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?
Perhaps Primary Care will after all become the restorers of ‘normality’. Whatever happens, we will still be here. We will still be listening; still validating lives. Emma Ladds reminds us why, despite Coronavirus, General Practice is still the best job in the
Peter Aird has been vaccinating the frail elderly against Covid-19. He reflects that if we view the old or clinically vulnerable as of less value than the young and strong, then we open the door to a world where the aged and
Referrals for specialist dementia assessments, substantially decreased in April 2020 and May 2020, coinciding with the first COVID-19 lockdown. Richard Armitage examines yet another issue arising from service disruption due to covid.
If we believe that vaccination is the way out of the Covid-19 pandemic, then Julia Darko tells us we must first address the elephant in the room......
Editorial comment. Today we publish two articles exploring why the intention to be vaccinated against Covid-19 is very significantly lower in some of the ethnic minority population, many of whom are at greater risk from the disease.
Though the COVID-19 vaccine is reported to have no side-effects, it's introduction has resulted in great anxiety and perhaps even anger for some. Dr Afiniki Akanet, GP and author, writes on the complex emotions felt by those who have been prioritised for
The UK government's response to the COVID-19 pandemic has been slow, incompetent, and irresponsible, most notably in regards to delivering effective and realistic communication. Judith Dawson reflects on the current state of affairs, where far too many competent adults are choosing to
Smoke bombs in cars, Channel 4 film crews, and depositing rocks in car parks — this is the bizarre story of James Douglas's research into the development of PPE.
A recent patient survey exploring concerns relating to COVID-19 by Helen Burn and colleagues provides some illuminating findings, with 27% of responders stating that they would not accept a vaccination for COVID-19, and one in two responders experiencing mental and physical health
The UK Government's dependence on the private sector when outsourcing COVID-related contracts has resulted in a number of costly disasters. Here, Judith Dawson reveals the lack of accountability and obligation the private healthcare sector have towards both their patients and consultants, and
To adapt to the demands of COVID “digital-first” models of care (i.e. telephone, video, online) have been implemented to minimise face-to-face contact between patients and providers. Ana Luísa Neves and collegues ask a simple question - are we listening to what patients want?
How can primary care be improved upon to aid patients and the burden on secondary care during the COVID-19 pandemic? Luis Ayerbe and colleagues discuss how clinical interventions, delivered in the community, from the moment of diagnosis, could reduce the need for
How do remote consultations work for Foundation trainees in general practice, who suddenly find themselves working in an unfamiliar environment? Emilie Dobler, an FY2, describes the methods of training used during their GP rotation to best prepare them for a future where
There is an increased risk of frontline healthcare workers developing mental health problems during the COVID-19 pandemic. Could Meditation Help? William Van Gordon examines the evidence.
Martin Edwards and Anjna Harrar review this polemical but important book. It is devastatingly critical of the government, its advisors and Public Health England in its analysis of the early months of the COVID-19 crisis in Britain.
Covid-19 has had a major impact on the provision of all health care services. Have Primary Care Networks had a role to play in helping GP practices to adapt? Sarah Parkinson and Judith Smith talked to leaders from four PCNs across England
Are GPs prepared for a future dominated by remote consultations? Ruth Chambers and her colleagues present results from their survey into the effectiveness of learning sets that help GPs to develop their video-consultation skills.
Why is it that risk is perceived differently by different people? During the COVID-19 pandemic there have been largely conflicting responses, both on an individual and national scale. Samar Razaq explores this question in light of the current pandemic and argues that
We are all hoping for a Covid vaccine that works. But even if we get one, will it be that simple? Ramiro Gilardino and Victoria Malek-Pascha consider five critical issues.
It has been well reported that those in the community and end-of-life care have been hardest hit by the COVID-19 pandemic, but little attention has been given to GPs and district nurses working in end-of-life care and the positive stories they have
Numbers have no voice. We, however, give them meaning. Using numbers we can twist the narrative to suit the point we want to make. Following his spectacular rise on social media Samar Razaq investigates the dark arts of manipulation, politics and statistics.
The Welsh government is introducing prescriptive guidelines regarding access to GPs. Susan Goodfellow and Gareth Thomas examine their wisdom, and explore possible alternatives.
Boris Johnson announced plans to carry out up to 10 million tests in a day to allow people who are negative to be able to continue with their life as normal. This "moonshot" is planned to be financed to the tune of
2020 will be remembered as the year of Covid-19, a global pandemic that has touched the lives of more human beings than any disease in human history. Life around the world began to change.
Not long following the horrors of the Ebola outbreak in 2014, Liberia now faces the COVID-19 pandemic. Michael Bryant, medical director of ELWA hospital in Liberia, describes the day-to-day struggle to provide quality care for patients in an already critically strained healthcare
As the country is gripped by fear of a new pandemic it places doctors and other healthcare workers once again in the spotlight. There is understandable fear amongst the public about the nature of the current pandemic and how it may affect
Louise Stone (@GPswampwarrior) is an Australian GP with clinical, research, teaching and policy expertise in mental health. t would be nice if the world of mental health fell neatly into a taxonomy. It would be nice if we could, as Plato wrote,
Public Health England’s two reviews on disparities in COVID-19 failed to address the significantly higher proportion of ethnic minority healthcare workers who tragically died from COVID-19, and provides no detailed road-map to tackle these inequalities in the future. Reflecting on these uninspiring
The vulnerability and medical complexity of our care home residents means their clinical care is often challenging. However, with the emergence of COVID-19, the scale of this challenge has increased significantly with primary care support becoming predominantly remote and care homes asked
We had to create a monster. A monster so huge, and so terrifying that we were sufficiently motivated. So, we the shielded, are being asked to move from essentially no risk, to an undefinable, unguaranteeable low risk situation. I am immensely thankful
Well-respected epidemiologists predicted, from the outset, that the societal, economic and psychological harm from the unprecedented COVID-19 lockdowns was likely to be far greater than the perceived risk of death. However, such views were lost in the narrative of fear that predominated
Immediate action is needed to consider how we deal with the surge in ‘hot’ paediatric patients this winter. We need to make it clear to parents that GPs and A&E are open for business and create a safe, easily accessible system by
The BJGP has been publishing brief reports on innovations on the BJGP COVID-19 Clinical Solutions rapid communications platform. There are now around 30 reports sharing good practice, new processes, and practical ideas to help improve care during the pandemic.
Navigating the daily deluge of new information relating to COVID-19 is a significant challenge for both patients and professionals. With alarming statistics released regarding the inaccuracy of much of this information, it falls to healthcare professionals to help distinguish credible sources and