Practice Matters (eBook)

The Early Years of Modern General Practice within the NHS

Andrew Willis (Autor)

eBook Download: EPUB

2017
364 Seiten
Saighton Books (Verlag)
978-0-9956555-2-2 (ISBN)

Infos

What has gone wrong with the NHS, and in particular with general practice? Why cant we get an appointment to see our GP? And who is our GP, anyway?The UK National Health Service is always in crisis, yet it has been shown, time and time again, that the public value it more highly than anything else in British society. Now things seem worse than ever. Why? And in particular, what has gone wrong with general practice?It may come as a surprise that general practice has in many ways become a victim of its own success. Put simply, the scope of its work has outgrown the resources available for delivering those services. Patients are fed up, and staff are worn out, demoralised and leaving the service. Practice Matters explains how this situation came about?Between 1974 and 2006 UK general practice underwent an astonishing evolution, moving from the baggage train of the NHS to become its vital, influential spearhead. The book explains how and why these changes came about. It is the first such account written by a GP whose career spanned that time, and who writes in detail of his own experience of those dramatic advances.Laced with anecdotes that range from the farcically funny to profoundly sad, the book is part personal memoir, part an outline of the service's history, and part a description of change: of political intrigue, innovations in buildings, staff and technology, and of the pioneering, individual initiatives that led to the development of modern general practice.The various parts of the book combine to offer a broad picture of just how general practice has become so important and influential within the NHS. But it also goes on, to draw conclusions and offer ideas about how the service could be developed to make the best use of the resources available to it.Anyone wanting the NHS to prosper needs to know more about it in order to argue for its preservation and development. Practice Matters will help that process. And those outside the NHS, whether in the UK or abroad, that take an interest in the past, present and future of the NHS will also find this unique book of interest.

Inhalt

PREFACE

ACKNOWLEDGEMENTS

INTRODUCTION

THE FIRST AND THE LAST

PART ONE: IN THE BEGINNING

THE DOCTOR’S TALE

THE PATIENT’S TALE

THE PRACTICE’S TALE

TRAINING TO BE A GP

DOES ANYONE KNOW WHAT WE ARE TRYING TO DO?

PART TWO: A BRIEF HISTORY OF NHS GENERAL PRACTICE

THE EARLY DAYS OF THE NHS

BRINGING THE NHS UP TO DATE: 1974–2005

THE FOUR CORNERSTONES

PART THREE: THE THREE LIMBS OF CLINICAL PRACTICE

ACUTE CARE

GETTING THE BALANCE RIGHT

PREVENTIVE CARE

PREVENTIVE MEDICINE IN PRACTICE

CHRONIC DISEASE MANAGEMENT

CHRONIC DISEASE MANAGEMENT IN PRACTICE

PART FOUR: A PRACTICE’S ORGANISATIONAL TRILOGY

A BETTER PLACE TO PRACTICE

FROM A STABLE FOR HORSES TO A CENTRE FOR CARS

BUILDING FOR THE FUTURE

INFORMATION SYSTEMS: THE PAPER YEARS

INFORMATION SYSTEMS: THE EARLY DIGITAL YEARS

AT THE CUTTING EDGE

THE EVOLVING TEAM

MAKING IT HAPPEN: MANAGING A PRACTICE

PART FIVE: POLITICAL FORCES

WORKING WITH THE AUTHORITIES

REFORMING THE REFORMS

PART SIX: IN THE END

PUTTING IT ALL INTO PRACTICE

REFLECTIONS IN TINTED GLASS

LIST OF ABBREVIATIONS

INDEX

ABOUT THE AUTHOR

Produkt-Details

• Erscheint lt. Verlag: 14.2.2017
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Schlagworte: Future of NHS • GP autobiography • GP memoir • History of general practice • Life of a GP NHS • Primary Care
• ISBN-10: 0-9956555-2-9 / 0995655529
• ISBN-13: 978-0-9956555-2-2 / 9780995655522