Organisations must consider in advance - as well as respond to - present needs of disabled patients, so reasonable adjustments for the patient can be made. This could include: At times patients’ needs may not be fully met because, for example. you are unable to tell them the times when the Special Clinic is open, don’t know who is the best surgeon for referral with impotence, don t know whether they can have free prescriptions. This Non-clinical knowledge PUN is best met by asking, delegation or ensuring that information resources are easily available within the practice. The Balint group 1is a highly developed and tested method of small-group consultation analysis that aims specifically to focus on the emotional content, not just of single consultations but of ongoing doctor–patient relationships. Many doctors who have had the experience of Balint training attest to the lifelong benefits that it can bring in terms of interest in patients' lives, self-knowledge, job satisfaction and prevention of 'burn out'. Learning with other healthcare professionals This area includes gathering and interpreting the patient's information from their narrative, clinical record and biographical data. It also concerns the use of investigations and examination findings and requires proficiency in performing clinical examinations and procedures.

Completing the learning style questionnaire enables the learner to select the method most suited to their preferred style. It will also enable them to make the most of that style, and from the basis of success, develop their other styles. Role-played consultations, for example during teaching or courses, are valuable in exploring consultation behaviour in a safe environment, especially those using 'standardised patients' (played by actors or role-players who have been trained to react in a consistent or specific manner).Information technology to facilitate clinical and business practice (for example, chronic disease surveillance, audit, financial management) As a GP, you are expected to know some basic statistical terminology, including the terms listed in the table below, and be able to conduct simple calculations for evidence-based practice.

The Healthcare Leadership Frameworkis built around delivering a service to the patient and founded on the concept of 'shared leadership'. There are targeted development programmes named after well-known leaders – Edward Jenner, Mary Seacole, Elizabeth Garrett Anderson, Nye Bevan – supporting all levels of experience and challenge. The likely differences in impact and sustainability between changing systems and changing within systems

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Join NASGP’s free three-month trial for access to all your essential appraisal resources. Doctors’ Educational Needs Consultation skills' and 'communication skills' are often used interchangeably, but these are only a subset of the interpersonal skills, knowledge and attitudes required to consult effectively.

Learning is a characteristic of our species. We all learn, some better than others, some faster than others. The way in which we learn can vary. Kolb defined four main styles of learning: (Experiential Learning Prentice Hall 1984) As a clinician at the frontline of health services, you will need to understand not only how to work within systems of healthcare but also how to work with those systems for the benefit of your patients. This will require an understanding of the context, structures and processes in and by which care is delivered. This goes beyond that of your specific clinical role. Your understanding of research design, epidemiology, and statistical concepts will help you to critically appraise written or graphical information such as trial results or abstracts, clinical governance data (audit, benchmarking, performance indicators) and data presented in medical journals. Further knowledge in this area includes:Inform the patient's general practitioner if prescribing for a patient but you are not their general practitioner In 'Developing People - Improving Care' the National Improvement and Leadership Development Board (2016) provided a national framework for action on improvement and leadership development in NHS-funded services. It identifies 'Five Conditions' for improving care: