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BJGP Long Read - Page 6

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Discontinuity of care and patient safety

We know (from that research) that higher continuity is associated with lower mortality rates, reduced healthcare costs, higher patient satisfaction, safer prescribing and reduced hospitalisations.  But what about patient safety incidents? Nada Khan investigates
15 January 2024
5 mins read
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Grieving for a lost Christmas cake…

In a world of immediacy and impermanence, my two cards and lonely box of chocolates earn a particular significance. They emphasise the humanity that is still possible in General Practice despite the need to count, measure, and capture everything – a connection
7 January 2024
3 mins read
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Framing the debate: Race-based requests in medicine

...requests for race-based concordance is a complicated area of medicine, and it is one that is not easily dealt with through formulised policies. Instead, well-reasoned judgements by the care team through a deliberative process, that begin with ethical frameworks, might provide a
10 December 2023
7 mins read
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Workload transfer in the NHS: The Great British Dump

nappropriate transfer of workload can go both ways, and it can feel highly frustrating for GPs and hospital specialists alike.  But as patient care becomes increasingly fragmented, thinking locally about how to improve collaborative care might help build back those relationships across
8 December 2023
6 mins read
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Electioneering and the RCGP Election Manifesto

Billed as ‘seven steps to save general practice and safeguard our NHS’, the manifesto reflects the policies the RCGP believes political parties need to take on board to ‘save’ general practice ahead of the next general election. Nada Khan does some unpicking...
20 November 2023
5 mins read
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Having ‘Mental health’

The way we talk about mental ill health can end up creating a linguistic black box which we see but cannot see inside. How then can we know what to expect from our distressed patients, and how best to help them? Ben
30 October 2023
4 mins read
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Medical generalism – now!

In Medical Generalism—Now!, Joanne Reeve extends her concept of the creative self. And she argues that the fundamental challenge for the contemporary primary care clinician is to honour the patient’s creative abilities and provide the kind of flexible, tailored care that allows
21 October 2023
4 mins read
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Radical Help by Hilary Cottam

'A relational way of working, thinking and designing is one that creates possibility for change, one that creates abundance – our capacity for relationships, like love, is infinite.’ Emilie Couchman reviews a call for radical reform
15 October 2023
5 mins read
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Rethinking continuity

If we look at continuity without considering the wider context of general practice, we may find ourselves being swept out to sea as we gaze longingly back at the beach. Ben Hoban helps us to reflect on the really useful elements of
4 October 2023
3 mins read
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‘What is a doctor?’ by Phil Whitaker

The title, ‘What is a doctor?’, neatly articulates a contemporary query. As the multidisciplinary team (MDT) becomes increasingly complex with additional moving parts, the role of the doctor becomes ever more difficult to describe. The memory of the ‘family doctor’ is fading.
23 September 2023
3 mins read
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Doctor who?

In clinic last week, a patient called me by my first name – this was the first time I have experienced this in primary care, and for some reason I found it quite jarring. ...there seems to be very little evidence on
21 September 2023
3 mins read
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Martha’s rule

Merope Mills’ description of the death of Martha, her 13 year old daughter, is a raw and harrowing account of the mistakes doctors made that led to Martha’s deterioration and ultimately her death. Nada Khan evaluates the concept of a Martha’s rule,
14 September 2023
4 mins read
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