Category: Political

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...

Read More

Obituary for St James Church Surgery: the death of a practice

St James Church Surgery 1987-2016: the demise of small General Practices A personal celebration and lament David Zigmond Small general practices used to be very common and mostly popular. Yet due to healthcare policies they are now increasingly rare and almost extinct. What are we losing? This is a portrait, in words and photos, of a recently closed practice. St James Church in Bermondsey, London served as an NHS General Practice for nearly thirty years. Its closure, in August 2016, was forced by rapidly tightening regulations about working premises and practices. Until its demise, this small practice retained an...

Read More

A short break for tribalism, war and dodgy goddesses.

Bahrainis are migratory, especially during the annual Ashoora holiday. Ex-pats and locals alike flee the country, squeezing through Bahrain’s easygoing airport like a cork from champagne. Cyprus is beguilingly close, so there we landed for a couple of days R and R. The Greek goddess Aphrodite beat us to it, allegedly emerging from the sea at Aphrodite’s rock, between Limassol and Paphos. Aphrodite’s subsequent progress is recorded, comic book style, in astounding mosaics on view in Paphos. I guess mosaics were the digital medium of the day – every floor tells a story. But assuming local legends to be...

Read More

Medicine in an Age of Empires

I recently attended a talk at the hospital post-graduate centre where the speaker introduced herself as the hospital’s new ‘heart failure consultant’ rather than the new cardiologist. This set me thinking, as many things do, about the strange nature of secondary care medicine. Single organ specialisation is now a thing of the past, apparently our hospital based colleagues are best employed dealing with single problems of single organs. Many of the same thoughts occurred to me when I listened to a lipid specialist describe the difficult and technical differentiation of familial hypercholesterolaemia from poly-genic hypercholesterolaemia in patients with a...

Read More

“The best of times, the worst of times” for general practice

SIMON STEVENS AT THE NAPC As well as signalling the end for QOF, the keynote speech at the National Association of Primary Care by Simon Stevens, chief executive of NHS, was a ringing endorsement of his strong support for general practice. Newly and handsomely bearded, Stevens confirmed that this new investment in general practice of £2.4 billion will be made by 2020, and encouraged the audience to “rattle the cage” to make sure that the promises made for additional funding for primary care are honoured in the CCGs’ investment plans and in the Sustainability and Transformation Plans, which are...

Read More

Welcome to BJGP Life!

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.

BJGP Conference – 23 March 2018

BJGP Current Issue

Sign up!

Enter your email address to subscribe to BJGP Life and receive notifications of new posts by email.