Improving General Practice Sustainability Through Pastoral Care

Providing a glimpse into the challenges faced by general practitioners in the healthcare field, this content showcases cases of GPs struggling with self-prescribing medications, addiction, and personal issues. The role of Beds & Herts LMC Ltd in supporting GPs, the importance of pastoral care teams, and the need for robust care policies and procedures are highlighted. The cases demonstrate the critical role of pastoral care in ensuring the well-being and professional competence of healthcare providers in general practice.

• General Practice
• Pastoral Care
• Healthcare
• Sustainability
• Mental Health

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Uploaded on Oct 09, 2024 | 0 Views

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1. Pastoral Care for sustainable General Practice Dr Peter Graves Chief Executive Bedfordshire & Hertfordshire LMC Ltd

2. Case 1 48-year old female GP Progressively taken on more and more responsibility and therefore stress Self-prescribing Beta-blockers under a patient s name Referred to psychiatrist by LMC Suspended, referred to GMC dealt with as Illness

3. Roles of the LMC Statutory obligations*: To consider a complaint from one GP about another and report the outcome To make arrangements for a medical examination of a GP (*Paragraph 27 (1) Part 6 of the NHS (GMS Contracts) Regulations 2004)

4. Beds & Herts LMC Ltd 1400 GPs 235 practices Range of services Pastoral Care

5. Case 2 37-year old female GP, single mother with young dependent family Self-prescribing increasing doses of anti- depressants and up to 30 Zopiclone daily under a patient s name Referred for detox and specialist drug addiction advice at CRI Suspended, referred to GMC dealt with as Illness

6. Pastoral Care Team of 14 GPs Regular training and support sessions Specifically trained to identify mental health and addiction problems Patient Safety

7. Pastoral Care policies & procedures Contacting the office Maintaining confidentiality Full information about the policies and when confidentiality between carer and GP will be broken

8. Case 3 29-year old male GP with wife and newly born baby to support Working as locum, with minimal support Self-injecting opiates acquired from terminal patients Discovered almost comatose by practice nurse when he failed to start afternoon surgery Suspended by HA and GMC dealt with under Fitness to practice Back at work now and practising with conditions

9. Interactions GP Occupational Health NHS England Patient Safety Specialist Care? GP s practice GP s own GP Pastoral Care

10. The Future Our aspirations LEVEL 3 Secondary Care Occupational health LEVEL 2 Specialist Service LMC Pastoral care LEVEL 1 GPs some with special training

11. Specialist Services? Confidential Accepts self-referral Multi-disciplinary assessment Appropriate treatment Full support back to work