(00:21) Dr Singleton and Dr Stoupas set the scene for their discussion regarding the findings from the 2020 Health of the Nation report. They also flag that this topic will be divided into over two installations of the podcast. The first primarily about the patients, their presentations and the clinics, and the second focusing on business, funding and remuneration.
Introduction of Dr Michael Wright and Dr Karen Price
(02:04) Dr Singleton introduces our guests and invites them to share their motivation to do what they do. The doctors tell their stories and the discussion begins.
(04:47) Dr Stoupas asks Dr Wright about the report and its background. He outlines the motivation for its creation and that it was difficult to find data in one place that covered the general practice story. The Health of the Nation report went some way to doing that, along with getting the perspective of GPs.
(06:31) Dr Wright responds to Dr Stoupas on the question of participation of the GP community in the survey and he describes that there could always be more but that he is pleased with the turnout.
(07:06) Both Dr Wright and Dr Price respond to Dr Stoupas on how the data from the report is used and its value. Each outline how GPs’ issues are supported by the research from the report.
(10:11) Both Dr Wright and Dr Price respond to Dr Singleton on the topic of the top three patient presentations as outlined by the report. Those being, psychological presentations, preventive care and respiratory issues. Each highlighted the importance of dealing with the growing issue of mental health – particularly in the wake of the pandemic.
(12:04) Dr Wright chats through his thoughts on the statistics surrounding the difference gender makes in the clinic. Dr Price then moves on to the topic of ‘non-medical’ issues such as housing, domestic violence, racism and income. She comments that in fact, these are, or at least are becoming, medical issues.
(14:43) Dr Stoupas pushes further into the issue of mental health and our overall approach, and Dr Price talks through the situation with regard to access to the appropriate doctors and psychologists. It’s clear that GPs are having to carry a lot of this responsibility.
(16:28) The conversation moves to the wellbeing of our actual GPs on a number of fronts, including mental health.
(18:22) Dr Stoupas picks up on the fact that one in four GPs reported deterioration in their mental health. And that GPs under 45 were more likely to report a deterioration than those over 45. Dr Wright makes anecdotal commentary on the issue and Dr Price follows up with some commentary around the typical situation of some of our younger doctors.
(22:14) Dr Wright and Dr Price both make commentary on the observation that GPs as a profession, responded admirably to keep patients and staff safe during the pandemic and that there were some terrific innovations, a major one being telehealth.
(23:24) Dr Stoupas moves on to the issue of the prediction of an increase of about 13.5% in suicides over the coming five years, and Dr Price makes some observations on what can be done to deal with this potential and very concerning outcome.
(24:19) Dr Stoupas acknowledges that they have all only skimmed the surface of the findings in the report and that there is much more to talk through in part 2.