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
Found poetry is created by taking words and phrases from other sources and reframing them - the literary equivalent of a collage. Jessica Watson and Fiona Hamilton demonstrate how the approach can be applied to qualitative research to capture and share experiences
One of medicine’s great strengths is the precise use of language it employs to describe what and where it is diagnosing the issue in hand. This, of course, would be fine if we only spoke amongst ourselves in a professional capacity.
There are three levels of general practice: generalist practice approach, general generalist practice and expert generalist practice. Koki Kato explains how they can help GPs explain what they do.
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
You are probably familiar with the idea of cognitive bias: a trick of the mind that stops you seeing what’s in front of you or thinking clearly, something that’s a recognised cause of diagnostic error. Ben Hoban introduces the psychological menagerie...
Ivy Mitchell and Andrew Papanikitas review Doughnut Economics - an attempt to rewire economic thinking to take account of both social deprivation and environmental sustainability.
Jeremy W Tankel discusses how previously successful approaches to telephone and in person GP consultations are proving problematic in the COVID-19 era - what's the answer?
Whilst efforts are being made to develop the paramedic role within primary care, what is often missing from research and policy informing practice is the voice of patients. An NIHR patient and public group discuss this and offer practical advice for primary
Karen Nicholson highlights possible connections between psychological trauma fibromyalgia and chronic pain syndromes - and suggests an audit
"Through partnership rather than paternalism, the future patient–GP relationship will embrace the change of the world yet to come." — Nathaniel Roocroft, winner of this year's Kieran Sweeney Prize, sets out a future vision of general practice.
It is only in recent years that the physical and emotional burden faced by those in the medical profession has been raised. What can be done at both a structural and individual level to aid the wellbeing of medical staff? Dr Feryad
Terry Temple and colleagues showcase how they found a way for the NHS and prescribers to know that the medications they used were not harming the environment (includes open access resources).
Maria Victoria Bovo and John Launer give an account of a remarkable conversation they had in December 2021 during an online workshop in narrative medicine, about Long-COVID and a colleague.
In November 2021 the First Coastal Primary Care Network (FCPCN) hosted an event to understand 'Deep End' practice. This short article intends to inform readers as well as providing a record of the day’s events.
The GP Carbon Calculator is a free online resource designed to support GP practices to reduce carbon emissions and tackle climate change. Find out more.
As a practising GP, I have come to see myself as a fixer of problems. But does this problem-oriented approach to consultation squander the opportunity we have when we engage our patients in that narrow window? What if we were to re-configure
Afsana Bhuyia and colleagues give us a de-mystifying introduction to dashboards and registries, digital public health tools which they are using in their work on the management of cancer.
This week is National Grief Awareness Week. Daniel Knights and Catherine Millington-Sanders signpost some useful resources, to help us to support bereaved patients.
GPs are often the first and last healthcare contact for those who die by suicide. Maria Michail shares news of an excellent resource to support both GPs and their patients.
If only there were interventions that reduce morbidity and frailty in the elderly! Helen Burn reminds us that there already are: exercise and social interaction.
The pandemic has given us all a taste of what socially isolated and lonely patients must experience year-in-year-out. Paul Beaney and Ruth Chambers describe a pilot project to see if Alexa Echo Show smart speakers could provide companionship for the lonely.
Hybrid conferences offer a reduction in environmental impact, allow those who cannot attend in person to attend virtually, and look more likely to be the dominant form of future conferences worldwide. Fraser Birrell, Terry Kemple, and Rob J Lawson review the effectiveness
General practice is ideally placed to introduce changes to become more environmentally sustainable. Dr Vasumathy Sivarajasingam shows, with primary and secondary research, that increased awareness of inhaler recycling among patients and better signposting from primary care staff may be sorely needed.