{"id":43733,"date":"2018-12-18T13:05:54","date_gmt":"2018-12-18T12:05:54","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43733"},"modified":"2018-12-31T15:06:29","modified_gmt":"2018-12-31T14:06:29","slug":"james-s-thambyrajah-prescribing-compassion-christmas","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/12\/18\/james-s-thambyrajah-prescribing-compassion-christmas\/","title":{"rendered":"James S Thambyrajah: Prescribing compassion at Christmas"},"content":{"rendered":"

The festive season offers a chance to remember that caring for our patients shouldn\u2019t be confined to our practice walls, says James S Thambyrajah<\/p>\n

<\/p>\n

\"\"<\/a>Christmas is often thought of as the most magical time of the year.\u00a0For many it is a time for faith, family, friends, music, and indulgence, but for some people their Christmas is absent of these blessings. As a GP, I have been\u00a0reflecting on how we can reach out to our patients on a local level during what should be a time for making human connections. <\/span><\/span><\/p>\n

The Royal College of General Practitioners\u2019 motto is “<\/span>Cum Scientia Caritas<\/span><\/i>,” which means “scientific knowledge applied with compassion.\u201d I have been inspired (and moved) by general practices that live out\u00a0this principle by tending to the\u00a0holistic needs of patients during the festive season.\u00a0<\/span><\/span><\/p>\n

When I joined my current practice, I was pleasantly surprised to hear that there has been an annual carol service organised by the practice for years.\u00a0When I attended the\u00a0service last year it was a wonderful opportunity to see my colleagues and patients outside the context of the practice environment, bonding and laughing over singing carols. As a GP, it was eye opening to see a patient as my neighbour in our community, rather than as \u201cMrs X who needs a medication review.\u201d<\/span><\/p>\n

Another GP colleague of mine helps organise a\u00a0community hospital Christmas\u00a0party for people aged over 85 in their area. Local school children sing carols, local\u00a0businesses\u00a0donate presents, and people who might feel isolated experience the benefits of company and community. <\/span><\/p>\n

Of course, people don\u2019t just need help at Christmas,<\/span> and some practices offer their services as a touchpoint in the community throughout the year. I am inspired by practices who go into the community to help out people who are struggling or less fortunate: Salford Foodbank, for example, has a successful partnership with neighbouring medical practices. <\/span>As a GP I cannot think of anything more important\u00a0than looking out for our most vulnerable patients. \u00a0\u00a0<\/span><\/p>\n

It\u2019s worth remembering that for those of our patients who are lonely at Christmas, this is not just a passing seasonal melancholy, but part of a growing public health epidemic. Loneliness and social isolation are now considered to be just as\u00a0serious as a\u00a0chronic health problem in terms of the impact they have on health. It is estimated that 9 million people in the UK are always or often lonely<\/a>\u00a0and most GPs say they see between one to five patients every day for this reason. As GPs we see 85% of the population within a given year. This unparalleled access means that we have a key role in\u00a0identifying\u00a0people who are either chronically lonely or at risk of becoming lonely.<\/span><\/p>\n

Thankfully, the government has recognised this with\u00a0their new strategy on loneliness<\/a>, which aims to empower GPs across the\u00a0country to refer lonely\u00a0patients to various community activities such as cookery classes, walking clubs, and art groups by 2023.\u00a0<\/span><\/p>\n

By highlighting the crucial role of social prescribing, the government’s strategy mirrors\u00a0the\u00a0<\/span>General Practice Forward View\u2019s<\/span><\/i><\/a>\u00a0emphasis on the importance of voluntary sector organisations in reducing pressure on GP services (specifically through social prescribing). Cynics\u00a0may say that social prescribing is nothing new and that \u201cgood\u201d GPs have been doing this for years. This is partly true, but as brilliantly highlighted by our RCGP\u00a0chair Helen Stokes-Lampard<\/a>, social prescribing<\/a> can now\u00a0be delivered on a much bigger and broader scale. <\/span><\/p>\n

As I see it, social prescribing enables GPs to put compassion for their patients into practice. Ideally, active social prescribing springs from having a deeper understanding of our patient\u2019s troubles, pain, or distress. Throughout our GP training we are taught to holistically care for our patient<\/span>\u2014<\/span>tending to the whole person by addressing their psychological, spiritual, and social needs (along with their obvious physical needs). If we embrace this approach then social prescribing is a natural byproduct. And with practice, patience, and perseverance, we can build bridges between practices and the corresponding community organisations to deliver the best care for our patients. <\/span><\/p>\n

So as we head towards another busy winter, I implore\u00a0those reading this to reach out towards their loneliest and most vulnerable patients<\/span>\u2014<\/span>whether it\u2019s via an\u00a0impromptu home visit,\u00a0organising a meal,\u00a0or\u00a0helping\u00a0patients through\u00a0social prescribing. I would argue that it is our duty to care for these patients not just within the confines of our practice walls, but within our local community too. Let\u2019s\u00a0strive to make their Christmas a more memorable one, but not forget to think about how we can make their lives happier and healthier all year round. Perhaps your personal development plan\/new year\u2019s resolution can include prescribing more compassion to your patients. <\/span><\/p>\n

James S Thambyrajah<\/strong> is a general practitioner and first 5 lead GP for RCGP SW Thames Faculty. Twitter @JThambyrajah<\/a>\u00a0<\/em><\/p>\n

Competing interests<\/strong>: None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"

The festive season offers a chance to remember that caring for our patients shouldn\u2019t be confined to our practice walls, says James S Thambyrajah […]<\/p>\n

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