Dr Rebecca Goulding

Older Patients' Verbal Communication in Interactions With Primary Care Staff: A Qualitative Systematic Review and Meta‐Ethnography Background Communication between patients and staff is a crucial component of safe and effective healthcare. As people age, they have more consultations and these become more complex. As such, older...

New paper. Really proud of this one - the first publication from my PhD: Older patients' verbal communication in interactions with primary care staff: a qualitative systematic review and meta‐ethnography. onlinelibrary.wiley.com/doi/full/10..... Supervisor and co-author: @speters123.bsky.social

Patrick Burch presenting one of his opening slides - relational continuity is a cornerstone of general practice but has declined in the UK

Interesting start to the parallel session on continuity. @patrickburch.bsky.social discussing his qualitative research. Patients who have experienced continuity know the value of it, those who haven’t haven’t necessarily considered it. #sapc2025 @sapc.ac.uk

Polly Duncan on stage, presenting at SAPC

Final slide from Polly’s presentation, showing Alice, a housebound patient, and ways in which her care could have been better - better continuity, more time, MDT, training, patient-centred

Great presentation by Polly Duncan on primary care for housebound patients. What factors are associated with being housebound / who is most likely to be housebound? How can health care services better support their patients who are housebound? #sapc2025 @capcbristol.bsky.social @sapc.ac.uk

Who raises the topic of mental health in annual review consultations for people with multiple long-term conditions? Becky Franks (undergrad student & future top doc) presents her important @oxprimarycare.bsky.social #ClinicalCommunication research at #SAPC2025 - super proud supervisor moment!

It was a fantastic presentation and sounds like an amazing project.

RfPB by any chance? I submitted early evening yesterday. 😅

Are you attending #SAPC2025?

Please help the SAPC Public Involvement & Participatory Approaches Special Interest Group by completing our short, anonymous survey!

Your input will help us shape future involvement support and opportunities.

forms.office.com/e/8J6tBVqChT

@sapc.ac.uk

Title slide for presentation - UK national guidance recommends outpatient clinic letters be written directly to patients, not GPs. Is rheumatology embracing this approach and if not, why not?

On my way to Cardiff for #SAPC2025. Come catch my presentation tomorrow afternoon. I’ll be talking about outpatient clinic letters, who they are written to and why. @sapc.ac.uk @sharpcharlotte.bsky.social @brianmcmillan.bsky.social

@becksfisher.bsky.social @helensalisbury.bsky.social @rcn.org.uk @sandradyer.bsky.social

Grateful to anyone who can share with their primary care networks. We are still looking for clinical staff who are not GPs, practice managers and administrative staff / patient advisors. Thank you!

@sharpcharlotte.bsky.social @dr-know.bsky.social @hilaryonline.bsky.social @catcutmore.bsky.social

Contact us for more information or sign up at: forms.cloud.microsoft/e/586nXfmYAf

Detailed advert. Text version available from rebecca dot goulding at manchester dot ac dot uk.

Patient-first clinic letters: join an event for clinical and administrative staff working in primary care and help decide what works for general practice.
When: Thursday, 26 June from 14:00-16:00
Where: @nexerdigital.com, Macclesfield
This is your opportunity to shape how change is implemented.

@sharpcharlotte.bsky.social @dr-know.bsky.social @hilaryonline.bsky.social @catcutmore.bsky.social

For more information on the 'Writing to patients from rheumatology' project, visit: sites.manchester.ac.uk/writing-to-r...

... has identified that while most patients would prefer clinic letters to be written to them (with a copy going to their GP), most healthcare professionals write to GPs (and not all patients get a copy). Contact me for more information or sign up at: forms.cloud.microsoft/e/586nXfmYAf

Do you work in primary care (policy or practice)? Join us to learn more about this topic and share your views and experiences on Thursday, 26 June from 14:00-16:00, at @nexerdigital.com’s offices in Macclesfield. Our UK-wide research on 'Writing to patients from rheumatology' ... 2/3

Women in a yellow top peering through her glasses at some pieces of paper she is holding up in front of her.

Primary care stakeholder event on writing outpatient clinic letters to patients: We want to hear from primary care clinicians and administrative staff to ensure your needs are taken into account as we encourage and support healthcare professionals to write outpatient clinic letters to patients. 1/3

Today marks a pretty monumental occasion. I’ve worked at @uniofmanchester.bsky.social in the @fbmh-uom.bsky.social for 20 years! Feeling appreciation for the many wonderful people I’ve met and worked with in that time. Special shout out to @suzypuss.bsky.social for your support since the early days.

Square image with repeating pattern of red squirrels on a green background, featuring the words Happy Christmas.

Just one hour left of work in 2024. Have had a lovely year working with @sharpcharlotte.bsky.social @brianmcmillan.bsky.social et al. on the writing to patients from rheumatology study. Happy holidays all!

A study shows that pre-existing distrust in public health systems, exacerbated by structural racism and inequalities, significantly impacted vaccine uptake in marginalised communities in #GreaterManchester.

Read more here: bit.ly/4e3I28M

*(or telephones and ladders)

Conclusion from the GP-SUS and OATH dissemination event. General practice is not broken. The media narrative that it is is harmful. There is a lot that works. We need to build on our strengths, focus on meeting the needs of the population and build system capacity to do this.

Responses: There is a fundamental resource problem. Doctors / practices are working harder. Patients are finding it harder to get an appointment. Both things are true. Patient voice is essential. Patient choice is key. (GP-SUS and OATH dissemination event)

Chaired by John Campbell, the panel is: @becksfisher.bsky.social, Jonathon Tomlinson, Pavi Brar, Jennifer Voorhees. Some challenging questions from the audience including whether panel members work with their patient participation groups and whether access is the problem or a symptom of the system.

After a morning of games (snakes and telephones, an inescape room) and an empathy building exercise, the afternoon began with an expert panel discussion. The provocation: General practice is broken… should we concede that people cannot have an appointment with their doctor? 1/3

OATH - Optimising Access Through Human fit | research OATH - Optimising Access as Human Fit research project from The University of Manchester. Making General Practive more collaborative, compassionate and accessible to all. Funded by the NIHR.

OATH was led by Jennifer Voorhees and @jhrh.bsky.social. We explored access to general practice following the Covid-19 pandemic, and developed resources to help staff and patients work together, identify access issues and come up with solutions to try out. www.oath-access.com

Access to General Practice: Innovation, impact and sustainable change (GP-SUS) A collaboration between Warwick Medical School and Nuffield Department of Primary Care Health Sciences

GP-SUS is a project led by Catherine Pope and Helen Atherton. They have explored what has been tried in #primarycare and what has become day-to-day practice. www.phc.ox.ac.uk/research/gro...

Attending the fantastic GP-SUS and OATH dissemination event today. Whatever happened to all those attempts to change access to general practice? What are the realities of access for patients and staff? Can we optimise access by looking at it through the lens of human fit? 1/3

Advert for patients for the 'Writing to patients from rheumatology' interview and focus group study. For more information, please follow the link in the post. On the website, there is a pdf copy of this advert as well as other documents.

Are you a current patient of a #Rheumatology outpatient department in the UK NHS/HSC? We want to know your views on clinic letters and who they are written to. For information on our interview and focus group study, please visit: sites.manchester.ac.uk/writing-to-r...