Miriam Solberg’s readings were high in the clinic and normal everywhere else, which for a year was treated as a fact about Miriam.
The practice runs a flag on anyone presenting three times with the same complaint and no diagnosis, regardless of what was concluded each time.
Continuity was measured for a year: what proportion of appointments a patient had with the clinician who knew them. It had fallen to under a third.
The instrument is part of the diagnosis. We audit ours quarterly now, which is embarrassing to have to say.
Illustrative composite
Nothing about the individual consultations was careless. Every clinician was working correctly from what was in front of them; nobody’s job was to look at the shape of the whole thing.
She takes one medicine instead of three. “It was never me,” she says, mildly.
