Official Partner The Royal Society of Medicine

Menu

Managing Complex and Long-Term Care

As their training and experience develops, trainee GPs will expected to demonstrate greater expertise in their approach to medical care. Trainees will be required to develop the capability to manage a complex body of patients, with complex requirements and co-morbidities which change over time. Managing Complex and Long-Term Care covers trainees’ newly-developing skills, and ability to cope well with uncertainty and the prescription of multiple pharmaceuticals, and to organise a complex care package on both a patient and system level.


Managing Complex and Long-Term Care – Core Capabilities

The Core Capabilities within Managing Complex and Long-Term Care are:

Managing Medical Complexity

Trainees should demonstrate care skills that extend beyond basic management of straightforward issues, including the management of co-morbidity and poly-pharmacy. GPs will also have to coordinate health promotion and disease prevention in an opportunistic and structured manner, relying on colleagues from the MDT to do so. Patients may require educating in how lifestyle affects their health, how their illness is acting upon them, or why they are undergoing certain treatments. It is therefore up to the GP to ensure they are at ease.

There is also a likelihood of uncertainty and risk within General Practice, and trainees should be prepared to deal with the difficulties arising from a lack of clear answers. They must be skilled in managing morbidities, but also in caring for their patients, with both skills requiring confidence in using a referral system, and cross-agency co-operation.

The Competences within Managing Medical Complexity are:

Enabling People with Long-Term Conditions to Improve their Health

As part of Managing Complex and Long-Term Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Managing Concurrent Health Problems in an Individual Patient

As part of Managing Complex and Long-Term Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, CSR). For more information see our Assessment Tools page.

Adopting Safe Approaches for Patients with Complex Health Needs

As part of Managing Complex and Long-Term Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: CSA, WPBA (CbD, COT, CEX, PSQ, CSR). For more information see our Assessment Tools page.

Working with Colleagues and in Teams

GPs need to work effectively with other professionals in order to ensure high-quality care delivery. Whilst working in General Practice, information may need to be shared with colleagues, complicated services will need to be efficiently navigated, and multi-disciplinary teams may need leading. In caring for their patients, GPs will need to develop these interpersonal and organisational skills, and work well with other primary care providers, secondary care specialists, and colleagues both in the community and elsewhere within the NHS.

The Competences within Working in Colleagues and in Teams are:

Working as an Effective Team Member

As part of Managing Complex and Long-Term Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: WPBA (CbD, CEX, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Coordinating a Team-Based Approach to the Care of Patients

As part of Managing Complex and Long-Term Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: WPBA (CbD, COT, CEX, MSF, CSR). For more information see our Assessment Tools page.

Loading

Loading More Content