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Articles and features 16/12/2019

Professional perspective: top tips when working with locum GPs

Professional perspective: top tips when working with locum GPs

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Most practices will engage locum GPs at some point. In this article, Dr Mahibur Rahman, a portfolio GP and the medical director of Emedica, looks at some top tips for practices to consider from the perspective of a locum GP.

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Articles and features 16/12/2019

HR practicalities to consider when using locums

HR practicalities to consider when using locums

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To ensure staffing needs are met, whether because of unexpected shortages or due to planned cover, the use of locums is commonplace in many general practices. Our employment law partner, Croner, looks at steps you can take to ensure a positive locum experience.

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Case report 18/07/2019

An early presentation

An early presentation

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Baby T was eight weeks old when his mother brought him to his GP’s morning surgery. His mother had become increasingly concerned about his general irritability and frequent crying episodes, which lasted up to two hours. These had become apparent over the past three days, not settling with breast feeding.

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Case report 18/07/2019

Back again with cauda equina syndrome

Back again with cauda equina syndrome

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When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement.

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Factsheet 17/05/2016

Removing patients from the practice list - Northern Ireland

Removing patients from the practice list - Northern Ireland

Time to read article: 3 mins
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Removing patients from the practice list is an emotive issue, risking criticism from bodies such as the Northern Ireland Ombudsman, the General Medical Council (GMC) and the media and should only be used after careful consideration and as a last resort.

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Case report 09/11/2015

Childhood brain cancer

Childhood brain cancer

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At presentation, Peter was 14 years old and had presented with migraines since the age of 8. He was taking Pizotifen and his headaches were well controlled. Over the past four weeks he had started getting headaches again. They were in a similar location to his migraines, but were different in nature – he couldn’t put his finger on exactly how.

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Factsheet 30/09/2015

Removing patients from the practice list - England

Removing patients from the practice list - England

Time to read article: 3 mins
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Removing patients from the practice list is an emotive issue, risking criticism from bodies such as the Parliamentary and Health Service Ombudsman, the GMC and the media and should only be used as a last resort.

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Factsheet 16/07/2015

Repeat prescribing for GPs - Northern Ireland

Repeat prescribing for GPs - Northern Ireland

Time to read article: 3 mins
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Medication errors make up a fifth of all errors occurring in general practice and many of these are preventable. Extra care must be taken when repeat prescribing, especially if you were not the original prescriber and have not seen the patient. This factsheet outlines the pitfalls, and gives advice on avoiding errors.

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Factsheet 20/05/2015

Access to medical reports - England

Access to medical reports - England

Time to read article: 3 mins
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Doctors may, on occasion, receive a request from a patient’s employer for a medical report to be delivered directly to the HR department, without the patient seeing it. However, before any medical report can be provided, you must be satisfied that the patient has given valid consent to the release of the information. This factsheet looks at the issues surrounding medical reports for employers and other organisations, and offers advice to doctors who are asked to write reports.

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Factsheet 06/05/2015

Repeat prescribing for GPs - Scotland

Repeat prescribing for GPs - Scotland

Time to read article: 3 mins
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Medication errors make up a fifth of all errors occurring in general practice and many of these are preventable. Extra care must be taken when repeat prescribing, especially if you were not the original prescriber and have not seen the patient. This factsheet outlines the pitfalls, and gives advice on avoiding errors.

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Factsheet 06/05/2015

Removing patients from the practice list

Removing patients from the practice list

Time to read article: 3 mins
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Removing patients from the practice list is an emotive issue, risking criticism from bodies such as the Ombudsman, the GMC and the media, and should only be used as a last resort. The reasons for removing a patient from the list can be varied, but it should not be in response to patients lodging a complaint or failing to comply with treatment. Nor should it be used purely because a patient is highly demanding, offers criticisms or questions his/her treatment.

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Case report 05/05/2015

A persistent headache

A persistent headache

Time to read article: 3 mins
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Mr H, a 45-year-old solicitor and father of three, visited his GP Dr P with a persistent headache. He described two months of symptoms, occurring up to six times per week, mainly in the mornings and with associated nausea.

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Case report 05/05/2015

A problem with polyps

A problem with polyps

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Mr S was a 35-year-old taxi driver who was visiting his extended family abroad. While he was there he decided to have a routine health check in a private clinic. He told the doctor in the health clinic that he had noticed some rectal bleeding over the previous four months.

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Factsheet 27/04/2015

Dealing with non-compliant patients - Wales

Dealing with non-compliant patients - Wales

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A doctor’s primary concern is to do their best for their patients; this includes giving advice and treatment, and arranging investigations in accordance with the current evidence base and the patient’s best interests.

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Factsheet 02/02/2015

Report writing - Scotland

Report writing - Scotland

Time to read article: 3 mins
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One incident can be investigated in a number of different ways – as a complaint, a clinical negligence claim, a criminal case, a disciplinary matter by your employer, a Procurator Fiscal’s FAI or a complaint to the GMC. An important starting point is your written report on the circumstances of the incident. This factsheet gives more information about writing this report.

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Factsheet 14/01/2015

Statement of fitness for work - Northern Ireland

Statement of fitness for work - Northern Ireland

Time to read article: 2 mins
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Fit note is an informal name for the Statement of Fitness for Work. The Statement intends to advise patients who are on sick leave for more than seven days on whether, with extra support from their employer, they could return to work.

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Factsheet 14/01/2015

Statement of fitness for work - Scotland

Statement of fitness for work - Scotland

Time to read article: 2 mins
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Fit note is an informal name for the Statement of Fitness for Work. The Statement intends to advise patients who are on sick leave for more than seven days on whether, with extra support from their employer, they could return to work.

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