The Scottish Mail on Sunday

Patients hit out after doctors’ chief says call to see GPs is ‘just noise’

- By Stephen Adams MEDICAL CORRESPOND­ENT

A LEADING GP has angered patient groups by dismissing concerns over the struggle to secure face-to-face appointmen­ts with family doctors as ‘a lot of noise’.

Professor Dame Clare Gerada, President of the Royal College of GPs, made the remark after describing the shift to online consultati­ons as the most positive developmen­t of the pandemic.

She holds a stake in eConsult, a company providing remote consultati­on software to about half the country’s GP surgeries, which has profited hugely from Covid.

In an online conference hosted by the Royal Society of Medicine, Prof Gerada and other panel members were asked what they thought was ‘the most positive surprise’ to have come from the pandemic.

She answered that in general practice, it had been moving 1.2million daily consultati­ons ‘almost overnight into the remote space’, adding: ‘That’s either by telephone, but more often than not into digital consultati­ons, and that is quite a monumental thing. Digital consultati­ons went up about 1,000 per cent at the start of the pandemic.

And though there was a lot of noise afterwards about, you know, patients want to be seen faceto-face, in fact research has shown that the vast majority of patients appreciate­d the fact that you can’t catch Covid from a computer or a telephone. So that’s a positive.’

Last night, Dennis Reed, of Silver Voices, a campaign group for senior citizens, said: ‘Her comment on patients’ legitimate concerns about online consultati­ons being “a lot of noise” is obviously very dismissive, particular­ly to older people.

‘The vast majority of people over 65 would prefer to have faceto-face appointmen­ts with their GP. In fact, many of them are not technologi­cally adept enough to be able to access digital communicat­ion safely and comfortabl­y.’

Before the pandemic, about 80 per cent of GP consultati­ons were face-to-face. Despite calls by Health Secretary Sajid Javid for doctors to see more patients in person, it is still hovering at about 60 per cent. The low figure is mainly down to more appointmen­ts by phone, but patients are also being diverted towards a non-GP health worker or given advice on ‘self-care’. Software such as eConsult has been vital in enabling GPs to prioritise the patients they see.

Dr Arvind Madan, co-founder of eConsult, said clinicians liked it because they ‘can work from home’. It is used by 3,000 practices serving 26million patients.

Dr Madan has worked for years at the Hurley Group of GP practices in South London with Prof Gerada, who was a director of eConsult from June 2016 until last November, quitting after becoming Royal College of GPs president.

Documents show that in March 2021 she held 6.6 per cent of eConsult shares, potentiall­y worth more than £1million. Last year, it made more than £1.1million profit.

She has never hidden her involvemen­t with eConsult and there is no suggestion of wrongdoing.

A Royal College of GPs spokesman said: ‘Patients should be able to access GP care and services in a variety of ways. The method of consultati­on should be a shared decision between patient and GP. It is important that patients’ views about their care are listened to.

‘We are sorry if some of the comments at the Royal Society of Medicine meeting have been interprete­d as suggesting otherwise and have caused offence. This was entirely unintentio­nal.’

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