A group representing general practitioners still hasn't responded to coronial recommendations made after a Wangaratta murder-suicide.
Greg Floyd shot his wife Ora Holt inside their neighbours' Belle Avenue home on Anzac Day 2017.
He then turned the gun on himself.
Police investigated the incident and prepared a report for the Victorian coroner, with coroner Caitlin English looking into the circumstances of the tragedy.
Ms English noted Mr Floyd's mental health appeared to have been declining.
He had told friends and family members in late 2016 he believed his partner of 11 years was gathering evidence to "set him up".
He had sought treatment from the Ely Street Clinic in Wangaratta for anxiety and relationship issues and was referred by his employer to a counselling service.
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He had his first session with a social worker on March 16, 2017.
In findings handed down nearly 18 months ago, Ms English urged the Royal Australian College of General Practitioners to review it's guidelines surrounding abuse and violence, and to educate members from health networks and family violence hubs on the issue.
Her findings noted the difficulties for doctors to detect when patients were delusional, as many presented as rational and normal.
"Most GPs would never see a patient with a delusional disorder so the focus of this recommendation is on the index of suspicion for violence, so that GPs may notice a trigger that makes them think of potential family violence, for example, indications of surveillance," Ms English said.
While an index of suspicion exists for doctors, there are no examples of what a doctor would include or exclude to make such a judgement.
She called for the RACGP to develop guidance and examples for doctors working with possible perpetrators of family violence, but the group still hasn't responded.
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