Placeholder Image

字幕表 動画を再生する

  • Hi everyone, I'm Susie from the UK,

  • welcome back to my channel.

  • Today I'm going to interview my mum.

  • Can you introduce yourself?

  • My name is Catherine and I'm a doctor

  • and I've worked for most of my career as a GP in the UK.

  • and I've worked for most of my career as a GP in the UK.

  • So if someone was feeling sick

  • and they wanted to see the GP,

  • how would they go about doing that?

  • All of the different surgeries are independently run,

  • so things will be different in different practices.

  • Things like how they organise their appointment system

  • will be different in every practice.

  • Lots of surgeries now are doing telephone appointments,

  • lots are doing video appointments,

  • lots are still doing come down to the GP and get seen.

  • But the way you organise

  • that will be different in every surgery.

  • In lots of surgeries, you can now book online.

  • What you'll need to do is get familiar

  • with the surgery that you're registered at

  • and how their appointment system works.

  • So if you want to book a Covid vaccination,

  • how do we do that?

  • There are essentially 3 different ways

  • that you can get Covid vaccination.

  • Either you can book online

  • to go to one of the major Covid vaccination centres

  • which are all over the country,

  • or you can have it at your GP surgery.

  • If you're going to have it there, they will call you

  • and you'll have it done there.

  • Or now there are lots of pop up walk-in centres

  • that you can go to, to have it done there.

  • And you need to look in your own area

  • and see where that's being offered and done.

  • So I received the text message to have my vaccine done

  • but I don't know-

  • That came from your GP surgery I think.

  • Okay, but it wasn't at the surgery.

  • No, because some surgeries aren't doing it

  • in their own surgeries.

  • They've grouped together

  • and it would all be done in one central place.

  • So it's like the surgery organising it

  • but at a different venue.

  • Yes.

  • Someone asked an interesting question which was,

  • how much do people pay for the NHS every year,

  • even if you're not sick at all and you don't use the NHS,

  • how much do taxpayers pay for it?

  • Well, how much taxpayers pay I think is unclear.

  • Individuals just don't pay anything for the NHS.

  • It doesn't matter whether you use it a lot

  • or you don't use it at all, you don't pay anything.

  • Increasingly, medicine, and GP practices in particular,

  • are trying to do preventative medicine.

  • So you may be called by your GP surgery to come in

  • and have some checks done,

  • such as for instance, your blood pressure,

  • even if there's nothing wrong with you.

  • Because they're trying to pick things up

  • before you develop any symptoms.

  • But you don't pay anything for that either.

  • But that's not true for prescriptions, right?

  • The prescriptions aren't free.

  • So there are some things that you do have to pay for.

  • So, dentistry, you have to pay for.

  • Opticians, you have to pay for.

  • Although some people are exempt.

  • Prescriptions, most adults will have to pay for,

  • but again there are exemptions,

  • so patients over the age of 65 don't need to pay.

  • Children don't pay.

  • Patients who've got ongoing particular medical conditions,

  • they don't pay.

  • But everyone else has to pay a prescription charge

  • which at the moment is £9.35.

  • So that's quite a lot.

  • So it doesn't matter what drug you receive,

  • you have to pay £9.35.

  • Another big question that everyone keeps asking is,

  • how long does it take to be referred

  • and is it normal to wait about 2 months to see someone?

  • Everything has to come through the GP or the GP surgery.

  • The GP surgery is what's called the gatekeeper

  • into the rest of the system.

  • That's excepting A&E.

  • Anyone can go to A&E.

  • To go to see a specialist,

  • you need to be referred by someone in your GP surgery.

  • #NAME?

  • But it could be a nurse or it could be a pharmacist

  • in the practice or it could be lots of...

  • there are lots of other specialists

  • who are starting to work within the practice

  • such as physiotherapists, pharmacists, paramedics.

  • They can all refer in as well.

  • But it needs to be somebody within that system.

  • Also, opticians can refer in and dentists can refer in.

  • They can all refer in to specialists

  • but you have to see them first

  • and then the waiting list will vary

  • depending on what the problem is

  • and how long that particular department

  • waiting list is at that time.

  • So certain things such as referrals for cancer

  • are under a special pathway

  • where you'll be seen within 2 weeks,

  • but other things can be very much longer.

  • And of course, Covid has made the whole situation

  • much much more complicated.

  • So if you don't want to wait that long,

  • is there somewhere else you can go?

  • Like a private system?

  • Yeah, so there's a private system

  • that works alongside the NHS

  • that people either go to and pay themselves

  • or they have an insurance policy that will pay

  • for them to go to see the private specialist.

  • Often they will ask for a GP letter as well.

  • Not always but often they will.

  • Particularly if it's an insurance referral.

  • What we're going to do now is a little role play

  • where I go and see the doctor.

  • Hello. How can I help you today?

  • Yeah, so I've had a cough for about a week now.

  • Really bad cough and it's not Covid.

  • I know it's not Covid because I took one of the tests

  • and it was negative.

  • It's just really annoying me because it's quite bad.

  • Phlegmy cough.

  • Like kind of bringing stuff up but...

  • So it started a week ago

  • and since then do you think the cough has got better,

  • worse or stayed the same?

  • It's pretty much stayed the same for the last week.

  • When you say, you're bringing up mucus,

  • what colour is the mucus?

  • Just see-through, like just clear.

  • Okay and have you had a temperature at all?

  • Yeah, I did have a bit of a temperature.

  • I was kind of hot in the night for a couple of nights.

  • That's why I thought it might be Covid as well.

  • I thought it was a fever.

  • Okay and what about eating and drinking?

  • Are you eating and drinking okay?

  • Yeah, fine. No changes in that.

  • And is it affecting your sleep, the cough?

  • Yeah, it's keeping me up in the night and I can't sleep.

  • That's what's really annoying about it.

  • Yeah sure, that is annoying, isn't it?

  • What about a runny nose?

  • Have you had a runny nose?

  • No, just a cough.

  • Okay. Have you had any other symptoms at all?

  • Any vomiting or problems with the bowels?

  • No.

  • Have you lost any weight?

  • No.

  • Do you often get coughs or colds?

  • Or is this the first time this has happened or for some time?

  • No, that's what's quite strange about it.

  • I don't usually ever get a cough.

  • Are you otherwise fit and well?

  • Yeah, I'm pretty healthy.

  • And do you take any medications for anything?

  • No. I thought it could be some sort of,

  • I guess Covid virus type of thing, like a flu,

  • so I was thinking maybe I could get some antibiotics.

  • So what I need to do really is I need to examine you.

  • Is that okay?

  • Right, I've examined you