ABSTRACT

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:

"If health care is not at is best where it is needed most, health inequalities will widen."

"The unworried unwell are not hard to reach but they are easy to ignore and are often ignored."

"With patient contact, population coverage, continuity, coordination, flexibility, long term relationships and trust, general practices are the natural hubs of local health systems."

"… practitioners … are not only scientists but also responsible citizens and if they did not raise their voice who else should?"

Written for family doctors looking to strengthen local collaboration, it brings together the traditional strengths of consultations, caring, continuity, coordination and coverage with the current and future challenges of building capacity, community, creativity, consistency, collegiality and campaigning. It highlights the critical importance of working with patients, maximising the use of serial encounters, integrating care, joint working between practices, social prescribing, community development and advocacy based on patient and practitioner experience.

Drawing on the highly-regarded work of Deep End GPs serving the poorest communities in Scotland ̶ www.gla.ac.uk/deepend ̶ the book is an invaluable handbook for all primary care doctors, irrespective of health care system or country, seeking to provide unconditional continuity of personalised care for all patients, whatever problem or combination of problems a patient may have.

chapter 1|3 pages

The exceptional potential of general practice

ByGraham C. M. Watt

chapter 2|3 pages

Three horizons of general practice

ByAndrew Lyon

chapter 3|22 pages

Traditional strengths

ByGraham C. M. Watt

chapter 4|16 pages

Pioneers

ByGraham C. M. Watt

chapter 5|24 pages

Challenges

ByGraham C. M. Watt

chapter 6|20 pages

Practices working together in the Deep End

ByGraham C. M. Watt

chapter 7|13 pages

Addressing the Inverse Care Law

ByGraham C. M. Watt

chapter 8|7 pages

Link workers in general practice

ByGraham C. M. Watt

chapter 9|16 pages

Community practice

ByGraham C. M. Watt

chapter 10|27 pages

Learning health systems

ByGraham C. M. Watt

chapter 11|21 pages

Core topics

ByGraham C. M. Watt

chapter 12|6 pages

Learning from medicine at the margins

ByGraham C. M. Watt

chapter 13|14 pages

International perspectives

ByGraham C. M. Watt

chapter 14|9 pages

Working to produce evidence of change

ByGraham C. M. Watt

chapter 15|12 pages

Evaluation

ByGraham C. M. Watt

chapter 16|19 pages

Education and training

ByGraham C. M. Watt

chapter 17|3 pages

Preparations ahead of time

ByGraham C. M. Watt

chapter 18|4 pages

Reflection

ByGraham C. M. Watt

chapter 19|4 pages

Postscript

ByGraham C. M. Watt

chapter 20|10 pages

Biographies

ByGraham C. M. Watt