scholarly journals General practitioners' psychosocial resources, distress, and sickness absence: a study comparing the UK and Finland

2014 ◽  
Vol 31 (3) ◽  
pp. 319-324 ◽  
Author(s):  
T. Heponiemi ◽  
M. Elovainio ◽  
J. Presseau ◽  
M. P. Eccles
Keyword(s):  
Sickness Absence ◽  
General Practitioners ◽  
Psychosocial Resources ◽  
The Uk

scholarly journals Quality improvement in general practice: what do GPs and practice managers think? Results from a nationally representative survey of UK GPs and practice managers

2021 ◽  
Vol 10 (2) ◽  
pp. e001309
Author(s):  
Jennifer Gosling ◽  
Nicholas Mays ◽  
Bob Erens ◽  
David Reid ◽  
Josephine Exley
Keyword(s):  
General Practice ◽  
Quality Improvement ◽  
General Practitioners ◽  
Service Improvement ◽  
Protected Time ◽  
Routine Work ◽  
Professional Interest ◽  
Quality And Outcomes ◽  
Nationally Representative ◽  
The Uk

BackgroundThis paper presents the results of the first UK-wide survey of National Health Service (NHS) general practitioners (GPs) and practice managers (PMs) designed to explore the service improvement activities being undertaken in practices, and the factors that facilitated or obstructed that work. The research was prompted by growing policy and professional interest in the quality of general practice and its improvement. The analysis compares GP and PM involvement in, and experience of, quality improvement activities.MethodsThis was a mixed-method study comprising 26 semistructured interviews, a focus group and two surveys. The qualitative data supported the design of the surveys, which were sent to all 46 238 GPs on the Royal College of General Practitioners (RCGP) database and the PM at every practice across the UK (n=9153) in July 2017.ResultsResponses from 2377 GPs and 1424 PMs were received and were broadly representative of each group. Ninety-nine per cent reported having planned or undertaken improvement activities in the previous 12 months. The most frequent related to prescribing and access. Key facilitators of improvement included ‘good clinical leadership’. The two main barriers were ‘too many demands from external stakeholders’ and a lack of protected time. Audit and significant event audit were the most common improvement tools used, but respondents were interested in training on other quality improvement tools.ConclusionGPs and PMs are interested in improving service quality. As such, the new quality improvement domain in the Quality and Outcomes Framework used in the payment of practices is likely to be relatively easily accepted by GPs in England. However, if improving quality is to become routine work for practices, it will be important for the NHS in the four UK countries to work with practices to mitigate some of the barriers that they face, in particular the lack of protected time.

Managing patients with hepatitis C

1993 ◽  
Vol 31 (16) ◽  
pp. 61-62 ◽  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
General Practitioners ◽  
Blood Donor ◽  
The Uk

All blood donated in the UK is tested for antibodies to hepatitis C virus (HCV), and 1 in 1800 samples is confirmed positive.1 Blood from anti-HCV positive donors is discarded to avoid transmission of the virus, and in most centres these donors are contacted and advised to see their general practitioners. In this article we discuss the management of patients found to be anti-HCV positive either through the blood donor service or as a result of investigations for other indications.

scholarly journals A rude awakening: post-take ward round in the department of medicine for the elderly

1998 ◽  
Vol 91 (9) ◽  
pp. 471-474 ◽  
Author(s):  
Nicholas Coni
Keyword(s):  
Internal Medicine ◽  
General Practitioners ◽  
General Internal Medicine ◽  
Teaching Hospital ◽  
The Elderly ◽  
Ward Round ◽  
Younger Patients ◽  
General Internal ◽  
Ward Rounds ◽  
The Uk

This paper describes the post-take ward round of a department of medicine for the elderly (DME), to portray the nature of the medical admissions and their immediate management. The data concern the patients seen by one consultant in 28 such ward rounds during the last four months of 1997, in a teaching hospital where the DME is separate from the department of general internal medicine. 254 patients were seen, 107 men and 147 women, with an average age of 82.4 years (range 73–102). The decisions taken included diagnosis, further investigations, treatment, referral, discharge, and resuscitation status. Very few admissions were judged inappropriate, particularly among the majority referred by general practitioners. 101 patients were thought suitable for transfer to the department of general internal medicine, 109 definitely unsuitable. These findings support the view that, if medical beds are to be freed, the initiative must come from facilitating discharge rather than curtailing admission. Generalists are needed to sort and manage these patients. In the UK, these will often be general internal medicine consultant geriatricians, while the younger patients are seen by consultants practising general internal medicine in addition to one of the specialties. Sizeable numbers of these consultants are needed if the post-take ward round is to be efficient and not conflict with their fixed commitments.

scholarly journals A Study of How Urology Out-Patients like to Receive Clinical Information

2006 ◽  
Vol 88 (6) ◽  
pp. 579-582 ◽  
Author(s):  
DN Wood ◽  
A Deshpande ◽  
M Wijewardena ◽  
SS Gujral
Keyword(s):  
General Practitioners ◽  
Clinical Information ◽  
Postal Questionnaire ◽  
Department Of Health ◽  
The Future ◽  
Group A ◽  
Group B ◽  
The Uk ◽  
To Receive ◽  
B 52

INTRODUCTION As part of the NHS Plan the UK Department of Health has suggested that both patients and general practitioners (GPs) are written to following hospital consultations. We audited the responses of patients and GPs to this practice. PATIENTS AND METHODS A total of 160 patients in one consultant urologist's clinic were included. The consultant had never routinely copied GP letters to patients. The SpR in the same clinic had routinely done so in previous posts. Patients who had received letters (group A) and those who had not (group B) were asked to complete a postal questionnaire. GPs were also sent a questionnaire to assess their opinion. The responses were analysed. RESULTS Questionnaires were sent out to patients (80 to group A and 80 to group B. From this, 100 (62.5%) responses were received (A 48 [60%]; B 52 [65%]). Of respondents, 81% were male. Overall, 98% of those patients who received a letter agreed with its contents, and stated they would keep the letter and take it to a subsequent doctor's appointment. Of respondents, 83% (A) and 96% (B) had never received a doctor's letter before but 83% (40 [83%, A], 43 [83%, B]; P > 0.05) of respondents would like to receive doctors' letters in the future. some 22 GP practices received and completed questionnaires at a PCT meeting and 74% of GPs agreed with the practice of copying patients their letters. CONCLUSIONS The results of this study suggest that patients should be offered a copy of their letter and that their response should be documented in the notes. This may serve to improve communication with the patient but should not be undertaken without their agreement.

scholarly journals A cross-sectional survey of awareness of human papillomavirus-associated oropharyngeal cancers among general practitioners in the UK

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e023339 ◽  
Author(s):  
Matt Lechner ◽  
Claire Vassie ◽  
Cemal Kavasogullari ◽  
Oliver Jones ◽  
James Howard ◽  
...  
Keyword(s):  
Risk Factor ◽  
Human Papillomavirus ◽  
General Practitioners ◽  
Further Education ◽  
Secondary Outcome ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chewing Tobacco ◽  
The Uk ◽  
Epidemiological Trends

ObjectivesTo examine the level of awareness of the link between human papillomavirus (HPV) and oropharyngeal cancer (OPC) and epidemiological trends in HPV-related OPC among general practitioners (GPs) in the UK.DesignCross-sectional survey.Participants384 GPs from England, Scotland, Wales and Northern Ireland.SettingThe survey was administered at GP training courses and via email to lists of training course attendees.Primary and secondary outcome measuresProportion of respondents aware of the link between HPV and OPC; respondents’ self-rated knowledge of OPC; proportion of participants aware of the epidemiological trends in HPV-associated OPC.Results384 questionnaires were completed with an overall response rate of 72.9%. 74.0% of participants recognised HPV as a risk factor for OPC, which was lower than knowledge about the role of smoking, chewing tobacco and alcohol consumption (all >90% recognition). Overall, 19.4% rated their knowledge of OPC as very good or good, 62.7% as average and 17.7% as poor or very poor. The majority (71.9%) were aware that rates of HPV-associated OPC have increased over the last two decades. Fewer than half (41.5%) of the participants correctly identified being male as a risk factor of HPV-associated OPC, while 58.8% were aware that patients with HPV-associated OPC tend to be younger than those with non-HPV-associated disease.ConclusionsThe association of HPV infection with OPC is a relatively recent discovery. Although the level of awareness of HPV and OPC among GPs was high, the characteristics of HPV-associated OPC were less well recognised, indicating the need for further education.

scholarly journals Case-specific colleague guidance for general practitioners’ management of sickness absence

2017 ◽  
Vol 67 (8) ◽  
pp. 644-647 ◽  
Author(s):  
H P Nordhagen ◽  
S B Harvey ◽  
E O Rosvold ◽  
D Bruusgaard ◽  
R Blonk ◽  
...  
Keyword(s):  
Sickness Absence ◽  
General Practitioners
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