MBBS, BSc (Hons), MRCGP, DRCOG, DFFP, Dip.Derm (dist), Diploma in Dermoscopy, Q Community member (Health Foundation), Clinical lead ISS for management of emergencies and deteriorating patients in GP surgeries (OxSTaR, HEE and PSA). ‘Extending Nursing careers – a New Role for General Practice’ project with HEE.
I completed my medical training at Kings College London in 1990 and have been a partner at Eastfield House Surgery in Newbury since 2005. I enjoy the challenges of General Practice as a multispecialty discipline.
As an experienced GP I am able to see system gaps which can be addressed using innovative solutions to improve care and patient outcome in General Practice. I am also passionate about supporting GP teams using robust, practical, sustainable and reproducible methods. My work in secondary care dermatology has allowed me a good insight into the patient pathway starting in the community, with their GP as part of the overall medical team.
Emergencies and acutely deteriorating patients regularly present to GP teams who have little or no training or support in managing acutely these situations, with most current guidance having been developed for secondary care.
I am very lucky to be working with a team of experts from OxSTaR supported by Health Education England, training GP teams using in-situ simulation and developing checklists to support best practice in a primary care setting. It is very important to our team that this is a practical and sustainable solution that can be delivered nationally.
Recent pressures in primary care have reduced GP availability for home visits, which has caused a gap in care for housebound patients including our frail elderly, palliative care and learning disabilities. I have also developed a new role in my practice of home visiting nurses by re-employing experienced district nurses who had left the NHS. They are able deliver both acute and routine long term care to our house bound patients to improve and optimise care to this vulnerable population.