Somewhere along the line holistic medicine has been claimed as a special expertise in addition to what we, as mere GPs, do. Tim Senior asks whether and how we should be holistic!
If a patient has an Adverse Childhood Experiences score of 4 or higher then the risk of multiple health problems, such as cancer, obesity, and heart disease, increases. Giles Dawnay asks, how much, then, of our hard and well-intentioned work is no
It may therefore be that the best way to spot the symptoms of serious disease is not always to be looking for them, argues Ben Hoban
Doctors who find more human sense, belonging and fulfilment in their work are, almost certainly, able to provide better care. But our serial reforms have disregarded, then abandoned, a time-honoured cornerstone of practice. David Zigmond explores the tragic revival of continuity of
Austin O'Carroll critiques a moralistic definition of suicide that culminates in a unjust hierarchy of worthiness for compassion and support. Seeing beyond intention to the causes of despair may be more helpful
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
Richard Armitage argues that cyber-attack pose an apocalyptic risk to UK primary healthcare
Joel Brown argues that charging patients £10 for missed appointments in UK general practice is misguided, unfair, and harmful to both patients and health service.
Nada Khan reviews the 'Women’s Health Strategy for England,' which contains ambitious goals for general practice. Are these goals sustainable and sincere?
Peter McNelly provides an introduction to the role of the mental health practitioner in general practice, and how they can help reduce the workload of GPs.
John Spicer and Carwyn Hooper unpack the Hippocratic duty to teach for 21st century primary care.
It is important that GPs are able to recognise this phenomenon, and to not dismiss the SMI lifestyle as a harmless pursuit for frivolous Gen-Z-ers. Richard Armitage unpacks the health implications.
Some patients with medically unexplained symptoms (MUS) suffer years of referrals and inconclusive tests. Others find themselves overlooked by health care services and feel forgotten. However, diagnostic delay may be due to a disease being rare. Stephen Walker and colleagues offer a
New research into the serotonin theory of depression raises two separate, but related issues. The first is our understanding about the aetiology of depression. The second is understanding why we prescribe antidepressants. Nada Khan reflects on what this means for general practice.
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
Richard Armitage examines the 'Deborah James effect' on cancer awareness. How should we enhance the benefits and mitigate any harms of publicly shared celebrity cancer stories?
People living in more affluent parts of the world with better healthcare and less disease tend to have a lower view of their health than people in poorer areas, where disease is more prevalent and healthcare less well-developed. Ben Hoban asks what
"We have talked to friends, colleagues, teachers and other adopters and have concluded that we should go ahead with an assessment. We will access resources and advice, buy a new genre of books, try to think of different parenting strategies to help our child..."
Rebecca te Water Naudé and Peter Young suggest that GPs may have duty to discuss the pros and cons of patients who contemplate crowdfunding for cancer treatment, and outline some of the issues.
Richard Armitage looks at the health needs of people who work away from home, be they itinerant telecommuters or contract-workers in haulage and construction - should general practice be evolving to meet the access needs of this group? Join the discussion!
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.
Pamela Martin shares the Doctors for Unite vision for the future of primary healthcare in the UK - a call to action!
How and why do we define something as a public health problem? Richard Armitage reflects on the complexities.
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.
Bakula Patel asks is cracking work-life balance is as simple as considering life-work balance? Comments welcome!
Around 80% of all care in the UK is self-care, but despite people's willingness to initially self-treat, minor ailments contribute to 57 million GP consultations a year. How then can GPs promote continued self-care to patients?
Nada Khan examines the increasing waiting times for ambulances, finding a system under pressure and dilemmas for clinical staff.
Tim Senior reflects on what makes a 'virtuoso' GP. Is a question of detective skills or the ability to establish a rapport?
Richard Armitage argues that good management of hay fever represents an opportunity for general practice to reduce suffering and restore both wellbeing and economic activity to the nation!
At the beginning of my foundation training I had very limited awareness of the diversity of the clinical workforce and was only familiar with 'traditional' doctor roles. However, I was surprised to find myself in the midst of a large, multiskilled dynamic
Approximately 1%–2% of the adult population experience stammering, which can have a significant impact on a person's quality of life. Here, members of the NHS Stammering Network (for staff) describe how best to optimise consultations with this patient group.
In 2020, Sir Michael Marmot and his team at the Institute of Health Equity published ‘Build Back Fairer’ to examine how the Covid pandemic affected health inequalities in England. Nada Khan discuss a grim but inspiring document.
The Department for Work and Pensions has recently announced legislative change that will allow a wider range of healthcare professionals to authorise fit notes. Is this an opportunity for general practice to improve patient access to occupational health support?
Healthcare professionals deploying to and practicing in conflicts and catastrophes can experience a plethora of negative emotions due to perceived or actual transgressions of their core ethical principles. In his final Ukraine report, Richard Armitage gives a powerful personal reflection.
The NHS is facing a backlog that will take years to clear and GPs are likely to be the main point of contact for patients who are suffering as a result. Nada Khan examines the issues.
Richard Armitage investigates the impact of the war in Ukraine on the country’s health worker density.
How can we encourage the development of kindness toward ourselves and others? Is it something we can train, and should it perhaps be a part of the GP curriculum? Touching on their own personal experience of being on the receiving end of
Bhupinder Goraya muses on the concepts of order and randomness in relation to health and primary healthcare. We’ve worked 'bloody hard' to make a random mechanical universe work, in doing so we have ordered our leisure.
Anaemia is a serious public health concern globally, yet WHO's cut-off values for Hgb were established in 1968 using predominantly White populations in Europe and North America. Is it time to update to population specific cut-offs?
How do we support each other when a colleague dies by suicide? A reflection by Louise Stone.
Laura Heath discusses ‘trade-offs’ that we should reflect on in modern primary care. Are we clinical providers or clinical supervisors? Data sharers or data stewards? Secondary care helpers, or expert generalists? If our voice is not heard the ‘trade off’ will be