Involving the public in general practice in an urban district: levels and type of activity and perceptions of obstacles

2000 ◽  
Vol 8 (4) ◽  
pp. 251-259 ◽  
Author(s):  
Ian Brown
Keyword(s):  
General Practice ◽  
Urban District ◽  
The Public

Workforce Race Equality Standard survey in general practice: Lewisham 2019

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711125
Author(s):  
Sebastian Kalwij
Keyword(s):  
General Practice ◽  
Response Rate ◽  
Zero Tolerance ◽  
Diverse Workforce ◽  
The Public ◽  
Staff Members ◽  
Zero Tolerance Policy ◽  
Minority Ethnic ◽  
Equality Standard ◽  
Improve Health

BackgroundThe NHS Workforce Race Equality Standard (WRES) was introduced in 2015 and is mandatory for NHS trusts. Nine indicators have been created to evaluate the experiences of black and minority ethnic (BME) staff compared with the rest of the workforce. The trust data published showed a poor experience of BME staff compared with non BME staff.AimTo introduce the concept of WRES into general practice and create a baseline from which improvement can be made. A diverse workforce will better serve its population and this will improve health outcomes.MethodWe conducted a survey among all general practice staff members, clinicians, and non-clinicians and asked open-ended questions built around four WRES indicators most applicable to general practice, over a 6-week period in August and September 2019.ResultsWe collected 151 responses out of a total workforce of around 550. The response rate between clinicians and non-clinicians was equal 50.6% versus 49.4%. The distribution of non BME staff 51% versus BME staff 49% mirrors the diverse population of Lewisham. 54% of BME staff experienced bullying from patients, their relatives, and members of the public. 25% experienced bullying from a colleague or staff member in the workplace and 22% of BME staff changed jobs as a result of this.ConclusionBME staff in general practice report high levels of racism, especially from service users. In 22% this led to a career change. A zero-tolerance policy needs to be enforced and a multi-pronged approach is required to address this.

scholarly journals Attitudes of newly qualified doctors towards a career in general practice: a qualitative focus group study

2017 ◽  
Vol 67 (657) ◽  
pp. e253-e259 ◽  
Author(s):  
Alexandra Merrett ◽  
Daniel Jones ◽  
Kim Sein ◽  
Trish Green ◽  
Una Macleod
Keyword(s):  
Job Satisfaction ◽  
General Practice ◽  
Universal Access ◽  
Focus Group Study ◽  
Skill Levels ◽  
The Public ◽  
Audio Recordings ◽  
The Government ◽  
Training Skill

BackgroundA key element of the NHS is universal access to a GP. Recently, UK general practice has been described as being in crisis, with training places unfilled and multiple practices reporting vacancies or facing closure. The recruitment of GPs continues to be a key focus for both the Royal College of General Practitioners (RCGP) and the government.Aim To understand the attitudes of newly qualified doctors towards a career in general practice, to appreciate potential reasons for the crisis in GP recruitment, and to recommend ways to improve recruitment.Design and setting A qualitative study comprising five focus groups with 74 Foundation Year 1 (FY1) doctors from one Yorkshire deanery.MethodAudio recordings were transcribed verbatim and thematic analysis undertaken.ResultsFoundation Year 1 doctors’ thoughts towards a career in general practice were summarised in four themes: quality of life, job satisfaction, uncertainty surrounding the future of general practice, and the lack of respect for GPs among both doctors and the public. Participants felt that general practice could provide a good work–life balance, fair pay, and job stability. Job satisfaction, with the ability to provide care from the cradle to the grave, and to work within a community, was viewed positively. Uncertainties around future training, skill levels, pay, and workload, together with a perceived stigma experienced in medical schools and hospitals, were viewed as a deterrent to a career in general practice.ConclusionThis study has gathered the opinions of doctors at a critical point in their careers, before they choose a future specialty. Findings highlight areas of concern and potential deterrents to a career in general practice, together with recommendations to address these issues.

Critical Review of Japanese Disaster Medical Education for Citizens: Exploring the Method of Medutainment

2015 ◽  
Vol 10 (5) ◽  
pp. 919-928 ◽  
Author(s):  
Ikushi Yoda ◽  
◽  
Momo Shiroyama ◽  
Hirotaka Uesugi ◽  
Hironobu Kamagata ◽  
...  
Keyword(s):  
Medical Education ◽  
General Practice ◽  
Experiential Education ◽  
Low Cost ◽  
First Aid ◽  
Disaster Medicine ◽  
Intended Audience ◽  
The Public ◽  
Fire Stations ◽  
Do So

Various attempts have been made to disseminate first aid treatment related to disaster medicine to the public. More specifically, employees of fire stations hold seminars and visit schools using textbooks as general practice. However, it is difficult to judge whether attendees are actively involved in them or attending only because they are required to do so. Therefore, a broad survey on books, DVDs, experiential education, and information technology (IT) centering on first aid was conducted using a hierarchical system of ages of intended audience members. This survey was performed to create an IT-based textbook to disseminate to the public first aid techniques that are difficult to learn if low-cost experience-based education is not available. In addition, a new method for “medutainment” (medical edutainment) was studied as a way to teach new disaster medicine guidelines for citizens for medical rescue training.

scholarly journals Biodiversité des espaces verts publics de la commune urbaine de Marrakech (CUM) (Maroc). Biodiversity of the public green spaces in the Urban District of Marrakesh (UDM) (Morocco)

2017 ◽  
Vol 41 ◽  
pp. 83
Author(s):  
Abdelouahed El Faiz ◽  
Hanane Dounas ◽  
Abdelilah Meddich ◽  
Mohamed Hafidi ◽  
Ahmed Ouhammou
Keyword(s):  
Environmental Planning ◽  
Scientific Data ◽  
Urban District ◽  
Prise De Décision ◽  
The Sustainable Development ◽  
The Public ◽  
Milieu Urbain ◽  
Floral Diversity ◽  
Major Interest

English. The Public Green Space (PGS) in urban zones is a major interest in the sustainable development, both regarding environment and the quality of life of their users. The present study constitutes a first research which is interested in the PGS of the Urban district of Marrakesh (UDM) to have a basis of scientific data on these spaces and to help taking decision and environmental planning of it. It aims at (i) the study of the diversity of the ornamental flora (ii) and the analysis of the structure and the distribution of these PGS. So, the prospecting concerned 50 PGS distributed on 5 districts of the UDM. The results showed a diversity of ornamental flora which contains 297 vascular species, distributed in 212 genera and 88 families. 77 % of species are exotic. This specific richness is dominated by 12 families which contain 142 species distributed in 85 genera. The frequency, the origin and the biological type of these species are much diversified. The study of the structure highlighted 4 types of PGS that differ by their size and their function. The analysis of the floral affinity of the PGS-UDM revealed 13 groups which distinguish by their floral compositions. Consequently, the PGS-UDM contributes deeply to the preservation and the increase of the floral diversity and improvement of the esthetic quality of the city of Marrakesh.Fraçais. En milieu urbain, l’espace vert public (EVP) constitue un enjeu majeur du développement durable, tant en matière d’environnement que de qualité de vie de leurs usagers. La présente étude présente une première recherche sur les EVP de la ville de Marrakech permettant de disposer d’une base de données scientifiques sur ces EVP qui va aider à la prise de décision et de planification environnementale de la ville. Elle vise (i) l’étude de la diversité de la flore ornementale (ii) et l’analyse de la structure et la répartition spatiale de ces EVP. La prospection a concerné 50 EVP urbains répartis sur les 5 arrondissements de la ville. Les résultats ont montré une diversité de la flore ornementale qui s’élève à 297 espèces vasculaires, réparties en 212 genres et 88 familles et dont 77 % des espèces sont exotiques. Cette richesse spécifique est dominée par 12 familles qui détiennent 142 espèces réparties en 85 genres. La fréquence, l’origine et le type biologique des espèces sont très diversifiés. L’étude de la structure a fait ressortir 4 types d’EVP qui diffèrent par leur taille et leur fonction. L’analyse de l’affinité floristique des EVP-CUM a fait apparaître 13 groupes qui se distinguent par leurs compositions floristiques. En conséquence, les EVP de la ville contribuent vivement à la conservation et l’accroissement de la diversité floristique et à l’amélioration de la qualité esthétique de la ville de Marrakech.

scholarly journals Biodiversité des espaces verts publics de la commune urbaine de Marrakech (CUM) (Maroc). Biodiversity of the public green spaces in the Urban District of Marrakesh (UDM) (Morocco)

2016 ◽  
Vol 41 ◽  
pp. 83-100 ◽  
Author(s):  
Abdelouahed El Faiz ◽  
Hanane Dounas ◽  
Abdelilah Meddich ◽  
Mohamed Hafidi ◽  
Ahmed Ouhammou
Keyword(s):  
Environmental Planning ◽  
Scientific Data ◽  
Urban District ◽  
Prise De Décision ◽  
The Sustainable Development ◽  
The Public ◽  
Milieu Urbain ◽  
Floral Diversity ◽  
Major Interest

English. The Public Green Space (PGS) in urban zones is a major interest in the sustainable development, both regarding environment and the quality of life of their users. The present study constitutes a first research which is interested in the PGS of the Urban district of Marrakesh (UDM) to have a basis of scientific data on these spaces and to help taking decision and environmental planning of it. It aims at (i) the study of the diversity of the ornamental flora (ii) and the analysis of the structure and the distribution of these PGS. So, the prospecting concerned 50 PGS distributed on 5 districts of the UDM. The results showed a diversity of ornamental flora which contains 297 vascular species, distributed in 212 genera and 88 families. 77 % of species are exotic. This specific richness is dominated by 12 families which contain 142 species distributed in 85 genera. The frequency, the origin and the biological type of these species are much diversified. The study of the structure highlighted 4 types of PGS that differ by their size and their function. The analysis of the floral affinity of the PGS-UDM revealed 13 groups which distinguish by their floral compositions. Consequently, the PGS-UDM contributes deeply to the preservation and the increase of the floral diversity and improvement of the esthetic quality of the city of Marrakesh.Fraçais. En milieu urbain, l’espace vert public (EVP) constitue un enjeu majeur du développement durable, tant en matière d’environnement que de qualité de vie de leurs usagers. La présente étude présente une première recherche sur les EVP de la ville de Marrakech permettant de disposer d’une base de données scientifiques sur ces EVP qui va aider à la prise de décision et de planification environnementale de la ville. Elle vise (i) l’étude de la diversité de la flore ornementale (ii) et l’analyse de la structure et la répartition spatiale de ces EVP. La prospection a concerné 50 EVP urbains répartis sur les 5 arrondissements de la ville. Les résultats ont montré une diversité de la flore ornementale qui s’élève à 297 espèces vasculaires, réparties en 212 genres et 88 familles et dont 77 % des espèces sont exotiques. Cette richesse spécifique est dominée par 12 familles qui détiennent 142 espèces réparties en 85 genres. La fréquence, l’origine et le type biologique des espèces sont très diversifiés. L’étude de la structure a fait ressortir 4 types d’EVP qui diffèrent par leur taille et leur fonction. L’analyse de l’affinité floristique des EVP-CUM a fait apparaître 13 groupes qui se distinguent par leurs compositions floristiques. En conséquence, les EVP de la ville contribuent vivement à la conservation et l’accroissement de la diversité floristique et à l’amélioration de la qualité esthétique de la ville de Marrakech.

scholarly journals Medical professionalism: Navigating modern challenges

2021 ◽  
pp. 175573802110526
Author(s):  
Nicola Cooper-Moss ◽  
Helen Hooper ◽  
Kartina A. Choong ◽  
Umesh Chauhan
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
General Practice ◽  
Professional Practice ◽  
Clinical Decision Making ◽  
Medical Profession ◽  
Clinical Decision ◽  
Medical Professionalism ◽  
The Public ◽  
General Practice Training

Medical professionalism is an evolving entity, requiring continual development according to shifting societal priorities. The public trust that underpins the medical profession is imperative for maintaining effective partnerships with patients, their families and the wider community. This article provides an overview of what constitutes medical professionalism, including the current protocols and assessments for general practice training. The aim is to improve understanding of the current issues surrounding professionalism in primary care. Fictional case scenarios are used to illustrate modern professional dilemmas and to promote reflection on the complex interacting factors that influence professional practice and clinical decision-making.

scholarly journals A focused mapping review and synthesis of a priori risk factors associated with medical misconduct

2019 ◽  
Vol 8 (2) ◽  
pp. e000538
Author(s):  
Edward Croft ◽  
Maria Tighe Clark ◽  
Nikolaos Efstathiou ◽  
Caroline Bradbury-Jones
Keyword(s):  
Risk Factors ◽  
General Practice ◽  
Patient Safety ◽  
A Priori ◽  
The European Union ◽  
Medical Practitioners ◽  
The Public ◽  
Factors Associated ◽  
Mapping Review ◽  
The Uk

BackgroundMedical misconduct is an international problem. It is judged according to whether a doctor has endangered the health of the public. Little is known about the risk factors associated with medical misconduct. To inform patient safety, we undertook a focused mapping review and synthesis (FMRS) of tribunal reports retrieved from the Medical Practitioners Tribunal Service (MPTS).MethodsA four-phase FMRS was undertaken: (1) identification and retrieval of 1-year tribunal transcripts from the MPTS (focus), (2) analysis of transcripts to identify patterns mapped to ‘a priori’ risk factors (mapping), (3) peer review of the data (calibration) and (4) creation of a risk profile (synthesis).ResultsOut of the 351 investigative tribunals, 249 (70.94%) resulted in a guilty verdict. 82.73% of all guilty verdicts led to the removal of the doctor from practice. Through the identification of four a priori risk factors, we developed a model of risk associated with medical misconduct: (1) being male, (2) primary medical qualification (PMQ) outside of the UK, (3) working within general practice and surgical specialties, and (4) having passed PMQ more than 20 years ago. Notable ‘unconfirmed’ factors, such as locum work, PMQ achieved outside of the European Union, increasing age and lack of clinical guidance are also relevant to what is deemed professional behaviour and what is not.ConclusionsThe findings can inform debates about patient safety and lay the groundwork for further research into medical misconduct. Prospective studies should focus on confirming the contributory factors and relationship between these four a priori risk factors for medical misconduct: being male, PMQ outside of the UK, increasing age and working in general practice or surgical settings.

Presenting primary care teams to the public: a qualitative exploration of general practice websites

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697049
Author(s):  
Helen Anderson ◽  
Joy Adamson ◽  
Yvonne Birks
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Nurse Practitioners ◽  
Primary Healthcare ◽  
Healthcare Providers ◽  
Patient Choice ◽  
Healthcare Team ◽  
Sufficient Information ◽  
The Public ◽  
Professional Groups

BackgroundIncreasing demand and expanded primary care provision, coupled with a reduced GP workforce present challenges for primary care. New workforce models aim to reduce general practitioner workload by directing patients to a variety of alternative clinicians. Concurrently, the principle of patient choice in relation to healthcare providers has gained prominence. It is, therefore, necessary to provide patients with sufficient information to negotiate access to appropriate primary healthcare professionals.AimTo explore how practice websites present three exemplar healthcare professional groups (GPs, advanced nurse practitioners [ANPs], and practice nurses [PNs]) to patients and the implications for informing appropriate consultation choices.MethodQualitative thematic analysis of a sample of general practice websites. 79 accessible websites from a district in England were thematically analysed in relation to professional representation and signposting of the three identified professional groups.ResultsInformation about each group was incomplete, inconsistent and sometimes inaccurate across the majority of general practice websites. There was a lack of coherence and strategy in representation and direction of website users towards appropriate primary healthcare practitioners.ConclusionLimited and unclear representation of professional groups on general practice websites may have implications for the direction of patients to the wider clinical healthcare team. Patients may not have appropriate information to make choices about consulting with different healthcare practitioners. This constitutes a missed opportunity to signpost patients to appropriate clinicians and enhance understanding of different professional roles. Potential for websites to disseminate information to the public is not being maximised.

Sign in / Sign up

Export Citation Format

Share Document