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woensdag 22 maart 2017

RCGP: Patients need good access to GP services wherever they live, says RCGP

Patients need good access to GP services wherever they live, says RCGP
She said: "GPs and our teams are under massive pressure right across the UK, but there are certainly specific challenges facing general practice, and our patients, in remote and rural areas.
"With our population ageing, and our patients routinely living with more than one long term condition, demand for our service has soared in recent years, but investment in general practice has actually dropped and our workforce hasn't risen in step. GP practices in remote and rural areas often report difficulties in recruiting enough GPs and practice staff needed to meet this rise in patient demand.
"Many of the innovations we are exploring in order to cope with growing demand, for example working in federations of practices to pool resources, might also not work for practices in remote and rural areas as by their very nature, they might be too isolated. And whilst practices merging might work in more built up areas, the result of a practice closing in a rural area might lead to patients having to travel a very long way to their nearest surgery – and public transport might be lacking.
"Another serious concern is communications problems for rural surgeries – it's essential for GP surgeries to be able to communicate with both patients and other areas of the health service, something that is often done electronically. If a practice only has slow internet connectivity, or lacks internet access altogether, then it will have an impact on the level of care a practice is able to provide for patients.
"Measures are being taken. Health Education England's targeted recruitment campaign offering bursaries to GPs to train and practise in under-doctored areas was piloted in a number of rural areas and early signs are that it has been a success. We need to see more schemes like this, to ensure that our patients have good access to general practice services, wherever they live."

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Report highlights extra resources GPs need to carry out further training in managing suicide risk, says RCGP
She said: "Patients identified at high risk of suicide need specialist care and given the delicate nature of their wellbeing, cases must be managed appropriately to secure their safety first and foremost.
"While mental health is a key component of the RCGP training curriculum for all GP trainees, this report highlights the extra support and resources GPs need, so they can carry out further training in managing suicide risks – not just during GP training but throughout their career.
"More, appropriate training that can help us to deliver the best possible care for our patients is always welcome, and the College has long called for GP training to be extended to four years to include a mandatory specialist-led placement in mental health – and today's report support this call.
"GPs and our teams are often the first port of call for patients with mental health problems, and given the complex nature of these conditions, it sometimes isn't possible within the constraints of the standard 10-minute consultation for GPs to make a definitive diagnosis and prescribe the appropriate form of treatment.
"Mental health is an enduring priority for the College, and ultimately what is necessary is for substantially more investment in general practice and more GPs so we can offer longer consultations to those patients who really need them. 
"It is also vital  that we have a greater quantity of mental health services in the community, and for GPs and their teams to have better, easier and quicker access to these, in the best interests of our patients."

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Pill study should reassure millions of women workdwide, says RCGP

"Millions of women worldwide who use the combined oral contraceptive pill should be reassured by this comprehensive research that they are not at increased risk of cancer as a result – and that taking the pill might actually decrease their risk of certain cancers.

"This is not to advocate that women should be given the pill as a preventative measure against cancer as we know that a minority of women do have adverse health effects as a result of taking the pill. Ultimately decisions to prescribe the pill need to be made on a patient by patient basis, but this research will be useful to inform the conversations we have with our patients when discussing various contraceptive options that are available.

"Long-term and ongoing research into the health effects of any medication is important in shaping new clinical guidelines around the care we are able to provide to our patients – and it's encouraging to hear that RCGP research that originated in in the 1960s is still having a positive impact and increasing our knowledge now."



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