On Wednesday while my heart was racing and I was willing it to return to normal and hoping to stop being dizzy I sent an email to about 6 key GPs in my PCT area. There is to be a review of maternity services and they, along with midwives, obstetricians, actual people who recently had babies and others have been invited to contribute. I have received 3 replies to date, the first from a GP I know who says – yes, love to be involved, the second from a GP worried his population are poorly served by services right now and a third from one who thinks it is no business of a GP.

This is the fascinating, interesting and often amazing world that is primary care. No two GPs in no two surgeries seem to actually agree with each other. For each sensible, measured response, someone decides to fly off the handle. If you try to involve them, then you can be accused of bothering someone who is busy with too much else to do but woe betide you if you don’t actually send that email or make that call.

This means that every time Dr Crippen flies off the handle, every time Dr Rant is apoplectic with rage, then somewhere a GP is thinking that this is rather a good idea and another is wondering why anyone has actually bothered! This is why I love health management so much!