Doodledog
I think they are like any other group of people - some are lovely, some are awful and others are in the middle somewhere. Our surgery has a mixed bag. Some are resourceful and very helpful - others ask you to hold and carry on a 'confidential' conversation whilst you wait and can hear every word. Some are condescending and others are respectful and kind - just like people in any line of work.
I suspect that if more worked full-time it might be better. As it is (and as with the doctors) there are lots of them and everyone seems to do about 12 hours a week, so there is little continuity at any level. Maybe that works better for costings, and maybe the job is too stressful for most to do it full-time, but it's not great for the patients. In the old days there were four full-time GPs, a couple of nurses and 'Mrs X and Sandra' behind the desk so there was cover at lunchtime and if one of the doctors needed admin assistance.
Mrs X knew everything and more and was very efficient, while Sandra was willing and keen to learn so that she could take over when the time came, yet was more willing to bend rules and squeeze people in or make allowances for nervous new mums who probably didn't need to see a doctor but were scared as their baby had a bit of a temperature. Patients knew who to ask for what. It's all very different now.
It must be a very difficult job to deal with people who are scared, stressed and ill - particularly when appointments are difficult to get and resources are stretched after such a long period of neglect of the NHS. It's not their fault, but as the front line they get the flack. Also, I don't think they are paid anything like a salary commensurate with the necessary skills, so it wouldn't be surprising if surgeries have to take who they can get in many cases. Obviously that does not apply across the board, but why would someone with the tact, diplomacy, people skills and ability to get a much higher paid role hang around on little more than minimum wage when they could get a better-paid job somewhere else that doesn't involve being abused on a regular basis?
As a retired GP receptionist, thanks Doodlebug very much for your most perceptive post about the demands of the job. What many of you may not realise is that, as the last 20 years went by, we have been less and less able to give the time to each patient that we would like to give - to practice active listening, empathy and find time afterwards to follow up that appointment for them, or to have a quiet word with the GP about a family problem that the patient has entrusted us with. Mostly that was due to the GPs themselves feeling very much under time pressure and more inundated with administrative tasks, form filling etc than ever before, and frustration made them pass the buck to us to be more brisk and frankly less helpful to their patients, rather than damage their own relationships with them. Consequently people took their frustrations with the system out on us. I got so stressed by the time I was 65, that I retired thankfully but sadly.