Enriching Careers in General Practice New roles for general practitioners

General practice is likely to change greatly over the next few years. Increases in care in the community and day surgery will lead to more work, and the demand for better data on practice activity will mean the development of audit and epidemiological work. To make time general practitioners will have to learn to delegate work that does not require a doctor. Fundholding has already stimulated some practices to bring services to patients rather than send patients to hospital, and this trend seems set to continue. It is important to pool resources, not only within practices but among other practices in the area--joint action will increase the ability to improve the services for patients. If general practitioners take the opportunity to gain control of the changes the morale of the profession should improve.

[1]  W. Pickles,et al.  Epidemiology in Country Practice , 1940, Nature.

[2]  J. Hasler The primary health care team: history and contractual farces. , 1992, BMJ.

[3]  K. Calman,et al.  Hospital doctors: training for the future , 1995, British journal of obstetrics and gynaecology.

[4]  M. Marinker,et al.  Imposed change in general practice. , 1992, BMJ.

[5]  D. Keeley The future of general practice: Personal care or the polyclinic? , 1991, BMJ.

[6]  E. J. S. Barthorpe Complaints by Patients , 1969, British medical journal.

[7]  A. Al-Shehri,et al.  Developing organisational vision in general practice. , 1993, British medical journal.

[8]  C. Salisbury Visiting through the night. , 1993, BMJ.

[9]  G. Marsh The future of general practice. Caring for larger lists. , 1991, BMJ.

[10]  R Smith Medicine's need for kaizen. , 1990, BMJ.

[11]  S. Iliffe,et al.  Out of hours work in general practice. , 1991, BMJ.

[12]  R. Hangartner Hospital doctors: training for the future , 1994, Medical education.

[13]  H. Dudley The clinical task. , 1970, Lancet.

[14]  F. M. Hull EFFICIENT CARE IN GENERAL PRACTICE. , 1992 .

[15]  B. Sibbald,et al.  Practice nurses: characteristics, workload and training needs. , 1994, The British journal of general practice : the journal of the Royal College of General Practitioners.

[16]  D. Gau,et al.  PLANNING PRIMARY CARE , 1986, The Lancet.

[17]  Public disagrees with professionals over NHS rationing , 1993, BMJ.

[18]  D. Cole Attachments in general practice for hospital trainees. , 1993, BMJ.

[19]  F. Honigsbaum Reconstruction of general practice: failure of reform. , 1985, British medical journal.

[20]  J. Rowe Registering need. , 1978, Community outlook.

[21]  J. Brazier,et al.  Minor surgery by general practitioners under the 1990 contract: effects on hospital workload. , 1993, BMJ.

[22]  R. Aspinall,et al.  Future of General Practice , 1962, Lancet.

[23]  J. Spencer,et al.  Creating a death register for general practice. , 1993, The British journal of general practice : the journal of the Royal College of General Practitioners.

[24]  D. Irvine General practice in the 1990s: a personal view on future developments. , 1993, The British journal of general practice : the journal of the Royal College of General Practitioners.

[25]  D. Hannay,et al.  Primary care and public health. , 1993, BMJ.

[26]  B. Hurwitz,et al.  Prompting the clinical care of non-insulin dependent (type II) diabetic patients in an inner city area: one model of community care. , 1993, BMJ.

[27]  N. Stott The new general practitioner? , 1994, The British journal of general practice : the journal of the Royal College of General Practitioners.

[28]  M. Jacoby The doctor, the patient, and their contract , 1986 .

[29]  F. Hobbs,et al.  Violence in general practice: a survey of general practitioners' views. , 1991, BMJ.

[30]  D. J. Gray The key to personal care. , 1979, The Journal of the Royal College of General Practitioners.

[31]  J. Hart The "new kind of doctor". , 1994, Occasional paper.

[32]  G. Moore,et al.  The case of the disappearing generalist: does it need to be solved? , 1992, The Milbank quarterly.

[33]  H Jick,et al.  Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. , 1991, BMJ.

[34]  N. Stott William Pickles Lecture 1993. When something is good, more of the same is not always better. , 1993, The British journal of general practice : the journal of the Royal College of General Practitioners.

[35]  F. Honigsbaum Reconstruction of general practice: the way forward. , 1985, British medical journal.

[36]  S. Iliffe,et al.  Fundholding: from solution to problem , 1994, BMJ.

[37]  A. Cartwright,et al.  General Practice Revisited , 1981 .