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GPs in London seem to be at breaking point. I move house every year, staying in the same area, but even though it's only a short walk from my current flat to my old one I no longer fall within the catchment area of my GP. In fact, I am right on the edge of the catchment area of my nearest GP! My local A&E is absolutely swamped with people going straight there instead of even bothering with their GPs. You get told off for doing that but at least you can see someone.


the problem with A&E is that its used as a dumping ground for a lot of problems that would have been handled else where.

I few years a go i got sent as an emergency admission to our A&E and there where kids with sprained ankle that woudl have been seen by the school nurse a few yeas ago - but due to cuts schools dont have their own medical staff at all and just clog up A&E


I agree that A&E is stretched, but:

- A&E is meant to cover accidents and emergencies. Spraining an ankle is (usually) an accident.

- Is there an argument (based on efficiency or something else) for schools to have their own medical staff, over and above some proportion of teachers trained in first aid, and maybe a full-time person to make decisions on next steps for more complicated cases?


No schools in the UK are gaming the system to maximise the outcome, a school nurse doesn't help get a nice but dim kid get a grade C in English and Math. Uk Schools put all their effort in turning D's into C's

So they just dump the cost on the NHS




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