BJGP Long Read – Page 10

Too cold at home: the challenge of fuel poverty and long-term health outcomes

This winter, several long-term issues are coming to a head to create a perfect storm: high fuel prices, poor housing quality, a lack of sustainable energy strategies, and families sliding into low income during a cost of living crisis. Nada Khan reviews

23 September 2022

4 mins read

BJGP Long Read·Opinion

Show me the money! What’s really going on with reported GP earnings?

A British newspaper has argued that GPs were given 'record pay rises in Covid pandemic'. Richard Armitage unpicks the truth and the implications of GP earnings and productivity over the last two and half years.

22 September 2022

6 mins read

Arts·BJGP Long Read·Stories

Diagnosing Faria

Alexandre Dumas’s 19th century French novel, The Count of Monte Cristo, doesn’t usually make the list of standard medical texts but perhaps it should not be so readily dismissed. It captures the spirit of an age when medicine was undergoing a revolution...

18 September 2022

3 mins read

1

BJGP Long Read·Opinion

Switching to imperial: a ton of problems for healthcare

Richard Armitage explores the health implications of adopting imperial units, and finds the prospect quite alarming!

12 September 2022

5 mins read

1

BJGP Long Read·Book review

Book Review: Why We Get the Wrong Politicians, by Isabel Hardman

Cassandra-like, the author warned us, and we did not listen. This is not a book about a political party or ideology however, it is about politicians and political life in the UK. Hardman’s book is divided into three sections: Why we get

10 September 2022

4 mins read

2

BJGP Long Read·Clinical

Osteoarthritis: an overlooked target for health improvement

While it makes no contribution to mortality statistics, the morbidity, economic cost and primary care workload generated by osteoarthritis is of sufficient proportion to render the condition a significant public health problem worthy of urgent investment of resources.

9 September 2022

4 mins read

1

BJGP Long Read·Opinion

Doctors prescribing financial support – a poisoned chalice?

A leaked memo from the UK treasury recently suggested GPs should assess the financial health of their patients and recommend financial support to those in most need. Nada Khan considers some of the arguments and research -discussion welcome!

8 September 2022

3 mins read

BJGP Long Read·Opinion

Sewage in UK waters: a raw deal for wild swimmers

Richard Armitage discusses the pros and cons of wild swimming in light of the recent discharges of raw sewage into British waterways

5 September 2022

6 mins read

7

BJGP Long Read·Opinion

A sinking cornerstone: the vanishing of personal continuity of care

Doctors who find more human sense, belonging and fulfilment in their work are, almost certainly, able to provide better care. But our serial reforms have disregarded, then abandoned, a time-honoured cornerstone of practice. David Zigmond explores the tragic revival of continuity of

27 August 2022

5 mins read

AiT·BJGP Long Read

Planetary health and sustainable primary care: What does this mean for a GP curriculum?

For today's and tomorrow's general practitioners to be able to engage with climate-related health threats in partnership with their patients, medical curricula must shape teaching and learning now. RCGP curriculum lead for planetary health Suchita Shah discusses what this mean for GP

25 August 2022

6 mins read

BJGP Long Read·Opinion

The suicide hierarchy

Austin O'Carroll critiques a moralistic definition of suicide that culminates in a unjust hierarchy of worthiness for compassion and support. Seeing beyond intention to the causes of despair may be more helpful

24 August 2022

7 mins read

1

BJGP Long Read·Bright Ideas and Innovation·Opinion

Finding meaning, locating hope

What Rupal Shah & colleagues are proposing is not whimsical or theoretical. We need to address the broader context or practice so that connection, meaning & values can flourish. The next generation of GPs needs to be inspired & adequately resourced to

23 August 2022

6 mins read

BJGP Long Read·Opinion

Cyber-attacks and primary care: the need for digital health resilience

Richard Armitage argues that cyber-attack pose an apocalyptic risk to UK primary healthcare

22 August 2022

5 mins read

BJGP Long Read·Opinion

Should GPs have to teach? -a view from the Oath

John Spicer and Carwyn Hooper unpack the Hippocratic duty to teach for 21st century primary care.

16 August 2022

5 mins read

2

BJGP Long Read·Opinion

The health risks of going viral: social media influencers and the harms of digital stardom

It is important that GPs are able to recognise this phenomenon, and to not dismiss the SMI lifestyle as a harmless pursuit for frivolous Gen-Z-ers. Richard Armitage unpacks the health implications.

15 August 2022

6 mins read

BJGP Long Read·Opinion

Celebrities, cancer, and population health

Richard Armitage examines the 'Deborah James effect' on cancer awareness. How should we enhance the benefits and mitigate any harms of publicly shared celebrity cancer stories?

8 August 2022

10 mins read

BJGP Long Read·Opinion

Crowdfunded cancer care in the UK -An ethical challenge

Rebecca te Water Naudé and Peter Young suggest that GPs may have duty to discuss the pros and cons of patients who contemplate crowdfunding for cancer treatment, and outline some of the issues.

3 August 2022

9 mins read

BJGP Long Read·Clinical·Opinion

Health of those working away from home: is general practice doing enough?

Richard Armitage looks at the health needs of people who work away from home, be they itinerant telecommuters or contract-workers in haulage and construction - should general practice be evolving to meet the access needs of this group? Join the discussion!

1 August 2022

5 mins read

BJGP Long Read·Clinical

Supporting the ‘Multi’ in Multi-agency working for child safeguarding

Sharon Dixon and colleagues contend that a deeper understanding of safeguarding practices (and how these look and feel on the front-line of multi-agency encounters) is needed if future child safeguarding tragedies are to be avoided.

27 July 2022

7 mins read

1

BJGP Long Read·Opinion

What makes a public health problem?

How and why do we define something as a public health problem? Richard Armitage reflects on the complexities.

25 July 2022

6 mins read

BJGP Long Read·International·Opinion

War in Ukraine and moral distress: experiences of a British GP

Healthcare professionals deploying to and practicing in conflicts and catastrophes can experience a plethora of negative emotions due to perceived or actual transgressions of their core ethical principles. In his final Ukraine report, Richard Armitage gives a powerful personal reflection.

11 July 2022

6 mins read

2

BJGP Long Read·Clinical·Undergraduate

To what extent is a total diet replacement programme effective in sustained weight loss and remission in people with Type 2 diabetes?

TDR programmes consist of a low calorie (around 800 kcal/day) formula diet alongside a stepped food reintroduction as well as regular behavioural support. Yusuf Ben-Tarifite examines the evidence for TDR in Type 2 Diabetes Mellitus.

8 July 2022

9 mins read

BJGP Long Read·Bright Ideas and Innovation

General practitioners as ‘eco-warriors’

Although the GPs may well be aware that the ‘climate emergency’ is also a ‘health emergency, many of us do not make the connection with clinical practice when it comes to taking action. We often fail to realise that the majority of

1 July 2022

5 mins read

1

BJGP Long Read·Opinion·Random

The problem with order

Bhupinder Goraya muses on the concepts of order and randomness in relation to health and primary healthcare. We’ve worked 'bloody hard' to make a random mechanical universe work, in doing so we have ordered our leisure.

30 June 2022

8 mins read

BJGP Long Read·News·Opinion

Where I end and you begin: Additional roles in British general practice

Nada Khan explores the roles of and our perceptions about primary care multidiciplinary teams, in light of the recent BBC Panorama investigation

28 June 2022

5 mins read

3

BJGP Long Read·International

War and antimicrobial resistance: coexisting threats in Ukraine

Antimicrobial resistance (AMR) is a significant and well-recognised threat to human health in Ukraine. Richard Armitage discusses how this is further complicated by the war.

27 June 2022

2 mins read

BJGP Long Read

A short history of general practice: The changing gaze

Over forty years ago, Nicholas Jewson coined the term ‘medical cosmology’ as shorthand for the prevailing theories and practices that defined the nature of medical discourse at that time. Stephen Gillam examines the changing gaze of British GPs in this final part

25 June 2022

10 mins read

4

BJGP Long Read·Opinion

Abuse against healthcare staff: what’s happening, so what and what now?

General practices and staff have been facing violent behaviour or aggression from members of the public -a global phenomenon now an UK issue. Vasumathy Sivarajasingam asks, what's happening, so what, and what now?

24 June 2022

5 mins read

BJGP Long Read·International

Palliative care needs and war in Ukraine

For as long as the war in Ukraine continues, the country’s existing substantial unmet need for palliative care and pain relief will increasingly intensify, and ever greater numbers of people with life-limiting conditions will experience intolerable yet preventable suffering at the most

20 June 2022

4 mins read

1

BJGP Long Read

A short history of general practice: Consumerist medicine

By the 1980s, general practice was a self-confident discipline with a burgeoning research base and enviable training standards able to attract those from the highest rungs of Moran’s infamous career ladder. Yet all was not well. Stephen Gillam's biography of the profession considers

18 June 2022

9 mins read

4

BJGP Long Read

A short history of general practice: Servants of the state

There is a tendency to assume that the National Health Service Act was the culmination of a single clear idea, realized in a glorious post-war dawn; the reality was messier. There was growing consensus in the years leading up to the Second

11 June 2022

9 mins read

4

BJGP Long Read

A short history of general practice: The coming of family practice

Many doctors in the early nineteenth century felt they were held in low regard by a public happy to employ the practitioner charging the lowest fee. Status came to rest on acquired standards of behaviour rather than superior knowledge. Part two of

4 June 2022

8 mins read

5

BJGP Long Read

A short history of general practice: Professional roots

The commonest misconception is that general practice, the ‘jewel in its crown’, is largely a product of the NHS. This short series of articles hopes to inform, stimulate and provoke. Stephen Gillam starts with the journey from apothecary to general practitioner.

28 May 2022

8 mins read

7

BJGP Long Read·International·Opinion

Abortion in Northern Ireland: could conscientious objection impact patient care?

Richard Armitage asks if the prevalence of conscientious objection among clinicians could compromise the provision of abortion services in Northern Ireland.

27 May 2022

3 mins read

BJGP Long Read·Book review

Against the grain: a celebration of general practice

Roger Jones reviews 'A fortunate woman' by Polly Morland. At a very difficult time for general practice and for the medical profession as a whole, this book comes as a most welcome affirmation of the central importance of a respectful, reciprocal relationship

22 May 2022

5 mins read

2

BJGP Long Read·Book review·Bright Ideas and Innovation

Why it’s so hard to be a good global citizen in the 21st century: A review of Doughnut Economics by Kate Raworth

Ivy Mitchell and Andrew Papanikitas review Doughnut Economics - an attempt to rewire economic thinking to take account of both social deprivation and environmental sustainability.

21 May 2022

4 mins read

BJGP Long Read·International·Opinion

Continuity and the tension between patient-safety and person-centredness

Koki Kato reflects on the tension between patient safety and patient centered-ness with a hypothetical case that will be familiar to many. Does it have to be one or the other?

1 May 2022

4 mins read

BJGP Long Read·International

Primary care in Ukraine – an international fellowship perspective

Orest Mulka and Philip Evans discuss the development of general practice in Ukraine and the role of international collaboration in the development of primary care

25 April 2022

4 mins read

1

BJGP Long Read·Coronavirus·Opinion

Recognising the value of a bunch of tulips in general practice

Emma Ladds reflects on being 'at home' as a GP, in response to a bunch of tulips and an article in a national newspaper

23 April 2022

7 mins read

BJGP Long Read·Opinion

Reflections and reminiscences

Madge McClary remembers how things were at the beginning of the NHS and reflects on how they are now... especially automated phone systems...

16 April 2022

8 mins read

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BJGP Long Read - Page 10