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‘With General Practice currently facing existential challenges, it is truly inspirational to be reminded what determined individuals, with a clear set of intensely human values, can achieve... This is the story of an extraordinary career during a profoundly important phase in the history of British medicine – someone who was justifiably proud to be “just a GP”.’ Sir David Haslam CBE FRCGP Past President and Chairman of Council, Royal College of General Practitioners Past President, British Medical Association Past Chair, National Institute for Health and Care Excellence (NICE) This autobiography from Sir Denis Pereira Gray offers a unique insight into the life and career of a hugel...
This book is specifically designed to underpin the concepts of statistics and epidemiology. It is practical and easy to use and is ideal for people who can feel uncomfortable with mathematics.
Sir Donald Irvine asks what further changes have to be made to the culture and regulation of medicine to make it as trustworthy as the public today expects. As President of the General Medical Council between 1995 and 2002, Sir Donald helped shape the changes that followed disasters like the deaths of babies at Bristol and the murders of Dr Harold Shipman. In this frenetic period a new ethos of professionalism emerged, embodying the concept of the autonomous patient and more robust, transparent professional regulation founded on a partnership between the public and doctors. Sir Donald discusses candidly the struggles in the profession and with successive Governments over the key issues. He p...
This is published in association with the Nuffield Trust. There is a foreword By Sir Kenneth Calman Vice Chancellor, Durham University and former Chief Medical Officer. 'Excellent. [The book's] analytical and methodological approach is invaluable. It is a real privilege to listen to the stories of patients and their families, to hear details of personal events, comedies and tragedies, and to use the skills of listening and interpreting to make sense of the story. I have written elsewhere that the history of medicine is simply the re-classification of disease. Here are some new ways of classifying the issues with which we are faced in an effort to assist in the process of healing.' - Sir Kenneth Calman, in the Foreword.
This is the first major study of a significant post within the British government. Drawing on a wide range of archival sources and interviews with senior health professionals and politicians, this book positions the Chief Medical Officer as one of the most influential individuals within the Whitehall system, with personal responsibility for the health of the population. Through a number of case studies, including the 1950s smoking and lung caner issue, and the AIDS and BSE crises of the 1980s and 1990s, "The Nation's Doctor" examines how the CMO operates, drawing on expertise to inform the direction of government health policy.
How is modern medicine failing? Why is a more human approach required? This book challenges the dogma of modern technological medicine that ignores both the therapeutic effect of the doctors and the self-healing powers of the patient. It reviews the vast weight of evidence on the effectiveness of this ‘human effect’, and uses the evidence to describe how to use the human effect in everyday practice. This book is about a vision. A vision that practitioners and patients will recognise and regain their therapeutic potential. It provides a shift in perspective on what doctors can achieve. Thoroughly referenced, it is vital for general practitioners, and also very relevant to all doctors, nurses, health managers, policy makers and indeed patients. ‘Pendulums swing in most fields of life, and medicine and general practice are no exceptions. At the mid-point of the twentieth century the human side of medicine was well understood and implicitly accepted by most working practitioners. As the century progressed, the personal aspects came second (but now) the pendulum of thought has started to swing back again towards the personal.
A guide to clinical effectiveness and governance, this second edition includes clinical governance issues. It aims to increase awareness of, and skills in, an evidence-based approach to health care, and there is advice on collecting, evaluating, interpreting and applying evidence.
Fifty years ago medicine was straightforward. Doctors had limited therapeutic options and patients did as they were told. Today, an array of medial interventions is putting increasing pressure on limited resources, patients are questioning everything and doctors are uncertain of their role. Health economists hoped to offer important insights to aid decision making, but their technical frameworks bore little resemblance to the practical requirements of end users. Now, this book presents the concepts and insights that health economics has to offer in a way that is accessible to every healthcare decision maker. Getting Health Economics into Practice is for all those who are involved in the plan...
PUBLISHED IN ASSOCIATION WITH THE NUFFIELD TRUST Quality is an issue of central importance in the NHS and yet, despite a considerable number of initiatives, programmes and organisation that have focussed on improving quality in the NHS over recent years, there's no comprehensive, reliable balance and rigorous account of the strengths and weaknesses in healthcare delivery. This book provides an authoritative and accessible account of the state of quality in the NHS. Unless information on quality is properly gathered, organised, analysed and used, the health service will continue to lack a foundation on which sustained and systemic improvement can be based. The Quest for Quality in the NHS: a chartbook on quality of care in the UK is a comprehensive, rigorous and robust account of healthcare quality and will inform the public, managers, researchers and policymakers about gaps between what is possible, and what is delivered by the healthcare system.