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Recent Posts by Richard Fieldhouse

The plane truth – Black Box Thinking in the NHS

In the first part of this three article series on errors and mistakes in general practice, we explored the psychological basis for errors and biases in human behaviour that lead to mistakes occurring. In this second instalment, we think about the psychological limits that contribute to mistakes, and how we can use these insights to…
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The case for 
GP locum chambers

There are many benefits to being part of a chambers if you are a GP locum, but what can you do if there is no chambers in your local area? Dr Richard Fieldhouse provides some advice. The concept of GP locum chambers was first pioneered by the NASGP in 2002, and are generally small locally…
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Podcast | IR35, endometriosis, airline pilots and the Birmingham LMC conference

In our latest podcast, Richard and Sara talk about a recent encounter with an airline pilot; Louise's latest review of the NICE endometriosis guidelines; a new article on the IR35 intermediaries legislation and also some recommendations for podcasts, the forthcoming Birmingham LMC sessional GP conference and a new survey on last minute cancellations. thanks Matthew…
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NASGP Podcast | Patient follow-up and handover

We're talking about our new very simple template to help patients get the most appropriate follow-up at the practice. We also discuss what we feel is the best way to record handover information to the next clinician. bSpip toolkit | Patient follow-up requestWith pressure for appointments increasing, it can be difficult to ensure that a…
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A rock and a hard place

Pressure is mounting on GP services, brought about by a combination of increasing patient needs with reduced resources in primary care (the rock), versus statutory regulatory authorities like the GMC and CQC (the hard place) who, for all the right reasons, have to take an idealist rather than a realist approach to regulation. Whilst their…
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Meet the locum GP specialist

For years, we've been calling for recognition that locuming involves performing in a specialised environment requiring at least a mention in formal GP training. We've now brought that together in a one-day GP locum masterclass with the BMJ. Ask any locum GP who’s worked in a few different surgeries over a period of a few…
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But what if all GPs were locums?

Crazy as it sounds, this is a rhetorical question I often hear, and you may have heard it too. Though it doesn’t seem to be asked as a genuine question, more as an attempt to somehow justify the fact we absolutely need GP partners and salaried GPs and, by implication, that we therefore have to…
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