Month: July 2017

Sick leave in general practice

On my journey to being a grown-up GP, I completed placements in four different practices as a junior doctor (FY2, ST1, ST3 and ST4). As you might imagine, each placement introduced me to a host of intriguing colleagues – both clinical and non-clinical – who each taught me something different and between them, showed me what good (and bad) healthcare teams look like. Above all, over the course of these placements, I became convinced that the ‘independent contractor’ model of general practice needs to change. One important reason for this was the way in which practices struggled to cope...

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Part 2: Integration and true collaboration to develop primary care

Cat Roberts is Clinical Lead GP involved in developing and delivering primary care services within an acute trust, including a GP-led frailty service You can read Cat’s first post: Challenging the norm: GPs as innovators here. I vividly remember one of my first consultations as a general practice registrar. The patient had a list of complex problems and I did not have the skillset to deal with the multitude of issues or her expectations. The consultation became strained, and as she pressed me for answers and solutions I became more defensive. The defensiveness manifested itself in the use of medical...

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Part 1: Challenging the norm and GPs as innovators

Cat Roberts is Clinical Lead GP involved in developing and delivering primary care services within an acute trust, including a GP-led frailty service Following a few years of basking in the ‘delicious ambiguity’ of general practice we returned to the hospital wards to try to fully understand patient care pathways. Any doctor studying for membership exams will describe how the second learning cycle is so much more meaningful when digested with a wealth of clinical experience – the same is true of returning to secondary care having worked in primary care. We were stepping from a land of hypothesis into...

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