Working with Vulnerable Groups (BOK)
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Whatever the method of consultation, and regardless of internal or external influences, many doctors would describe good general practice as doing the best for the patient in the consultation at any point in time. Working with Vulnerable Groups challenges GPs to consider that all patients are not equal in terms of need, and that therefore GPs may have greater responsibilities to some patients than to others. Designed to resolve this tension in the work of GPs, the book presents chapters on the homeless, Travelling communities, refugees and asylum seekers, sexual orientation and transgendered people, patients in secure environments, older people, patients with intellectual disabilities, and adolescents. Working with Vulnerable Groups defines social exclusion and health inequalities, and discusses how GPs can deliver care to their disadvantaged patients. The book ends with a chapter that discusses the imminent organisational and ethical challenges caused by changes in the NHS. GPs and other members of the primary care team will find this book invaluable in helping their most vulnerable patients. Why is it needed? This book will make it easier for all doctors to engage in the care of those patients who need care most and to realise the intense rewards both personal and professional that can result. This book is also for those who feel that working in primary care despite all its rigours and stresses is a privilege. If like the chapter authors you wish to better help those presenting in primary care as vulnerable but feel as if you sometimes lack the necessary knowledge and skills required, then this book is for you. It aims to guide the reader towards a better understanding of a variety of vulnerable groups so that the care we offer may be more tailored to their needs. This will allow the reader to offer help that is more useful and effective than that offered by the well-motivated generic practitioner. How much depth? An overview of inequalities and social exclusion is followed by chapters highlighting different population groups that are challenging to manage within general practice. Each chapter has contains key learning points. All the authors are acknowledges experts in the broad area of inequalities and specifically for their subject area. The book also includes international authors to enable reader to reflect on global general practice. Readership This is a handbook for GP trainees, GPs and the wider primary care team, including nurses, PCO managers and commissioners, and GP educators.