Re: Who are tomorrow’s generalists?
Tomorrow's generalists are GPs! The future role of the GP (1) has been codified, together with the educational model to bring about a strategic shift of the role of the GP to focus on complexity and co-morbidity (figure)
As a practising GP, I know that patient care would improve greatly if we bring back generalists in hospitals especially geriatricians, by encouraging continuity of care in both primary and secondary care and stronger relationships between GPs and consultants.
Let us also be clearer about what GPs expect of consultants and what consultants expect of GPs. Our system needs to change, so consultants are invited to give an opinion which GPs if adequately supported can then manage, rather than take over the care of patients .
Professor Mayur Lakhani CBE FRCGP FRCP
GP and Chair, The National Council for Palliative Care
1. Lakhani M, Baker M, Field S. Roadmap for general practice. 2007. RCGP London. http://www.rcgp.org.uk/pdf/roadmap_embargoed%2011am%2013%20Sept.pdf (accessed May 19th)
Competing interests: Past Chairman of the Royal College of General Practitioners The author is Chair of The National Council for Palliative Care