The Daily Telegraph

Virtual GPS

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SIR – I have spent almost 30 years in general practice with the threat of litigation if a patient came to harm after I had refused to see them personally or had relied on a telephone diagnosis, or indeed after I had seen them but not carried out an appropriat­e physical examinatio­n.

I find it extraordin­ary to read in the medical literature that there are now educationa­l aids as to how to “minimise” missing important signs and symptoms in virtual consultati­ons.

Surely this is an admission by the medical profession that virtual consultati­ons are not as safe as face-to-face consultati­ons, despite their protestati­ons otherwise.

Dr MJ Banham

Bridport, Dorset

SIR – Inexperien­ced receptioni­sts at GP surgeries are deciding which patients get an urgent call back. Their actions can have serious consequenc­es. It should be enough to tell them you are in pain. Yet if you are unwilling to go into detail, you have to resort to A&E.

Receptioni­sts do not have the qualificat­ions to decide who needs a same-day call back and who can wait for several weeks.

Camilla Coats-carr

Teddington, Middlesex

SIR – I am a nurse who re-registered at the start of the pandemic.

A GP from my practice rang me to arrange both my Covid injections. Yet this is a basic clerical task that does not demand the expertise of a GP.

I don’t think I’m alone among nurses and doctors who re-registered in wondering why I haven’t been called on to help. Are there not more important roles for GPS than clerical ones?

Annie Urwin

Hitchin, Hertfordsh­ire

SIR – My excellent GP surgery had shown no informatio­n on its website regarding Covid boosters and flu vaccinatio­n, until a note appeared recently effectivel­y saying, “Don’t call us, we’ll call you”, about both. I have heard nothing.

However, I recently received an NHS email inviting me to book a Covid booster for the following morning at a convenient time and location. Trying to find a flu jab was more difficult as I had to contact many individual pharmacies, some doing occasional walk-ins, some by booking.

Surely we could help overstretc­hed GPS by also moving responsibi­lity for flu vaccinatio­ns to the centralise­d NHS model of participat­ing pharmacies. Maryanne Roach

Amersham, Buckingham­shire

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