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I wish I could provide a solution to the problem of accessing UK primary care and am sorry that problems are widespread and increasing.
I am also concerned though that various guidelines about whether antibiotics are needed, and which, for ear infections seem to vary depending on country.
Antibiotic prescribing is increasing in Spain (39 vs 19 per 1000 Spain vs UK) and probably as a result resistance to Strep pneumonia is 25% vs 7 % in UK.
I am not totally sure re the point of the letter in the BJGP but widespread antibiotic provision is perhaps not an ideal to aim for.
Competing Interests: None declared.