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General practice is the name given in various nations, such as the United Kingdom, India, Australia, New Zealand and South Africa to the services provided by general practitioners. In some nations, such as the US, 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.
The British Medical Association (BMA) is a registered trade union for doctors in the United Kingdom. It does not regulate or certify doctors, a responsibility which lies with the General Medical Council. The BMA has a range of representative and scientific committees and is recognised by National Health Service (NHS) employers alongside the Hospital Consultants and Specialists Association as one of two national contract negotiators for doctors.
Family medicine is a medical specialty within primary care that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary care physician, is named a family physician. It is often referred to as general practice and a practitioner as a general practitioner. Historically, their role was once performed by any doctor with qualifications from a medical school and who works in the community. However, since the 1950s, family medicine / general practice has become a specialty in its own right, with specific training requirements tailored to each country. The names of the specialty emphasize its holistic nature and/or its roots in the family. It is based on knowledge of the patient in the context of the family and the community, focusing on disease prevention and health promotion. According to the World Organization of Family Doctors (WONCA), the aim of family medicine is "promoting personal, comprehensive and continuing care for the individual in the context of the family and the community". The issues of values underlying this practice are usually known as primary care ethics.
General medical services (GMS) is the range of healthcare that is provided by general practitioners as part of the National Health Service in the United Kingdom. The NHS specifies what GPs, as independent contractors, are expected to do and provides funding for this work through arrangements known as the General Medical Services Contract. Today, the GMS contract is a UK-wide arrangement with minor differences negotiated by each of the four UK health departments. In 2013 60% of practices had a GMS contract as their principal contract. The contract has sub-sections and not all are compulsory. The other forms of contract are the Personal Medical Services or Alternative Provider Medical Services contracts. They are designed to encourage practices to offer services over and above the standard contract. Alternative Provider Medical Services contracts, unlike the other contracts, can be awarded to anyone, not just GPs, don't specify standard essential services, and are time limited. A new contract is issued each year.
A local medical committee is a statutory body in the UK. LMCs are recognised by successive NHS Acts as the professional organisation representing individual GPs and GP practices as a whole to the primary care organisation. The NHS Act 1999 extended the LMC role to include representation of all GPs whatever their contractual status. This includes sessional GP and GP speciality registrars. The LMC represents the views of GPs to any other appropriate organisation or agency.
Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.
Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use. The body is one of four forming the UK National Health Service as health is a devolved matter; there are differences with the provisions for healthcare elsewhere in the United Kingdom, and in England it is overseen by NHS England. Though the public system dominates healthcare provision in England, private health care and a wide variety of alternative and complementary treatments are available for those willing and able to pay.
Doctors in Unite is a trade union for doctors in the United Kingdom. It was formerly known as the Medical Practitioners' Union (MPU) before its affiliation with Unite.
Magpas Air Ambulance is a registered charity that operates a helicopter emergency medical service (HEMS) dedicated to the seriously ill and injured in the East of England.
Dame Clare Mary Louise Francis Gerada, Lady Wessely, is a London-based general practitioner who is a former President of the Royal College of General Practitioners (RCGP) and a former chairperson of the RCGP Council (2010–2013). She has professional interests in mental health, substance misuse, and gambling problems.
Chaand Nagpaul is a British doctor who works as a general practitioner and was Chair of the Council of the British Medical Association from 2017 to 2022. Nagpaul took over as chair from Mark Porter in June 2017.
Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the practice is closed for educational sessions.
Richard Vautrey is a doctor who was Chair of the British Medical Association's (BMA) General Practitioners Committee. He is a nationally elected member of the BMA Council. He works as a general practitioner (GP) in Leeds and he is an assistant medical secretary of Leeds Local Medical Committee.
Pre-hospital emergency medicine, also referred to as pre-hospital care, immediate care, or emergency medical services medicine, is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals. It may be practised by physicians from various backgrounds such as anaesthesiology, emergency medicine, intensive care medicine and acute medicine, after they have completed initial training in their base specialty.
John William Chisholm is a British medical doctor who works as a general practitioner (GP). Chisholm was chairman of the British Medical Association's General Practitioners' Committee (GPC) between 1997 and 2007.
David Wrigley is a British medical doctor who works as a general practitioner (GP) in Lancashire and is the deputy chair of the British Medical Association (BMA) Council. He is a member of the Labour Party and Socialist Health Association.
GP Federations became popular among English general practitioners after 2010 as a means to exploit the opportunities—or mitigate the threats—posed by the Five Year Forward View proposals in the English NHS which envisaged delivering primary care at a larger scale than the traditional GP list. It is widely believed that ‘Practices cannot survive on their own – they have to look at ways of making themselves stronger.’ 15 sites were selected in December 2015 to test new enhanced primary care models serving populations of 30,000 to 50,000 patients. Some, but by no means all, clinical commissioning groups have given financial support to encourage the formation of federations.
The British Association for Immediate Care Scotland is an organisation involved with prehospital care. It has the aims of providing encouragement and aid with the formation of immediate care schemes and to provide training to support those working in prehospital care. It shares its origins with the British Association for Immediate Care (BASICS), which has UK wide coverage. In 1993, the British Association for Immediate Care began running prehospital care courses in Scotland, which were met with a warm welcome and it became clear there was a large audience for such education, especially in remote and rural areas of Scotland. This need for training and organisational leadership became clearer after the 1994 Scotland RAF Chinook crash on the Mull of Kintyre. This led to the training provided by BASICS to be modified for a more rural setting, and to the development of BASICS Scotland as a separate organisation in 2002.
The Prehospital Immediate Care and Trauma (PICT) Team is a prehospital care team which operates from Raigmore Hospital emergency department in Inverness, Scotland. It receives funding from NHS Highland, BASICS Scotland and the Scottish Trauma Network.
Hamish Meldrum is a British doctor who worked as a general practitioner and was Chair of the Council of the British Medical Association (BMA) 2007–2012. He took this role on after being Chair of the BMA's General Practitioners Committee (GPC) 2004–2007.
References
- ↑ Insley, Jill (15 March 2012). "NHS: 100 NHS voices: NHS reforms: the helicopter medic's view". The Guardian . Retrieved 20 May 2017.
- 1 2 Millet, David (18 November 2015). "Lifesaving pioneer GP Dr Peter Holden wins lifetime achievement award". GP online. Retrieved 20 May 2017.
- ↑ Roberts, Neil (17 July 2014). "GPC's Dr Peter Holden: 'no regrets' after losing negotiator election". GP online. Retrieved 20 May 2017.
- ↑ "Pulse power 50 GPs: 38. Dr Peter Holden". Pulse . 2 September 2014. Retrieved 20 May 2017.
- ↑ Soteriou, Marina (24 April 2012). "Health Act opponents win BMA council seats". GP online. Retrieved 20 May 2017.
- ↑ Twaddell, Iona (15 April 2016). "Six GPs elected to serve on BMA Council". Pulse . Retrieved 20 May 2017.
- ↑ "Doctors and the support staff of the EMICS scheme". East Midlands Immediate Care Scheme. Retrieved 21 May 2017.
- 1 2 Benjamin, Alison; Andalo, Debbie (13 July 2005). "Meetings with destiny". The Guardian. Retrieved 21 May 2017.
- ↑ "How doctor dealt with tragedy at Hillsborough and July 7 bomb terror". Derby Telegraph . 25 August 2009. Retrieved 20 May 2017.
- ↑ Andalo, Debbie (7 July 2005). "'The whole of the front of the building was covered with blood'". The Guardian. Retrieved 21 May 2017.
- ↑ "Magazine: Why 7/7 could have been even worse". BBC News. 7 July 2010. Retrieved 20 May 2017.
- ↑ "'We used tabletops as stretchers', says 7/7 doctor". BBC News. 2 February 2011. Retrieved 20 May 2017.
- ↑ "Senior Management Team". British Association for Immediate Care . Retrieved 21 May 2017.
- ↑ Lang, Freya (24 November 2015). "Magpas doctor Peter Holden wins lifetime achievement award at National Air Ambulance Awards". Cambridge News . Retrieved 20 May 2017.
- ↑ Matthews-King, Alex (18 November 2015). "GPC's Dr Peter Holden receives award for lifetime of emergency medicine work". Pulse. Retrieved 20 May 2017.