A genuinely poignant and insightful critique of the resilience paradigm that deserves much wider scrutiny.1 ‘Vulnerable’ practices are portrayed in our present NHS as outliers, dysfunctional and lacking in this apparently discrete and tangible construct of resilience. In reality, appraisers will observe that ALL practices are vulnerable in the present climate and that the insinuation that professionals struggling against a tide of politically orchestrated adversity are in some way ‘lacking’ is both deeply flawed and distasteful. It was fascinating to reflect upon the author’s analysis of the tide of health anxiety/systemic unhappiness that is sweeping our consulting rooms. Time to recognise the remarkable gift that most primary care teams bestow every single day in the face of hypocrisy. Unless our profession owns self-worth, we cannot hope to develop a meaningful détente. Our profession’s laudable functional malleability must not be mistaken for ideological nihilism.
- © British Journal of General Practice 2017
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