So, if you take the treatment, and the nasty thing on your elbow goes away, how does that make the doctor a crap one? Sounds like a busy doctor to me. I think one thing you have to remember about British NHS doctors is that, over here, you're the patient and the doctor is the doctor. If you want a doctor who rolls out a red carpet and gives you a cup of tea and does 26 different tests and justifies every element of the diagnosis to you, and makes you feel all important, you have to "go private" and pay for it.