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Local GP guidelines in Gloucestershire

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COVID Virtual Wards (CVW) cease of service from 1 April 2023
The ICB has agreed not to re-commission the COVID Virtual Ward Service and it will cease on 1 April 2023 and will stop accepting referrals from Friday 24th March 2023. Primary care have been supported for some time now to manage patients with COVID in the community via the COVID oximetry @ home model (which involves issuing a pulse oximeter and guidance to self-manage and to self-escalate to the patient or their carer). There may be a small number of patients who are not able to self-escalate or self-manage but they will need to be managed via normal routes. Contact: gina.mann@nhs.net.

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COVID Virtual Wards (CVW) cease of service from 1 April 2023 The ICB has agreed not to re-commission the COVID Virtual Ward Service and it will cease on 1 April 2023 and will stop accepting referrals from Friday 24th March 2023.

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Medical calculators, score and guidelines to assist in decision making

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MDCalc - Medical calculators, equations, scores, and guidelines

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The source for medical equations, algorithms, scores, and guidelines.

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The Applied Knowledge Test (AKT) is a computer-based assessment that forms part of the MRCGP.

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AAA screening, see Abdominal aortic aneurysm screening

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EARS, NOSE, THROAT AND MOUTH

Thousands of people in Britain use British Sign Language (BSL) as their primary method of communication. However, their language is not currently recognised by law. This can make accessing public services, especially healthcare, and daily life extremely challenging.

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Symptom Checker, Health Information and Medicines Guide

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EARS, NOSE, THROAT AND MOUTH Thousands of people in Britain use British Sign Language (BSL) as their primary method of communication. However, their language is not currently recognised by law. This can make accessing public services, especially healthcare, and daily life extremely challenging.

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MRCGP - Gloucestershire GP Training Scheme (hee.nhs.uk)

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MRCGP - Gloucestershire GP Training Scheme (hee.nhs.uk)

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Welcome to the Website of the Gloucestershire GP Training Scheme. We hope you find the format easier to use. Please do get in touch with any comments via Lindsey. Your feedback is welcome.

The site contains useful resources for Gloucestershire GP trainees and trainers as well as information for visitors

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Welcome - Gloucestershire GP Training Scheme

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Welcome to the Website of the Gloucestershire GP Training Scheme. We hope you find the format easier to use. Please do get in touch with any comments via Lindsey. Your feedback is welcome. The site contains useful resources for Gloucestershire GP trainees and trainers as well as information for visitors

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Welcome to DermNet, the world's leading free dermatology resource. Scroll through evidence-based information on dermatological diseases (skin conditions), procedures, and treatments.

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Summary of NICE guidelines for common conditions seen in primary care.

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The NICE Clinical Knowledge Summaries (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories.

CKS content is produced by Clarity Informatics Limited. It is available to users outside the UK via subscription from the Prodigy website.

If you believe you are seeing this page in error please contact us.

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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Please bear in mind that the nature of the training cycle means that candidate cohorts differ considerably. The results for a particular diet should not therefore be used to draw any conclusions about the likely pass rates for other cohorts.

Summary of results for the July 2020 RCA examination

The results for the first RCA in July were split into two cohorts; prioritised in order to process CCTs for candidates in order of urgency.

The first set of results took in 9 days of examining for 607 candidates.

468 candidates were successful resulting in an overall pass rate of 77.1%. It is not a straightforward comparison to the previous CSA diet as this is a new exam and would represent a cohort who may have sat the previous CSA during March, April or May 2019. However, it can be noted that the overall CSA pass rate for academic year 2018-19 was 76.8%.

The proportion of candidates sitting the clinical skills examination for the first time was 72.2% and the pass rate for this particular group was 82.2%.

The mean score on this occasion was 158 out of 234 and the highest score was 207. A further 5 candidates obtained overall scores of 200 marks or more.

This second set of results took in 7 days of examining for 510 candidates.

369 candidates were successful resulting in an overall pass rate of 72.4%. It is not a straightforward comparison to the previous CSA diet as this is a new exam and would represent a cohort who may have sat the previous CSA during March, April or May 2019. However, it can be noted that the overall CSA pass rate for academic year 2018-19 was 76.8%.

The proportion of candidates sitting the clinical skills examination for the first time was 73.3% and the pass rate for this particular group was 78.6%.

The mean score on this occasion was 157 out of 234 and the highest score was 211. A further 4 candidates obtained overall scores of 200 marks or more.

Summary of results for the August 2020 RCA examination

The August RCA comprised 9 days of examining for 457 candidates.

337 candidates were successful resulting in an overall pass rate of 73.7%.

It is not a straightforward comparison to the previous CSA diet as this is a new exam and would represent a cohort who may have sat the previous CSA during March, April or May 2019.

However, it can be noted that the overall CSA pass rate for academic year 2018-19 was 76.8%. The pass rate for August was slightly up on that of the combined RCA in July which was 72.4%.

The proportion of candidates sitting the RCA for the first time was 78.1% and the pass rate for this particular group was 78%.

The mean score on this occasion was 158 out of 234 and the highest score was 204.

Summary of results for the November 2020 RCA examination

The November RCA comprised 15 days of examining for 883 candidates.

620 candidates were successful resulting in an overall pass rate of 70.2%.

The pass rate for November was slightly down on that of the RCA exams run in July and August in July. The combined pass rate for July and August was 74.6%

The proportion of candidates sitting the RCA for the first time was 84.03% and the pass rate for this particular group was 73%, although it should be noted that these figures are high due to the emergency exams not officially counting as an attempt towards the final four.

The mean score on this occasion was 154 out of 234 and the highest score was 203.

Summary of results for the February 2021 RCA examination

The February RCA comprised 10 days of examining for 494 candidates.

395 candidates were successful resulting in an overall pass rate of 80.0%.

The pass rate for February was higher than that of the RCA exams run previously, where the overall pass rate for all previous diets was 73%.

The proportion of candidates sitting the RCA for the first time was 77.73% and the pass rate for this particular group was 85%. The overall pass rate for this cohort from previous diets was 77%.

The mean score on this occasion was 159.9 out of 234 and the highest score was 208.

Summary of results for the March 2021 RCA examination

The March RCA comprised 20 days of examining for 1151 candidates.

920 candidates were successful resulting in an overall pass rate of 79.9%.

The pass rate for March was higher than that of most of the RCA exams run previously, but just less than February (80.0%).

The proportion of candidates sitting the RCA for the first time was 88.18% and the pass rate for this particular group was 84%. The overall pass rate for this cohort from previous diets was 79%.

The mean score on this occasion was 160.72 out of 234 and the highest score was 208.

Summary of results for the May 2021 RCA examination

The May RCA was taken by 1283 candidates.

998 candidates were successful resulting in an overall pass rate of 77.8%.

The pass rate for May was slightly lower than February (80.0%) and March (79.9%), but higher than the other RCA exams run previously.

The proportion of candidates sitting the RCA for the first time was 85.89% and the pass rate for this particular group was 81%. The overall pass rate for this cohort from previous diets was 80%.

The mean score on this occasion was 157.15 out of 234 and the highest score was 202.

Summary of results for the July 2021 RCA examination

The July RCA was taken by 233 candidates.

This is a small cohort, and one which is largely atypical of a regular cohort. In particular the number of UKGs on their 1st attempt (our usual reference group) was only 21 trainees. Only 51 trainees were on their 1st attempt which is a very low percentage compared to previous diets.

164 candidates were successful resulting in an overall pass rate of 70.4%.

The pass rate for July was lower than May (77.8%) and March (79.9%).

The proportion of candidates sitting the RCA for the first time was 21.89% and the pass rate for this particular group was 65%. The overall pass rate for this cohort from previous diets was 82%.

The mean score on this occasion was 149 out of 234 and the highest score was 194.

Summary of results for the September 2021 RCA examination

The September RCA was taken by 616 candidates.

454 candidates were successful resulting in an overall pass rate of 73.7%.

The pass rate for September was higher than July (70.4%) but lower than March (77.8%).

The proportion of candidates sitting the RCA for the first time was 70.6% and the pass rate for this particular group was 81%.

The mean score on this occasion was 156.5 out of 234 and the highest score was 202

Summary of results for the November 2021 RCA examination

The November RCA was taken by 612 candidates.

460 candidates were successful resulting in an overall pass rate of 75.2%.

The pass rate for November was higher than both July 2021 (70.4%) and September 2021 (73.7%), albeit lower than March 2021 (77.8%)

The proportion of candidates sitting the RCA for the first time was 71.57% and the pass rate for this particular group was 78%.

The mean score on this occasion was 156.9 out of 234 and the highest score was 222

Summary of results for the January 2022 RCA examination

The January 2022 RCA was taken by 556 candidates.

467 candidates were successful resulting in an overall pass rate of 84%.

The pass rate for January was the highest we have seen in the RCA, and this reflects the higher than usual percentage of first-time takers. The proportion of candidates sitting the RCA for the first time was 82.4% and the pass rate for this particular group was 86.6%.

The mean score on this occasion was 160.86 out of 234 and the highest score was 210.

Summary of results for the March 2022 RCA examination

The March 2022 RCA was taken by 886 candidates.

730 candidates were successful resulting in an overall pass rate of 82.4%.

The pass rate for March was high albeit not quite as high as January 2022. This reflects a higher than usual percentage of first-time takers which is common at this time of year. The proportion of candidates sitting the RCA for the first time was 91.0% and the pass rate for this particular group was 95.7%.

The mean score on this occasion was 162.2 out of 234 and the highest score was 220.

Summary of results for the April 2022 RCA examination

The April RCA was taken by 1568 candidates, which is a record number of trainees. In total we marked 34,398 consultations.

By delaying the results by a week, we were able to ensure all trainees were able to attempt this examination.

1184 candidates were successful resulting in an overall pass rate of 75.5%. The pass rate for April was lower than the previous two diets, but not unusual for examinations at this time of the year. 84.8% of trainees were taking the RCA for the first time with a pass rate of 78.7%. The mean score on this occasion was 156 out of 234 and the highest score was 210.

Summary of results for the September 2022 RCA examination

The September 2022 RCA was taken by 626 candidates.

436 candidates were successful resulting in an overall pass rate of 69.6%.

The pass rate for September was the lowest we have seen in the RCA, although relatively similar to a number of previous diets. There was a significantly lower than usual percentage of first-time takers, and therefore this reasonably explains the pass rate. The proportion of candidates sitting the RCA for the first time was 66.5% and the pass rate for this particular group was 74%.

The mean score on this occasion was 152.1 out of 234 and the highest score was 200.

Summary of results for the November 2022 RCA examination

The November 2022 RCA was taken by 729 candidates.

514 candidates were successful resulting in an overall pass rate of 70.5%.

The pass rate for November was higher than September 2022 (69.6%) although lower than April 2022 (75.5%). The proportion of candidates sitting the RCA for the first time was 66.4% and the pass rate for this particular group was 74.9%.

The mean score on this occasion was 152.8 out of 234 and the highest score was 206.

Summary of results for the January 2023 RCA examination

The January 2023 RCA was taken by 889 candidates.

681 candidates were successful resulting in an overall pass rate of 76.6%.

The pass rate for January was higher than November 2022 (70.5%) and September 2022 (69.6%).

The proportion of candidates sitting the RCA for the first time was 84.5% and the pass rate for this particular group was 80.0%.

The mean score on this occasion was 156.7 out of 234 and the highest score was 208.

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Please bear in mind that the nature of the training cycle means that candidate cohorts differ considerably. The results for a particular diet should not therefore be used to draw any conclusions about the likely pass rates for other cohorts.

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Ramesh Mehay runs webinars when there is a need. He doesn't do them often but if there is a great need he will do them. He has done two highly successful webinars to date. Their success is because he covers things they don't tell you - things not on websites. And the other reason is because he demonstrates how to do things in a variety of ways. He will show you ways that are acceptable and he will demonstrate things that trainees do which are not acceptable.
So, if you want Dr Mehay to run an RCA webinar, please place your request through the comments box below. Say which month. Say which week of that month you would like it. He will then try and pick a week that is good for the majority.

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RCA - Recorded Consultation Assessment - Bradford VTS

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Ramesh Mehay runs webinars when there is a need. He doesn't do them often but if there is a great need he will do them. He has done two highly successful webinars to date. Their success is because he covers things they don't tell you - things not on websites.

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Drug poisoning and advice on how to manage this in clinical practice.

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TOXBASE - poisons information database for clinical toxicology advice

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the online poisons information database providing clinical toxicology advice to healthcare professionals managing poisoned patients.

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Gloucestershire Hospitals NHS Foundation Trust

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More information can be found at https://www.nice.org.uk/about/what-we-do/our-programmes/nice-guidance/antimicrobial-prescribing-guidelines

A summary of the main changes from previous guidance (i.e. for amendments to the ring bound paper copies) may be accessed here

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More information can be found at https://www.nice.org.uk/about/what-we-do/our-programmes/nice-guidance/antimicrobial-prescribing-guidelines A summary of the main changes from previous guidance (i.e. for amendments to the ring bound paper copies) may be accessed here

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British National Formulary | BNF Publications

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Practical, evidence-based information for health professionals who prescribe, dispense, and administer medicines.

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Developing Consulting Skills, Facilitating and Teaching Skills: some ideas

Here are a few ideas and tools which we can use to develop our skills of consulting with patients. They may be useful for GP Registrars, GPs and health care workers who wish to improve their consulting skills.

I have assumed some knowledge and experience of consulting, and these ideas build on standard principles. For those new to consulting, the COG-Connect model developed by Bristol Medical School effectively and beautifully describes the sequence of stages of a typical consultation.

Included here are also ideas which may be useful for GP Educational Supervisors and other Educationalists who are facilitating groups or teaching consulting skills, either face-to-face or remotely.

I have made a few suggestions for how these tools can be used, but individual Educators and learners may find other ways of using them to enhance their consulting skills. You can view and download each file by clicking on the hyperlink, and then edit and modify as needed according to the particular learning needs of individual learners.

I have used gender-neutral pronouns 'ze, zir, zirs, zirself' rather than 'he/she, him/her, etc.'

Some Ideas for Developing Consulting Skills

Consultation Analysis Tool This is a tool which we can use to analyze parts of the consultation. In the first column, write down some actual words that we hear the clinician say, for example. "How are you sleeping?"

In the second column, write an analysis, for example, 'history, explanation, open question, closed question, statement, verbal echo, summarizing, discussing options, etc'.

In the third column, write I if the comment relates to Information Gathering.

In the fourth column, write M if it relates to Management and Planning.

We can then note the structure of the consultation, whether it moves smoothly from 'Gathering Information' to 'Discussing Management' or whether there is looping back and forth. We can discuss with the consulter what happened, and consider alternative phrases for any areas that we wish to develop.

Some Consultation Micro-skills This is a list of Micro-skills that GP Educators may wish to discuss with Registrars and students to help them enhance their consulting skills, particularly during the stage of 'Gathering Information'. Perhaps start by identifying which skills the learner already uses, then discuss which one ze would like to learn. It is useful to practise the skill during a tutorial, with the Educator being the 'patient' and enabling the Registrar or student to do a 'mini-skills practice' using the chosen Micro-skill. Such 'mini-practice' may last only 10 seconds, and enables the student to feel confident about using the new technique during a real consultation.

Consulting Remotely: some ideas Here are some ideas about consulting skills that are particularly relevant when we are consulting remotely, either by telephone or video. Included are some ideas about the non-verbal aspects of voice, using verbal 'receipts' and summaries, and managing silences. There are also some suggestions for ways of practising to enhance skills of showing empathy using words and tone of voice.

Consultation Reflections Form We can use this form to focus our self-observations and reflections immediately after consulting. If we decide to learn a 'skill of the day', we can focus on this single consulting skill, practise between patients, and with patients, and become fluent. We can then choose a different consulting skill to focus on.

List of Phrases when Consulting If the learner has difficulty with a particular part of the consultation, ze may wish to consider using one of these phrases. Each person can find a phrase that ze feels comfortable using, perhaps by trying out a few of the phrases on the list with zir Educational Supervisor or clinical teacher, then with patients.

Some Ideas about Active Listening Here are some ideas which enhance active listening while consulting. There is also a list of some common reasons which reduce active listening. GP Educators may wish to discuss these with Registrars and students, perhaps trying some of the ideas during a tutorial, then with patients.

Consulting Behaviours and Personality Types This handout adds some ideas about consulting when the patient and doctor have differing personalities. There are some suggestions about aspects of language and word order, including some ideas about preventing and managing potential conflict during the consultation.

Some Ideas about using pronouns when Consulting This collates some ideas about how pronouns affect aspects of consulting (and other types of communication). There are ideas about using "you" to keep focused on the patient, rather than a third party, and some notes about gender pronouns.

Some Ideas about Teaching Consulting Skills This collates some ideas about teaching consulting skills. It includes ideas about language, and some ideas for Educators who are helping colleagues develop their consulting skills.

Damian Kenny retired in 2018 from his GP practice and from his role as Community Education Advisor in General Practice for Gloucestershire, Health Education England South West.

Damian continues to do freelance work as a Medical Educationalist, facilitating workshops about teaching consulting skills, medical teaching skills, and supporting some GPs with consulting skills.

He has recently retired as a tutor on the Effective Consulting Course at Bristol Medical School.

This Website is to offer ideas only, and has no official standing. I welcome comments, corrections and ideas for future development.

Please contact me via email: Damian Kenny

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Here are a few ideas and tools which we can use to develop our skills of consulting with patients. They may be useful for GP Registrars, GPs and health care workers who wish to improve their consulting skills. I have assumed some knowledge and experience of consulting, and these ideas build on standard principles.

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South West Professional Support and Well Being 

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South West Professional Support and Well Being 

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Professional Support and Wellbeing (South West)

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Please note that we are not an emergency service For urgent help and support please see below PSW is here to provide personal and professional support and development, to postgraduate learners across Health Education England South West; to reach their full potential and provide safe patient care.

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The MDU, the world's first medical defence organisation, was established in 1885 following the outrage in the medical community over the case of Dr David Bradley who was wrongly convicted of assaulting a woman in his surgery. Although the doctor later received a full pardon, he spent eight months in prison.

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Tips for the SCA (Simulated Consultation Assessment)

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Tips for the SCA (Simulated Consultation Assessment)

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Accessing the Service

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Support for Performance and Exams (SPEX) Programme 

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Support for Performance and Exams (SPEX) Programme 

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Support for those at risk of failing the RCA through the deanary.

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South West Support for Performance and Exams (SPEX) Programme

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HEE South West are pleased to introduce the Support for Performance and Exams (SPEX) programme. This is a highly successful, evidence-based intervention to help Doctors in Training improve communication skills, learn to "Consult like a GP" provide revision support for AKT and RCA exams, based on the award-winning HEE North West Support on Extension Programme.

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The British Medical Association is the trade union and professional body for doctors in the UK.

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We have a range of services and information to help support you. Our free and confidential 24/7 counselling line and peer support service are open to all doctors and medical students.

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Useful site with AKT practice questions and videos of common GP presentations.

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We've developed a series of videos that will take you through all aspects of the exam, including how to...

Improve your exam technique

Assess your learning needs

Focus your revision

Maximise your score on the day

You will have access to the FourteenFish Library which is full of important relevant clinical updates that are likely to come up in the exam.

You may want to use this package in conjunction with your deanery educators as it will enable them to provide additional support.

The cost is £95 (inc VAT) for 12 months access, this can be extended for only £50 (inc VAT) per year.

Videos covering how to prepare for the AKT and proven exam techniques

Over 80 clinical update video modules on key topics

Watch videos in your own time, as many times as you like

Mock AKT exam with randomised questions covering all areas

Detailed report highlighting your weak and strong areas to help optimise your revision

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We've developed a series of videos that will take you through all aspects of the exam, including how to... Improve your exam technique Assess your learning needs Focus your revision Maximise your score on the day You will have access to the FourteenFish Library which is full of important relevant clinical updates that are likely to come up in the exam.

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I am passionate about helping you Thrive

Like most of us, I juggle many caring roles inside & outside work.

I struggled with Anxiety & Burnout, because I forgot how to care for myself.

Recovery was tough.

I learnt a lot along the way, drawing on my lived experience & professional skills.

Wellbeing Training Workshops

I share what I learnt in my Wellbeing Training Workshops so you can thrive by avoiding the mistakes I made!

Be the first to know about your next Workshop here.

You will learn:

You will come away inspired and empowered.

Sign up to be the first to know!

Need some headspace to explore your work options?

Thinking of leaving your current job?

Returning to work after time away?

Changing role at work?

It will empower you to make choices that work for you. You deserve it.

Love your Work Again with inspiring email newsletter - Thrive Well News

Are you fed up and losing the love for your work?

You are not alone.

Click here to subscribe to my really useful newsletter - inspiring you to love your work again.
It encourages you to pause and reflect, and is sprinkled with resilience tips for work, wellbeing & fun. Out twice a month. Unsubscribe anytime.

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I am passionate about helping you Thrive Like most of us, I juggle many caring roles inside & outside work. I struggled with Anxiety & Burnout, because I forgot how to care for myself. Recovery was tough. I learnt a lot along the way, drawing on my lived experience & professional skills.

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The Joyful Doctor - beat burnout, live joyfully and make a difference

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The list...

Is divided into 5 categories:

Doctors - UK

Doctors - International

Medical students

Financial support resources for doctors and medical students

Useful Books, Readings & Reports

For general resources available to all doctors and students as members of the general public - see our general resource page here

N.B. Any resources with a cost are denoted with the symbol '£' after their name

Specific Support Resources for Doctors (UK)

Association of Anaesthetists support pages
Representing the life-changing, life-saving profession of anaesthesia – by supporting, informing and inspiring a worldwide community of over 11,000 members.
Link to services

Association of Medical Professionals with Hearing Loss (AMPHL)
Provides information, promotes advocacy and mentorship, and creates a network for individuals with hearing loss interested in or working in health care fields.
Link to services

Be-Exceptional
Free access to The Exceptional Method - an evidence-based transformative program specifically for doctors to take control of their lives a nd to thrive in medicine, developed by Dr Sam Hazeldine.
Link to services

BMA Wellbeing Support Services - Counselling | Peer Support
For help, counselling and peer support for any doctor or medical student just call 0330 123 1245 and you will have the choice of speaking to a counsellor or the details of a doctor advisor who you can call directly. Email: wellbeingsupport@bma.org.uk
Link to services

British Doctors and Dentists Group
A peer-support service for recovering alcoholic and drug dependent doctors, dentists and students. Tel: 07825 107 970. Email: bddg@btinternet.com
Link to services

DOCHealth (£ - has a charge)
DocHealth is a confidential, not for profit service giving doctors an opportunity to explore difficulties, both professional and personal, with senior clinicians. Tel: 020 7383 6533. Email: enquiries@dochealth.org.uk
Link to services

The Doctors Support Group
Our meetings are held with strict adherence to the principles of professional confidentiality. We aim to assist doctors and dentists cope with the enormous stresses and difficulties they may face.
Link to services

Doctors' Support Network
Peer support network for doctors with mental health concerns - with regular meetings around the UK, a newsletter and an e-mail forum.
Link to services

Doctors Support Service (BMA)
Confidential phone and face-to-face support for doctors facing GMC fitness to practice hearings.
Link to services

Health For Health Professionals Wales
A support group for doctors with disabilities. Email: info@hope4medics.co.uk
Link to services

Hope 4 Medics
A support group for doctors with disabilities. Email: info@hope4medics.co.uk
Link to services

London Deanery Coaching and Mentoring
A confidential coaching and mentoring service for London's trainee doctors. Email: coaching.lase@hee.nhs.uk
Link to services

MedWorld
An inspirational company that celebrates doctors and advocates for their well-being. Lots of free resources available.
Link to services

NHS Practitioner Health (NHSPH)
A free and confidential self-referral NHS service for all doctors across England. NHSPH can help you with issues relating to a mental health concern, including stress or depression, or an addiction problem, in particular where these might affect work. Tel: 0300 0303 300 (8-8 Mon-Fri, 8-2 Sat). Email: prac.health@nhs.net​
Link to services

Psychiatrists' Support Service  (Royal College of Psychiatrists)
A confidential support and advice telephone helpline for Members or Associates of the College.
Tel: 0207 245 0412. Email: psychiatristssupportservice@rcpsych.ac.uk
Link to services

Royal College of Obstetricians and Gynaecologists Mentoring Scheme
Aimed at obstetricians and gynaecologists who have been experiencing difficulties in relation to their work.
Tel: 020 7772 6369
Link to services

Royal College of Psychiatrists Resources
Psychiatrists’ Support Service. Tel: 020 7869 6030. Email: csas@rcseng.ac.uk
Link to services

Royal College of Surgeons Confidential Support and Advice Services for Surgeons (CSAS)
Offers a confidential telephone line as a point of personal contact between surgeons which is intended to offer a listening ear and will act as an informed signpost to appropriate sources of advice and support. Tel: 020 7869 6030. Email: csas@rcseng.ac.uk
Link to services

Support4Doctors
A wide range of specialist advice and support for doctors and their families; and links to organisations that can provide further help.
Link to services

Tea and Empathy (Facebook)
Online peer support network of >4,500 NHS staff (mainly doctors) - aiming to foster an atmosphere of compassion and support throughout the NHS. You can post anonymously or openly in the main public group, regional closed groups or secret groups for addictions, mistakes and LGBT staff.
Link to services

The Couch (doctors.net)
Online forum for mutual support and advice, and the option of anonymous posting for delicate issues. The Couch also carries a long list of doctors around the UK happy to help others in distress.
Link to services

Professional Support Unit
Welcome to the London and South East Postgraduate Medical and Dental Education website, a supporting resource for doctors and dentists in postgraduate training programmes. An initiative of Health Education England working across London and South East. Email: PSU@southlondon.hee.nhs.uk
Link to services

Sick Doctors Trust (for those with dependency problems)
Support and help for doctors, dentists and medical students who are concerned about their use of drugs or alcohol. Tel: 0370 444 5163. Email: help@sick-doctors-trust.co.uk
Link to services

Take Time
A confidential service specifically for junior doctors and dentists within Health Education England working across Yorkshire and the Humber. Time-limited therapy. Email: taketime@leeds.ac.uk
Link to services

Working Well Doctor

Wellbeing Training and Resources to help you ‘Work Well and Thrive’
Browse this calm and welcoming website for Working Well from home Tools, Wellbeing Videos and The Anxious Doctor Blog. Email: theworkingwellexperience@gmail.com

Link to services

Whistleblowing Hotline for NHS staff
The Whistleblowing Helpline is a free-phone service for employees, and organisations working within the NHS and social care sector.
Tel: 0800 072 4725. Email: enquiries@wbhelpline.org.uk
Link to services

Specific Support Resources for Doctors (International)

Doctors' Health Advisory Service (DHAS) - Western Australia
With federal funding to support, advocate and educate on doctors health, we have a crisis line available 24-7 staffed by experienced GPs and a psychiatrist who can advise and triage doctors and medical students in difficulty. We also have compiled a list of ‘doctors for doctors’, GP's and psychiatrists in WA who have self expressed interest in managing colleagues- there are rural people as well. We also have a personal resources list for WA docs and Med students, a doctors health charter and an intern oath on self care. Tel: (08) 9321 3098 – 24.
Link to services

Specific Support Resources for Students

GMC guidance/support for undergraduates
Supporting medical students with mental health conditions
Link to services

London Nightline
Confidential listening, support and practical information service for students in London and the Open University - term-time, 6pm-8am. Tel: 0207 631 0101. Email:listening@nightline.org.uk. Skype chat: nightline.chat Skype phone: londonnightline
Link to services

Med Students’ Mental Health
Information about looking after your mental health as a medical student.
Link to services

Financial Support Resources for Doctors & Med Student s

BMA Charities
A group of charities established to help all doctors and their families in times of need.
Link to services

Help me, I'm a Doctor
Financial support for doctors and their families bringing together five independent charities that support doctors when they need confidential financial assistance. These benevolent funds provide vital support to help doctors in genuine financial need get their lives and careers back on track.
Link to services

Money for Medical Students
A website providing practical, unbiased information and advice to help medical students qualify with a manageable level of student debt.
Link to services

Royal Medical Benevolent Fund
RMBF can consider financial assistance to doctors, medical students and their families who are facing financial crisis. Tel: 020 8540 9194. Email: help@rmbf.org
Link to services

Royal Medical Foundation
A medical benevolent charity which assists UK medical practitioners and their dependants who find themselves in financial hardship. Tel: 01372 821 01
Link to services

Society for Assistance of Medical Families
SAMF supports medical practitioners and/or their families who find themselves in severe financial hardship. We also work with other charities to enable members of the profession who may have lost their way to find new paths. Email: info@samf.org.uk
Link to services

The Cameron Fund
A charity for doctors who are, or have been, general practitioners, and for their dependants. It offers help in times of poverty, hardship or distress.
Link to services

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Useful books, readings and reports

BMJ
The BMJ is defined by its mission: to work towards a healthier world for all. They share that global endeavour with millions of readers working in clinical practice, research, education, government, and with patients and the public too.
Tel: +44 (020) 7387 4410. Email: editor@bmj.com.
Link to services

GMC News for doctors
We help protect patients and improve UK medical education and practice by supporting students, doctors, educators and healthcare providers.
Our advisers are here Monday to Friday 8 am–5.30 pm and 9 am–5 pm on Saturday. Tel: 0161 923 6602. Email: gmc@gmc-uk.org.
Link to services

Health and Self Care
Health and Self-care for Health Professionals - Inner Balance for an Effective Life For Health Professionals
Free download of self-care book
Link to services

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Thanks to the wonderful Tea & Empathy (PUBLIC) Facebook Group for the initial list this was built upon

and to the NHS Practitioner Health Programme for additional resources

_______________________________________

*The World Health Organisation estimates that there are approximately 10 million doctors in the world.

The UK has approx 280,000 Registered Medical Practitioners.

1 in 4 people will suffer with a mental health problem each year.

Some studies suggest doctors have higher rates of mental health problems than the general population

- so these figures may well be underestimates.

'The TOP 5 MISTAKES Doctors Make - and How to Avoid Them!'

Download your FREE eBook HERE and receive our latest Joyful Updates straight to your inbox!

(Your privacy is important to us, we will never share your email and we don't do spam!)

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The Joyful Doctor - List of useful links to Support Services for doctors

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From with nhs.net email or doctors.org. email

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If you are an NHS employee with a registered NHS email address you can sign up to access Headspace Plus at no cost. Please note: You will not be asked for payment to activate this subscription. Please sign up using the steps below on a mobile or desktop browser before downloading the Headspace app.

1. Click on and follow the sign-up prompts

2. Please select your type of profession for the NHS:

1. Clinical professionals (e.g. Doctors, Nurses, etc.)

2. Non-clinical professionals (e.g. administrative functions)

3. Wellbeing lead (e.g. the person responsible for staff wellbeing)

3. After you select your NHS profession-type, you'll be directed to a new page to sign-up and enroll in the benefit. These are the steps:

1. Create a new Headspace account or log into your existing one

2. Verify that you work for the NHS by providing your NHS email address

3. Go to your NHS email and click on the verification email you just received

4. Download the mobile app and log into your Headspace account

How do I qualify?
Only individuals with registered NHS email addresses (nhs.net, nhs.uk, nhsemployers.org, hscni.net, scot.nhs.uk, doctors.org.uk, and uk.issworld.com) are able to qualify for this benefit.
I'm a Wellbeing Lead but don't yet have access. What should I do?
Once you have registered as a Wellbeing Lead, you will still need to fully activate the free membership to receive access. You will receive an email with additional information and the next steps to complete your registration as either Clinical or Non-Clinical Staff.
Having trouble receiving your verification email?
Please search your NHS email after you've triggered the verification email for an email from . titled service@mail.headspace.com 'Activate your Headspace Plus Subscription' or ' Verify your Headspace for NHS Clinical email.' It may be in your spam folder. Note that the verification link in the email is only valid for 24 hours. If you've waited for more than 24 hours, you'll need to go through the sign-up steps again.
Is the link in the verification email not working?
The verification link in the email is only valid for 24 hours. If you've waited for more than 24 hours, you'll need to go through the sign-up steps again.
Not seeing the Headspace Plus content in your app?
On your mobile device, make sure you're logged into the Headspace account you created or logged into during the sign-up flow with Headspace for NHS. You can check this by tapping on the Profile tab >> Gear on the top right >> scroll down to the bottom of the page.

I have a registered NHS email address and am still having issues with signing up. What should I do?

If you have registered NHS email addresses and are still having trouble getting verified, please send an email to teamsupport@headspace.com with your email address.
If you had recently signed up to Headspace Plus with the 3-month promotional period for Healthcare Professionals:
If you have recently signed up to Headspace Plus using our 3-month promotional period for Healthcare Professionals, you can still have access until it expires, then re-sign up through the link above for more free access through our NHS offer.
Need more help? Please email teamsupport@headspace.com.

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How do I sign up for Headspace for NHS? If you are an NHS employee with a registered NHS email address you can sign up to access Headspace Plus at no cost. Please note: You will not be asked for pa...

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Information for those new to the South West Region (HEE handbook)

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Information for those new to the South West Region (HEE handbook)

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Loads of info on visa, accommodation, culture, travel and things to do in the South West.

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Preparing for life as a South West Trainee Handbook- updated 1 (1)

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Personal Learning and Development Plan ( SW EDI team)

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Personal Learning and Development Plan ( SW EDI team)

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Complete this at the beginning of your placement with your trainer to identify your learning needs and gaps

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Fillable editable Personal learning and development plan Updated May 22

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What do patient mean by this?

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spend a penny and other things patients say - by jill choudhury

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Being an International Junior Doctor in the NHS 

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Being an International Junior Doctor in the NHS 

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Tips for starting out in the NHS as a junior doctor

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Being an international junior doctor in the NHS

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Tips for international doctors new to the UK who are just starting out in the NHS as a junior doctor.

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Your shield of professional protection, leading the way since 1902

Join MDDUS

We can now offer Income Protection Plus insurance to all our members. It could provide you with peace of mind that you would continue to receive a regular income if you become unable to practise due to illness or injury. You can tailor a plan that suits your personal circumstances.

As a valued member, you have free current access to a confidential support service that is available 24/7. If you need someone to talk to or feel yourself needing support, please act now and find out how we can support you.

Doctors and dentists are facing the most challenging workplace conditions in living memory. We've set out five key asks of a new government to address your concerns.

Why MDDUS?

Here when you need us

Advice from leading medico- and dento-legal experts 24/7, 365 days a year

Indemnity

Access to professional indemnity against claims which arise from the practice of medicine and dentistry

Advice & support

Advice, representation and legal support for disciplinary matters, GMC/GDC hearings and CIs/FAIs

See how MDDUS can help you.

Click here to select your profession

Advice and support when you need it

MDDUS provides access to some of the UK's most experienced experts in the medico- and dento-legal fields. They understand the challenges you face on a daily basis. They're here to help you deal with difficult situations efficiently and expertly.

MEDICAL

Our medical advisory team is made up of doctors and practice managers with specialist medico-legal experience. They are available to provide advice and support 24/7.

Medical advice

DENTAL

Our dental advisory team are all dentists with specialist dento-legal experience, providing members with 24-hour advice and support.

Dental advice

Advice and Support

Working with others in a group, partnership or company?

MDDUS Solutions offers bespoke indemnity solutions for groups as well as businesses, making it easier and more affordable to protect against malpractice and vicarious liability claims.

Learn more

Resources for healthcare professionals

Our resource library offers a wide range of information on legal, regulatory and clinical risk, as well as news, features and case studies. Read some of our recent articles or click below to browse all resources.

Browse all resources

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Medical & Dental Indemnity Protection UK | MDDUS

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MDDUS is a defence union providing professional medical & dental indemnity, legal protection and advice to doctors, dentists & other UK healthcare professionals.

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Difficult consultations List in Primary Care

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Difficult consultations List in Primary Care

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Difficult Consultations in General Practice

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Local treatment guidelines by system.

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Gloucestershire Hospitals NHS Foundation Trust

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The Gloucestershire Joint Formulary is a joint venture from Gloucestershire Clinical Commissioning Group, Gloucestershire Hospitals NHS Foundation Trust, and Gloucestershire Health and Care NHS Foundation Trust.

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The Gloucestershire Joint Formulary is a joint venture from Gloucestershire Clinical Commissioning Group, Gloucestershire Hospitals NHS Foundation Trust, and Gloucestershire Health and Care NHS Foundation Trust.

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How to make sure trainees get a GP job post CCT

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Becoming a sponsor practice event for International Medical Graduates

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Learning to be reflective GP

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Bradford VTS Online Resources Teaching & Learning Understanding Reflection DOWNLOADS HOT DOCS reflection levels and log entries.doc WEBLINKS Log in Link for RCGP ePortfolio (trainers & trainees) If you have files you would like me to host on here and share with others, please email them to me. rameshmehay@googlemail.co.uk What is reflection?