Clair, your comments eloquently outline the challenges and unreasonable demands placed on GP’s and 5 years ago I faced the same dilemma in my English practice of 30 years, and at 58 I too decided it was time to leave. I then decided to tackle a different challenge and moved to a much smaller remote and rural practice in the Hebrides as an NHS salaried partner. Surgeries and lists became smaller and I now have the luxury of time to spend with the patients and have the support of fabulous community staff. The experience and knowledge I’ve accumulated has been well used and I’ve truly enjoyed this final phase of my medical career, and I’m still working here 5 years later!
We are privileged to have the job we do, but time pressures can certainly prevent us giving our patients the service they deserve.