Month: January 2017

Arclight: a new ophthalmoscope and otoscope

John Porter recently completed his GP training and is enjoying living in Bath and working as a salaried GP in Bristol. There are items of equipment without which a GP in clinic cannot function. Top of this list comes a stethoscope. Closely followed by an ophthalmoscope or otoscope. As I neared the end of GP specialist training the time was nearing to hand back the practice supplied equipment and to put a hand in my pocket and buy an ophthalmoscope/otoscope of my own. A few hundred pounds, this tends to be the most expensive item needed to get started...

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GP partnerships – sinking into obscurity or sailing into the future?

This post was co-authored with Ruth Riley. Ruth is a medical sociologist and qualitative health researcher with an interest in the mental health and wellbeing of NHS healthcare professionals. She is Principal Investigator of a NIHR SPCR funded study: Exploring the barriers and facilitators to help-seeking amongst GPs: Improving Access to Support. In the past, the huge majority of GPs were partners, with partnership seen as the obvious career pathway. Partnerships consist of groups of general practitioners who own and run their practices, meaning they are in some regards their own bosses. However, the numbers of salaried GPs (employed...

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Long Read: The changing face of general practice in the 20th century

Dr Stanley Jeffs is a retired GP who has made regular contributions to the College Journal. He is now 90 years old. His first article, An Epidemic of Lumbago, was published in 1961. You can download and read it from our archives here. He has suggested this contribution will be his last offering to the BJGP. It gives a fascinating glimpse into the history of general practice as well as much for us to consider for the future.  THE CHANGING FACE OF GENERAL PRACTICE IN THE 20th CENTURY By Dr S. G. Jeffs (a personal opinion based on doctors I...

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Book Review: The State of Medicine by Margaret McCartney

The State of Medicine is an eloquent, passionate, comprehensive, and, in many ways, dispiriting overview of the repeated damage inflicted on the NHS at the whim of successive governments. The frustration of the author, a GP from Glasgow, pours from every page, every paragraph and every sentence, as she contrasts the efforts of doctors to practice evidence based, safe, humane and cost-effective medicine, in a system that is routinely upended and overhauled according to manifesto sound bite, political opinion and, occasionally, outright self-interest. Whilst the general themes of this book will surprise few who work in the NHS, the...

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Just how successful are STPs likely to be?

The NHS in England is going through a process called Sustainability and Transformation Plans (STPs). As the NHS England website describes “each system will produce a multi-year Sustainability and Transformation Plan showing how local services will evolve and become sustainable over the next five years – ultimately delivering the Five Year Forward View vision of better health, better patient care and improved NHS efficiency”.1 All 44 STP areas have now published their plans and it appears that there are a number of common themes. Firstly that there is a recognition that there are efficiencies and cost reductions to be gained...

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The British Journal of General Practice and BJGP Open are bringing research to clinical practice. This is where we add the debate and opinion to help ensure everyone benefits from that research.

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