The Quality and Outcomes Framework has deeply divided UK general practitioners. I commend this book and applaud its determination to scrutinise every aspect of the Quality and Outcomes Framework - good and bad and in-between. - From the Foreword by Iona Heath General practice in the UK faces transformation following the introduction of the Quality & Outcomes Framework (QOF), a pay-for-performance scheme unprecedented in the NHS, and the most comprehensive scheme of its kind in the world. Champions claim the QOF advances the quality of primary care; detractors fear the end of general practice as we know it. The introduction of the QOF provides a unique opportunity for research, analysis and reflection. This book is the first comprehensive analysis of the impact of the QOF, examining the claims and counter-claims in depth through the experience of those delivering QOF, comparisons with other countries, and analysis of the wealth of research evidence emerging. Assessments of the true impact of QOF will influence the development of health services in the UK and beyond. This book is essential reading for anyone with an interest in the future of general practice and primary care, including health professionals, trainers, students, MRCGP candidates and researchers, managers, and policy-makers and shapers.

This accessible text covers the entirety of General Practice and the General Practitioner, from student to retirement and from the beginning of the NHS to the present day. It provides a comprehensive historical overview representing both academic and front-line perspectives, describing what has changed, beneficial or otherwise, as the specialty has evolved. The details within each chapter represent the views of the average working British GP and illustrate how the changes over the decades have impacted patient care and its delivery. The perspective often differs from that which prevails in many academic tomes on the subject. The topics covered, from the primary care team, changes to out-of-hours provision, the impact of IT, training, and regulation, to the future of General Practice, will be essential reading for all doctors considering a career in the specialty and will also be of interest to GP vocational training scheme course organisers and trainers, overseas medical educators and healthcare policy makers, social and medical historians, and the general public.

This is a history of general practice under the National Health Service, covering the whole of the first 50 years, from 1948 to the present.

This innovative and timely book draws on pioneering precedents, basic principles, current examples and international experience to capture the narratives, examples and ideas that underlie and demonstrate the exceptional potential of general practice: "If health care is not at is best where it is needed most, health inequalities will widen." "The unworried unwell are not hard to reach but they are easy to ignore and are often ignored." "With patient contact, population coverage, continuity, coordination, flexibility, long term relationships and trust, general practices are the natural hubs of local health systems." "... practitioners ... are not only scientists but also responsible citizens and if they did not raise their voice who else should?" Written for family doctors looking to strengthen local collaboration, it brings together the traditional strengths of consultations, caring, continuity, coordination and coverage with the current and future challenges of building capacity, community, creativity, consistency, collegiality and campaigning. It highlights the critical importance of working with patients, maximising the use of serial encounters, integrating care, joint working between practices, social prescribing, community development and advocacy based on patient and practitioner experience. Drawing on the highly-regarded work of Deep End GPs serving the poorest communities in Scotland ̶ www.gla.ac.uk/deepend ̶ the book is an invaluable handbook for all primary care doctors, irrespective of health care system or country, seeking to provide unconditional continuity of personalised care for all patients, whatever problem or combination of problems a patient may have.

This is the first book to explore the impact of 'burnout' on the current NHS GP workforce and how this can be addressed, from an insider GP perspective. Adam Staten, recently qualified GP, and Euan Lawson, Fellow of the RCGP with over 20 years experience, discuss in engaging, accessible chapters how burnout manifests psychologically, the complex reasons why GPs burn out and the individual and broader impact this can have. Most importantly, the book offers practical advice on how to avoid burning out and combat the negative effects of an increasingly high-pressure role, exploring how GPs can develop resilience and work in a way that builds a healthier work-life balance. A section is dedicated to the array of GP job options, with testimonies from practitioners working in diverse areas from education and academia to military and humanitarian settings. This book explores the challenges of working in general practice today, but it also demonstrates the potential for every GP to experience a personally and professionally satisfying career. Providing practical, workable advice and links to resources for help and support, the book enables readers to find opportunity within the perceived 'crisis'. By reading this book, you will find the means to improve not just your own working life but also to enhance the way you deliver care to your patients.

Deep End practices are at the front line of the NHS in addressing the health and problems of severely deprived communities. The experiences and views of GPs serving the 100 most deprived practice populations in Scotland are presented.

Aimed at medical students and junior doctors, A Textbook of General Practice 2e incorporates the essential information that a student needs to know and understand about general practice and being a general practitioner. The learning style of the book is based on experiential and reflective principles in keeping with modern educative theory and prac

Migrant architects of the NHS draws on forty-five oral history interviews and extensive archival research to offer a radical reappraisal of how the National Health Service was made. It tells the story of migrant South Asian doctors who became general practitioners in the NHS. Imperial legacies, professional discrimination and an exodus of UK-trained doctors combined to direct these doctors towards work as GPs in some of the most deprived parts of the UK. In some areas, they made up over half of the general practitioner workforce. The NHS was structurally dependent on them and they shaped British society and medicine through their agency. Aimed at students and academics with interests in the history of immigration, immigration studies, the history of medicine, South Asian studies and oral history. It will also be of interest to anyone who wants to know more about how Empire and migration have contributed to making Britain what it is today.

General practice nurses are faced with the daily challenge of keeping up-to-date with a vast range of conditions and their management. They also need to be familiar with evidence-based practice to inform high-level decision making. This Survival Guide will prove a valuable resource to nursing students experiencing general practice for the first time. Many universities across England now deliver 'Fundamentals of General Practice' programmes. This book will complement those programmes and provide essential information to assist nurses new to general practice. For experienced nurses working in general practice there are essential chapters covering the latest developments such as leadership, quality improvement, PCN developments and essential clinical knowledge that highlight the changes in clinical care in recent years, plus an acknowledgement of the impact the COVID 19 pandemic has had on management of care. This is an indispensable handbook for: - Defining the essential knowledge for meeting continuing professional development requirements - Understanding fundamental clinical skills to ensure best practice - Exploring new ways of working to consult and communicate with patients - Investigating ways to improve care delivery - Handy format makes for easy reference - Clear, bulleted content puts the emphasis on quick reference - Reflective activities - Diagrams clearly explain difficult concepts - Case studies highlight best practice

From a highly experienced General Practice Manager with many years' working within NHS management in various surgeries around the UK, comes a handbook for all surgery staff, including doctors and nurses, on the contemporary business process of medical administration. In these pages, Dr V Subramanian shares his experience and management skills with all those wishing to learn about this vital cog in the machine of the NHS. Transcribed from a blog dedicated to the same purpose (www.manigpsm.com), the book begins with an insight into General Practice surgeries as seen from a contemporary business standpoint. The purpose of NHS management is to provide feedback and medical administration for the doctors and nurses, a vital role that not everyone is aware of. Through various chapters including those on operations, patients, and finance, a picture of the position of General Practice Manager is revealed. Anyone with an interest in the business process of GP surgeries and the management skills needed to keep them up and running should read this book, and for all doctors, nurses, and other medical staff working in General Practice, this is a must-read handbook.