We share concerns with Tessa Richards regarding the potential loss of shared decision-making in health systems. COVID-19 has profoundly influenced the delivery of primary care. Many GPs have fallen back on doctor-centred primary care during the initial surge of the pandemic. The step change in e-consults  and a huge swing towards telephone triage offer tempting efficiencies to manage workload in primary care, but we risk losing the patient focus that we all believe in.
Birrell, K., Edwards, A., Tomson, D., & Flynn, D. (2020). Rapid Response: Patient and public involvement in covid-19 policy making. BMJ (Online), 370. https://www.bmj.com/content/370/bmj.m2575/rapid-responses