How to be a Good Enough GP

Surviving and Thriving in the New Primary Care Organisations

Gerhard Wilke, Simon Freeman

• Publisher: CRC Press
• Year: 2018
• Print ISBN:
  9781857753585
• eBook ISBN:
  9781315348469
• Topic: Medicine
• Subtopic: Health Care Delivery

The upheavals of the NHS reforms have caused a great deal of stress and uncertainty in primary care, and professional development and support for general practitioners needs to take account of this. This book offers a group supervision model which can be used to develop the core competencies needed for GPs to make the new primary care organisations work. The book analyses how primary care professionals have dealt with the various reforms of the past decade, and picks apart the paralysing culture of politeness, conflict avoidance and rivalry for power, to reveal how at the core of reform is the struggle for each GP to construct a new professional identity which integrates medicine, management and politics. It proposes ways GPs can benefit from these experiences to become equipped with the necessary competencies to be active members or dynamic leaders in the new primary care organisations. The doctor-patient relationship is no longer one-to-one, but located within a group matrix, in the same way that a GP is now required to work within a group framework. This book enables GPs to develop the essential group skills they now need, and on which the success of the healthcare reforms ultimately depends.

Index

acceptance 89, 91, 99, 103

accountability 77, 180

action learning groups 136, 139

aggression 17, 42, 61, 62, 64, 77, 85, 122

ambivalence 122, 150

annual improvement schemes 77

anxiety 12–16, 107, 113, 117

appointment systems 52

shared lists 60, 67

attachment 90–1, 100

attention-seeking 102

audit activity 41, 56, 76–7

doctor-patient relationship 77–8

authority 79–81

avoidance of conflict 49–50, 52, 53, 54, 84

Balint, Michael 6, 78, 113, 152

Balint groups 135–6

basic assumptions groups 105–7, 115

belonging groups 28–9, 86

Bion, Wilfried 23, 105, 107, 115, 153

blame 12, 27, 102, 117

Bolas, Christopher 154

Bolingbroke Project Group iv–v, 140, 146, 182–4

academic assistants 186–7

developing and supporting the teaching team 187–9

developing the model in PCGs/PCTs 197–9

evaluation 196–7

example of a term’s programme 202–4

facilitation 190–2

practices and organisations left behind 185–6

support from the group analyst 192–3

support function 184–5

task-oriented sessions 193–6

boundary management 62–3, 151, 160–1

Bourdieu, P 158

Casey, David 136, 137–9

change management 21–2, 41

communication 128–31

fear of de...

Table of contents

• Cover
• Title Page
• Copyright Page
• Foreword
• About the authors
• Dis-ease in primary care: the foundation matrix
• The group matrix
• Moving into primary care groups
• Moving beyond the fear of groups
• Self-care is the key to better patient care: individual mastery of change
• Beyond Balint: support, learning and development
• A group analytic view of organisational development
• Postscript: The support function of the group: relevance to education and training agendas for primary care groups/trusts
• References
• Further reading
• Index