Articles / How to say ‘no’ in general practice

It’s about setting clear standards from the outset and then sticking to them. No exceptions.
This week, we ask experienced GPs and experts for their advice.
Some of the top tips were: make lunch breaks sacred, signpost during consultations, encourage patient pre-work, ensure all doctors and receptionists communicate the same standards, and – most importantly – don’t make exceptions.
Q: What boundaries do you set in your own practice with patients to ensure you can deliver high quality care and manage your time?

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It should only change if there's clear evidence that a new model is better
It should remain independent and locally governed
It should be replaced with an untested national model
Listen to expert interviews.
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