Constraints
Example Personal Constraint
This period has been particularly challenging for me as working as a freelance Doctor I noticed early on that work was slowly drying up . The sense of isolation that developed in that first month to 6 weeks was a real challenge.
I caught Covid in the first month of the pandemic. This was not a good experience for me and professionally it set me back in terms of keeping abreast of all of the guidance that was being issued at the time, and I seemed to be always playing catchup when I went back to work.
Example Practice Constraint
Staff sickness and self-isolation has meant that at times we have been operating on a skeleton staff which has impinged on doing anything other than surviving.
We are too small to effectively manage different patient areas and we are worried that this will influence our ability to provide services when things open up.
Example Service Constraint
The lack of community staff such as health visitors closure of dentists and opticians has meant we have increased demand when we are already snowed under.
Failure to accept referrals has meant constant chasing to ensure patients aren’t forgotten about and has led to extra recurrent discussions with patients about their condition.
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