"Morale in general practice has never been lower, and I can say that having been a GP for 37 years. In all this adversity and negative press, the care has carried on regardless, even allowing pockets of brilliance to shine through. We have a few examples from a sleepy corner of Suffolk ... "
Read More »
"The result is this honest, insightful, and compassionate book. It’s a guide to, and guide through, the hidden curriculum of untaught competencies without which a new doctor’s life can become a Kafka-esque nightmare of self-doubt" - Roger Neighbour reviews The
Primary care systems can clearly be described as networks of people and things, ideas, processes, relationships and technologies. It is patently clear that we have a duty open the black boxes of our primary care systems, lest ignorance of how
With recent polling in the UK putting Labour significantly ahead it seems likely that they will form our next government. It is sensible, therefore, to pay close attention to Labour policy suggestions for the NHS.
Can we still reasonably describe ourselves as generalists, doing a bit of everything, or are we on the road to re-branding ourselves as specialists in primary care?
General practice can play a major role in assisting in raising awareness and supporting primary prevention, early identificationand intervention of domestic abuse, argues Vasumathy Sivarajasingam
The people factors are the strongly positive aspects of the job. But the logistical working conditions must improve for the future of the specialty to be sustainable. Five academic clinical fellows itemise the issues and set out a manifesto for change.
This year marks the 75th anniversary of the foundation of the NHS, and it is timely to consider the post-1948 story of general practice, and what we can learn from the past to make the future more propitious than it appears. Edin
Yet, from speaking to other women with this condition, I have learnt that it is often their GP that they consult with first, asking: why are my periods lighter since my miscarriage? why have my periods stopped? Could something be wrong, as
Fourteen years ago, I watched the drama-documentary-animation hybrid film: The Age of Stupid. This is set in a climate-ravaged 2055, and features a last-surviving human who has been entrusted to archive human records. He is reflecting on news footage demonstrating the devastation
Yet, from speaking to other women with this condition, I have learnt that it is often their GP that they consult with first, asking: why are my periods lighter since my miscarriage? why have my periods stopped? Could something be wrong, as I am not getting pregnant again?
Read More »
Bipolar disorder (BPD) is a severe mental illness characterised by significant and sometimes extreme changes in mood and energy, which go far beyond most people’s experiences of feeling a bit down or happy. Carolyn Chew-Graham and colleagues offer an update.
Careful, caring and person-centred application of guidance is required to ensure patients benefit from, and are not harmed by, healthcare. I’d like to talk about Joan, an 86-year-old lady who had rarely visited the surgery. We threw the guidelines at
Adnan Saad and colleagues provide an easy-to-use 'crib sheet' for commonly issued disease-monitoring drugs in general practice ...
Ask any doctor, and they’ll tell you that talking to patients can be difficult. Mind you, ask any patient and they’ll tell you that talking to doctors can be really difficult too. Ben Hoban discusses how we address the problem.
Richard Armitage highlights a selection of issues in tension with public health and respiratory communicable diseases both pre and post the outbreak of COVID-19.
Read More »
Uptake of national screening programmes suffered during the COVID-19 pandemic, but how are uptake numbers faring post-pandemic? Richard Armitage presents the data ...
Mark Pearson and colleagues present a number of powerful poems submitted by participants of long COVID support groups exploring their experience of long COVID.
In 2020, Sir Michael Marmot and his team at the Institute of Health Equity published ‘Build Back Fairer’ to examine how the Covid pandemic affected health inequalities in England. Nada Khan discuss a grim but inspiring document.
Jeremy W Tankel discusses how previously successful approaches to telephone and in person GP consultations are proving problematic in the COVID-19 era - what's the answer?
Evidence collected by the Ministry of Health of Ukraine and the World Health Organization in recent months shows that mental health, rehabilitation and the population's access to health services are the top priorities and issues to be addressed. Oleksii Korzh unpacks the issues.
The effects of the earthquakes on child health in Türkiye are substantial, multifaceted and, without urgent intervention, deeply enduring throughout the life course. Richard Armitage reports from the scene.
Teams are the talk of the town in practice transformation circles. They are extolled as the solution for many of our deficiencies– from chronic staffing shortfalls to employee burnout. This extended essay by David Loxterkamp gives a perspective from American primary care
…the sparsely populated rural and remote areas of affected provinces, coupled with the precarious and earthquake-damaged transport infrastructure that supplies them, has allowed the construction of very few formal displacement sites within these areas.
Will this delegation from Australia be successful in ‘stealing’ GPs away to Australia? For those who have been weighing up the options, it may well act as their trigger point to leave, but not without the context of the other push and pull factors that
"Morale in general practice has never been lower, and I can say that having been a GP for 37 years. In all this adversity and negative press, the care has carried on regardless, even allowing pockets of brilliance to shine through. We have a few
Primary care systems can clearly be described as networks of people and things, ideas, processes, relationships and technologies. It is patently clear that we have a duty open the black boxes of our primary care systems, lest ignorance of how they work (and how they
What are the personal and human factors that most motivate and anchor our best healthcare? What best nourishes and sustains both patients and healthcarers to endure together life’s most difficult challenges? This book answers such questions with luminous and engaging clarity.
General practice can play a major role in assisting in raising awareness and supporting primary prevention, early identificationand intervention of domestic abuse, argues Vasumathy Sivarajasingam
This year marks the 75th anniversary of the foundation of the NHS, and it is timely to consider the post-1948 story of general practice, and what we can learn from the past to make the future more propitious than it appears. Edin Lakasing offers a
The people factors are the strongly positive aspects of the job. But the logistical working conditions must improve for the future of the specialty to be sustainable. Five academic clinical fellows itemise the issues and set out a manifesto for change.
My heart goes out to all of us, who have been 'set up to fail'. Take heart and glove up - the work must go on... A poem by Rebecca Quinn
Now imagine, that for the majority of cases being presented, the consultant condescendingly - and unnecessarily - adds, at the end of the majority of cases, that they had been diagnosed and managed wrongly by the 'incompetent' GP prior to coming to him. Noor Amar
The first planned strike action will take place for 72 hours in mid-March and will see junior doctors stepping away from their wards, surgical theatres, outpatient clinics, and indeed, for GP registrars, their practices. How do junior doctor strikes impact on general practice?
How might American political economists Rawls and Nozick have viewed Julian Tudor Hart's inverse care law? Ayu Takayanagi explores two types of self-interest.
In this episode, we speak to James Sheppard about the development and validation of the STRATIFY-AKI tool
In this episode, we speak to Gillian Doe and Rachael Evans about breathlessness diagnostic pathways and management in general practice.
In this episode, we speak to Jen McLellan and Sultana Bi about the care of menopause amongst ethnic minority women.
The editor, Euan Lawson, with the links relevant to the Editor's Briefing articles for June, July and August.
The editor, Euan Lawson, with some comments and links relevant to the May '22 Editor's Briefing.
Assistant Editor Nada Khan discusses the Ockenden Report -safe and effective maternal and postnatal care involves general practice.
Subscribe to BJGP YouTube