Part of the debate – in the Senedd at 4:06 pm on 22 September 2021.
I agree with you entirely. I've only got five minutes, so I will not be addressing social care; I'm just sticking with hospitals and A&E and health. But, yes, I agree entirely.
To help deal with patients who attend, the GP out-of-hours service should be given the job of assessing patients upon arrival, deciding in what order they should be treated and dealing with non-medical emergencies. And this, by the way, is not a complaint about GPs in general. Most of them work incredibly hard and are seeing more and more patients. They are at capacity in many areas. The problem is that the first person who a patient contacts in their GP surgery is the receptionist, who normally lacks any medical training whatsoever, and just collects patients' requests and books them to a doctor's slot until all slots are full. One GP estimated that 10 per cent of their appointments per day were for advice and treatment for common ailments; another noted that practice GPs are concerned that they spend a significant portion of their time treating common ailments and conditions such as cold and flu. A further suggestion I made to the Minister previously is to train receptionists to the level of paramedics. They could then triage patients to the local pharmacy, the GP urgently, GP non-urgently or to A&E. I think it really is important that people don't have a sort of good luck or bad luck on phoning the GP: 'You were forty-first. You might be seriously ill, but the GP cannot see you.' That's got nothing to do with GPs; they are sat in there waiting to deal with people, but if you're the forty-first you don't get seen, if you're the fortieth you do, and the fortieth person might just have a cold or a cough or something that could easily be dealt with by the pharmacy. We don't use pharmacies enough.