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Response to: Managing Black when in the red, challenges for general practice [Letter]

Cohen, Deborah Anne and Aylward, Mansel 2012. Response to: Managing Black when in the red, challenges for general practice [Letter]. Occupational Medicine 62 (1) , pp. 67-68. 10.1093/occmed/kqr169

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We read with interest Mark Gabbay’s editorial ‘Managing Black when in the red—challenges for general practice’. We believe it is important to correct some of the important issues Prof. Gabbay has raised in his article. The programme of work associated with the Carol Black [1] report does address at its centre understanding the conversation between the general practitioner (GP) and their patient about return to work. Cohen et al. [2] undertook this work in 2004. This informed the development of both online and face-to-face training for GPs about managing the return to work consultation. Both interventions have been piloted and evaluated and led to significant changes in GPs’ attitudes to managing the fitness for work conversation Cohen [3] and Chang and Irvin [4]. Prof. Gabbay states that the face-to-face training addresses the process of certification and associated developments. It is important to correct this, as the face-to-face training specifically focuses on the conversation between GP and patient and not the certification process itself. Over 3000 GPs have now attended this training and the results suggest that there is a significant increase in GPs’ confidence in managing the return to work conversation following the training (to be published soon). Finally, it is important to recognize the collaboration between the Royal College of General Practitioners, Faculty of Occupational Medicine and Society of Occupational Medicine in working with the Department for Work and Pensions and Welsh Government to produce a programme of work that addresses changing practitioners behaviour about work and health. This has culminated in the development and evaluation of online resources and training for primary and secondary care practitioners. These resources provide information about managing fitness for work and how to best use the new fit note. These now sit on the Healthy Working UK website which is now being actively disseminated among primary and secondary care health practitioners across the UK.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Publisher: Oxford University Press
ISSN: 0962-7480
Last Modified: 04 Jun 2017 03:52

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