Category: Opinion

Lakeside | Is our memory of ‘traditional’ general practice fading?

Times are changing. Long gone are the days of semi-detached houses in the suburbs being home to the family doctor. Lakeside Surgery, Corby is a practice like no other. There is a quiet little boating lake surrounded by a wall of fir trees. The water is still. It is a place of serenity. It is a different story on the other side of the road. Through the man-made hole in the trees, only a stone’s throw away is Lakeside Surgery. “The largest GP-lead ‘super practice’ in the NHS” caring for over 100,000 patients, with plans to expand their services to the care of over 300,000. Is this the future of general practice? Will the overwhelming demand on secondary care lead to GP surgeries having to provide more and more acute services?

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Finding my own general practice: doing the simple things well

2018 is my seventh year as a GP. Looking back, the learning curve has been steep at times and constant at others. There is much to keep up to date with and this is expected more with each coming year. General practice: a career that encompasses all your skills, potential and knowledge, emotions, reserves and yet surprises with new challenges and creates resilience but enthusiasm to better yourself as a practitioner.

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The Uncomfortable Professional

The professionalism of general practitioners continues to be undermined as increasingly we are treated as naughty children who need to be brought into line. We need to make collective decisions on how to practice based on what we know as GPs to be true. And by giving ourselves autonomy and control over our work, we will, consequently, bring about genuinely better health for our patients and happier working lives for ourselves. This is what GPs need to do. We need to practice patience and master fear and thereby do things differently.

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The Needle in the Haystack

Specialty bashing is not new or uncommon in the NHS. It is particularly directed at those training in general practice and has been a known problem for many generations. Despite a call for change, undermining of this specialty continues to haunt the corridors of our secondary care hospitals; and enough is enough.

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Tough times for doctors and the best case fallacy

When the going gets tough, what about those who don’t feel tough enough to keep going? Peter Aird is a GP in Bridgwater, Somerset. Recently I watched the BBC adaption of ‘Little Women’. Despite the fact that it wasn’t the kind of programme I would naturally be drawn to [spoiler alert: there are no superpowers on display and no cosmic battles waged], I enjoyed it and found it genuinely moving. Let’s just say, on a number of occasions I found myself affected by what I can only assume was a speck of dust in my eye. I say there...

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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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