Disappointing GP consultation re allergies, but are my expectations unrealistic?

Hi everyone 

I get on well with named dr and with the autism diagnosis Ive been granted reasonable adjustments which give double appointments as standard and they have created a bypass around their phone & triage system. This is all very much appreciated but after having been disconnected from primary care for a few years the actual consultations are seeming increasingly unhelpful.


It seems that predominantly all that results from them is yet another referral on to someone else or a hospital department. I’ve actually four current open referrals none of which have had any meaningful progress (audiology, allergies, mental health and the pain team). Im wondering though if Im expecting too much from my gp? We went this week regarding my allergies but after a decent discussion she just tweaked my antihistamine meds and referred me on to an allergy team, but with the proviso this may be triaged by them as not a priority. I believe Ive had anaphylaxis twice in my 68 years but as there is no note to confirm these in my nhs records it is not counted as evidence. It feels like only if I have a third attack (and these can kill) and evidence is collected little will be done. 

I do understand the political and economic situation in which the nhs works and how funding is allocated and the use of KPIs (key performance indicators) to incentivise certain actions (and inactions) so on calm reflection I think Im wishing for those years as a child then teenager when gp practices had more funding per patient and where performance indicators were not the primary driver. Where they had the staff and freedom of action to do lots more in within the practice. 


AnA

Parents
  • I think it's just the way it works, the GP's can do a certain amount before refering you to a specialist, you're lucky to have been refered to an allergy specialist, they're so few and far between my GP said he wouldn't know who to refer me to or where they would be.

  • Thanks, sorry for my slow reply. The referral is to a specialist allergy unit in one of the big metropolitan cities, not especially near but easy by train. I had a referral to them two years ago they triaged then rejected me. Ive been assessed previously by an nhs allergy clinic in the West Midlands but things are getting progressively worse. They diagnosed pollen food syndrome on top of the allergic rhinitis present since birth. I have had two anaphylactic attacks in my life but as neither appear in my health records they aren’t considered as valid evidence, this feels like gaslighting. Basically until I have a third attack (which could potentially kill me) and it is documented little progress can be made. 

Reply
  • Thanks, sorry for my slow reply. The referral is to a specialist allergy unit in one of the big metropolitan cities, not especially near but easy by train. I had a referral to them two years ago they triaged then rejected me. Ive been assessed previously by an nhs allergy clinic in the West Midlands but things are getting progressively worse. They diagnosed pollen food syndrome on top of the allergic rhinitis present since birth. I have had two anaphylactic attacks in my life but as neither appear in my health records they aren’t considered as valid evidence, this feels like gaslighting. Basically until I have a third attack (which could potentially kill me) and it is documented little progress can be made. 

Children
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