The Exceptional Potential of General Practice: Making a Difference in Primary Care

1. The Exceptional Potential of General Practice. 2. Three Horizons of General Practice. 3. Traditional Strengths. Gatekeeping. Tolerating uncertainty. Knowing the patient. Consultations. Caring. Continuity. Coordination. Coverage. Clinical generalism in Scotland. 39 years in practice. 4. Pioneers. Pioneers in research. Edward Jenner. Sir James Mackenzie. William Pickles. Seizing opportunities. University-based research. Population medicine. Career advice for medical students. The example of Julian Tudor Hart. Advocacy. Lachlan Grant. Direct action for public health. Advocating for a National Health Service. Welfare reform. Alcohol in general practice. 5. Challenges. Confusing terminology. Multimorbidity. The challenges of multimorbidity. Assessing the quality of generalist clinical care. Competing for power and resource. Maintaining sufficient numbers of clinical generalists. The Inverse Care Law. GP views on health inequalities. 6. Practices working together in the Deep End. General Practitioners at the Deep End. Deep End Ireland. General practice at the Deep End in Yorkshire and Humber. Deep End Greater Manchester. 7. Addressing the Inverse Care Law. The Govan SHIP Project. The Deep End GP Pioneer Scheme. 8. Link Workers in General Practice. Best arrangements for link workers. Experience as a programme director. Experience as a host practice. Experience as a GP lead. 9. Community Practice. Drumchapel, Scotland. Dublin, Ireland. Brisbane, Australia. Pittsburgh, Pennsylvania. Ghent, Belgium. 10. Learning Health Systems. Learning health systems. Achievements in East London. Development in East London. 11. Core Topics. The dynamics of family life. The child in the consulting room - What does the future hold? Levelling up in Deep End practices. Mental health. End-of-life care. 12. Learning from Medicine at the Margins.Working with refugees in general practice. Homeless general practice. 13. International Perspectives. Key components of health systems. A general practitioner for every person in the world. Perspective from China. Perspective from Lebanon. Perspetive from Sub-Saharan Africa. 14. Working to Produce Evidence of Change. Rules of engagement. The Deep End Advice Worker Project. 15. Evaluation. Learnings from the Deep End. Towards a framework of learning. 16. Education and Training. Correction of social ignorance. A lifeline for a drowning man. The special needs of preactitioners working in deprived areas. GP training in the Deep End. The North Dublin GP Training Scheme. The South Wales GP Academic Fellowship Scheme. The Deep End GP Pioneer Scheme. 17. Preparations Ahead of Time. 18. Reflection. 19. Postscript. The virtues of the race. A philosophy of general practice. 20. Biographies. In Memoriam: Dr Julian Tudor Hart (1927-2018).