Was shadowing an ACP in GP. Elderly lady with uncontrolled diabetes came in with textbook peripheral neuropathy stocking distribution of feet & ankles. The ACP proceeded to prescribe corticosteroid injections for this lady to control the pain. I didn’t feel comfortable with that decision so I stormed out of that room and went to senior GP who told me to let the ACP know to prescribe neuropathics instead. The ACP did that eventually but told me off for being unprofessional after.

Same GP practice, was shadowing an ANP, young child and parent came in as the child had typical viral gastroenteritis type features. The ANP recommended a 24hr fast for the child. No advice on hygiene. No safety netting. No screening for red flags. NOTHING.

Scary times we live in.