Dr Una Coales BA (Hons) MD FRCSEd FRCSEd (ENT) MRCGP (2003) DRCOG PGCertMedEd
Dr Una Coales is a media GP (2004-current), retired NHS GP (2003-2015), prolific Royal Society of Medicine author of 14 medical exam revision books and was an international GP educator (MRCGP Course provider 2004-2014). She has worked as a salaried GP in Clapham, as a private GP off Harley Street, as a locum NHS GP, and as a Primary Care Access Support GP for the Lambeth PCT in South London to help partners fulfil their 48-hour appointment government target. She joined the South London Faculty Board of the Royal College of General Practitioners in 2005 and served as Honorary Faculty Treasurer 2006-2009. She was elected to the Lambeth LMC in 2008 and served for 2 years. She is a member of the Association of Broadcasting Doctors and is a national and international spokesperson for the promotion of health education. She has given live news commentaries (Sky, BBC3, BBC Radio 4, Channel 5 news) and promoted health education presenting Channel 4's Turn Back Your Body Clock, Channel 9 Australia (2006), BBC America (USA), W Network Canada and New Zealand in 2007. She was elected the IDF Chair of the GP Committee in 2011. She was also elected Honorary Secretary of Conservative Health October, 2011 and accepted to enable her to better fight for the abolition of revalidation, a pointless Labour Legacy and still insists overregulation does not ensure quality. She studied at The Johns Hopkins University, surgical residency at St Luke's-Roosevelt Hospital, NYC (affiliated with Columbia University Medical School), relocated to the UK and completed VTS (residency) with the London Deanery. She has passed the National Board of Medical Examiners Exam (USA), PLAB (GMC) 1994, FRCS (general surgery) 1999, FRCS (ENT) 2000, DRCOG, DFFP and MRCGP (2003) exams and gained PGCertMedEd and was awarded Fellowship of the Royal College of GPs (2010-2014). She was elected to the BMA Sessional GP Subcommittee and RCGP Council in 2013. She was elected to the BMA Council June 2014. She was recently ranked 18 on the Pulse Power 50 GP list for 2014.
Called on by Sky news: TV interview with Tim Macleod to discuss GP antidepressant prescribing. Broadcast June 30, 2017. https://youtu.be/G7YBqDnOSE8
Called on by 5 news at 5: TV interview to discuss 3 week appointments to see GPs and the GP recruitment crisis. Broadcast June 2, 2017.
Called on by Sky news: TV interview with Gillian Joseph to discuss 3 week appointments to see GPs and the pressures GPs are under. Broadcast June 2, 2017. https://youtu.be/csBJzMXWhyo.
Called on by Sky News: TV interview with Claudia-Liza Armah on a Danish study showing increased risk of cardiac arrest on ibuprofen and diclofenac with recommendations to limit ibuprofen to 6 tablets a day or 1200 mg a day. Broadcast March 16, 2017. https://youtu.be/QSszXM0DyfE.
Called on by C5 News at 5: TV interview on treatments for hyperemesis gravidarum. Broadcast March 2, 2017. https://youtu.be/wHeZHuNSKd4.
Called on by ITV news to discuss potential causes of perforated duodenal ulcer in light of the death of Tara Palmer Tomkinson. Broadcast February 15, 2017. https://youtu.be/5VCBSGogPKE.
Bargain Hunt series 44 episode 1 broadcasted on May 20, 2016.
Aired August 22, 2014. Explained that further heavy-handed sanctions were driving good doctors away and how we face a national shortage of NHS GPs and A&E doctors.
Explained why patients are being turned away by their NHS GP. Televised 28 July 2014. https://youtu.be/Kf5beTVhl2Y
http://www.bbc.co.uk/programmes/b040h385 Aired 18 April 2014. Explained how the competency test is not sat by UK or EU doctors and that it was misleading to compare the results of PLAB for IMG doctors with the results of MRCGP and MRCP, as UK doctors do not sit the PLAB competency test. Better to have one national UK medical exam for UK, EU and IMG doctors to sit before they treat NHS patients.
A ‘fearless radical’ for issuing a ‘clarion call for GPs to take industrial action to address rising workload in general practice and attempting to insert an emergency motion into the agenda at the BMA Annual Representative’s Meeting. Colleagues said she deserved recognition for fighting so long and hard for justice for international medical graduates’
Pulse article. ‘Break up the NHS Monopoly.’ 4 May 2011.
Pulse Letter of the Week. ‘Real NHS reform would ask patients to contribute.’ 15 April 2011.
BMJ Obituary. Dr Peter Gooderham 9 April 2011.
Pulse letter: ‘Revalidation is a costly madness.’ 16 February 2011.
Online wake pays tribute to popular former GP. Interviewed by Pulse. ‘He has served this country well and affected the lives of several hundred doctors selflessly with his medico-legal advice and clarity of thought and mind.’ 15 February 2011.
GP trainees struck by nightmare website failures.Interviewed by Pulse. ‘At a time when thousands of trainees nationally have to do their half year assessments or their end of year if they finish in February, it’s imperative that they fix the problem.’31 January 2011.
RCGP to investigate plunging pass rates. Interviewed by Pulse. ‘My concern is that we may be setting the bar too high.’12 October 2010.
Can we afford revalidation? Pulse Letter. 29 September 2010.
Dozens of sessional GPs stand for election to BMA committee. Interviewed by Pulse. ‘It will be great to have proper representation on the GPC..nowthat something like 20% of GPs are locums and 22% are salaried, it’s about time we had a proper say.’ 23 September 2010.
DH to scale back revalidation. Interviewed by Pulse on cost analysis of revalidation.‘ create a new expense when the Government is £1.4 trillion in debt?’ 7 July 2010.
Will revalidation ever happen? Pulse Letter of the Week. Revalidation too costly. 9 June 2010.
Call to alter responsible officer plans. Prompted a show of hands against revalidation.Featured in GP Healthcare Republic. 24 June 2010.
One in 20 doctors face investigation. Interviewed by Pulse. ‘Two days was not enough time to train the officers sufficiently. They have to be given longer. This is two days to potentially end someone’s career.’ 6 October 2009.
One GP in seven may be told to retrain. ‘It’s driven by hysteria’. Front page Pulse. April 2009.
Revalidation key in RCGP Presidential Race.GP Healthcare Republic.When considering revalidation, let us remember David Sackett, the father of evidence-based medicine, and let decision-making be justified with evidence and not the political flavour of the day.’ 24 April 2009.
Save the profession from government interference. RCGP Presidential platform.Featured in GP Opinion, GP Healthcare Republic. April 2009.
BRITISH MEDICAL ASSOCIATION
2014 BMA COUNCIL REP
2013-2014 Nationally elected to sit and serve on the BMA GPC Sessional GPs subcommittee. Ranked 1st in the national election.
THE ROYAL COLLEGE OF GENERAL PRACTITIONERS, EXPERIENCE, ACHIEVEMENTS AND POLITICAL ACTIVITIES
2013-2014 RCGP NATIONAL COUNCIL REP, elected and seated as one of 6 reps. Resigned in 2014 in protest to the College handling of the CSA exam.
February 2014. Attended the RCGP Workshop to address College’s democratic deficit and voice members’ concerns.
November 2013. Reminded the Chair of the Trustee Board of the Charities Commission Guidance 26 on charities and risk management.
Asked the RCGP Council that Council Reps be able to see the College risk register and did it include building running costs, leasing and donation arrangements and the CSA legal challenge.
2012 Ranked 3rd out of 6 candidates in the RCGP President election, 2012.Highest ranking female GP candidate. 893 GPs voted for me for first preference for RCGP President.
Ranked 1st place out of 10 candidates in the RCGP National Council Rep election, with 823 GP votes for RCGP Nationally-Elected Council Representative for term 2012-2015.
AGM of 25 RCGP council GPs advised by RCGP leadership to accept my resignation despite withdrawing the letter 3 days after submission and expressing wish to serve to the AGM.
2011-2012 Deputised for Chair Clare Gerada to represent the RCGP at the Department of Health Payment by Results. Clinical Advisory Panel meetings working on national primary care developments and tariff setting.
2009-2012 Runner-up in RCGP PRESIDENT Election out of 3 candidates, 2009. Highest ranking IMG GP candidate Received 1,163 GP votes for RCGP President.
RCGP Nationally-Elected Council Representative, seated 1st out of 21 candidates, with 898 GP votes (unpaid).
Suggestions for consideration, made to the Council Executive Committee and/or Council:
June 2012. Supported RCGP Council Motion to grant the Chair and Deputy Chair of the AiT Committee, full Council rep status from observer status.
Called for independent SEA with charity lawyer to investigate initial President Election bans of 3 candidates.
An internal review by the trustee board will take place instead.
Suggested a Council Motion in order that 33 faculties may discuss the Health Bill prior to Council and their views be aired on Council by their faculty reps.
Suggested removal of PCT performer’s list criteria for fellowship application, as this would exclude independent GPs with MRCGP.
Three consecutive appraisals was accepted in lieu of being on the PCT performer’s list.
Advised and voted in support of the RCGP AiT Chair’s council motion Feb 2011 to ask ‘why there was a difference in CSA pass rates for white and non-white UK graduates?’
Raised awareness of Council Trustees’ collective liability.
Suggested cost-effective online ballot voting to improve voter-returns, which is now in effect. Found to be more effective for in-council voting.
Identified a council election error made in 2009 which was duly investigated with measures put in place to prevent recurrence.
Suggested for consideration, addition of brief CVs to allow the membership to make a fully informed decision on national council representatives.
RCGP are now offering national council candidates web-pages for their manifestos.
Suggested for consideration, proxy voting cards be sent with programmes for the AGM to allow jobbing GPs who can’t attend, their right to vote.
Suggested for consideration, those short-listed for executive seats be voted by the membership, not just those on council for democratic inclusivity.
Suggestion for consideration, addition of a back statement to the Capital Appeal.Now in place.
2006-2009 South London RCGP Faculty Hon. Treasurer, elected. Member of the Faculty Executive Committee (unpaid).
Acted as the main signatory to the Faculty’s bank account. Presented the accounts to the Board meetings and the AGM.
Ensured that monies are used in a manner keeping with the Faculty bye-laws, ordinances of the Council and Charities Commission regulations.
Raised the balance from £30k to £63k and funded the London Journal of Primary Care, annual free Faculty conference, free EASE educational meetings, RUG expenses for retired GPs, iMAP and faculty MRCGP courses, cash prizes to medical students, and 2 annual WONCA bursaries.
2005-2013 South London RCGP Faculty board member (unpaid).
CONSERVATIVE HEALTH (2011-2012)
2011-2012 Elected Secretary of Conservative Health (unpaid).
This role was declared as an interest in the annual RCGP declaration of interests.
INDEPENDENT DOCTORS FEDERATION (2011-2012)
Sept 2011-Sept 2012 Elected GP Chair of the Independent Doctors Federation GP Committee (unpaid).
LOCAL MEDICAL COMMITTEE (LMC)
2008-2010 Elected LMC rep for Lambeth.
Was listed on the GPC ballot for GPC negotiator at the annual LMC conference 2010.
GP EDUCATION AND MENTORING
2004-2014 GP educator, www.mrcgpcourses.co.uk.
Helped up to 4,000 UK and international GPs gain the MRCGP and MRCGP (INT).
MEDICAL BOOK PUBLICATIONS
Coale, Una (2016) Financial Freedom for Doctors London: www.lulu.com
Coales, Una (2011) How to lose weight the easy way London: www.lulu.com, www.amazon.co.uk
Coales. U.F. (2010) Transition from Trainee to GP London: www.lulu.com, ww.amazon.co.uk
Coales, U.F. (2010) Dr Una Coales’s MRCGP CSA Book London: www.lulu.com, www.amazon.co.uk, www.waterstones.com
2nd edition (2013).
Coales, U.F. (2010) Dr Una Coales’s MRCGP AKT Hot Topics Book London: www.lulu.com, www.amazon.co.uk, www.waterstones.com 2ndedition (2011).
Coales, U.F. (2007)/Get Through nMRCGP: Applied Knowledge Test London: RSM Press Ltd.
Coales, U.F. (2006) Turn Back Your Body Clock. Headline Publishing.
Coales, U.F. (2006) Get Through PLAB: Single Best Answers London: RSM Press Ltd.
Coales, U.F. (2006) Get Through MRCGP: Written Paper Module London: RSM Press Ltd.
One highly commended prize was awarded to a general practice publication. The reviewer wrote that "this is a well organized and practical book which addresses a clear need. It is strongly focused on this particular examination and offers invaluable advice on question technique and answerTotal entries: 573 books for 2006.
Coales, U.F. (2005) Get Through MRCGP: Hot Topics London: RSM Press Ltd.
Highly Commended Book Award in the category of Primary Care, British Medical Association Medical Book Competition 2005.
https://bmahouse.co.uk/pressrel.nsf/wlu/PGAY-6HSEEP?OpenDocument&vw=wfmms. Praised by its reviewer as “not only useful for those revising for the MRCGP exams, but beneficial for all medical students and junior doctors facing their finals.” Total entries: 619 books for 2005.
Coales, U.F. (2004) Get Through MRCGP: Oral and New Video Modules London: RSM Press Ltd.
Coales, U.F. (2003) Get Through MRCGP: New MCQ Module London: RSM Press Ltd.
Coales, U.F. (2002) Get Through Medical School: 1000 SBAs/ BOFs and EMQs London: RSM Press Ltd.
Coales. U.F. (2002) Get Through the MRCP Part 1: 1000 MCQs and BOFs London: RSM Press Ltd.
Coales, U.F. (2001) DRCOG: MCQs and OSCEs: How to pass first time London: RSM Press Ltd.
Coales, U.F. (2001) PLAB 2: 100 Objective Structured Clinical Examinations London: RSM Ltd.
Coales, U.F. (2000) PLAB: 1000 Extended Matching Questions London: RSM Press Ltd.
‘My motivation for speaking to GP trainees was to inspire, give hope and provide concrete tips on how to survive the credit-crunch and lack of GP jobs.’
Coales, U.F. (2012) Invited to speak to the London Deanery Programme Directors Residential Conference, Cumberland Lodge.
Coales, U.F. (2010) “How to become a high income practice,’ Pulse Business Seminar, UK.
Coales, U.F. (2010) “Top tips to generate income as a GP”, guest speaker for ‘Life after GP Training,’ invited by the London Deanery GP Specialty Training, UK.
Coales, U.F. (2009) “25 Top tips to generate income as a GP”, guest speaker for ‘Life after GP Training,’ invited by the London Deanery GP Specialty Training, UK.
Coales, U.F. (2008) “Top tips to generate income as a GP”, guest speaker for ‘Life after GP Training,’ invited by the London Deanery GP Specialty Training, UK.
Coales, U.F. (2008) “Media GP”, guest speaker for ‘Life after GP Training,’ invited by the London Deanery GP Specialty Training, UK.
Coales, U.F. (2007) “Top tips to generate income as a GP”, guest speaker for EASE, The Royal College of General Practitioners, London, UK.
Coales, U.F. (2007) “Media GP”, guest speaker for ‘Life after GP Training,’ invited by the London Deanery GP Specialty Training, UK.
Coales, U.F. (2006) “Media GP”, guest speaker for ‘Life after GP Training,’ invited by the London Deanery GP Specialty Training, UK.
JOURNAL ARTICLES/ PAPERS
Coales, U.F. (2009) Tips on passing the nMRCGP.10-part series.Pulse online.
Coales, U.F. (2007) Career Pathways – From Surgery to General Practice.London Calling News and Views of the North East and South London Faculties of the Royal College of General Practitioners, XVII (1), 29-30.
Coales, U.F. (2005) Tips on passing oral exams.British Medical Journal Career Focus,
Coales, U.F. (2005) Tips on creating a website.British Medical Journal Career Focus
Coales, U.F. (2005) Tips on publishing a medical book.British Medical Journal Career Focus
Coales, U.F. (2004) How to deal with heartsink patients.British Medical Journal Career Focus
Coales, U.F. (2004) How to keep patient consultations to 7 minutes", British Medical Journal Career Focus
Coales, U.F. (2001) Supraglottitis complicated by mediastinitisThe Journal of Laryngology and Otology 115, 321-323.
Coales, U.F. (1999) Limitations of imaging for foreign bodies in parapharyngeal abscess and the importance of surgical exploration.The Journal ofLaryngology and Otology. 113, 683-685.