PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

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Equality: providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location and socioeconomic status It is against the GMC's Good Medical Practice guidance to refuse or delay treatment because of our belief that a patient's actions or lifestyle have contributed to their condition. 5 Quality Improvement requires continuous improvement through critical thinking and understanding of the complex healthcare environment, application of a systematic approach to design, and testing and implementation of changes whilst measuring and reviewing outcomes. The aim is to understand and make a positive difference to patients by improving healthcare processes and services including safety, effectiveness and experience of care. Equality and diversity encourages the promotion of inclusion as well as protects employment rights. It is important to be able to raise issues and challenge colleagues should any behaviour lead to discrimination.

The work and publications of Peter Honey and Alan Mumford have produced a method of exploring the individual’s learning style. (The Manual of Learning Styles, P Honey an A Mumford, P Honey Publications, Maidenhead 1992). The questionnaire published in the manual enables the learner to determine their learning style, compare their results with the accumulated results of many thousands, and explore their preferred ways of learning. When describing the styles they use the terms activist, reflector, theorist and pragmatist, corresponding with Kolb’s concrete experience, reflective observation, abstract conceptualisation and active experimentation.The topic for a 'Mini-QIP' could be a process or system, clinical care issue, or educational initiative that ultimately has an impact on the safety of patients. Some patients may wish to approach health and illness in a non-scientific way. The reality for most people is that they make their own health choices on the basis of their own values and not necessarily on the health system's values. Understanding and responding to this can improve both the patient experience and concordance with agreed care plans The likely differences in impact and sustainability between changing systems and changing within systems If, like me, the thought of appraisal slightly fills you with dread (alongside the annual failure to update your portfolio as you go along) fear not: there have been some significant changes to this year’s appraisal which should make it a less stressful process for all!

Qualitative measurements of health and approaches to qualitative research such as focus groups, Delphi analysis, ethnography All complaints have to be listed and those who have missed appraisal during the pandemic will have to list all complaints at their next appraisal in 2021 The consultation between doctor and patient is at the heart of general practice. It is the central setting through which primary care is delivered and from which many of the curriculum outcomes are derived. The skills used in the consultation are transferable to other areas of professional practice. For example, your communication skills and approaches with patients are transferable to how you work with colleagues, in leadership and in teaching. Having highly developed communication skills is pivotal to all aspects of high quality patient care. This area includes gathering and interpreting the patient's information from their narrative, clinical record and biographical data. It also concerns the use of investigations and examination findings and requires proficiency in performing clinical examinations and procedures.

It is also unacceptable to allow discrimination from a patient to go unchallenged, should they refuse treatment because of sex, race, religion, sexual orientation or any other protected characteristic. The patient

Patients' views and perspectives may change during the course of their lives and even during the course of an illness

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Consultations are usually time-constrained, although longer consultations tend to be associated with better health outcomes, increased patient satisfaction and enablement scores. Balanced against this are the competing demands of limited appointment numbers and reduced access to GPs Discussion with a patient who is unsure about whether they should start on a statin, after they have been identified to have a 10-year cardiovascular risk of 15%