How to manage those patients who bounce between you and other GPs


Dr Simon Young confronts a perennial issue in general practice.

I exploded the other day. Well, internally combusted. I fitted the patient into a busy early morning session, a young man whom I knew well, with a congenital chromosomal condition and lower limb lymphoedema.

As usual, his mother accompanied him. The ‘urgent’ condition was a skin abscess, which was easy enough to deal with. What riled me, though, was that he had not attended our practice for two years, ignoring reminders for care plans and vaccinations.