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In my 30 years as a GP, the profession has been horribly eroded by Claire Gerrarder,

read by Lucy Scott and produced by Tony and Nuchikou.

In December I did my last day on call, my last ever out of our session in general practice.

In a 13 hour shift on boxing day, I did a lot of home visits, during which I offered advice and treatment for rashes, pains,

COVID, injuries and infections.

I saw newborn babies and I certified deaths.

In addition to the usual workload, the pandemic meant filling in for absent colleagues who were shielding or infected with the virus.

From 8 a.m. to 9 p.m. at the out of our centre and on home visits, I didn't stop.

The plastic container of leftover Christmas dinner I had brought with me remained unopened.

This last day was in many ways symptomatic of the changes I have seen over the course of 30 years.

Today, with advances of medicines and technology, patients are living longer, often with three or even four serious long-term conditions.

So having one patient with heart failure, chronic respiratory problems, dementia and previous stroke is not at all unusual.

Whereas 30 years ago, the heart failure might have carried them off in their 60s.

This makes every patient much more complex and it can be much harder to manage them and to get the balance of treatments right.

Today, unlike 30 years ago, all patients are strangers and, as my catchment area now extends into different London boroughs, even the places I go are unfamiliar.

Gone is the relationship between my community and me.

Instead, I am part of a gig economy as impersonal as the driver delivering a pizza.

...