Exceptional Potential of General Practice - Making a Difference in Primary Care

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.

List of contents

1. The Exceptional Potential of General Practice. 2. Three Horizons of General Practice. 3. Traditional Strengths. Gatekeeping. Tolerating uncertainty. Knowing the patient. Consultations. Caring. Continuity. Coordination. Coverage. Clinical generalism in Scotland. 39 years in practice. 4. Pioneers. Pioneers in research. Edward Jenner. Sir James Mackenzie. William Pickles. Seizing opportunities. University-based research. Population medicine. Career advice for medical students. The example of Julian Tudor Hart. Advocacy. Lachlan Grant. Direct action for public health. Advocating for a National Health Service. Welfare reform. Alcohol in general practice. 5. Challenges. Confusing terminology. Multimorbidity. The challenges of multimorbidity. Assessing the quality of generalist clinical care. Competing for power and resource. Maintaining sufficient numbers of clinical generalists. The Inverse Care Law. GP views on health inequalities. 6. Practices working together in the Deep End. General Practitioners at the Deep End. Deep End Ireland. General practice at the Deep End in Yorkshire and Humber. Deep End Greater Manchester. 7. Addressing the Inverse Care Law. The Govan SHIP Project. The Deep End GP Pioneer Scheme. 8. Link Workers in General Practice. Best arrangements for link workers. Experience as a programme director. Experience as a host practice. Experience as a GP lead. 9. Community Practice. Drumchapel, Scotland. Dublin, Ireland. Brisbane, Australia. Pittsburgh, Pennsylvania. Ghent, Belgium. 10. Learning Health Systems. Learning health systems. Achievements in East London. Development in East London. 11. Core Topics. The dynamics of family life. The child in the consulting room - What does the future hold? Levelling up in Deep End practices. Mental health. End-of-life care. 12. Learning from Medicine at the Margins.Working with refugees in general practice. Homeless general practice. 13. International Perspectives. Key components of health systems. A general practitioner for every person in the world. Perspective from China. Perspective from Lebanon. Perspetive from Sub-Saharan Africa. 14. Working to Produce Evidence of Change. Rules of engagement. The Deep End Advice Worker Project. 15. Evaluation. Learnings from the Deep End. Towards a framework of learning. 16. Education and Training. Correction of social ignorance. A lifeline for a drowning man. The special needs of preactitioners working in deprived areas. GP training in the Deep End. The North Dublin GP Training Scheme. The South Wales GP Academic Fellowship Scheme. The Deep End GP Pioneer Scheme. 17. Preparations Ahead of Time. 18. Reflection. 19. Postscript. The virtues of the race. A philosophy of general practice. 20. Biographies. In Memoriam: Dr Julian Tudor Hart (1927-2018).

About the author

Professor Watt is Professor of General Practice and Primary Care at the University of Glasgow, where he served as Head of Department of General Practice from 1994-2009.After hospital posts in Shetland, Leicester, Aberdeen and Nottingham, Professor Watt sought to combine training in epidemiology and general practice, moving to work with Dr Julian Tudor Hart at Glyncorrwg in South Wales, where they carried out a challenging series of community studies on the effect of dietary salt intake on blood pressure.Moving to the community paediatrics scheme in Edinburgh, Professor Watt completed vocational training at Townhead Health Centre in Glasgow. During the next decade, he established the Glasgow WHO MONICA Project Centre, gained accreditation in public health medicine and worked first as a research manager for health services research in the Scottish Chief Scientist Office and then as a senior lecturer in public health at Glasgow University.Since 1994, he has been Professor of General Practice and Primary Care at University of Glasgow - combining and requiring experience in medical education, clinical medicine, epidemiology, research management and public health advocacy.Professor Watt is Lead Coordinator of the Deep End Project, involving the 100 most deprived general practices in Scotland. He also served as Elected Chair, Heads of Departments Group, UK University Departments of General Practice and Primary Care (2001-2004), and has been the Fellowship Panel for Public Health, Primary Care, Epidemiology, Statistics and Psychiatry, UK Academy of Medical Sciences (2004-2006).

Summary

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.

Product details

• Authors: Graham Watt
• Assisted by: Graham Watt (Editor), Watt Graham (Editor)
• Publisher: Taylor & Francis Ltd.
• Languages: English
• Product format: Paperback / Softback
• Released: 13.12.2018
• EAN: 9781785231582
• ISBN: 978-1-78523-158-2
• No. of pages: 275
• Subjects: Natural sciences, medicine, IT, technology > Medicine > General; MEDICAL / General, MEDICAL / Family & General Practice, Public health & preventive medicine, Public health and preventive medicine