Island Life Magazine Ltd June/July 2017 | Page 45

Interview “It was a good medical community to work in. I did have a lot of responsibility for my grade, but we were very well supported, and that made a big difference” and so effectively leapt on the property ladder while he was still at Uni! After selling that property, it gave him the means to invest in a small house in Ryde as his first independent home on the Island. Working GP After a hectic three years as a trainee, Dr Coleman gained his GP Certificate and headed to the south side of the Island as assistant to Dr Norman Beisly in Ventnor. After little more than a year, Dr Beisly retired, meaning that at the age of 30, Dr Coleman became a partner in the practice with the late Dr Alan Champion and Dr David Turner. “It was very much about working in the community, and seeing whole families, so you built up strong relationships of trust with people over time, and really got to know people” he recalls. “It’s satisfying to feel that you are helping families throughout their lives, and now, after more than 30 years, I must have seen four or more generations of the same family. “For a GP that’s a great basis to work from, because you really get to know people and their history, which makes it easier to pick up on things they say or do that might be subtly different and may need your attention. “Unfortunately it’s hard to measure any of these things in the way the Government would like us to measure them – it just comes from experience and knowledge of your patients.” “Of course we have had to modernise and embrace all the modern methods, but we still do it here in a family-focused way.” But as he points out, the pressures in the NHS now are steering things towards ever- larger medical practices. “The general idea is that large is good” he says, “but you can lose the real effectiveness of a family GP if there’s no continuity or relationship with the practice. With its roll of just over 5,200 patients, Ventnor would now count as a small medical practice - the average being over 12,000, and in the case of inner city practices, more like 30,000. The biggest change Dr Coleman says he’s witnessed during his years as a GP is the “intensity and depth” of the conditions that family doctors now routinely treat. “What I see in the surgery now is as specalised as I used to see in outpatients during my hospital training” he explains. “There’s a lot more responsibility on the GP in managing chronic conditions, such www.visitilife.com 45