Suggested Locality Based Learning topics

1) The group that meets at Derby Road have chosen (with only a bit of prompting):

Mental Health Act (I wasn't there but it got very high rating from my GPR)

Appraisals and Management of change

End of Life issues

Complaints

Competence, consent and capability

Other topics that have also worked well in the past include

Asylum seekers and refugees

Child protection issues

Ethnicity issues

Rationing and New treatments in the NHS

Dementia

Substance misuse

Challenging patients

Practice based commissioning

All of these (well, perhaps not PBC) lend themselves to a wide approach including not just the clinical aspects (which we have never really taken up much time with) but, more fruitfully, services available, ethics involved, pathways of care, sources of help and information etc...

We have tried critical reading but it was a bit dull.

2) Our group which meets at Newthorpe has developed quite well. We now meet on alternate Fridays and following a group needs analysis have a programme which fortunately avoids purely clinical topics and concentrates on the more depth difficult issues which we all face in consultations. We have done things like:

Health and work and discussed the problems of worklessness on health

Management of patients with co morbidities

Self care Looking after yourself (ie the GP!)

Ethics in the consultation

Skill mix and new roles in the primary care team eg use of HCAs, community matrons etc

Appraisal and revalidation

The registrars and F2s usually bring examples which illustrate the topic, one person is the nominated lead who coordinates the group by email before the session.

3) From the Sneinton group

Planning ahead

 Communicating risk to patients

 Poetry

 Refugee Awareness

 Project

 History of Medicine

 Multiculturalism

 Alternative Medicine

 Substance Misuse

Conflict management in consultations

 Research

 ethics and history

 Inverse care law in patient care