# Vasu Siva

> Thoughts of an NHS GP.


## Posts

- [Becoming a PROactive Practice](https://vasusiva.uk/primary-care/becoming-a-proactive-practice/)
- [Key Learning Points: Issuing Fit Notes](https://vasusiva.uk/primary-care/key-learning-points-issuing-fit-notes/)
- [Top Tips: Human Resource Management in General Practice](https://vasusiva.uk/primary-care/top-tips-human-resource-management-in-general-practice/)
- [General Practice after Covid-19 – lessons learned ](https://vasusiva.uk/primary-care/general-practice-after-covid-19-lessons-learned-2/)
- [Suboptimal asthma care: What’s happening, so what and what now?](https://vasusiva.uk/going-green/suboptimal-asthma-care-whats-happening-so-what-and-what-now/)
- [Greener Leader Blog Series: Going Greener in General Practice. By Vasumathy Sivarajasingam](https://vasusiva.uk/going-green/greener-leader-blog-series-going-greener-in-general-practice-by-vasumathy-sivarajasingam/)
- [‘Gloves Off’ in General Practice](https://vasusiva.uk/going-green/gloves-off-in-general-practice/)
- [Going Greener! The story of our success](https://vasusiva.uk/going-green/going-greener-the-story-of-our-success-2/)
- [GP’s top 10 tips for going green at home](https://vasusiva.uk/going-green/gps-top-10-tips-for-going-green-at-home-2/)
- [Reducing Medicine Waste](https://vasusiva.uk/going-green/reducing-medicine-waste/)
- [Around Ealing Magazine: Local GP showing why health has a green heart](https://vasusiva.uk/going-green/around-ealing-magazine-local-gp-showing-why-health-has-a-green-heart/)
- [Top Tips: Developing a Greener Practice ](https://vasusiva.uk/going-green/top-tips-developing-a-greener-practice/)
- [Theory in Practice Video - Improving the Quality and Carbon Footprint of Asthma Care](https://vasusiva.uk/going-green/theory-in-practice-video-improving-the-quality-and-carbon-footprint-of-asthma-care-2/)
- ['Theory in Practice' Video](https://vasusiva.uk/going-green/theory-in-practice-video-improving-the-quality-and-carbon-footprint-of-asthma-care/)
- [From Awareness to Action: Combatting Domestic Violence Together With Vasu Siva (Always and Never About Money podcast)](https://vasusiva.uk/domestic-abuse/from-awareness-to-action-combatting-domestic-violence-together-with-vasu-siva-always-and-never-about-money-podcast/)
- [Promote Team Development with 360-degree Feedback](https://vasusiva.uk/primary-care/promote-team-development-with-360-degree-feedback/): Feedback is a core aspect of any organisation’s learning culture and, when offered constructively, it can be beneficial for all staff members.
- [Improving Your Practice's Carbon Footprint](https://vasusiva.uk/going-green/improving-your-practices-carbon-footprint/): In this speaker session filmed at Guidelines Live 2022, Dr Vasumathy Sivarajasingam discusses the responsibility of the primary care team in mitigating climate change in line with the NHS’ net zero ambitions, and shares practical tips on how to reduce the practice’s environmental impact and incorporate sustainability into your daily work, including quality improvement activities and helpful resources.
- [Supporting the Wellbeing of Practice Staff ~ Guidelines Live 2021](https://vasusiva.uk/wellbeing/supporting-the-wellbeing-of-practice-staff-guidelines-live-2021/)
- [How can we play a part in ending domestic abuse?](https://vasusiva.uk/domestic-abuse/how-can-we-play-a-part-in-ending-domestic-abuse/): A local doctor, inspired by a recent story about a fellow GP who had suffered domestic abuse, has been working to raise awareness of how we can all try to help.
- [Going Greener! The story of our success](https://vasusiva.uk/greener-practice/going-greener-the-story-of-our-success/): The positive shift towards an understanding of the impact of climate change on health across nations is promising.
- [GP’s top 10 tips for going green at home](https://vasusiva.uk/greener-practice/gps-top-10-tips-for-going-green-at-home/): A local GP, who is one of Ealing Council’s local climate leaders, has put together a top 10 list of tips of things we can all do in our day-to-day lives to help our own health – and that of the planet, too.
- [Around Ealing Magazine: Local GP showing why health has a green heart CLIMATE ACTION, NEWS 1 March 2023](https://vasusiva.uk/greener-practice/around-ealing-magazine-local-gp-showing-why-health-has-a-green-heart-climate-action-news-1-march-2023/): A local doctor is trying to help more people connect the dots between health and climate action – and her GP practice in Perivale is winning awards and inspiring others.
- [Improving the management of domestic abuse in general practice](https://vasusiva.uk/domestic-abuse/improving-the-management-of-domestic-abuse-in-general-practice/): Domestic abuse (DA) is a well-recognised safeguarding issue being prevalent globally.
- [Putting an End to Domestic Abuse](https://vasusiva.uk/domestic-abuse/putting-an-end-to-domestic-abuse/): For the first time, a coroner in the UK declared domestic abuse (DA) as having a causal role in death by suicide,1 and sadly this is not an uncommon occurrence.
- [Investigating public awareness, prevailing attitudes and perceptions towards domestic violence and abuse in the United Kingdom: a qualitative study](https://vasusiva.uk/domestic-abuse/investigating-public-awareness-prevailing-attitudes-and-perceptions-towards-domestic-violence-and-abuse-in-the-united-kingdom-a-qualitative-study/): Reported cases of Domestic Violence and Abuse (DVA) have increased since the advent of the COVID-19 pandemic and ensuing lockdowns.
- [Top Tips: Preventing Abuse of Primary Care Staff](https://vasusiva.uk/primary-care/top-tips-preventing-abuse-of-primary-care-staff/): - steps to take if an abusive incident occurs.
- [The Rise of the Green General Practice](https://vasusiva.uk/going-green/the-rise-of-the-green-general-practice/): Jessica Powell meets the doctors and their staff who are practising what they preach when it comes to environmental initiatives to protect the planet—and their patients.
- [Viewpoint: Why NICE guidance on domestic abuse needs to be updated](https://vasusiva.uk/domestic-abuse/viewpoint-why-nice-guidance-on-domestic-abuse-needs-to-be-updated-2/)
- [How our practice is supporting staff wellbeing during the pandemic](https://vasusiva.uk/wellbeing/how-our-practice-is-supporting-staff-wellbeing-during-the-pandemic/): Due to the current pandemic we are all experiencing enormous changes to our personal, social and professional lives.
- [How eConsult has transformed patient care and staff well-being in an NHS practice](https://vasusiva.uk/econsult/410/)
- [Understanding patients’ knowledge of inhaler recycling](https://vasusiva.uk/going-green/understanding-patients-knowledge-of-inhaler-recycling/): Climate change causes detrimental impact on our health and wellbeing — a public health emergency.
- [Working together towards carbon footprint reduction](https://vasusiva.uk/going-green/working-together-towards-carbon-footprint-reduction/): The climate emergency is one of the biggest public health threats that we have ever faced.
- [Hillview Going Greener – How we got our team on board](https://vasusiva.uk/going-green/hillview-going-greener-how-we-got-our-team-on-board/): Having worked nearly 20 years at Hillview Surgery as a GP Partner, I have seen my staff grow and develop new strengths.
- [Viewpoint: Why NICE guidance on domestic abuse needs to be updated](https://vasusiva.uk/domestic-abuse/viewpoint-why-nice-guidance-on-domestic-abuse-needs-to-be-updated/): Domestic abuse (DA) impacts on both mental and physical health and has ramifications throughout the family, especially short and long-term consequences to children.
- [How we proactively identify and support our victims of domestic abuse in our practice](https://vasusiva.uk/domestic-abuse/how-we-proactively-identify-and-support-our-victims-of-domestic-abuse-in-our-practice/): Domestic violence and abuse (DVA) is a prevalent public health issue affecting societies worldwide that affects every layer of society.
- [Routine screening for domestic abuse](https://vasusiva.uk/domestic-abuse/routine-screening-for-domestic-abuse/): Raising public awareness of Domestic Abuse (DA) is the first step forward in our battle to combat the detrimental health consequences of the abuse.
- [Top tips: Identifying domestic abuse](https://vasusiva.uk/domestic-abuse/top-tips-identifying-domestic-abuse/): Domestic abuse (DA) is a global public health problem and a violation of human rights.
- [Abuse against healthcare staff: what’s happening, so what and what now?](https://vasusiva.uk/primary-care/abuse-against-healthcare-staff-whats-happening-so-what-and-what-now-2/): Verbal abuse and threats are the most common undesired behaviour in nurses and doctors.3,4,6 According to the BMA’s survey of GPs,7 almost 85% of respondents reported witnessing verbal abuse directed at other staff in their workplace, with around 8 per cent witnessing physical abuse.
- [Should there be preferential healthcare for healthcare workers?](https://vasusiva.uk/primary-care/should-there-be-preferential-healthcare-for-healthcare-workers/): The recent Covid-19 pandemic, a global health crisis, has highlighted how resilient healthcare workers can be.
- [How to be a Resilient GP](https://vasusiva.uk/primary-care/how-to-be-a-resilient-gp/): Throughout the 20 years of my working life as a GP, many of my colleagues in primary care have been exposed to increasing workloads, high patient expectations, and litigation, which can lead to escalating levels of stress, burnout, and low morale.
- [Top Tips: Using Motivational Interviewing Strategies](https://vasusiva.uk/primary-care/top-tips-using-motivational-interviewing-strategies/): Lifestyle and behaviour have an important impact on health, longevity, and quality of life, and this is particularly true for patients with chronic diseases.
- [Top tips: effective management of 10-minute consultations](https://vasusiva.uk/primary-care/top-tips-effective-management-of-10-minute-consultations/): Primary care is the bedrock of the NHS, and the public’s first point of contact with the health service.
- [Top tips: social prescribing in general practice](https://vasusiva.uk/primary-care/top-tips-social-prescribing-in-general-practice/): health advisor.
- [Using Motivational Interviewing techniques in Primary Care](https://vasusiva.uk/primary-care/using-motivational-interviewing-techniques-in-primary-care/): The NHS Long Term Plan1 aims to support people to live longer, healthier lives through helping them to make healthier lifestyle choices and treating preventable illness early on.
- [General Practice after Covid-19 – lessons learned](https://vasusiva.uk/primary-care/general-practice-after-covid-19-lessons-learned/): The Covid-19 pandemic has caused a detrimental impact on human populations across the world, with colossal changes to our personal, social and professional lives.
- [Breaking the silence around ‘the menopause’](https://vasusiva.uk/wellbeing/breaking-the-silence-around-the-menopause/): Menopause is not a health condition, but a normal biological stage in a women’s life when menstruation ceases permanently due to the loss of ovarian follicular activity.
- [How can audiobooks help us to keep our brains active?](https://vasusiva.uk/wellbeing/how-can-audiobooks-help-us-to-keep-our-brains-active/): Maintaining wellbeing and a good work–life balance has become more difficult for GPs faced with an ever-increasing workload.
- [Address the emerging threat of burnout among primary care staff](https://vasusiva.uk/wellbeing/address-the-emerging-threat-of-burnout-among-primary-care-staff/): a sense of reduced professional efficacy and lack of accomplishment.
- [Abuse against healthcare staff: what’s happening, so what and what now?](https://vasusiva.uk/wellbeing/abuse-against-healthcare-staff-whats-happening-so-what-and-what-now/): According to the BMA’s survey of GPs, almost 85% of respondents reported witnessing verbal abuse..
- [Promoting self-care interventions is crucial in primary care](https://vasusiva.uk/wellbeing/promoting-self-care-interventions-is-crucial-in-primary-care/): During the COVID-19 pandemic our patient population accepted, engaged, and followed government advice on self-care (wearing masks, washing hands, social isolation, having lateral flow tests, or getting a vaccine), which helped to prevent the spread of the virus along with reducing pressures on NHS resources.
- [Vulnerable patients: Guide to offering ‘wellbeing health checks’](https://vasusiva.uk/wellbeing/vulnerable-patients-guide-to-offering-wellbeing-health-checks/): There are real fears around what the wider effects of the pandemic on the most vulnerable patients.
- [Supporting Staff Wellbeing at Hillview Surgery](https://vasusiva.uk/wellbeing/supporting-staff-wellbeing-at-hillview-surgery/): Covid-19 has caused unforgettable disruption and challenges to healthcare.
- [Sustaining wellbeing with seven daily habits](https://vasusiva.uk/wellbeing/sustaining-wellbeing-with-seven-daily-habits/): The past few months have been testing times for clinicians dealing with the coronavirus pandemic—we have had to keep up to date with new information about the virus, learn and adapt to new ways of working (such as conducting remote consultations), ensure that our staff are motivated and have adequate support, and provide the best possible clinical care to patients who rely on us for reassurance, support, and hope.
- [Hillview Surgery Case Study - eConsult](https://vasusiva.uk/econsult/hillview-surgery-case-study-econsult/): Hillview Surgery started using eConsult in April 2020 to support them through the COVID-19 pandemic.
- [Reducing our practice's carbon footprint by appropriate inhaler prescribing](https://vasusiva.uk/going-green/reducing-our-practices-carbon-footprint-by-appropriate-inhaler-prescribing/): The NHS is a huge contributor to the UK’s carbon emissions.
- [Identifying patients experiencing domestic violence and abuse in general practice](https://vasusiva.uk/domestic-abuse/identifying-patients-experiencing-domestic-violence-and-abuse-in-general-practice/): increase in their caseload since the start of the pandemic.
- [Learnings from a pandemic: wellbeing health checks](https://vasusiva.uk/wellbeing/view-from-the-ground/): In the early stages of the COVID-19 pandemic, we decided at Hillview Surgery to review our elderly and vulnerable patients over the telephone in ‘wellbeing health checks’.
- [General practitioners as ‘eco-warriors’](https://vasusiva.uk/going-green/general-practitioners-as-eco-warriors/): Climate change is an existential threat to humanity but also an evolving threat to public health, needing urgent action.

## Pages

- [eConsult](https://vasusiva.uk/econsult/)
- [Primary Care](https://vasusiva.uk/primary-care/): Abuse against healthcare staff: what’s happening, so what and what now?
- [Going Greener](https://vasusiva.uk/going-greener/): Suboptimal asthma care: What’s happening, so what and what now?
- [Domestic Abuse](https://vasusiva.uk/domestic-abuse/): Vasumathy Sivarajasingam, Iman Webber, Manisha Karki, Emmanouil Bagkeris and Austen El-Osta. British Journal of General Practice 2023.
- [Homepage](https://vasusiva.uk/homepage/)
- [About me](https://vasusiva.uk/about/): I am a GP Partner at Hillview Surgery, Ealing (UK) — a family-oriented, accredited Training Practice.

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