How to Be a Good Enough GP : Surviving and Thriving in the New Primary Care Organisations

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. MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict Cover 1 Title Page 2 Copyright Page 3 Contents 4 Foreword 5 About the authors 7 1 Dis-ease in primary care: the foundation matrix 10 2 The group matrix 42 3 Moving into primary care groups 92 4 Moving beyond the fear of groups 106 5 Self-care is the key to better patient care: individual mastery of change 126 6 Beyond Balint: support, learning and development 144 7 A group analytic view of organisational development 174 Postscript: The support function of the group: relevance to education and training agendas for primary care groups/trusts 188 References 214 Further reading 216 Index 220 Content: The foundation matrix of primary care. The group matrix. Moving into PCGs. Moving beyond the fear of groups. Self-care in the key to better patient care: individual mastery of change. Beyond Balint: support, learning and development. A group analytic view of organisational development. The support function of the group: relevance to education and training agendas for PCGs/PCTs. References.