good intentions but under resourced
They generally have the best intentions, however they regularly lose referrals, or simply are operating beyind their knowledge base, and do not know when to refer to specialist. Or maybe do not want to risk being told off they are spending too much on "unnecessary" referrals. Either way, they are causing more harm by ignoring both people with specialist chronic conditions and people needing specialist referrals. It's short term thinking to close the tap like this. If it's because they need CPD that again is a cost thing. They need to buy time and training to improve their care. Well intentioned and most staff very empathetic. With more resources, they could be really excellent.