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Not long before I joined the practice in 1985, it consisted of 3 GPs and 4 secretary/receptionists. The district nurse came in to help with dressings.

Compare this with the present day - we now have a total of 21 doctors, nurses and staff looking after our 6,700 patients.

Being a GP is hard work. There's been a massive increase in workload for the practice over the last 15 years. Without the practice team, we simply wouldn't be able to cope.

The GPs
I work with two super partners, two GP assistants and a GP Registrar.

I've heard some GPs say that the relationship with your GP partners is more important than the relationship with your spouse. While I wouldn't quite go that far, it's vitally important to have a good working relationship with your colleagues in the practice. I know that I can trust mine to give excellent medical care, be conscientious and be really good friends. If I'm overworked or off sick, I know they will step in to help out - and vice versa.

GP Registrars have a special place in the practice - they're supernumerary, so they can take full advantage of teaching opportunities, but they soon become an important and valued part of the practice team. We always miss them when they finish their year at the practice. You can find out more about training at Hope House at here.

The practice manager
Practice Managers are the unsung heroes (in fact, usually heroines) of general practice. They are employed by the partners to run the practice - and organise us - so that we can get on with seeing patients. It's a hugely complex job, which ours does fantastically well: I don't know how she keeps on top of it, but she does it with aplomb.

The practice nurses
"Skill mix" is important here, so these range from our healthcare assistant (phlebotomist, ECG technician, chaperone...) to our nurse practitioner (who runs her own minor illness sessions and is able to prescribe).

Between them they run a lot of clinics: asthma, diabetes, COPD, epilepsy, ischaemic heart disease, contraception, stop-smoking...

So, the days when nurses were "doctor's handmaidens" are long gone, and now they manage their own workload.

The receptionists and secretaries
This is a really complex job. They manage to keep cheerful and efficient however busy it is. I do admire them.

The "attached" staff
We have a close working relationship with our health visitors, district nurses and midwives. They all work in the surgery for at least some of the day, so we can easily ask for advice and discuss our patients.

So, what's the down side?
Umm, I can't think of one here.

Written by: Michael Harris

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This page was last updated on: 26 January 2008

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Department of General Practice, Royal United Hospital, Bath BA1 3NG  
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