Sustaining primary care in crisis
‘Resilience’ means the ‘ability to bounce back from adversity’, but what is resilience in the primary care context? Resilience in primary care has multiple layers: interventions at individual, team, locality, and whole-system level will be needed to build a sustainable primary care system for the future. This web page aims to gather information and evidence to support that change.
Research
*New research* – General practice in UK newspapers: an empirical analysis of over 400 articles
Eleanor Barry and Trish Greenhalgh
Professional resilience in GPs working in areas of socioeconomic deprivation
Eleanor Eley, Ben Jackson, Chris Burton and Elizabeth Walton
GPs’ views of health policy changes: a qualitative ‘netnography’ study of UK general practice online magazine commentary
Rebecca Elvey, Jennifer Voorhees, Simon Bailey, et al.
Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study
Johanna Spiers, Marta Buszewicz, Carolyn A Chew-Graham, et al.
GPs’ perceptions of resilience training: a qualitative study
Anna Cheshire, John Hughes, George Lewith, et al.
GPs’ mental wellbeing and psychological resources: a cross-sectional survey
Marylou Anna Murray, Chris Cardwell and Michael Donnelly
Influences on GP coping and resilience: a qualitative study in primary care
Anna Cheshire, Damien Ridge, John Hughes, et al.
GP views on strategies to cope with increasing workload: a qualitative interview study
Rebecca FR Fisher, Caroline HD Croxson, Helen F Ashdown, et al.
GPs’ perceptions of workload in England: a qualitative interview study
Caroline HD Croxson, Helen F Ashdown, FD Richard Hobbs
Resilience of primary healthcare professionals: a systematic review
Helen D Robertson, Alison M Elliott, Christopher Burton, et al.
Resilience of primary healthcare professionals working in challenging environments: a focus group study (see Letter response below)
Catriona Matheson, Helen D Robertson, Alison M Elliott, et al.
Debate & Analysis
Memory matters: how recall can build resilience
Alastair Dobbin and Sheila Ross
Compassion and the science of kindness: Harvard Davis Lecture 2015
Nigel Mathers
Bowlby, Balint, and the doctor–patient relationship: towards a theory of human relationships in medical practice
Jeremy Holmes and Andrew Elder
Resilience: what is it, why do we need it, and can it help us?
Mark Lown, George Lewith, Chantal Simon, David Peters
The three layers of resilience
Editorials
*New editorial* – Stressed GPs: a call for action
Sanju George and Clare Gerada
The resilient general practice: working as a pack
Nick Bradley
Lifting the dead hand on general practice
John Sanfey and Sanjiv Ahluwalia
Enhancing compassion in general practice: it’s not all about the doctor
Antonio T Fernando III, Bruce Arroll and Nathan S Consedine
Who cares for the clinicians? The mental health crisis in the GP workforce
Johanna Spiers, Marta Buszewicz, Carolyn Chew-Graham, et al.
Damaged doctors: it’s time for a binding covenant of care between the NHS and its doctors
Dominic Patterson
Life & Times
Yonder: Burnout leave, asthma, Option Grids, and medicolegal risks
Ahmed Rashid
Mindful maps: a reading group for GPs and psychiatrists
Jane H Roberts
If You Want Good Personal Healthcare — See a Vet. Industrialised Humanity: Why and How We Should Care for One Another?
William House
Now is the time to work on your bucket list
Richard Armitage
Viewpoint: Resilience training, really?
Sarah Evans
My experience of being a doctor with psychosis
Katharine Fox
Books: Attending: Medicine, Mindfulness, and Humanity
Christopher Dowrick
Are you OK?
Tim Senior
Transforming the lives and careers of senior doctors: retaining and harnessing skills and enthusiasm in difficult times
Naureen Bhatti and Rebecca Viney
Bad Medicine: Resilience (see Letter responses below)
Des Spence
Ten Commandments for the resilient practitioner
Simon Tobin, Neal Maskrey
GPs’ demoralisation is due to our loss of human connection
David Zigmond
Increasing emotional support for healthcare workers can rebalance clinical detachment and empathy
Luke Austen
Sustainable general practice: looking across Europe
Mary McCarthy
Letters
Response to 'Written reflection in NHS appraisal' Bernard Klemenz
Response to 'Bad medicine: resilience' Gregory C Jones
Response to 'Bad medicine: resilience' Howard Skinner
From BJGP Open
BJGP Open is the BJGP's open access international journal of primary care
Effects of mindfulness training on perceived stress, self-compassion, and self-reflection of primary care physicians
Herman van Wietmarschen, Bram Tjaden, Marja van Vliet, et al.
Related links
GP Health Service
Confidential NHS service for GPs and GP trainees
GP Survival
Facebook group
DocHealth
Psychotherapeutic consultation service for all doctors
The Vital Signs – A guide for doctors seeking help and advice [PDF]
Royal Medical Benevolent Fund
Tea and Empathy
Facebook group
Resilient GP
Also see Facebook and Twitter pages
GP resilience
Londonwide LMCs resilience page
Research for GPs
Twitter page @GPWellbeing
More than half of practice staff suffer physical illness from work stress
Caroline Price, Pulse
Is Resilience Enough?
InnovAiT Blog
When the doctor is sick too
The Lancet
From burnout to resilience: a general practice perspective
Strain Clark, The New Zealand Medical Journal
Editorial from the InnovAiT Special Issue on Resilience
Toby Holland, InnovAiT
Top tips: Improving your resilience at work
Chris Johnstone, InnovAiT
If you know of related links to be considered for this page, please email them to journal@rcgp.org.uk