Month: October 2018

Brexit and the decimation of the NHS

Peter Burke is currently a portfolio GP in Oxford. A potted bio with declaration of interests is available at the end of the article. The Romans had a word, decimation. Decimation meant that if a Legion rebelled, one in ten soldiers, regardless of guilt or innocence, would be taken out at random and put to the sword. I am a GP and by chance one in ten of my medical colleagues in the NHS are nationals of other EU countries. Hold that thought, I will come back to it. Let me now tell you a story of Eva, not...

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Reflections on Moria: a shameful humanitarian crisis

Philippa Jeacocke is a GP trainee in Sheffield currently taking a year Out of Programme Experience (OOPE) between ST2 and ST3 to further explore her interest in refugee health and palliative care. In August 2018 I spent a month working as a volunteer doctor with MedGlobal in Moria camp on Lesvos. MedGlobal is working to support the existing Greek governmental clinic in Moria known as “Keelpno” by providing an extra doctor. As such, during my shifts I worked alongside the Greek Keelpno medical team as well as volunteers from Kitrionos (another medical NGO supporting the clinic) and refugees from...

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Pain, opioids, and syringe drivers: a practical guide

Pain, Opioids and Syringe Drivers: A Practical Guide for the GP in the Wake of Gosport This article is written by Daniel Knights, Felicity Knights and Stephen Barclay and is published as a companion piece to their editorial in the October 2018 issue of the BJGP. The publication of the Jones Report investigating the excess mortality at Gosport Memorial Hospital is one in a series of end-of-life care issues that have hit the UK news. The underlying system failures are unfortunately far from new to the NHS; with the report echoing inter alia, the Kennedy Report and the Berwick Report, highlighting the need for...

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