In the normal course of his work as a GP Gavin Francis would expect to spend about a third of his time dealing with the mental ill health of his patients. The pandemic has changed that. “Consultations about mental health vary from week to week, but are commonly at double what they were before the pandemic,” he says.
From his position at the grass roots of the response to Covid-19 Francis has witnessed the spread of the virus at a community level. Some days every call he has taken was about loneliness, self-harm and the contagion of mental health problems.
In a memoir of the past year he describes panic and anxiety as “the virus’s dark refrains, a second pandemic leaching into everyone’s lives”. When