"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
Moral Leadership in Medicine provides a vital account of how the needs of patients and the aspirations of professionals are translated into actions beyond the bedside and should form part of any debate on the future of healthcare.
Why have poverty and fuel poverty become medicalised? We know that social determinants of health shape and drive health outcomes. Poverty and fuel poverty are increasingly positioned within a biopsychosocial model of medicine and health.
Could the properties of metals and animal peptides be harnessed to reduce infection and antimicrobial resistance?
Antimicrobial resistance is developing rapidly and threatens to outstrip the rate at which new anti-infective agents are introduced. There are now, however, more than 250 antibacterial compounds isolated from natural sources. Here, Simran Patel and colleagues examine some of the leading contenders.
While various definitions of health have been offered over recent centuries, the search for an enduring and completely satisfying definition has proven frustratingly elusive. Richard Armitage wrestles with one of the most recent and promising definitions.
Social prescribing: Fiaz A Hussain and Feryad A Hussain present the experiences of a group facilitator with extensive experience of running community groups, offering patient feedback, highlighting the challenges of implementation at the coalface, and offering a number of considerations for GPs
The clocks going back as we descend into winter each year generates an additional hour that we generally choose to spend asleep. A poignant philosophical reflection on time.
In an age of mass-production and commodification it is not surprising that the governmental response to our increasing losses of doctors is to recurrently and rhetorically press for greater production and wider recruitment. But in doing so are we avoiding deeper human
Most developed countries have increasingly diverse populations. This context presents a challenge to empathic healthcare, as well as an opportunity. Better communication, treating diversity as an opportunity, and formal training in empathy and diversity can help transform diversity from a potential barrier
Twitter has undoubtedly become the world’s digital town square, and provides the soapbox upon which contemporary issues and political dialogue are played out in real time. Richard Armitage explores the Twittersphere in the wake of Elon Musk's takeover.
Due to the accelerating power of our technological arsenal, and the contrasting stasis of our professional wisdom, the intelligence-wisdom gap is expanding at a blistering pace. With formidable technologies on the scientific horizon – nanotechnology, CRISPR, and general-purpose AI – the necessity
Doctors are inordinately fond of nouns. By and large, patients come to us not just with nouns, but with stories which include them but are driven along by verbs, words of action, backed up by adverbs, pronouns, and so on...
Should healthcare professionals ever strike? For some healthcare professionals, going on strike crosses a professional and moral line. Nada Khan explores the debate.
How is it that 'part time' GPs are working 'full time' hours? Nada Khan investigates!
Tom Brett had known Martha as a patient for fifteen years. Widowed for over 25 years, she had moved from the family farm to settle in the city close to her children...
Richard Armitage suggests it is right for GPs to primarily regard their beneficiaries as ‘agents’ rather than ‘patients’ in the majority of general practice consultations.
Under the spotlight: supportive guidelines to maintain psychological wellbeing for staff involved in patient–coroner investigations
This article aims to draw attention to the experiences of staff who are involved in the coronial process following the death of a patient by suicide. In doing so, the hope is that organisations will consider the impact and implement support strategies
Digital currencies, otherwise known as blockchain-enabled cryptocurrencies, have made unmissable impacts on the global economy. But what are they, how do they work and, most importantly for us, what are their effects on human health and wellbeing?
Increased dialogue about the unique nuances of physicians adopting the role of ‘patient’ should be supported throughout medical training, argues Isabella de Vere Hunt.
In England over the last two years, you are likely to have seen people whizzing around on brightly coloured electric scooters. While they might be a fun, practical, and relatively cheap mode of transport, just how safe are they for their users
Distinguishing conditions that would benefit from diagnosis and earlier intervention from those that are temporary, self-limiting, and prone to harmful medicalisation, remains challenging. Here, Margaret McCartney and colleagues argue that a framework to consider some diagnoses as ‘delicate’ will aid in the
The recent cyber-attack on NHS systems, on the background of zero-days and zero-day exploit markets, raise concern for the safety of digitised patient data – those that are often used in primary care settings – are they too sensitive to be digitally
With climate change resulting in increasing temperatures all around the world, what exactly does heat do to our cells and vital organs?
The NHS has committed to becoming net zero by 2040. With medicines totalling 25% of the NHS' carbon footprint, one way to reduce the carbon footprint of health care is to simply do less health care - here, Theo Bartholomew and Samuel
Richard Armitage argues that the abuse or neglect of nuclear facilities in conflict settings represents an international public health concern
In this article we out some issues for consideration for those considering the process of ‘retirement’. We aim to offer some experience to inform others’ thinking, and also to set out issues that bodies such as the RCGP still need to address.
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
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.
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...
Richard Armitage explores the health implications of adopting imperial units, and finds the prospect quite alarming!
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
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.
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!
Richard Armitage discusses the pros and cons of wild swimming in light of the recent discharges of raw sewage into British waterways
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
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
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
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
Richard Armitage argues that cyber-attack pose an apocalyptic risk to UK primary healthcare
John Spicer and Carwyn Hooper unpack the Hippocratic duty to teach for 21st century primary care.
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.