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Bright Ideas and Innovation

Bright Ideas and Innovation/International/Opinion

Ten things I wish I had known about academic primary care

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.

1 February 2023
10 mins read
Bright Ideas and Innovation/Opinion

Being bothered about Billy’s oral health

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

25 January 2023
8 mins read
Bright Ideas and Innovation/Opinion

How to be a triple bottom line (TBL) general practice – working for profit, the people, and the planet

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.

1 January 2023
7 mins read
BJGP Long Read/Bright Ideas and Innovation

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.

7 December 2022
17 mins read
Bright Ideas and Innovation/Undergraduate

Goldilocks Medicine: Reforming the management of chronic illnesses within primary care.

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

2 December 2022
10 mins read
Photo of two phones on a desk. One with Mastodon front page on screen and the other with a blurred social media feed.
Bright Ideas and Innovation/Opinion

Mastodon for GPs: embrace the features and the future

The editor, Euan Lawson, discusses Mastodon, the new elephant in the social media room.

30 November 2022
11 mins read
BJGP Long Read/Bright Ideas and Innovation

Reflections of implementing social prescription community groups

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

23 November 2022
25 mins read
1
Bright Ideas and Innovation

The cliff and the bog

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

11 November 2022
9 mins read
1
Bright Ideas and Innovation/Opinion

How GPs can collaborate with charitable organisations to help trans people in the community

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.

21 October 2022
12 mins read
Bright Ideas and Innovation

Environmentally friendly inhalers: issues for the general practice consultation

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

1 September 2022
14 mins read
Bright Ideas and Innovation

Frome’s contribution to wellbeing, biodiversity and closing the loop

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

30 August 2022
6 mins read
BJGP Long Read/Bright Ideas and Innovation/Opinion

Finding meaning, locating hope

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

23 August 2022
13 mins read
Bright Ideas and Innovation/Opinion

Bridging the child health gap between primary and secondary care

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

10 August 2022
6 mins read
Arts/Bright Ideas and Innovation

Found poetry: a creative approach to illuminate the findings of qualitative research

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

30 July 2022
7 mins read
Bright Ideas and Innovation/Opinion

Medical Semantics – What’s in a word?

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.

29 July 2022
7 mins read
Bright Ideas and Innovation/International/Opinion

The levels of generalist practice

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.

23 July 2022
4 mins read
2
BJGP Long Read/Bright Ideas and Innovation

General practitioners as ‘eco-warriors’

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

1 July 2022
12 mins read
1
Bright Ideas and Innovation

Learning to live with cognitive bias

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...

23 June 2022
6 mins read
BJGP Long Read/Book review/Bright Ideas and Innovation

Why it’s so hard to be a good global citizen in the 21st century: A review of Doughnut Economics by Kate Raworth

Ivy Mitchell and Andrew Papanikitas review Doughnut Economics - an attempt to rewire economic thinking to take account of both social deprivation and environmental sustainability.

21 May 2022
9 mins read
Bright Ideas and Innovation/Coronavirus/Opinion

COVID-19, appointment systems and workload in general practice – Answers wanted!

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?

20 May 2022
7 mins read
Bright Ideas and Innovation/Opinion

Patient and carer perceptions and advice on the integration of paramedics into the GP practice workforce

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

11 May 2022
8 mins read
Bright Ideas and Innovation/Early View/Opinion

Rethinking generalist healthcare: opportunities from challenges

Joanne Reeve explores three misconceptions about medical generalist and highlights the work of the WISEGP and CATALYST programmes.

10 May 2022
7 mins read
Bright Ideas and Innovation/Clinical

Fibromyalgia and chronic pain: Are we asking about (and auditing) psychological trauma or traumatic events?

Karen Nicholson highlights possible connections between psychological trauma fibromyalgia and chronic pain syndromes - and suggests an audit

5 May 2022
10 mins read
1
Bright Ideas and Innovation/Opinion

Wisdom of a wise GP

Rafia Aftab shares practical wisdom about doing things 'just right' gained on the Catalyst Programme

4 May 2022
8 mins read
Arts/Bright Ideas and Innovation/Stories

The right write rite

Are you a healthcare professional looking for a creative community of writers? Neil Wilson introduces the Society of Medical Writers

30 April 2022
6 mins read
Bright Ideas and Innovation/Opinion

Kieran Sweeney Prize winner: What does the future hold for the relationship between a patient and their GP in the UK?

"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.

30 March 2022
20 mins read
1
Bright Ideas and Innovation/Opinion

‘Carry on doctor!’: creating psychological support and wellbeing opportunities for doctors

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

23 March 2022
16 mins read
Bright Ideas and Innovation

Building new and faster ways to achieve sustainable healthcare

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).

2 March 2022
7 mins read
BJGP Long Read/Bright Ideas and Innovation/Coronavirus/International

“Tell me about that colleague”: Long Covid, narrative medicine, and a remarkable conversation

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.

28 February 2022
15 mins read
1
BJGP Long Read/Bright Ideas and Innovation

Primary care staff at the ‘Deep end’: Experiences from Lincolnshire’s East Coast

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.

24 February 2022
14 mins read
Bright Ideas and Innovation

GP Carbon Calculator: making it easier to support the NHS’ net zero ambitions

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.

7 February 2022
6 mins read
1
Bright Ideas and Innovation/Opinion

Is a problem-solving approach to patient consultations part of the problem?

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

4 February 2022
5 mins read
BJGP Long Read/Bright Ideas and Innovation

How to start a medical YouTube channel

Michael Poplawski shares five hot tips for starting a medical YouTube channel

29 January 2022
19 mins read
1
BJGP Long Read/Bright Ideas and Innovation

When population health meets general practice – a brief introduction to dashboards and registries

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.

5 January 2022
8 mins read
Bright Ideas and Innovation

Bereavement care in general practice: strengthening compassionate bereavement support in practice

This week is National Grief Awareness Week. Daniel Knights and Catherine Millington-Sanders signpost some useful resources, to help us to support bereaved patients.

6 December 2021
7 mins read
Bright Ideas and Innovation

#MyGPguide: Visiting your GP: A guide for young people with lived experience of self-harm and suicidality

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.

1 December 2021
8 mins read
1
Bright Ideas and Innovation

Improving the health and wellbeing of older patients – looking beyond traditional medical intervention

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.

26 November 2021
7 mins read
Bright Ideas and Innovation

Lonely this Christmas? Elvis may have left, but Alexa could sing us a carol instead!

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.

19 November 2021
10 mins read
Bright Ideas and Innovation

Hybrid academic conferences: a greener and better future for conferences?

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

11 November 2021
7 mins read
Bright Ideas and Innovation/Research

Understanding patients’ knowledge of inhaler recycling

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.

8 October 2021
12 mins read
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