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2020 - Page 4

Continuity of care and the association with mortality

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.
14 September 2020
1 min read

Wellbeing and the primary care workforce

The primary care workforce has been right at the heart of the response to COVID-19, working hard in new and rapidly changing circumstances to ensure patient care continues to be provided to all those who need it in the community.
14 September 2020
3 mins read
1

A short course in racism

David Misselbrook discusses how two books, To Kill a Mockingbird and Sacred Hunger, have helped him understand more about why Black Lives Matter matters and have given him his own refresher course in racism.
11 September 2020
3 mins read
2

Brave new world

2020 will be remembered as the year of Covid-19, a global pandemic that has touched the lives of more human beings than any disease in human history. Life around the world began to change.
8 September 2020
4 mins read

COVID-19 in Wales and Liberia

Not long following the horrors of the Ebola outbreak in 2014, Liberia now faces the COVID-19 pandemic. Michael Bryant, medical director of ELWA hospital in Liberia, describes the day-to-day struggle to provide quality care for patients in an already critically strained healthcare
7 September 2020
4 mins read

The problem of prescribing for pain

Judith Dawson reflects on the draft NICE guidelines for the management of chronic primary pain. There is widespread use of ineffective and addictive pain medication of questionable benefit. However, implementing any change will depend on a cohesive approach across primary and secondary
4 September 2020
2 mins read

How to ‘green’ up your primary care practice

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
2 September 2020
1 min read

Welcome to the age of #SpectacularHealthcare

Despite ‘seeing’ more patients remotely, we are becoming more isolated, living our lives in lonely clinics and solitary consultations. The art of medicine becomes abstract, doctors and patients united in their separation.
2 September 2020
3 mins read

Gut feelings in GPs and cancer diagnosis

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
25 August 2020
1 min read

In harm’s way

As the country is gripped by fear of a new pandemic it places doctors and other healthcare workers once again in the spotlight. There is understandable fear amongst the public about the nature of the current pandemic and how it may affect
21 August 2020
3 mins read

PHE and BME inequalities: Too little, too late?

Public Health England’s two reviews on disparities in COVID-19 failed to address the significantly higher proportion of ethnic minority healthcare workers who tragically died from COVID-19, and provides no detailed road-map to tackle these inequalities in the future. Reflecting on these uninspiring
4 August 2020
3 mins read

Racism can be overt and subtle. Here’s what we can do.

Carter Singh is a full time GP partner at Willowbrook Medical Practice, Nottinghamshire. An 'expert-by-lived-experience' in racial inequality, it is this passion that motivates him to challenge discrimination, inequality, and marginalisation in the NHS.
4 August 2020
1 min read

It is time for general practice to act on racism in health care

Under the Prevent policy, NHS Trust staff are trained to spot signs of radicalisation and refer cases to the government. Within a systemically racist social system this policy succeeds only in targeting minority groups and those who are most vulnerable. The abolishment
3 August 2020
2 mins read

Retirement and managing the ‘peridoctorpause’

Ed Warren is a retired GP. He notes that a feature of getting older is that you have more opinions and are convinced that others want to hear them. He reflects on the ageing process, cognitive biases, coming to terms with his
30 July 2020
3 mins read

Reflections on working with care homes during COVID-19

The vulnerability and medical complexity of our care home residents means their clinical care is often challenging. However, with the emergence of COVID-19, the scale of this challenge has increased significantly with primary care support becoming predominantly remote and care homes asked
29 July 2020
3 mins read

We had to create a monster

We had to create a monster. A monster so huge, and so terrifying that we were sufficiently motivated. So, we the shielded, are being asked to move from essentially no risk, to an undefinable, unguaranteeable low risk situation. I am immensely thankful
28 July 2020
4 mins read
2

COVID-19, Orwell and the media

Well-respected epidemiologists predicted, from the outset, that the societal, economic and psychological harm from the unprecedented COVID-19 lockdowns was likely to be far greater than the perceived risk of death. However, such views were lost in the narrative of fear that predominated
24 July 2020
2 mins read

Is this really doctoring?

The opportunities to treat more and more patients in less and less time is the unspoken aim of the improving of technology. But as we move into this future, we must continue to courageously ask both ourselves and our employers; is this
22 July 2020
2 mins read

The Prison Doctor by Dr Amanda Brown

Dr Amanda Brown traded her relatively comfortable life in a village surgery for life in some of Britain’s most notorious prisons. However, The Prison Doctor is not just a description of how her two worlds differed.
19 July 2020
1 min read

The fable of the dun cow: GPs are not a limitless resource

If general practice becomes unsustainable, we will lose the most effective and efficient health service we have, and it will not be easily replaced. It’s time we involved GPs in the critical analysis of the holes in the system, before our capacity
18 July 2020
4 mins read

Pandemic primary care and the lack of a picture

So why am I more exhausted from a full day in practice when I have only seen four patients face-to-face, dealt with 30 or so patients over the phone and conducted a MS Teams practice meeting? The ambience around appears calmer –
18 July 2020
2 mins read

The conundrum of self neglect

Most clinicians will encounter cases of self-neglect during their career, which will vary from mild presentations to really disturbing cases where the self-neglect becomes extreme. What drives such behaviour and how do we manage it?
17 July 2020
3 mins read

Reclaiming the physical examination for general practice

Described as the 'cornerstone of safe and effective practice', the physical examination has always been an integral part of what makes a competent GP. With recent evidence presenting a decline in GPs' physical examination skills over recent years, GP Simon Morgan reflects
16 July 2020
3 mins read

Communicating evidence on COVID-19: ‘In nerds we trust’

Navigating the daily deluge of new information relating to COVID-19 is a significant challenge for both patients and professionals. With alarming statistics released regarding the inaccuracy of much of this information, it falls to healthcare professionals to help distinguish credible sources and
14 July 2020
3 mins read

COVID-19: The success of Asian countries

Professor Donald Li talks us through some of the reasons, detailed in his editorial, co-authored with Chak-sing Lau, for the relative success of Asian countries in managing COVID-19.
14 July 2020
1 min read

Ending the lockdown while balancing the risk

Evidence suggests that unemployment is associated with an increase in mortality and morbidity. In light of this evidence, Samar Razaq assesses whether a return to work could help to avoid an even greater disaster during the COVID-19 pandemic.
9 July 2020
3 mins read
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