Alistair Appleby introduces critical realism as a philosophical foundation for medical science and primary healthcare
"We wish to share the story of an innovative digital intervention that has helped to overcome existing divisions by creating a vibrant interdisciplinary network of learning and health activism. We describe how a few family physicians created a virtual community on WhatsApp
Pattern recognition by AI is already overtaking humans in many diagnostic fields such as radiology and cytology. Large language models are doing the same in communication, dialogue and processing human-generated text. Here we present their potential within primary care using four broad
Richard Armitage visits the wild frontier of LLM-powered commercial health apps and reflects on three examples: ElliQ, MMGuardian and WHOOP Coach
In 2020, Bevan secured funding to implement a Starting Well programme. Their aim was to empower women and their families to improve the outcome of future generations by optimising their physical, psychological, and social wellbeing prior to conception.
Drawing inspiration from Brazil, Cornelia Junghans, Matthew Harris, and Azeem Majeed suggest building a community infrastructure of trained and paid Community Health and Wellbeing Workers (CHWWs) who work with GPs, community services and local authority.
Ahmed Rashid muses about surgical site infection, opioid dependence, racial diversity, and 'Meals on Wheels'
The Lancet declares that “generative AI is not an author”, and dictates that “these tools should only be used to improve language and readability”. But are these statements – the first a factual claim, the second a normative assertion – entirely true?
Ahmed Rashid curates a selection of useful and interesting papers. This month: Wait and see, identity loss, data failures, and patient organisations.
Peter McNelly is a mental health nurse and David Fowler is a practice manger in Northern Ireland. They argue that mental health practitioners can be a valuable addition to the multidisciplinary team, if sensibly recruited and deployed.
Naomi Craft and Sue Morrison trained in end of life coaching in 2015, delivering workshops between 2016 and 2020 exploring loss, mortality, and the self in both personal and healthcare contexts. Here, they describe the effect of the COVID-19 pandemic on the
Richard Armitage tasked Claude-2 (an AI chatbot) with summarising the updates in the General Medical Council's Good Medical Practice 2024. Within 10 seconds Claude had provided a concise, extensive, and reliable summary ...
Ahmed Rashid explores: Ethnic minority maternity experiences, colorectal resection, foreign medical aid, weight stigma and the lives of billionaires
As a GP and medical student... we wanted to see whether patients experience experiencing homelessness could also reap the benefits of nature prescriptions.
Pregnancy for deaf women, prison mental healthcare, sexual health non-attendance, and compassion
"I firstly prompted GPT-4 to “Answer the following as if you were a GP trainee in the UK.” I then asked [it] each of the 45 text-only questions ...from the RCGP AKT practice paper"
'More of the same won’t fix general practice.' So, what should we be doing differently? The Lazarus project is designed to take GPs out of ‘usual care’ to a different space for professional practice ...
"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
The people factors are the strongly positive aspects of the job. But the logistical working conditions must improve for the future of the specialty to be sustainable. Five academic clinical fellows itemise the issues and set out a manifesto for change.
ChatGPT threatens to significantly harm the educational attainment, as well as the intellectual life, of students of medicine and the subjects that compliment it. This poses a serious threat to the ability of such students to deliver safe and effective care once
Rabia Aftab advocates that exercising these three Es (Expectations, explanation and empathy) in our consultations offers a path to better satisfaction for GP and patient alike.
Are GP practices equipped to respond to the current mental health crisis? Here, Jonathan Coates and Nick Hartley reflect on a recent pilot of the role of GP clinical psychologists in primary care - "an experienced, senior clinician independently handling undifferentiated presentations
As the latest cohort in the Oxford International Primary Care Research Leadership Programme, we present the ‘10 things we wish we had known’ for anyone considering a career in academic primary care.
It is well known that the life expectancy of people with severe mental illness (SMI) is reduced by 15–20 years compared to the general population, but what is less well known is that people with SMI also experience serious inequalities in oral
For 30 years advocates1 for social justice and the environment (have called for full cost accounting with a triple bottom line2 where all the consequences of a business are made transparent. These are its social, environmental and economic impacts and outcomes.
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.
To help patients to live well with long-term conditions, Megan Coverdale proposes that there are 3 levels of change that must be targeted within primary care to collectively reform the management of chronic illness
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
You need to keep going, but stray too far to the left and you’ll be over the cliff edge before you know it; go too far to the right and you’ll be bogged down, and who knows what state you’ll be in
Trans people face multiple barriers to health care from various healthcare providers. Here, Kamilla Kamaruddin describes how working with charities can improve services and residence workload.
Medicines make up 25% of the NHS’ carbon footprint, with some metered-dose inhalers (MDIs) being 3320 times more powerful than CO2. How then can primary care help to reduce emissions caused by inhalers? Joshua Parker explores some options, such as reducing reliability
The Staff Wellbeing Garden at Frome Medical Practice shows the value of local green spaces, enriching the local biodiversity while providing a relaxing environment for both staff and patients. Here, Charlotte Carson, Green Health Connector, describes recent developments to the garden, including
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
Lisa Broom, Frances Dutton (GPs), and Chris Bird (Paediatric A&E Consultant) reflect on a fellowship that allowed both GPs to have one foot in Birmingham Children's Hospital's busy emergency department and the other in primary care in the city, with time to