David Paynton is a GP, RCGP Clinical Lead and a member of the Rethinking Medicine working group. Ollie Hart is a GP in Sheffield and a member of the Rethinking Medicine working group.

Image of Ollie Hart

Doctors assume they know what needs to happen but find themselves frustrated that medicines are only half the answer.
We explore a shift in thinking as modern medicine rebalances itself to respond to the challenge of working with people rather than doing to patients.Around the country clinicians especially general practitioners, are increasingly frustrated that despite ever increasing workload, efforts go unrewarded.
There is a feeling that although we face a faster treadmill of consultations, blood tests, referrals, QOF targets, contract indicators and regulatory requirements, the law of diminishing returns still applies.
Dr David Griffiths is Clinical Lead of the ‘Time for Care’ General Practice Development Programme at NHS England.

If we all agree that the medical model is outdated, why is it so resilient? This was one of the most insightful questions at the recent thought-provoking workshop for the Rethinking Medicine programme.

It was asked by Chris Van Tulleken, now a well-known media doctor, but back in the day a peer of mine at medical school. 

It prompted me to reflect more on the nature of the medical model, my own experience of it as a GP, and why it’s so pervasive.

Continue reading “Why is the medical model so resilient?”

Ollie Hart is a GP in Sheffield and a member of the Rethinking Medicine working group.

Image of Ollie Hart

How often do we get a chance to think and reflect these days? We are pretty caught up in the doing, performing as the doctors and nurses we have been trained to be. But if you stop and have the luxury to think a bit, it does make you wonder if we are ploughing on with the right sort of ‘doing’?
We tend to steer by the guiding lights of evidence-based medicine, well synthesized and simplified from the mountains of research that most of us are too busy, or ignorant, to contemplate. Mostly it comes from clever and ever more sophisticated biomedical insights. Continue reading “Is rethinking medicine really necessary?”
Alf Collins, a co-founder of the Rethinking Medicine project, is a doctor, commissioner, researcher and national policy adviser in person-centred care.

People come to see doctors with problems. They tell their story, the clinician examines them, clinches a diagnosis (perhaps after ordering a test or two) and then prescribes a fix. It’s that simple. Occasionally. 

Much more often, people come to see doctors with complex stories of dis-ease, or with multiple conditions, many with their roots in the social determinants of poor health. 

Continue reading “Many of us are already rethinking medicine”