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I rushed home Today.

It is a Monday.

I have been at work since 10 to 7 in the morning. Catching up on admin (as much as I ever catch up on admin) and doing surgery.

But Today had resolved that I would not wait in the practice until 6pm as I often do on Monday’s these days because of the nature of the early shift.

The early shift exists to increase our capacity for treatment before we move to the new site.

I have ten early shifts left and I cannot wait.

Today I ran out of the practice at 2pm to come home and work on my sofa with my dog, which is where my best work is done.

The afternoon would start with catching up on case notes that I hadn’t finished, but I walked into my kitchen to find my Wife sat at the breakfast bar catching up with case notes that she hadn’t finished.

Alison was catching up with case notes from weeks ago because she has no facility to do these within her normal work and no technology to do this.

Queens Medical Centre does not have the money to give her a laptop so she cannot do patient case notes whilst she is at a patient’s appointment (she works in a community). She is not allowed to take case notes out of the practice, but she is not allowed to write notes on anything else, it is a crazy situation.

So Alison is sat at the breakfast bar catching up on case notes and I am sat in the living room on the sofa catching up on case notes.

It was never like this 10 years ago or 15 years ago, neither of us ever did this.

I have systems in my practice designed to make it quick and easy and simple to do this, but as the complexity of my patient increases, the amount of administration associated with them increases exponentially.

There is an end point to this and a point where we can no longer cope, we haven’t reached it yet and in fact are no where near, but we are wise enough and have enough vision to know that it is in the post.

Blog Post Number - 2187