Health care has seen a seismic shift to the utilisation of telehealth. Through the use of this technology many practices have seen a significant reduction in home visits, an acceleration of existing trends. However, at the boundaries of such acceleration we find older patients, people at the ‘Far End’.

Dr Mairead Murphy and Prof Chris Salisbury talk about continuity of care. It is already known that relational continuity of care (seeing the same GP over time) is valued by patients with long-term conditions. This qualitative study identifies that patients believe that relational continuity facilitates having a GP who knows their history, gives consistent advice, takes responsibility and action, and trusts and respects them.

Professor Jeannie Haggerty and Professor Richard Baker talk about their systematic review considering continuity and patient mortality. Their study confirms the 2018 findings of an association in the context of primary medical care, but also shows that it is variable.

Sally Hull discusses new research published in BJGP. E London GPs were incredibly busy seeing COVID in the early stages of the pandemic, even though this work was missing in the national narrative, and she explains their findings related to ethnicity.

Aarti Bansal is a GP in Sheffield and the founder of Greener Practice. She talks about greener lower carbon prescribing, reducing waste, and improving clinical outcomes. She also considers how we can reduce travel for patients and other practical actions practices can take.

Claire Friedemann Smith explains the findings of a systematic review that suggests GPs’ gut feelings may have a role in cancer diagnosis. The studies, which used varied conceptualisations of ‘gut feelings’, showed associations with patients initially being unwell rather than with a suspicion of cancer.