Ocr tesseract 5.1.0-1-ge935 Ocr_detected_lang en Ocr_detected_lang_conf 1.0000 Ocr_detected_script Latin Ocr_detected_script_conf 1.0000 Ocr_module_version 0.0.16 Ocr_parameters -l eng Old_pallet IA-NS-0001162 Openlibrary_edition Defining learning needs can be difficult, often because we have been educated in the system of always being right and justifying ourselves. The underlying philosophy of defining learning needs is that of the error model, where errors or omissions are not only permitted. but their recognition encouraged and celebrated. In this model, the teacher is the factor that enables the learner to recognise and act on the errors. In medicine, error equates to tragedy and even death. Whilst this can be the case, it is probably a failure to recognise small errors that results in a major error. Wherever possible, an agreement with the patient and their carers on the treatment proposed, appropriately explaining: It is essential that GP trainees gain a good understanding of quality improvement, prescribing and patient safety before completing training. Primary care settings, both inside and outside the practice, are ideal environments to learn and apply the key principles. Psychosocial, cultural, political, economic and other social determinants affecting evidence-based practice

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 how and when to take the medicine and how to adjust the dose if necessary (or how to use a medical device); Epidemiology concepts(see also Topic Guides on Population Health and Infectious Disease and Travel Health)Clinical Governance is the system through which organisations are accountable for continuously improving the quality of care and maintaining high standards. Understanding how to apply tools and metrics to monitor this is key to improving the quality of care. When using instruments or conducting physical examinations, performs actions in a rational sequence Smite J. Building a safer NHS for patients: improving medication safety. London, Department of Health, 2004 Under current rules, the NHS only accepts responsibility for supplying ongoing medication for temporary periods abroad of up to three months. If a patient will be abroad for longer, then the patient should be given a sufficient supply of their regular medication to enable them to get to their destination and find an alternative supply

Patients need care that is in keeping with their own beliefs and values, irrespective of the religion or beliefs of the healthcare professional. 8Patients must also receive care that meets their communication needs – both mental and physical; all organisations in England that provide NHS care are legally required to follow the Accessible Information Standard which aims to ensure people who have a disability are provided with information that they can easily read, understand and receive appropriate support to help them communicate. Clinical effectiveness and optimising whatever time you have to spend with the patient depend on effective consulting skills. To have an effective consultation, you need to navigate with the patient through the usual phases of the consultation in an appropriate sequence and at an appropriate pace. A working understanding of consultation models can greatly assist this process. For example, if you do not spend sufficient time discovering the reason for the patient's attendance and their expectations for the consultation, then your agreed management plan is less likely to be appropriate, and patient safety as well as satisfaction may be compromised A comprehensive understanding of local services and patient pathways, to enable timely and appropriate referrals The National Health Service (NHS) is designed to improve, prevent, diagnose and treat both physical and mental health problems for every individual it serves with equal regard. This is irrespective of gender, race, disability, age, sexual orientation, religion, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The NHS also has a wider social duty to promote equality through the services it provides, especially to groups or sections of society where health and life expectancy could be improved. 1Again, there is no expectation that we should have completed our PDP from last year, but we are invited to reflect and discuss if there are areas we have covered, or if there are items we wish to carry forward to next year. As always, we would be expected to complete the sections on significant events and complaints if applicable, which is no bad thing as these discussions can often be helpful. analysis of variance, multiple regression, t-tests and non-parametric data (for example, chi squared, Mann-Whitney U); and