Diagnosis 4 Aug 2026
The second opinion
She was told her chest pain was anxiety. A structured re-referral pathway took eleven weeks to find otherwise.
Continue reading →
PRIMARY CARE CASE NOTES
Case notes from primary care — continuity, referral, access, and what actually happens inside a short appointment.
How to read this siteLatest posts
Diagnosis 4 Aug 2026
She was told her chest pain was anxiety. A structured re-referral pathway took eleven weeks to find otherwise.
Continue reading →Continuity 7 Jul 2026
A practice measured how often patients saw someone who already knew them. The answer started an argument.
Continue reading →The ten minutes 10 Jun 2026
The appointment did not get longer. What happened inside it was restructured.
Continue reading →Referral 13 May 2026
Rewriting referral letters cut a round of back-and-forth out of most onward pathways.
Continue reading →Diagnosis 16 Apr 2026
A year of escalating treatment, undone by a piece of equipment calibration.
Continue reading →Accounts
She was told her chest pain was anxiety. A structured re-referral pathway took eleven week
Now something's job is to look at the whole shape of it,
A practice measured how often patients saw someone who already knew them. The answer start
She knows what I'm like when I'm well. That's the useful part.
The appointment did not get longer. What happened inside it was restructured.
I arrive and she's already read it,