This is my contribution to the Scotland Policy Conferences Keynote Seminar: Next steps for primary care in Scotland held on Wednesday, 21st January 2015 at the Crowne Plaza, the Roxburghe, 38 Charlotte Square, Edinburgh .
I was a GP Trainee in 1991, and I vividly remember being taught that there were 3 studies of the treatment for patients with Myocardial Infarction that each showed patients were better off with treatment at home rather than admission to hospital. I became adept at treating crashing left ventricular heart failure at home, at a time when GPs were most valued for their role in unscheduled care. My goodness things have changed since then.
This is the transcript of my talk I was asked to give at SAMH‘s Parliamentary Reception at the Scottish Government on Thursday 15th January, hosted by Malcolm Chisholm MSP with the title “Primary care and mental health: making links.” I was delighted to be followed by Aidan, a service user who described how his GP took on his care on his discharge from the army and worked with him to move from a point of desperation to being an active and creative member of society. She gave the time to explore the issues, sought out his service medical records and referred him to agencies to find the support and treatment he needed. This was not about the GP completing the right questionnaire or ticking the right box but about the mixture of skill and care she showed, described by the RCGP motto “cum scientia caritas”.
Minister, Members, Ladies and Gentlemen,
It is very much my pleasure to speak with you this evening, as Chair of RCGP Scotland, in support of SAMH’s work. I would like to begin by wholeheartedly thanking the organisation’s service users, staff and supporters for inviting me to highlight the role of general practice in this way.