{"id":4759,"date":"2010-10-08T11:08:53","date_gmt":"2010-10-08T10:08:53","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=4759"},"modified":"2010-10-08T11:08:53","modified_gmt":"2010-10-08T10:08:53","slug":"domhnall-macauley-rcgp-annual-primary-care-conference-2010","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/08\/domhnall-macauley-rcgp-annual-primary-care-conference-2010\/","title":{"rendered":"Domhnall MacAuley: RCGP Annual Primary Care Conference 2010"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/domhnall.jpg\" alt=\"Domhnall Macauley\" width=\"162\" height=\"110\" align=\"left\" \/>Leadership. Today\u2019s trendy word, endlessly abused, was back on stage at the 4th RCGP annual meeting in Harrogate.\u00a0Tanni Grey-Thompson multiple\u00a0Paralympic gold medallist\u00a0told us of the pain and pleasure of achievement at the highest level, the grind of training, the setbacks, the importance of goal setting, the ecstasy of winning and the glory of victory. Both entertaining and inspirational, she told her story of an extraordinary athletic career.\u00a0But, for most of us, life isn\u2019t like that. There are no gold medals in general practice, no finish line, no final goals or medal ceremonies.\u00a0No matter how good today\u2019s performance, tomorrow&#8217;s waiting room never empties.\u00a0 Striving for sporting excellence may be relentless and draining, but there is an end.<!--more--><\/p>\n<p>Steve Field, coming to the end of his term as chairman of the RCGP gave his final swansong before he hands over the reins to a new team. He could have opted for a rousing self congratulatory political speech but he didn\u2019t. That\u2019s not his style.\u00a0 He spoke softly of the privilege of being a GP;\u00a0one\u2019s influence on people\u2019s lives, sharing\u00a0their sorrows and secrets and acting as a navigator, counsellor, and\u00a0supporter in time of need. But, in his quiet understated way he also had a strong message. He pointed out that, even with the great achievements of the RCGP and quality of most UK general practitioners, some GPs do not come up to the standards we would like for our families and friends.\u00a0 He told us of the need to tackle poor performance and that\u00a0multiplying even a small number of underperforming doctors by their patient list, means a lot of patients are at risk. He felt that revalidation was a response to a system that had failed and that a good appraisal system would have prevented those failures. He did not see a place now for single handed practice &#8211; doctors must share and learn together in partnership even if arrangements are\u00a0loose and flexible.\u00a0He told us\u00a0that, during his chairmanship, he met some inspirational colleagues but also despaired\u00a0at the poor treatment of the homeless, asylum seekers, travelling people, and sex workers &#8211; those without a voice.<\/p>\n<p>This was a man looking back and feeling he had unfinished business.\u00a0But, he\u00a0has done so much. He worked hard for the College and in addition to his public achievements, he\u00a0made huge efforts to communicate with members,\u00a0lobbied behind the scenes, and wasn\u2019t afraid to work with the media.\u00a0In private, I have seen him frustrated at misquotation, selective interpretation of his intentions, and the slow pace of progress. I don\u2019t think he yet appreciates the influence\u00a0he has had on the College.\u00a0What came across in this address was his humility and generosity, his recognition and praise of those around him,\u00a0his belief in the ability of those\u00a0to follow him but, most of all his understanding of the needs of patients.\u00a0Daily misuse of the word leadership has left it\u00a0so threadbare it has almost lost its meaning\u00a0but, in the true sense of the word, he showed it.\u00a0<\/p>\n<p>Real life doesn\u2019t award gold medals.\u00a0Achievement is hard to measure whether you are a GP or the chairman of the College.\u00a0One benefit of attending a conference like this is to reaffirm the value of what we do and inspire us for the future. Lets leave the final quotation to Tanni who wouldn\u2019t have recognised\u00a0the resonance of her sentiment when she said \u201cwinning doesn\u2019t always feel like winning.\u201d\u00a0I hope that some day Steve will be able to look back and appreciate the value of what he has done,\u00a0and so should we.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Leadership. Today\u2019s trendy word, endlessly abused, was back on stage at the 4th RCGP annual meeting in Harrogate.\u00a0Tanni Grey-Thompson multiple\u00a0Paralympic gold medallist\u00a0told us of the pain and pleasure of achievement [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/08\/domhnall-macauley-rcgp-annual-primary-care-conference-2010\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1287],"tags":[],"class_list":["post-4759","post","type-post","status-publish","format-standard","hentry","category-domhnall-macauley"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Domhnall MacAuley: RCGP Annual Primary Care Conference 2010 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/08\/domhnall-macauley-rcgp-annual-primary-care-conference-2010\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Domhnall MacAuley: RCGP Annual Primary Care Conference 2010 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Leadership. 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