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Wales:

GP, 78, prescribes work in old age

By Nick Dermody, BBC News

January 27, 2004


Dr Brendan Kelly

Another day at the office: Dr Kelly does not use a traditional black bag

There might be no shortage of GPs in Wales if there were more people like Brendan Kelly.

At 78, he is the oldest doctor in the country employed by Primecare, the UK 's biggest provider of out-of-hours GP services.

On the cold, wet and windy weeknight I met him at his home in Merthyr Tydfil , he was once again preparing to drive over a mountain for another evening's work as a locum or stand-in family doctor.

He is still keen to work - holding surgeries and making house calls at all times and in all weathers - at an age when many people at his time in life are happy to enjoy their retirement.

Dr Kelly has tried retirement. Twice. And it just doesn't suit him. Yet he is bemused to think he might be unlike your average 78-year-old, and has every intention of carrying on.

He said: "There are plenty of people like me who are working into their 90s. I'm not that unusual.

"As long as I enjoy the work, I will carry on doing it."

When he became a partner of a practice in Dowlais in January 1961, he would be on duty every other night. At the same time the father-of-six was renovating the family house.

"I would finish surgery about 10pm , then after some supper, I would get to burning off some paint," he recalled.

"You could have three calls from 2am - you could say that you would be out all night. I'm not doing anything different today."

 

Dr Brendan Kelly

The 78-year-old says he is not unusual in still working at his age

It's true. It was only a couple of months ago that he was out in the Rhondda one night doing house calls until 0700 GMT.

Provided with a driver by Primecare, the good doctor says he has a secret weapon: he needs only four to five hours sleep a night.

Despite working in one of the most socially deprived parts of Wales, Dr Kelly is adamant that he has never been troubled by the threats and abuse which plagues so many working doctors these days.

What he won't tell is that he has a bedside manner which could be a model for young doctors.

"You have to pay attention to what you are doing. If you are nice to patients, and you give them a chance to talk, they will tell you what's wrong," he said.

After qualifying in Galway in 1952, he was working at a mental health hospital in Worcester when he met Michael Kyne, a partner in a GP surgery in Dowlais and who sometimes referred patients to the hospital.

After a couple of years, Dr Kyne, a fellow Galway man, asked him to join the practice.

It wasn't long before Dr Kelly made his mark. His experience in mental health care let him see there was a need for a specialist in that field.

 

Dr Brendan Kelly and his wife, Kitty

Dr Kelly and his wife, Kitty, had their golden anniversary last year  

Psychotherapy specialist

He set up a weekly group psychotherapy session and, more than 40 years later, he is still running it.

"I knew that nobody suffers as much as people who suffer from a neurotic illness. They suffer as much as someone with an acute appendicitis."

Dr Kelly retired for the first time in 1987, but was back at work the following week working part-time. That continued until 1995 when he retired for the second time.

But when Primecare gave him a call, he could not resist the temptation to pick up his doctor's bag once again.

Dr Kelly believes his younger full-time colleagues are just too worn out with the bureaucracy and form-filling which has become such a feature of a doctor's job.

"There is so much administration these days," he said. "A doctor has to account for every minute of his or her day and every decision they make.

"If they were only allowed to get on with the job, they would not be so exhausted."

And with that, it was time of both of us to leave. I drove home to Cardiff and Dr Kelly drove off into the rain for another evening's work.

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