Share
VIDEOS 1 TO 50
General Practice
General Practice
Published: 2012/10/01
Channel: NHSMedicalCareers
What makes a GP practice outstanding?
What makes a GP practice outstanding?
Published: 2016/04/07
Channel: NHS England London
A career in general practice
A career in general practice
Published: 2016/03/21
Channel: GP Training Queensland
Five Years in General Practice
Five Years in General Practice
Published: 2014/11/12
Channel: NHSMedicalCareers
A career in general practice
A career in general practice
Published: 2017/06/12
Channel: Health Careers
1. Introduction & General Examination - GP Clinics - Dr. Vaidya
1. Introduction & General Examination - GP Clinics - Dr. Vaidya
Published: 2012/06/21
Channel: Dr. Prodigious
Neurological Examination, Upper Limbs, Department of General Practice, RCSl
Neurological Examination, Upper Limbs, Department of General Practice, RCSl
Published: 2016/09/07
Channel: General Practice
GP Training: essential equipment for your doctor
GP Training: essential equipment for your doctor's bag
Published: 2010/05/28
Channel: Emedica
General Practice in Essex
General Practice in Essex
Published: 2015/07/16
Channel: Health Education East of England
Productive General Practice Quick Start – Releasing time in general practice
Productive General Practice Quick Start – Releasing time in general practice
Published: 2017/04/11
Channel: NHS England
What
What's it like training and working as a rural GP in Scotland
Published: 2017/03/10
Channel: NHS Education for Scotland
General Practitioner Dr Gita Prakash
General Practitioner Dr Gita Prakash
Published: 2015/08/10
Channel: One Step Up Education
Respiratory Examination, Department of General Practice, RCSI
Respiratory Examination, Department of General Practice, RCSI
Published: 2015/09/08
Channel: General Practice
Gastrointestinal Examination, Department of General Practice, RCSI
Gastrointestinal Examination, Department of General Practice, RCSI
Published: 2016/01/12
Channel: General Practice
Life and work as a GP in Scotland; hear from Dr Rizwan Khalid
Life and work as a GP in Scotland; hear from Dr Rizwan Khalid
Published: 2016/08/10
Channel: NHS Education for Scotland
Thinking of becoming a general practice nurse?
Thinking of becoming a general practice nurse?
Published: 2016/02/22
Channel: Health Education England - HEE
Neurological Examination, Cranial Nerves, Department of General Practice, RCSI
Neurological Examination, Cranial Nerves, Department of General Practice, RCSI
Published: 2016/09/07
Channel: General Practice
General Practice: More a Passion than a Job
General Practice: More a Passion than a Job
Published: 2015/07/16
Channel: Australian Medical Association
A day in the life of a general practice nurse
A day in the life of a general practice nurse
Published: 2017/09/06
Channel: Health Education England - HEE
What does a General Practice based pharmacist do?
What does a General Practice based pharmacist do?
Published: 2013/11/06
Channel: rpharms
General Practice in Scotland: A Day in the Life...
General Practice in Scotland: A Day in the Life...
Published: 2010/02/09
Channel: bmascotland
An interview with... GP trainee Alastair Dunne
An interview with... GP trainee Alastair Dunne
Published: 2015/03/19
Channel: NewZealandDoctor
Physician Associates in General Practice
Physician Associates in General Practice
Published: 2016/10/03
Channel: Health Education England - HEE
Loyola
Loyola's General Practice Dental Residency Program
Published: 2014/07/17
Channel: Loyola Medicine
Headache in General Practice
Headache in General Practice
Published: 2013/12/27
Channel: Dee S
A career in general practice: work-life balance
A career in general practice: work-life balance
Published: 2015/11/30
Channel: Health Careers
John Murtagh discusses "General Practice"
John Murtagh discusses "General Practice"
Published: 2016/05/20
Channel: McGrawHillPro
Dr Amen Soin from IPN Dee Why General Practice
Dr Amen Soin from IPN Dee Why General Practice
Published: 2013/03/17
Channel: IPN Medical Centres Australia
Clinical Pharmacists in General Practice Pilot: Stafford Case Study
Clinical Pharmacists in General Practice Pilot: Stafford Case Study
Published: 2015/08/28
Channel: NHS England
Chair of GPC Dr Chaand Nagpaul discusses the challenges facing general practice
Chair of GPC Dr Chaand Nagpaul discusses the challenges facing general practice
Published: 2013/09/03
Channel: BMAtv
Royal Australian College of General Practitioners cinema ad
Royal Australian College of General Practitioners cinema ad
Published: 2015/06/14
Channel: Mumbrella
IELTS READING PRACTICE TEST 2017 WITH ANSWER and EXPLANATIONS | IELTS READING PRACTICE 1
IELTS READING PRACTICE TEST 2017 WITH ANSWER and EXPLANATIONS | IELTS READING PRACTICE 1
Published: 2017/04/04
Channel: IELTS Listening Test
GP Forward View: The Patient Journey
GP Forward View: The Patient Journey
Published: 2016/04/21
Channel: NHS England
So Why be a GP?
So Why be a GP?
Published: 2014/09/02
Channel: Aman Arora
Difference Between Family Practice and General Practice
Difference Between Family Practice and General Practice
Published: 2016/08/14
Channel: Health Care
Student Nurse Placements in General Practice | What
Student Nurse Placements in General Practice | What's in it for Me?
Published: 2015/04/21
Channel: James A Jordan
[IELTS General Training] Lesson 07 Reading Test - Part One - Exam Question and Model Answer
[IELTS General Training] Lesson 07 Reading Test - Part One - Exam Question and Model Answer
Published: 2015/07/06
Channel: IELTS Academic and General Training
Apprenticeships in General Practice: Developing the Future Workforce
Apprenticeships in General Practice: Developing the Future Workforce
Published: 2016/09/12
Channel: Health Education East of England
General Practice linkage in UK Biobank
General Practice linkage in UK Biobank
Published: 2017/03/27
Channel: UK Biobank
"general practice" - hitori tori
"general practice" - hitori tori
Published: 2015/11/10
Channel: hitoritori
Dr Mark Swinscoe discussing benefits of clinical pharmacists in General Practice
Dr Mark Swinscoe discussing benefits of clinical pharmacists in General Practice
Published: 2016/09/02
Channel: NHS Newark & Sherwood CCG
General Practice Nursing: A New Dimension in Primary Health Care
General Practice Nursing: A New Dimension in Primary Health Care
Published: 2014/01/14
Channel: Rural Health Channel
Dr Ruyu Yao - Why Choose General Practice
Dr Ruyu Yao - Why Choose General Practice
Published: 2015/12/23
Channel: EV GP Training
Common Procedures in GP Practice - Minor surgery & soft tissue injection
Common Procedures in GP Practice - Minor surgery & soft tissue injection
Published: 2014/04/28
Channel: CollegeofGeneralPractitionersof SriLanka
Nursing in General Practice - It
Nursing in General Practice - It's a choice - Australia
Published: 2010/03/11
Channel: thereisnospoon83
QFTS: Crouching , Shooting, and general practice tips!
QFTS: Crouching , Shooting, and general practice tips!
Published: 2016/01/13
Channel: n0thingTV
Save general practice
Save general practice
Published: 2017/07/07
Channel: MDU Video
How to Pass the CSA Exam: for GP trainees and MRCGP CSA candidates
How to Pass the CSA Exam: for GP trainees and MRCGP CSA candidates
Published: 2014/11/17
Channel: Wiley
RCGP Scotland: When general practice thrives the NHS survives
RCGP Scotland: When general practice thrives the NHS survives
Published: 2016/04/19
Channel: RCGPVideos
NHS England GP Forward View Animation
NHS England GP Forward View Animation
Published: 2017/06/26
Channel: NHS England
NEXT
GO TO RESULTS [51 .. 100]

WIKIPEDIA ARTICLE

From Wikipedia, the free encyclopedia
Jump to: navigation, search

General practice is the name given in the United Kingdom to the service provided by General practitioners. In other countries similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient.

India[edit]

A group of 15 doctors based in Birmingham have set up a social enterprise company - Pathfinder Healthcare - which plans to build eight primary health centres in India on the British model of general practice. According to Dr Niti Pall, primary health care is very poorly developed in India. These centres will be run commercially. Patients will be charged 200 to 300 Rupees for an initial consultation, and prescribed only generic drugs, dispensed from attached pharmacies.[1]

Ireland[edit]

In Ireland there are about 2,500 General Practitioners working in group practices, primary care centres, single practices and health centres.[2]

United Kingdom[edit]

The pattern of services in the UK was largely established by the National Insurance Act 1911 which established the list system which came from the friendly societies across the country. Every patient was entitled to be on the list, or panel of a general practitioner. In 1911 that only applied to those who paid National insurance contributions. In 1938 43% of the adult population was covered by a panel doctor.[3] When the National Health Service was established in 1948 this extended to the whole population. The practice would be responsible for the patient record which was kept in a "Lloyd George envelope"[4] and would be transferred if necessary to another practice if the patient changed practice. In the UK, unlike many other countries, patients do not normally have direct access to hospital consultants and the GP controls access to secondary care.[5] Practices were generally small, often single handed, operating from the doctor's home and often with the doctor's wife acting as a receptionist.[6]

Lloyd George envelopes at Whalsay Health Centre 2012

In 1953, general practitioners were estimated to be making between 12 and 30 home visits each day and seeing between 15 and 50 patients in their surgeries.[7]

Services are provided under the General Medical Services Contract, which is regularly revised.

England[edit]

The GP Forward View, published by NHS England in 2016 promised £2.4 billion (14%) real-terms increase in the budget for general practice. Jeremy Hunt pledged to increase the number of doctors working in general practice by 5,000. There are 3,250 trainee places available in 2017. The GP Career Plus scheme is intended to retain GPs aged over 55 in the profession by providing flexible roles such as providing cover, carrying out specific work such as managing long-term conditions, or doing home visits.[8] In July Simon Stevens announced a programme designed to recruit around 2,000 GPs from the EU and possibly New Zealand and Australia.[9] According to NHS Improvement a 1% deterioration in access to general practice can produce a 10% deterioration in emergency department figures. [10]

GPs are increasingly employing pharmacists to manage the increasingly complex medication regimes of an aging population. In 2017 more than 1,061 practices were employing pharmacists, following the rollout of NHS England’s Clinical Pharmacists in General Practice programme.[11]

Four NHS trusts: Northumbria Healthcare NHS Foundation Trust; Yeovil District Hospital NHS Foundation Trust; Royal Wolverhampton NHS Trust; and Southern Health NHS Foundation Trust have taken over multiple GP practices in the interests of integration.[12]

Number and size of practices[edit]

599 GP practices closed between 2010–11 and 2014–15, while 91 opened and average practice list size increased from 6,610 to 7,171.[13] In 2016 there were 7,613 practices in England, 958 in Scotland, 454 in Wales and 349 in Northern Ireland.[14] There were 7435 practices in England and the average practice list size in June 2017 was 7,860. There were 1.35 million patients over 85.[15] There has been a great deal of consolidation into larger practices, especially in England. Lakeside Healthcare was the largest practice in England in 2014, with 62 partners and more than 100,000 patients. Maintaining general practices in isolated communities has become very challenging, and calls on very different skills and behaviour from that required in large practices where there is increasing specialisation.[16]

GP Federations have become popular among English General practitioners. [17]

Consultations[edit]

According to the Local Government Association 57 million GP consultations in England in 2015 were for minor conditions and illnesses, 5.2 million of them for blocked noses.[18] According to the King's Fund between 2014 and 2017 the umber of telephone and face-to-face contacts between patients and GPs rose by 7.5% although GP numbers have stagnated.[19]

The proportion of patients in England waiting longer than seven days to see a GP has risen from 12.8% in 2012 to 20% in 2017.[20]

A private GP service was established at Poole Road Medical Centre in Bournemouth in 2017 where patients can pay to skip waiting lists to see a doctor.[21]

Northern Ireland[edit]

There have been particularly acute problems in general practice in Northern Ireland as it has proved very difficult to recruit doctors in rural practices.[22] The British Medical Association collected undated resignation letters in 2017 from GPs who threatened to leave the NHS and charge consultation fees. They demanded increased funding, more recruitment and improved computer systems.[23]

References[edit]

  1. ^ "GPs export NHS model of general practice to India". Pulse. 4 January 2012. Retrieved 6 July 2017. 
  2. ^ "General Practitioners or Family Doctors". Health Service Executive. Retrieved 6 July 2017. 
  3. ^ Timmins, Nicholas (1995). The five giants. Fontana. p. 107. ISBN 0006863183. 
  4. ^ http://www.ganfyd.org/index.php?title=Lloyd_George_Envelope
  5. ^ Royal Commission on the NHS Chapter 7. HMSO. July 1979. ISBN 0101761503. Retrieved 19 May 2015. 
  6. ^ "The evolving role and nature of general practice in England" (PDF). Kings Fund. 2 March 2011. Retrieved 6 July 2017. 
  7. ^ Kmietowicz,, Zosia (7 January 2006). "A century of general practice". British Medical Journal. PMC 1325136Freely accessible. 
  8. ^ "Jeremy Hunt: The NHS is turning a corner - and I want GPs at the heart of it". GP Online. 20 June 2017. Retrieved 16 July 2017. 
  9. ^ "NHS to recruit 2,000 GPs from abroad". Health Service Journal. 17 July 2017. Retrieved 17 July 2017. 
  10. ^ "10 ways a vanguard improved care". Healthcare Leader. 1 July 2017. Retrieved 23 August 2017. 
  11. ^ "Revealed: Next 67 areas recruiting 'clinical pharmacists'". Chemist & Druggist. 18 July 2017. Retrieved 19 July 2017. 
  12. ^ "How is primary and secondary care integration impacting trusts?". Healthcare Leader. 22 June 2017. Retrieved 16 July 2017. 
  13. ^ "Nearly 600 GP practices closed since 2010". Health Service Journal. 14 July 2015. Retrieved 23 September 2015. 
  14. ^ "General practice in the UK" (PDF). British Medical Association. April 2017. Retrieved 6 July 2017. 
  15. ^ "Number of GP practices drops by more than 650 in four years". GP Online. 20 June 2017. Retrieved 16 July 2017. 
  16. ^ "Embracing island life as a GP in Shetland". Pulse. 27 June 2016. Retrieved 6 July 2017. 
  17. ^ "'GP federations' are the future of the NHS". Telegraph. 11 March 2010. Retrieved 23 May 2017. 
  18. ^ "Millions of 'unnecessary' GP visits are for coughs and colds, says LGA". Commissioning Review. 7 November 2016. Retrieved 15 December 2016. 
  19. ^ "GP contacts with patients up 7.5% in two years". GP Online. 1 June 2017. Retrieved 6 July 2017. 
  20. ^ "More patients waiting longer than a week for GP appointments". Guardian. 6 July 2017. Retrieved 7 July 2017. 
  21. ^ "NHS GP practice sets up a private service - by paying up to £145 to jump the queue". Southern Daily Echo. 6 February 2017. Retrieved 14 July 2017. 
  22. ^ "2o GP surgeries face closure". Belfast Telegraph. 19 January 2017. Retrieved 7 July 2017. 
  23. ^ "NI GPs move step closer to leaving health service". BBC News. 25 January 2017. Retrieved 7 July 2017. 

Further reading[edit]

  • William G. Rothstein (1987). American Medical Schools and the Practice of Medicine: A History. Oxford University Press. ISBN 978-0-19-536471-2. 

Disclaimer

None of the audio/visual content is hosted on this site. All media is embedded from other sites such as GoogleVideo, Wikipedia, YouTube etc. Therefore, this site has no control over the copyright issues of the streaming media.

All issues concerning copyright violations should be aimed at the sites hosting the material. This site does not host any of the streaming media and the owner has not uploaded any of the material to the video hosting servers. Anyone can find the same content on Google Video or YouTube by themselves.

The owner of this site cannot know which documentaries are in public domain, which has been uploaded to e.g. YouTube by the owner and which has been uploaded without permission. The copyright owner must contact the source if he wants his material off the Internet completely.

Powered by YouTube
Wikipedia content is licensed under the GFDL and (CC) license