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Leadership & Management

The myth of the rational patient

Betabetic

(and the rational doctor).

There is no disputing the fact that the pressure on the open doors of the NHS – primary care, urgent and emergency care – is unmanageable. One recurring cry from GPs and A&E staff is that they are seeing ‘the wrong people’ – that one patient takes up a GP appointment with a ‘trivial problem’ while another fails to get an appointment and becomes an emergency, or at least accesses unscheduled care, as a result. In addition, A&E waiting times are at least in part being affected by the need to triage and see patients who don’t need the specialist services of an emergency department (though this is not the main problem).

Recent NHS England campaigns illustrate the difficulty of trying to modify health-care seeking behaviour that has risk-judgement at its core.

On the one hand we have campaigns such as Choose Well (or as I call…

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About Sarah

I am a mental health nurse with 10 years experience working with people with a lived experience and their carers. I have very little interest in focusing on what is wrong with people and prefer to focus on people's aspirations and what is right with them. I care about equality and the small things that remind us of the bigger picture. I love art, music, novel ideas, psychology, science and the way in which these various entities intersect. I am blogging in an entirely personal capacity. My views do not reflect my employer's.

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Me

I am a mental health nurse turned manager who enjoys live music and gadgets. I have recently taken up photography as a way to keep sane whilst I am studying for my Msc in Health Care Management.

I am very passionate about my work which I find rewarding and enlightening. I am blogging in an entirely personal capacity. My views do not reflect those of my employer.

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