Arrive 8.20 -  open up, quick check all is ok, heating, bins, stock.

8.30 catch up with PM - any issues need addressing, what capacity have we today for appointments. Look at everyones diary.

Post-  code new illnesses, change any new prescriptions. Anyone have a significant event? Look at any overnight OOH outcomes. 

8.55 - The Huddle! All staff have quick chat.

9am start.

  • 1 30 minute well man check
  • 2 Mental health in female / contraception / bloods.
  • 3 Remove FB in eye. Smoking cessation. Alcohol advice.
  • 4 6m old with HF&M, Mum struggling a bit. Supported.
  • 5 Insertion Implanon / chat about mental health whilst doing so.
  • 6 78 male, grieving loss of wife. Weight loss. Referred OGD. Bloods. Meds review.
  • 7 Male, raised BP from work medical. Lifestyle assessment. BMI. MSU / bloods / booked EXG and 24 hour monitor. Review.
  • 8 Hypothyroid prescription / annual bloods. Marital discord. Supported.
  • 9 4m old - URTI. 
  • 10. Regular attender. MUPS. Supported.
  • 11. Couple, male entering palliative care with stage 4 cancer. 
  • 12. 12 yo male with abdo pains. ? anxiety ? struggling with sexuality.
  • 13. Termination of pregnancy - visit 1. 
  • 14. 42 male LRTI. CXR booked. Bloods.

During morning slot had x 1 DNA, 3 reviews with GP Registrar. PN advice given x 1. Call from Hospice Team x 1. 

21 tasks to be completed ( colour coded by fantastic Admin team)  - patients awaiting results, repeat prescription request,  4 xFYI, email  from pharmacy x 2 and a call from hospital SHO re an in-patients previous health / meds x 1. 2 calls to Consultants for advice.

Finish 1pm. Always get away from desk.

2pm to 2.30pm = start on tasks. Any issues with this mornings list, any capacity for this afternoons acute calls? 2 call backs to pts re results. 7 delegated to PN. 11 texts sent to pts ( normal results only).

2.35pm off we go again. PM Lists tend to be more " acute" as less likely to be pre-booked in advance.

  • 15. 60 yo Male, cryo to multiple AKs, Refer CT coronary calcium score.
  • 16. 46 yo female. Declaring long hx of alcohol dependance. Bloods. Refer. Review next week.
  • 17. 29 yo female- primary subfertility. Chat , book US, bloods, partner for semen analysis & review.
  • 18 29 yo female. GAD. Long consult.
  • 19. 24 yo Male . STI concern.
  • 20. 7 yo - Otitis. BMI check.
  • 21. Review of 62 yo who was sent to ED last week with fast A Fib.
  • 22. 22 yo female , Headache. Contraception. Anxiety. Mole review.
  • 23. 82 yo. 3-montlhy review of COPD / IHD. Bloods. Brings me Jam!!
  • 24. 52 yo female, just D/C from hospital. A bit bewildered by it all. 
  • 25. 17 yo tonsillitis /IM. Bloods. Chat re mood.
  • 26. CDM review. 
  • 27. DNA - cup of coffee, check in with PM.
  • 28. 32 yo self employed with rec lower back pain. 
  • 29 . Shoulder injection.

Finished at 5.40. Quick chat to reception. Reg debriefed. A few cases discussed.

Task have grown by another 12.  PM post reviewed. A few call backs.

Leave 6.30.


Unfortunately tasks / results are completed by logging in from home in evening. Reports, medicals, insurance forms also take a considerable time -usually done once a week.

Some nights are in OOH, at CME, educational events, on Zoom meetings, meeting accountant, HR issues etc.