Geoffrey Marsh

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Knowledge Management is a necessary and integral part of an effective and successful support organization, yet it is also a buzzword that is perhaps over-hyped and over-used. How can a support operation initiate a KM project in a manner that will bring them up to speed quickly, efficiently and at a low cost, while still positioning them to take advantage of(More)
Two hundred and twenty eight deprived children were compared with a matched sample of more endowed children living in the same urban area. Both groups were served by the same experienced primary health care team. The deprived group had a significantly higher number of general practitioner consultations and admissions to hospital (aged under 5) and a(More)
The conclusions from recent analyses of the clinical worth of routine antenatal attendances have been used in the setting of a modern primary health care team. As a result the number of times a low risk nulliparous woman is seen by her general practitioner has been reduced from 15 to eight and a low risk multiparous woman from 15 to six. The number of(More)
Two doctors in a five-partner urban practice recorded details of their out-of-hours telephone calls for a year. No caller was refused a visit, but 474 of the 809 incoming calls (59%) were managed by telephone advice, an unexpectedly high proportion. Although these callers were instructed to telephone again if still worried, only 40 did so during the same(More)
In 1983 a quarter of general practitioners in the Northern region of England cared for obstetric deliveries and half of these for a minimum of 10 deliveries a year. Most expected their intranatal work to remain at the same level or increase in the next 10 years. Most participating general practitioners did their own forceps deliveries and initiated(More)
A survey of the total care provided by a general practitioner and his paramedical team for 3,137 patients in Teesside in 1972 showed that even in this area of high morbidity and mortality the work load was very small. The doctor held an average of 2.3 consultations per patient per year, and the overall average for the team of doctor, nurse, and health(More)
Of 260 follow-up medical outpatient consultations analysed by 12 general practitioners in the Northern Region, a large proportion appeared to be a complete waste of time. One follow-up consultation should be the normal for the great majority of cases and if more are necessary specific reasons should be given. Great economies could be made in the National(More)
A paper published in the British Medical J7ournal in February 19741 reported on the work load of a Teesside general practice in 1972. The doctor held an average of 2-3 consultations per patient per year and his attendance :visit ratio was 5:1. The overall average consultation rate for the team of doctor, nurse and health visitor was 3-1 with an(More)
A 15 month campaign by a primary health care team in Stockton on Tees raised the uptake of preventive care of its patients in a severely deprived area to a level generally exceeding that of a more endowed neighbouring community. This was achieved by opportunistic attention after unrelated consultations, writing twice to each household with a list of its(More)