This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users.. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.

Thought-provoking and highly informative, this is a must-read for the millions of people who want to understand how Muslims can defeat radical Islam written by a conservative American Muslim and former U.S. Navy lieutenant.

From the author of the international bestseller "The Western Way of War" comes a fresh, exciting look at three armies whose intense spirit of mission, coupled with the genius of their leaders, led them to triumph. Maps.

Generalism is a key approach to healthcare organisation and delivery that enables person-centred, dynamic and cost-effective patient care. With its emphasis on adaptability, generalism requires expansive, nurturing and personalised approaches to clinical education in which a generalist attends to and explores patient priorities when problem-setting and co-creating management plans. Generalism in Clinical Practice and Education outlines a generalist philosophy of practice which is brought to life through interleaved examples. Written by a range of international clinicians, patients and academics this book does not prescribe one ‘right’ way to do generalism. Rather, it seeks to inspire readers’ future engagement with generalism in practice and learning through sharing underpinning concepts, values and principles. This ‘big picture’ attention to generalism across public health, social determinants of health and clinical care is at the heart of sustainable and efficient use of resources to prioritise those in need. The book explores four key principles which in practice aim to achieve creative, inclusive and agile approaches to clinical care. The goal is to support generalism in clinical practice and education, and to produce clinical practitioners and learners that enjoy, embrace and enhance future clinical care.

John P. Horder, President, 1980-82 The first 30 years of the College have been an exciting experience for those most closely involved. Some have already passed on, but this account has been written soon enough for many of the actors to be historians. Future members of the College will be grateful to them for what they have written, as well as for what they did as a remarkably determined and harmonious team. Students of twentieth century medicine in this country will also be grateful for a first-hand account of the development of an institution which has been closely associated with, and partly responsible for, important changes in medical care and education. Those who read these pages may wonder how the builders of this young College could have found time to do much general practice. They did. The three editors of this history, which covers 25 years, and the general practitioner members of the Steering Committee all ran large practices, in which they worked very hard throughout that time. Most of their work for the College was done during off-duty hours, weekends and holidays. The College could not have developed as it did, had they not been personally concerned with the practical problems and needs of clinical medicine. This is also true of many of the contributors. It is impossible to mention everyone who deserves credit. The editors hope that they may be forgiven for any serious omissions.

In the world of martial arts, many things that look amazing are less so in reality; they seem impressive but are impractical at best. In Mastery Mind-Set, author Craig R. E. Krohn delivers a real martial arts methodology that focuses on internal techniques through which truly amazing things are possible. Derived from masters of Okinawa and Japanese arts, Krohns methods demonstrate how to approach your training in a manner that can help you achieve a higher level of mastery. After a primer on the fundamentals of the mastery mind-set, Krohn delves into the concept of internal power, which helps the practitioner find a sense of body connectedness that allows the absorption of full-power blows without injury. In addition, Mastery Mind-Set shows how internal power can be used to create devastating punches and kicks that can disrupt internal organs and shatter an opponents defenses. This guide discusses specific techniques and challenges the practitioner to let go of outdated training practices that might be hindering his or her development. It presents mental exercises that can transform an external martial art practice into an internal one. Krohn shows that, with practice and mental conditioning, powerful secrets can be applied to your martial arts and your life to allow you to perform the impossible.

Over 200 observational drawings created every day from the same window reveal life in an ordinary English street in extraordinary times. This visual record and accompanying prose is a unique meditation on place, nature, community, time and mental well-being. Through this qualitative work we gain insight into the individual and collective experience and place-specific impacts of the pandemic, as opposed to the quantitative statistics of mortality and infection rates that characterise daily media soundbites and scientific discourse surrounding lockdown. Five themes are central to the drawings, highlighting the environmental and social factors influencing daily life, and how these can be perceived and recorded via observational drawing: ‘framing space’ foregrounds the importance of widows as an interface between interior and exterior worlds; ‘observing nature and the built environment’ celebrates the street and garden as sites of human-nature relations that support well-being; ‘watching people’ focusses on the activities typify living under lockdown including isolation, socially distanced interactions and working from home; ‘drawing’ reflects on the multiple professional and personal benefits of drawing; and mindful awareness is discussed throughout, affirming the value of appreciating everyday life through drawing practice.

Care pathways are being developed throughout the health service to improve the quality and effectiveness of care. Are they being developed efficiently and making the most of the latest clinical computing systems? This is the first practical guide on how Information Technology and systems methods can support the development implementation and maintenance of "e-Pathways". Case studies throughout highlight team approaches to facilitation clinical knowledge management process analysis and redesign and computerisation - providing insights into how e-Pathways can be used to support high quality patient care. The information is presented in an easy-to-read style and requires no prior knowledge of IT systems. Doctors nurses and managers throughout primary and secondary care as well as healthcare information technology specialists and suppliers will find this to be essential reading. An accompanying CD-ROM includes supplementary information providing useful website links and additional material on specific topic areas.