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BJGP Long Read - Page 6

Update on rare diseases and genomic testing in primary care

"Healthcare professionals are being increasingly asked to consider referral for genetic testing. While for the majority with an abnormal finding, curative treatment is not currently possible, having a disease with a name can provide relief and allow for more targeted supportive measures.
16 February 2024
10 mins read
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Looking in and looking out

Throughout medical history, there has been a tension between systems that locate health within the patient and those that have it outside. Ben Hoban finds the determinants of health and illness by looking in and by looking out.
31 January 2024
4 mins read
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Caritas in a cold climate

This issue’s life and times articles describe the failure of society and policymakers to value general practice. To value is to understand and appreciate both the beauty and appropriate uses of a thing. It also has a sense of quantitate weighing -
26 January 2024
5 mins read
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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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