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dc.contributor.authorTazzyman, A
dc.contributor.authorBryce, Marie
dc.contributor.authorBoyd, A
dc.contributor.authorWalshe, K
dc.date.accessioned2019-03-04T11:51:58Z
dc.date.issued2019-05-07
dc.identifier.issn0960-1643
dc.identifier.issn1478-5242
dc.identifier.urihttp://hdl.handle.net/10026.1/13397
dc.description.abstract

<jats:sec><jats:title>Background</jats:title><jats:p>Underperforming doctors have been the focus of sustained interest from the media, policymakers, and researchers. GPs are more likely to be the subject of a complaint than any other type of doctor in the UK, and the management of concerns in primary care needs improvement, yet more is known about how concerns are managed in secondary care.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>Although formal policies for NHS England’s management of concerns are clear, little is known about how these are put into practice. This study explores how concerns are identified, investigated, and managed at a regional level.</jats:p></jats:sec><jats:sec><jats:title>Design and setting</jats:title><jats:p>A qualitative study of the management of concerns in primary care across eight area teams.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>The study comprised two main strands: in-depth interviews with NHS England staff; and the analysis of case file data.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The process for raising concerns was identified as inconsistent and disparate, with potential weaknesses to address. The concerns process was flexible. A trade-off between adaptability and consistency was evident, but the correct balance of the two is difficult to establish. Performance concerns were most common, followed by behaviour. Conduct was the next most frequently raised concern, and a small number of health cases were identified. Outcomes of cases appeared to be dependent on the doctor’s engagement and response rather than necessarily the nature of a concern or the consequences of a doctor’s actions.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The way practices handle complaints and concerns remains unexamined, even though they are a key route for patient complaints.</jats:p></jats:sec>

dc.format.extente499-e506
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherRoyal College of General Practitioners
dc.subjectcomplaints
dc.subjectgeneral practitioners
dc.subjectmanaging concerns
dc.subjectpatient safety
dc.subjectquality of care
dc.titleIdentifying and managing concerns about GPs in England: an interview study and case-series analysis
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000473258600008&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue684
plymouth.volume69
plymouth.publication-statusPublished
plymouth.journalBritish Journal of General Practice
dc.identifier.doi10.3399/bjgp19X703733
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA23 Education
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2018-12-24
dc.rights.embargodate2019-5-11
dc.identifier.eissn1478-5242
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.3399/bjgp19X703733
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-05-07
rioxxterms.typeJournal Article/Review


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