Share
VIDEOS 1 TO 50
General Practice
General Practice
Published: 2012/10/01
Channel: NHSMedicalCareers
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: 2016/03/21
Channel: GP Training Queensland
What makes a GP practice outstanding?
What makes a GP practice outstanding?
Published: 2016/04/07
Channel: NHS England London
Respiratory Examination, Department of General Practice, RCSI
Respiratory Examination, Department of General Practice, RCSI
Published: 2015/09/08
Channel: General Practice
A career in general practice
A career in general practice
Published: 2017/06/12
Channel: Health Careers
Why choose general practice?
Why choose general practice?
Published: 2011/05/16
Channel: AGPT Program
GP Training: essential equipment for your doctor
GP Training: essential equipment for your doctor's bag
Published: 2010/05/28
Channel: Emedica
John Murtagh discusses "General Practice"
John Murtagh discusses "General Practice"
Published: 2016/05/20
Channel: McGrawHillPro
General Practice in Scotland: A Day in the Life...
General Practice in Scotland: A Day in the Life...
Published: 2010/02/09
Channel: bmascotland
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 Improvement Leaders Programme
General Practice Improvement Leaders Programme
Published: 2017/01/16
Channel: NHS England
Loyola
Loyola's General Practice Dental Residency Program
Published: 2014/07/17
Channel: Loyola Medicine
Starting a Law Firm - Niche or General Practice?
Starting a Law Firm - Niche or General Practice?
Published: 2014/03/24
Channel: Law Firm Marketing Mastery
A career in general practice: work-life balance
A career in general practice: work-life balance
Published: 2015/11/30
Channel: Health Careers
General Practice in Essex
General Practice in Essex
Published: 2015/07/16
Channel: Health Education East of England
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
General Practice & Maternity Care
General Practice & Maternity Care
Published: 2016/10/20
Channel: Divisions BC
What does a General Practice based pharmacist do?
What does a General Practice based pharmacist do?
Published: 2013/11/06
Channel: rpharms
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
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
UK Primary Care from BMJ Learning
UK Primary Care from BMJ Learning
Published: 2014/05/13
Channel: BMJ Learning
Pharmacists in General Practice
Pharmacists in General Practice
Published: 2016/06/16
Channel: Justin Coleman
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
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
Physician Associates in General Practice
Physician Associates in General Practice
Published: 2016/10/03
Channel: Health Education England
Dental General Practice Residency at Newark Beth Israel Medical Center
Dental General Practice Residency at Newark Beth Israel Medical Center
Published: 2012/09/05
Channel: RWJBarnabas Health
Plan for Pharmacists in General Practice
Plan for Pharmacists in General Practice
Published: 2015/07/22
Channel: Australian Medical Association
Update on Infectious Diseases in General Practice
Update on Infectious Diseases in General Practice
Published: 2013/02/28
Channel: BCCFP
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
Thinking of becoming a general practice nurse?
Thinking of becoming a general practice nurse?
Published: 2016/02/22
Channel: Health Education England
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
Visiting the GP (doctor)
Visiting the GP (doctor)
Published: 2014/03/17
Channel: ReachOut.com Australia
Nurse Clinics in General Practice – Wynyard Medical Centre
Nurse Clinics in General Practice – Wynyard Medical Centre
Published: 2015/06/16
Channel: apnanurses
Dr Tammy Schnall - Why Choose General Practice
Dr Tammy Schnall - Why Choose General Practice
Published: 2015/12/23
Channel: EV GP Training
General Practice selection centre.  Why do some people fail the stage 3?
General Practice selection centre. Why do some people fail the stage 3?
Published: 2011/03/13
Channel: obviouslyfalsename
IELTS Listening Practice Test 2016 With ( Answers ) Keys
IELTS Listening Practice Test 2016 With ( Answers ) Keys
Published: 2016/08/07
Channel: Ielts Galaxy
Dr Ruyu Yao - Why Choose General Practice
Dr Ruyu Yao - Why Choose General Practice
Published: 2015/12/23
Channel: EV GP Training
Rural Doctors Broadcast Pain, Patients and General Practice
Rural Doctors Broadcast Pain, Patients and General Practice
Published: 2014/01/15
Channel: RuralHealthWest1
Introducing the 2017 General Practice Conference & Exhibition
Introducing the 2017 General Practice Conference & Exhibition
Published: 2017/01/25
Channel: reedmedicaleducation
QFTS: Crouching , Shooting, and general practice tips!
QFTS: Crouching , Shooting, and general practice tips!
Published: 2016/01/13
Channel: n0thingTV
Evolution General Practice - Animated
Evolution General Practice - Animated
Published: 2015/02/15
Channel: Medtech Global
Dr. Sean Kristoffersen -
Dr. Sean Kristoffersen - 'LCHF in General Practice'
Published: 2016/12/10
Channel: Low Carb Down Under
GP Forward View: The Patient Journey
GP Forward View: The Patient Journey
Published: 2016/04/21
Channel: NHS England
Difference Between Family Practice and General Practice
Difference Between Family Practice and General Practice
Published: 2016/09/07
Channel: Health Care
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
There
There's nothing general about general practice, GP trainees share their thoughts
Published: 2016/03/24
Channel: Health Education England
Gastrointestinal Examination, Department of General Practice, RCSI
Gastrointestinal Examination, Department of General Practice, RCSI
Published: 2016/01/12
Channel: General Practice
Clinical pharmacists in general practice patient film: The Old School Surgery, Bristol.
Clinical pharmacists in general practice patient film: The Old School Surgery, Bristol.
Published: 2015/11/13
Channel: NHS England
Cardiovascular Examination, Department of General Practice, RCSI
Cardiovascular Examination, Department of General Practice, RCSI
Published: 2015/09/08
Channel: General Practice
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 about 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]

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.[10]

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.[11]

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.[12] In 2016 there were 7,613 practices in England, 958 in Scotland, 454 in Wales and 349 in Northern Ireland.[13] 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.[14] 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.[15]

GP Federations have become popular among English General practitioners. [16]

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.[17] According to the the King's Fund between 2014 and 2017 nthe umber of telephone and face-to-face contacts between patients and GPs rose by 7.5% although GP numbers have stagnated.[18]

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.[19]

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.[20]

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.[21] 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.[22]

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. ^ "Revealed: Next 67 areas recruiting 'clinical pharmacists'". Chemist & Druggist. 18 July 2017. Retrieved 19 July 2017. 
  11. ^ "How is primary and secondary care integration impacting trusts?". Healthcare Leader. 22 June 2017. Retrieved 16 July 2017. 
  12. ^ "Nearly 600 GP practices closed since 2010". Health Service Journal. 14 July 2015. Retrieved 23 September 2015. 
  13. ^ "General practice in the UK" (PDF). British Medical Association. April 2017. Retrieved 6 July 2017. 
  14. ^ "Number of GP practices drops by more than 650 in four years". GP Online. 20 June 2017. Retrieved 16 July 2017. 
  15. ^ "Embracing island life as a GP in Shetland". Pulse. 27 June 2016. Retrieved 6 July 2017. 
  16. ^ "'GP federations' are the future of the NHS". Telegraph. 11 March 2010. Retrieved 23 May 2017. 
  17. ^ "Millions of 'unnecessary' GP visits are for coughs and colds, says LGA". Commissioning Review. 7 November 2016. Retrieved 15 December 2016. 
  18. ^ "GP contacts with patients up 7.5% in two years". GP Online. 1 June 2017. Retrieved 6 July 2017. 
  19. ^ "More patients waiting longer than a week for GP appointments". Guardian. 6 July 2017. Retrieved 7 July 2017. 
  20. ^ "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. 
  21. ^ "2o GP surgeries face closure". Belfast Telegraph. 19 January 2017. Retrieved 7 July 2017. 
  22. ^ "NI GPs move step closer to leaving health service". BBC News. 25 January 2017. Retrieved 7 July 2017. 

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