and medicolegal...

Widespread joint pain - red flag symptoms

Presentations and red flag symptoms that may alert you to potentially serious conditions...

Talking General Practice logo

Podcast: Supporting neurodivergent doctors and staff in general practice

Talking General Practice speaks to GPs Dr Beckie Akroyd and Dr Catherine Bell about...

BMA Scotland GP committee chair Dr Andrew Buist

General practice in Scotland 'in serious trouble', warns BMA Scotland GP chair

General practice in Scotland has reached a tipping point, with demand far outstripping...

Hospital entrance

NHS England issues warning over norovirus and rising winter pressures

Almost three times as many people were in hospital with norovirus last week compared...

BMA Northern Ireland GP committee chair Dr Alan Stout

Northern Ireland GPs face deepest-ever crisis as practices hand back contracts

Northern Ireland's GP leader has warned that general practice in the region is facing...