An Upstanding Idea

Until recent years standing desks may have been synonymous with a quirky Silicon Valley start-up, but they’re becoming mainstream, including in general practice. Dr Toby Haseler, a GP ST3 in London and RCGP Clinical Support Fellow for Physical Activity and Lifestyle, explains why he’s introduced a standing desk in his consulting room.

I’ve had mine for nearly two years and would estimate I’ve used it for 80% of my clinics. It means I’m rarely sedentary at work, I feel more energetic, and my clinics become dynamic and engaging.

Research has shown – some based on NHS employees – that having a standing desk reduces sitting time and daily anxiety, and can increase job performance and quality of life. Some evidence shows standing can help with office-related back pains.

I have always felt frustrated with the amount of potential time we spend being sedentary as GPs, especially given this is an independent risk factor for cardiovascular disease, diabetes and allcase mortality.

With telemedicine, patients are often completely unaware that I’m standing – but being able to stand whilst on the phone really helps me engage, feel energetic and not feel like I’m in a glorified call centre.

With my face-to-face consultations, the experience is almost universally positive. I’ve had patients say, ‘I need one of those’, ‘that’s such a good idea’, ‘do you think that would help me too?’ They’re inquisitive – they start asking questions about the benefits of standing and walking, which opens up conversations about nutrition, weight and other lifestyle factors.

I still have seats in my room and sit opposite my patient to talk to them before standing to examine or check their notes. Because I’m not tied to my computer, I might examine whilst we speak and I don’t end up being tempted to type as we talk. Some patients even ask to stand, seeing that the option is there.

When it comes to prescribing, doing a fit note, or printing a patient leaflet I’ll stand up and start back on my computer – this is great for the flow of the consultation too, it’s a signal to the patient and myself that we’re coming to an end.

I couldn’t do without mine. For me, it’s similar to the difference between going for a walk with a friend versus sitting in their kitchen for three hours. From the personal benefits to health, and the increased enjoyment and energy I feel in my clinics, a standing desk certainly elevates my work satisfaction and I’d encourage anyone tempted to try to just go for it. •