Resilience
Sustaining primary care in crisis
General practice in the UK is on the brink of collapse but little is being done to support GPs and their primary care teams who are struggling for its survival. ‘Resilience’ means the ‘ability to bounce back from adversity’, but what is resilience in the primary care context? Resilience in primary care has multiple layers (Figure 1); interventions at individual, team, locality, and whole-system level will be needed to build a sustainable primary care system for the future. This web page aims to gather information and evidence to support that change.
Figure 1: The three layers of resilience
Research
Resilience of primary healthcare professionals: a systematic review
Helen D Robertson, Alison M Elliott, Christopher Burton, Lisa Iversen, Peter Murchie, Terry Porteous, Catriona Matheson
Resilience of primary healthcare professionals working in challenging environments: a focus group study
Catriona Matheson, Helen D Robertson, Alison M Elliott, Lisa Iversen, Peter Murchie
Editorials
Enhancing compassion in general practice: it’s not all about the doctor
Antonio T Fernando III, Bruce Arroll and Nathan S Consedine
Who cares for the clinicians? The mental health crisis in the GP workforce
Johanna Spiers, Marta Buszewicz, Carolyn Chew-Graham, Clare Gerada, David Kessler, Nick Leggett, Chris Manning, Anna Taylor, Gail Thornton and Ruth Riley
Damaged doctors: it’s time for a binding covenant of care between the NHS and its doctors
Dominic Patterson
Out-of-hours
Ten Commandments for the resilient practitioner
Simon Tobin, Neal Maskrey
GPs’ demoralisation is due to our loss of human connection
David Zigmond
Increasing emotional support for healthcare workers can rebalance clinical detachment and empathy
Luke Austen
Sustainable general practice: looking across Europe
Mary McCarthy
Debate & Analysis
Compassion and the science of kindness: Harvard Davis Lecture 2015
Nigel Mathers
Bowlby, Balint, and the doctor–patient relationship: towards a theory of human relationships in medical practice
Jeremy Holmes and Andrew Elder
Resilience: what is it, why do we need it, and can it help us?
Mark Lown, George Lewith, Chantal Simon, David Peters
Letters
Related links
More than half of practice staff suffer physical illness from work stress
Caroline Price, Pulse
Is Resilience Enough?
InnovAiT Blog
Resilient GP
Also see Facebook and Twitter pages
GP resilience
Londonwide LMCs resilience page
Research for GPs
Twitter page @GPWellbeing
GP Survival
Facebook group
Tea and Empathy
Facebook group
DocHealth
Psychotherapeutic consultation service for all doctors
The Vital Signs – A guide for doctors seeking help and advice [PDF]
Royal Medical Benevolent Fund
When the doctor is sick too
The Lancet
From burnout to resilience: a general practice perspective
Strain Clark, The New Zealand Medical Journal
Editorial from the InnovAiT Special Issue on Resilience
Toby Holland, InnovAiT
Top tips: Improving your resilience at work
Chris Johnstone, InnovAiT
If you know of related links that you’d like to be considered for this page, please email them to journal@rcgp.org.uk