'With increasing bureaucracy, doctors struggle to take the life pressure [sic] of their patients. This book offers a compelling reflection on the importance of listening to patient stories as opposed to applying chilly algorithms for human care. The authors provide the reader with a lively under-the-rug inspection of street-level medical practice and the turbulent business of managing through bureaucratic demands.'
-- Professor Paul Crawford, University of Nottingham, UK
'UK general practice is at a precarious crossroads. This book captures the essence of traditional, relationship-based, family doctor care, which is now under threat from a number of forcesnot least the technologization of medicine and the inexorable encroachment of algorithmic, if-then decision-making on relational and narrative-based clinical method. At the very least, Shah and Foell have documented the essence of what we risk losing. Perhaps, if their warnings are heeded, they will also succeed in retaining and restoring what they rightly describe as general practices soul.'
-- Trish Greenhalgh
'This is an honest dispatch from the frontlines of the conflict between industrializing bureaucracies and the ongoing care of each person. It is a hopeful song for clinicians who, when the algorithm says no, breach the protocol and go the extra mile for each patient.'
-- Victor M.Montori, professor of medicine at the Mayo Clinic.
'A rich, wonderful, profound and moving book. I was immersed in the many stories and heartfelt, sometimes harrowing, observations. The need to innovatively transform health and social care, and particularly mental health care, by integrating the work of primary care with social care, local councils, voluntary sectors, communities, patients and families is now vital. Written in an authentic and deeply compassionate way, Fighting for the Soul of General Practice provides a broad and comprehensive understanding of the issues and challenges we face.'
-- Michael West, Professor of Organizational Psychology, Lancaster University Management School
'A wonderful analysis of where GP/ primary care sits just now in UK and the cumulative effects of misapplied EBM andservice changes based on algorithms and guidelines. [...]I also found it very moving indeed. The patients' stories [...] resonated with me strongly and reminded me of many similar situations of great complexity during my time as a GP. And I agree often the key to the best --or least bad-- outcome is the doctor engaging at a human level with the patient, and the family. [...]I was really pleased to see that [the book] highlights the importance of emotional engagement and imagination.'
-- John Gillies, Honorary professor of General Practice at the University of Edinburgh. Gillies was a rural doctor in Malawi then a GP in rural Scotland for many years.