Perhaps we can characterise these two kinds of practice as representing either efficiency in providing a high volume of appointments or effectiveness in making each appointment count for more... Ben Hoban reflects.
A means by which participants can make some sense of their threads... And nurse the ends of their unravelled stories. The healing ...Is in the weaving.
Primary care has been identified as the stage in the skin cancer pathway with the greatest potential for the use of AI to increase early detection. Richard Armitage raises some issues.
Perhaps it is my patient population, my personality or perhaps it is true of all General Practice, but I notice that nearly all my consultations touch on mental health in some way. Whilst reading the book, I have managed to accept the
"... we’re in a situation where we understand the importance of patient narratives, but if we talk about this in these terms to policymakers and even some of our specialist colleagues, we’ll be dismissed as chin-stroking hippies, unable to do proper medicine."
The thread that runs through the debate, however, seems to be a genuine desire on both sides to help people who are suffering, and the conflict between opposing views reflects not a greater or lesser degree of care, but rather the familiar
Doctors are repeatedly referred to in the proposed legislation, and they are clearly essential in delivering the assisted dying process, but has anyone really considered the impact on those doctors? GPs are arguably the most likely profession to provide assisted dying services,
GPs have a duty to be well-informed about the issues regardless of whether we are conscientiously pro, anti, or neutral. We anticipate publishing many articles around this topic, and the specifics of the bill, and we welcome the opportunity to ensure primary
The primary goal of BJGP Life and BJGP Life &Times is to develop a BJGP community — a virtual agora, the forum of classical times that translates across time and space as the debating room, the public house, the workplace coffee room,
Luke Sayers reflects on what the movie 'Gladiator' has to teach General Practice. We must win the crowd... before it's too late.
Kez has an embarrassing problem. He has tried a cream that maybe worked in the past but not now. He needs the doctor, he thinks. He rings the surgery...
In October and November 2024, Brian Lambert spent six weeks volunteering as a ‘medic’ at the Mavrovouni refugee camp on Lesvos, working for the Dutch charity the Boat Refugee Foundation (BRF).
Last year we shared some party games. This year I'd like to share a concept for conversation. You could share it or leave it in the background of your psyche as the news and issues of the day mingle with the miscellanies
"I couldn’t understand, however, no matter how much I trained, how much I addressed my diet (within the realms of my understanding at the time), and how much I addressed other lifestyle factors such as sleep, why I was the heaviest I
These cautionary tales are steeped in cultural lore and parental wisdom. However, they may not always be based in truth. We have lightly explored the evidence, underscoring that while such traditions hold value, a dose of scepticism often helps separate fact from
How we understand our story makes a difference to how we go about the job, how effectively we do it, and how it leaves us feeling when we go home... One of these proto-narratives is especially relevant to us as doctors: Overcoming
Rebalancing Medicine can seem an impossible task. This book describes, often from personal experience, how the political fashions of the last decades first facilitated and then debilitated the essential workings of the NHS. Richard Lehman reviews.
There is no doubt that general practice now is very different in almost every way compared to 20 years ago. But has enough been done over this period to ensure its longevity as a profession? Sarah Rishi makes the case for a
NHS, please help me to bring the energy not to cry but sing, Courage where there is fear, Hope in the face of all the sugar, fags and beer. Giles Dawnay gets lyrical.
The idea was simple: a short walk in the park to clear our heads, engage in light-hearted conversation, and bond with colleagues. Over the years, this practice has not only endured but flourished...
Mike Thirlwall fears that patients and family doctors may be steadily drifting apart and something very precious may be lost for ever.
"This is the article where I pick out some seasonal reading that is modestly sized and modestly priced such that it might fit in the standard proverbial Christmas stocking ..."
Aldabra Stifiuc-Andronic and colleagues reflect on the health implications of the cosmetics industry and public awareness of cosmetic ingredients.
12 months ago Richard Armitage used NHS Digital primary care appointment data to reveal the increases in GP workload from 2017 to 2023. What's happened in the last year?
"For the first time for many years I felt that I had lost control. Suddenly my comfortable Western privilege wasn’t working. I felt stranded, helpless, a powerless fragment of a distressed and angry crowd."
The science of medicine is a triumph of the intellect and has done immeasurable good. But applied to the individual in distress, it shows all its immeasurable weakness. Not all of David Spiegelhalter’s magnificent new book deals directly with this, but where
For my attention is elsewhere... Occupied by a mere digital abstraction... The computer between us acting as a physical metaphor... A poem by Callum Leese
There is of course no nationwide prostate cancer screening programme for asymptomatic men at present; rather, men over the age of 50 are advised that they can request a prostate-specific antigen (PSA) test from their GP at any time. Paul McNamara and
Integrated neighbourhoods are a collaborative effort of health and social care providers, as well as voluntary/non-statutory organisations, which aim to improve the health and wellbeing of residents and service users. Afsana Bhuiya, Seher Kayikci and Fahad Iqbal outline what we know about
Re-reading my review, I can tell that I was very careful even then not to present this approach as a 'cure' for Long Covid, but as a promising approach to manage symptoms better while waiting for a cure ... However, I have
For years, the UK has inaccurately perpetuated the notion that British farming is among the most sustainable globally. Shireen Kassam, Christelle Blunden and Matthew Lee argue why this is not so, and the impact this may have on public and planetary health.
"The body does not generate the mind but is a process of self-localisation of the mind itself ..." – Armando Henrique Norman explores the usefulness of idealism as a valid philosophical principle to guide family physicians in their daily practice.
a book which has had the same impact on the language of healthcare as George Orwell’s 1984 has had on the language of politics. Illich did not invent terms such as iatrogenesis and medicalisation, but he was the first to synthesize them
Clearly in some GP Practices no robust thought has been given to having a Mental Health Practitioner (MHP), or their role and scope of practice. Those GPs who have requested and take 'ownership' of the MHP, are best placed to integrate them
Despite regular reports about ‘improving the diet of the population’, little has changed. Eight years ago less than a third of people ate five portions of fruit and vegetables per day, and that figure hasn’t budged since. Chris Newman suggests that GPs
One of the first questions my GP supervisor asked was “What did you notice on the way here?” ... Her question appeared simple at first but revealed, what I thought to be, the greatest skill in being a GP; the art of
What (if anything) happens when we die? This is a question that human beings have been pondering since time immemorial. Paul McNamara and Craig MacKay reflect on a family story of near death experience.
...let’s talk a minute about what needs to happen so that the development and use of something like a patient passport can be done in a meaningful and inclusive way. It seems right that we talk about it here, as primary care
“Language is so important – and this is a thread throughout the book. Philippa describes the relief of her son being given a diagnosis of schizophrenia – this highlights what we all understand – that a label or diagnosis can be so
there is a lot of conflicting information about menopause, its treatments, and how GPs will or won’t support women through this stage. With menopause ‘influencers’ and messaging from some specialists inconsistent with guidelines, sifting through the different options and safety profiles can