General Practice and Primary Care
"General Practitioners at the Deep End"
Background
Definition of Deep End general practices
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"General Practitioners at the Deep End" work in 100 general practices serving the most socio-economically deprived populations in Scotland.
The activities of the group are supported by: the Royal College of General Practitioners (Scotland); the Scottish Government Health Department; and General Practice and Primary Care at the University of Glasgow. At a local level there is substantial overlap between the Deep End Project and the Greater Glasgow and Clyde Primary Care Deprivation Group and the Lothian Deprivation Interest Group.
Definition of Deep End general practices
General Practitioners at the Deep End work in general practices serving the 100 most deprived populations in Scotland, based on the proportion of patients on the practice list with postcodes in the most deprived 15% of Scottish datazones. This ranking, based on the Scottish Index of Multiple Deprivation (SIMD), is published on the website of the Information Services Division of NHS Scotland. After excluding special services in the list, such as nursing homes and services for people who are homeless or who have challenging behaviour, Deep End practices have from 88-44% of their patients in the most deprived 15% of datazones. Membership of the Deep End, and rankings within the list, continually change as a result of periodic changes to SIMD, the disbandment and formation of practices, and patients leaving and joining practice lists. Homeless practices in Glasgow and Edinburgh have been co-opted to the group. Although practices may be added to the Deep End group, our practice is not to exclude practices which are no longer in the most deprived 100, as the population changes are usually small, with little change to the situation in which practices work.
- August 2013
- Written evidence on Children and Young People and Public Bodies (Scot) Bills
This is the written response backing Dr Anne Mullin's oral evidence to a Holyrood Committee investigating the implications of the Children and Young People (Scotland) Bill and the Public Bodies (Joint Working)(Scotland) Bill at the Scottish Parliament on 04 September 2013.
- Written evidence on Children and Young People and Public Bodies (Scot) Bills
- May 2013
- A routemap to the 2020 vision for health and social care (NHS Scotland 2013)
This SGHD document gives explicit support (pages 10 and 12) for "the successful approach developed in the 'Deep End' practices". - Alcohol in very deprived areas
This short paper collates three Deep End statements on alcohol, which were tabled at a meeting on Alcohol Dependency at the Scottish parliament on 15 May 2013, chaired by Jackie Baillie MSP on behalf of the Wellbeing Alliance. - Graham Watt, Georgina Brown, John Budd, Peter Cawston, Margaret Craig, Robert Jamieson, Susan Langridge, Andrew Lyon, Stewart Mercer, Catriona Morton, Anne Mullin, Jim O’Neil, Euan Paterson, Petra Sambale, Andrea Williamson General Practitioners at the Deep End: The experience and views of general practitioners working in the most severely deprived areas of Scotland Occas Pap R Coll Gen Pract. 2012 April; (89): i-viii, 1-40. [Published 2012, Available online 2013]
- A routemap to the 2020 vision for health and social care (NHS Scotland 2013)
- April 2013
- Public audit committee report on inequalities in health Scottish Parliament, April 2013
- DEEPEND REPORT 19 Access to specialists
Main report (19) | Summary (19)
- March 2013
- DEEPEND REPORT 20
What can NHS Scotland do to prevent and reduce health inequalities?
Main report (20)
- DEEPEND REPORT 20
- Government must throw GPs in at Deep End The Scotsman 10 July 2012
- GPs' warning over service in poor areas The Herald 05 July 2012
- Mental health of benefit claimants is put at risk by welfare reform The Guardian 20 June 2012
- Doctors warn austerity is damaging patients' health The Herald 15 May 2012
- MEETING SUMMARY What do Deep End GPs need to be good at?
- Lead article in "Health Inqualities" (abridged version of Austerity Report)
- Graham Watt, Georgina Brown, John Budd, Peter Cawston, Margaret Craig, Robert Jamieson, Susan Langridge, Andrew Lyon, Stewart Mercer, Catriona Morton, Anne Mullin, Jim O’Neil, Euan Paterson, Petra Sambale, Graham Watt, Andrea Williamson General Practitioners at the Deep End: The experience and views of general practitioners working in the most severely deprived areas of Scotland Occas Pap R Coll Gen Pract. 2012 April; (89): i-viii, 1-40. [Published 2012, Available online 2013]
- Public audit committee report on inequalities in health Scottish Parliament, April 2013
- Links Project Report Developing the connections between general practices and their communities Scottish Government 2012
- Watt G. Reflections at the Deep End. British Journal of General Practice 2012 62(594) 6-7
- Watt G. Inventing the wheel in general practice. British Journal of General Practice 2011 61(592), 685.
- Watt G. A social institution based on mutuality and trust. British Journal of General Practice 2011 61, 741.
- Watt G. Time to make a difference. British Journal of General Practice 2011 61(590), 569.
- Watt G. The tortoise and the hare. British Journal of General Practice 2011 61(591), 629. 2011
- Article in Holyrood http://www.holyrood.com/articles/2011/09/19/deep-end/
- Sambale P, Mandeville B The Keppoch Medical Practice: reporting from the Deep End. Br J Gen Pract 2011; 61(588):463.
- Lyon A, Watt G. Learning journeys. Br J Gen Pract 2011; 61(589):519.
- Watt G. Alcohol problems in very deprived areas. Br J Gen Pract 2011; 61(587):407.
- Watt G. Anticipatory care in very deprived areas. Br J Gen Pract 2011; 61(584):228.
- Horton Richard. Offline: face to face, side by side Lancet 2011 377(9773):1224
- Watt G. Working with vulnerable families in deprived areas. Br J Gen Pract 2011; 61(585):298.
- Watt G. Anticipatory care in very deprived areas. Br J Gen Pract 2011; 61(584):228.
- Watt G. Patient encounters in very deprived areas. Br J Gen Pract 2011; 61(583):146.
- Watt G. GPs at the Deep End. Br J Gen Pract 2011; 61(582):66-67.
- REPORT 20 What can NHS Scotland do to prevent/reduce health inequalities? (April 2013)
Summary (20) | Main report (20) - REPORT 19 Access to specialists (February 2013)
Summary (19) | Main report (19) - REPORT 18 Integrated care (July 2012)
Summary (18) | Main report (18) - REPORT 17 Detecting cancer early (June 2012)
Summary (17) | Main report (17) - REPORT 16 GPs at the Deep End Austerity Report (March 2012)
Main report (16) - REPORT 15 Palliative care in the deep end (February 2011)
Summary (15) | Main report (15) - REPORT 14 Reviewing progress in 2010 and plans for 2011
Summary (14) | Main report (14) - REPORT 13 The Access Toolkit: views of Deep End GPs (January 2011)
Summary (13) | Main report (13) - REPORT 12 Working together for vulnerable children and families (September 2010)
Summary (12) | Main report (12) - REPORT 11 Alcohol problems in adults under 40 (August 2010)
Summary (11) | Main report (11) - REPORT 10 Care of elderly patients (August 2010)
Summary (10) | Main report (10) - REPORT 9 Learning journeys (August 2010)
Summary (09) | Main report (09) - REPORT 8 Social prescribing (September 2010)
Summary (08) | Main report (08) - REPORT 7 General practitioner training in very deprived areas (June 2010)
Summary (07) | Main report (07) - REPORT 6 Patient encounters in very deprived areas: what can be achieved? (May 2010)
Summary (06) | Main report (06) - REPORT 5 Single-handed general practice (May 2010)
Summary (05) | Main report (05) - REPORT 4 Experience and views of Keep Well and ASSIGN (January 2010)
Summary (04) | Main report (04) - REPORT 3 The GP role in working with vulnerable families (January 2010)
Summary (03) | Main report (03) - REPORT 2 Coping with needs, demands and resources (January 2010)
Summary (02) | Main report (02) - REPORT 1 General practitioners at the deep end (September 2009)
Main report (01)
The collated reports are also available in the Connecting with General Practice to Improve Public Health report of the Primary Care Observatory and Deep End Projects, Glasgow Centre for Population Health 2011 which can be downloaded at www.gcph.co.uk/publications/277_gps_at_the_deep_end
- Our logo explained...
- Deep End response to Keep Well consultation
- Deep End response to NHS QIS Vulnerable Families Pathways Framework
- One page meeting summaries (Jan 2010 to Feb 2011)
Contacts for further information
- John Budd Lothian Deprivation Interest Group John.Budd@lothian.scot.nhs.uk
- Ruth Gibb RCGP Scotland rgibb@rcgp-scotland.org.uk
- Petra Sambale Keppoch Medical Practice, Glasgow psambale@btinternet.com
- Graham Watt University of Glasgow graham.watt@glasgow.ac.uk