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Trustee for Arts for Health in this wonderful city

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General Practice, 34 Linscott Rd, London

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General Practice, 34 Linscott Rd, London

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General Practice, 34 Linscott Rd, London

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Dr Jenifer King - I'm a GP at Lower Clapton General Practice and Health Equity Lead for Hackney Marshes PCN. I encourage anyone and everyone to find their creative side and improve their health and wellbeing in doing so.

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Herstmonceux Integrative Health Centre, Hailsham Road, Herstmonceux, Hailsham

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Herstmonceux Integrative Health Centre, Hailsham Road, Herstmonceux, Hailsham

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Herstmonceux Integrative Health Centre, Hailsham Road, Herstmonceux, Hailsham

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Dr Sarah Andersen

This is where I work and is the location of the "Fittervillagehealthyplanet" project.

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Alexis Butt - NCCH

I am the General Manager at the National Centre for Creative Health, and support the GP Special Interest Group for Creative Health.

I have a particular passion for creative health due to my own lived experience of the NHS system, but I also previously worked part-time for a South West regional arts and health charity until 2024, and I continue to support creative health work in the South West as a volunteer Champion for the Culture, Health and Wellbeing Alliance (CHWA).

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Hello! I work as a GP in Battersea and an Associate Dean for NHSE-WTE, leading on enhancing generalist skills for London. As part of this, we run a regular workshop on flourishing. I have written about some of this in a series of articles on the 'hermeneutic window' and a book, 'Fighting for the Soul of General Practice- the algorithm will see you now'.

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This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention.

We aren't suggesting a return to a 'better' time. We don't object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users..

We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.

Rupal Shah is a GP in Inner City London and works as an Associate Dean for NHS England. As well as her many academic publications, she is a co-author of 'Our Mothers Ourselves', a memoir of mothering.

Jens Foell is a practising GP and Academic, who is deliberately choosing to work in undifferentiated primary care rather than a specialist service. He has an interest in mental health, chronic pain and health policy and was also trained in rehabilitation and social medicine.

Introduction: Standardising General Practice

1. Weaponized Bureaucracy: Bureaucracy as a Source of Injustice

2. Pigeonholes: Medical Categories

3. Guidelines, Tramlines, Mindlines: Interpreting the Evidence

4. Waiting to Connect: Algorithms That Dictate Access

5. Taking Liberties: Regulating the Mental Health Act

6. Passports for Passing: The Bureaucracy of Death

7. A Labour of Love: Why It Is That General Practice Is Still a Good Place to Work

8. Final Reflection - Image Reviewing

'With increasing bureaucracy, doctors struggle to take the life pressure [sic] of their patients. This book offers a compelling reflection on the importance of listening to patient stories as opposed to applying chilly algorithms for human care. The authors provide the reader with a lively under-the-rug inspection of street-level medical practice and the turbulent business of managing through bureaucratic demands.'
Professor Paul Crawford, University of Nottingham, UK

'UK general practice is at a precarious crossroads. This book captures the essence of traditional, relationship-based, family doctor care, which is now under threat from a number of forces-not least the technologization of medicine and the inexorable encroachment of algorithmic, if-then decision-making on relational and narrative-based clinical method. At the very least, Shah and Foell have documented the essence of what we risk losing. Perhaps, if their warnings are heeded, they will also succeed in retaining and restoring what they rightly describe as general practice's "soul".'
Trish Greenhalgh

'This is an honest dispatch from the frontlines of the conflict between industrializing bureaucracies and the ongoing care of each person. It is a hopeful song for clinicians who, when the algorithm says no, breach the protocol and go the extra mile for each patient.'
Victor M.Montori, professor of medicine at the Mayo Clinic.

'A rich, wonderful, profound and moving book. I was immersed in the many stories and heartfelt, sometimes harrowing, observations. The need to innovatively transform health and social care, and particularly mental health care, by integrating the work of primary care with social care, local councils, voluntary sectors, communities, patients and families is now vital. Written in an authentic and deeply compassionate way, Fighting for the Soul of General Practice provides a broad and comprehensive understanding of the issues and challenges we face.'
Michael West, Professor of Organizational Psychology, Lancaster University Management School

'A wonderful analysis of where GP/ primary care sits just now in UK and the cumulative effects of misapplied EBM and service changes based on algorithms and guidelines. [...] I also found it very moving indeed. The patients' stories [...] resonated with me strongly and reminded me of many similar situations of great complexity during my time as a GP. And I agree often the key to the best --or least bad-- outcome is the doctor engaging at a human level with the patient, and the family. [...] I was really pleased to see that [the book] highlights the importance of emotional engagement and imagination.'
John Gillies, Honorary professor of General Practice at the University of Edinburgh. Gillies was a rural doctor in Malawi then a GP in rural Scotland for many years.

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fighting for the soul of general practice - the algorithm will see you now

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Fighting for the Soul of General Practice

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Fighting for the Soul of General Practice - The Algorithm Will See You Now; A view of contemporary general practice from two practising GPs. Themes include industrialisation versus craftsmanship; the effect of protocol; and the breakdown of relational care. The theoretical perspectives introduced are illustrated through a series of anonymised anecdotes.

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GP Academic Fellow, Swansea University

Prev. Arts and health coordinator Hywel Dda University Health Board

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Irene Gonzalez - GP , creative dancer, leading wellbeing session at work. Based in Conwy

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Dr Sarah Andersen GP

Brighton, Brighton and Hove - This is my city, described as a "louche, off the shoulder sort of place": creative, joyful and gritty.

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Dr Rahhiel Riasat, GP, East of England GP SIG Lead, Medical Educator, Coach & Mentor, GP Appraiser

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Barts and The London School of Medicine and Dentistry, Garrod Building, Turner Street, London

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Hello I work as a GP in Bristol and as Professor of Medical Education at Barts, QMUL. I have been engaging students, clinicians and educators in creative enquiry (exploring lived experience through creative expression) for last 20 years, first for person-centred care and the human dimension of clinical practice and latterly for human flourishing - attending to the human dimension of the clinician. In this challenging time in medicine, I have been seeking to move the narrative from individual resilience towards flourishing and have created a flourishing model https://www.creativeenquiry.co.uk/human-flourishing

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Royal College of General Practitioners, Euston Square, London

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Royal College of General Practitioners, Euston Square, London

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Royal College of General Practitioners, Euston Square, London

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Dr Alexandra Caulfield

GP trainee and researcher in creative arts and wellbeing in older people. Based in London, working near Oxford.

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Birkbeck, University of London, Malet Street, London

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Dr Linda Miller Portfolio GP; Coach/Careers coach (Professional Support Unit NHSE, Faculty of Medical Coaches, NHS London Leadership Academy), Medical Educator (QMUL, UCL, Imperial) Senior GP Appraiser, Medical Humanities doctoral researcher at Birkbeck, social prescribing champion (NASP), RCGP Late career and retired members rep (NW London Faculty) and NHS Clinical Entrepreneur. Having coached doctors and dentists since 2008 I am passionate about doctors' wellbeing, crucial to the sustainability of healthcare. My practice-led research combines positive psychology coaching and the arts in an award-winning series of workshops. I am fortunate to work with amazing collaborators, cartoonists, poets, improvisers and singers.

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Coaching & Coach supervision

Executive coaching and leadership mentoring for leaders in health care, education, finance, law and design. Provides a variety of methods based on coachee strengths and values. Also, Coach supervision, a place for coaches and mentors to reflect on their coaching.

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Coaching & Coach supervision Executive coaching and leadership mentoring for leaders in health care, education, finance, law and design. Provides a variety of methods based on coachee strengths and values. Also, Coach supervision, a place for coaches and mentors to reflect on their coaching.

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Hello, I'm Nicola and as vice chair of the SIG I help Louise and our leadership team run the SIG and respond to the groups needs. I'm a GP Educator in York for Yorkshire and Humber GP School. My expertise is in using the arts in medical education and for wellbeing. . I'm the curator of www.theartofmedicine.co.uk and lead art-based teaching for: Y&H Enhanced Generalist Programme, Y&H GP School, Sheffield Primary Care Together, HYMS Medical School, and the GP Training Blended Learning pilot. I lead the Art of Medicine Seminars every two months ay York Medical Society, check out thier website for our events.

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Dr Rachel Tyler GP

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General Practice, 34 Linscott Road, London

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Dr Jenifer King

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Hi - I am Kathleen Wenaden, a GP in Hackney and a PCN Clinical Director. I am particularly interested in how creative health can help patients (esp in deprived communities) and also aid flourishing for health care practitioners - I have written about this here (https://bjgplife.com/flourishing-at-work/

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Kathleen Wenaden looks back at the struggles and successes of her Hackney practice, and of how the work of the staff interweaves with the lives of the patients. She considers too the reinvigorating po

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Grace McGeoch

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Carpe diem. Dr Hastie Salih.

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Dr Lucy Antolin Wilkinson, The Huxley Practice, Palma de Mallorca

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Imperial Dr, North Harrow, Harrow HA2 7DU, UK

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Clare Etherington I work as a GP at the Ridgeway Surgery i am involved in projects with my PPG, with the community library and with a community healthworker project. I also support the Reading Agency

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I'm a GP and clinical teaching fellow at City St. George's University. I love incorporating perspectives from the humanities and social sciences in my research and have recently experimented with using graphic medicine, narrative medicine and I-poems in a project that co-created learning with patients. I also love medical exhibitions in galleries and museums and find it fascinating the stories we tell and those we don't!

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City St George's, University of London (Tooting), Cranmer Terrace, London

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Dr Emma Metters, GP and Senior Lecturer of Medical Education and Primary Care, City St George's, University of London.

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Clinical senior lecturer and GP

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Music lover, enjoyer of repetitive beats

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Dr Rebekah Massey