Elke Hausmann proposes a way of looking at Long Covid and ME that might engender a better understanding in GPs for patients living with these devastating and life changing conditions.
'One man in his time plays many parts' — What is the role of the older, experienced GP? In retiring, this ‘premature abdication’ represents an enormous loss to the NHS. Here, Maxwell Cooper and colleagues outline a vision for a future general
Recent media coverage has focussed on whether patients should be fined for missing appointments. Would a £10 fine change patient behaviour and put an end to this story once and for all? Nada Khan investigates!
The Cynefin framework is believed to encourage the perception of existing structures with new eyes, aiding decision making and simplifying complex concepts. Can this framework help to make sense of challenging GP consultations that may leave GPs feeling inadequate or ineffective?
General public concern over the adequate control of blood pressure is notably high within Ukraine, possibly due to the concerning prevalence of hypertensive disease, public awareness of its associated risk factors, and successful health promotion by primary care and public health professionals.
As we’ve emerged from various lockdowns, large parts of the media have intensified a negative rhetoric against GPs. Annabelle Machin argues that there is still a powerful hope from... talking to each other!
Capacity for undergraduate GP placements is a serious challenge and one that is predicted to become harder in the near future. Here, Simon Thornton, part of the national working group set up to investigate the issue of teaching capacity in general practice
Ben Hoban reflects on general practice as a 'Hero's journey,' but argues that this must be reconciled with the patient narrative. Don your narrative bifocals!
Richard Armitage discusses how the management of vaccine-preventable diseases has been affected by the conflict in Ukraine
The COVID-19 pandemic has shone a light on the importance of social media in keeping people connected and informed worldwide. Annabelle Machin reviews the good, bad and ugly aspects of a useful but potentially dangerous tool.
How is it that something can seem so obvious in hindsight, when at the time it was anything but obvious? Ben Hoban shows us his retrospectoscope!
"... you must first assess the behaviour of the patient and then analyse the patient history." - Clinical observation, argues Henk de Vries, is key to assessing patients with complex personality disorders, offering a new perspective on the Calgary-Cambridge model.
Richard Armitage discusses many Ukrainian families have been separated, meaning the vast majority of refugees are women, children, and elderly people, who are often unaccompanied. These vulnerable individuals are exposed to substantially increased risks of being affected by modern slavery, sexual and
Richard Armitage asks if the prevalence of conscientious objection among clinicians could compromise the provision of abortion services in Northern Ireland.
Part of the increased demand for HRT has been attributed to a TV documentary about the menopause released a year ago by Davina McCall, which has led to what some call the ‘Davina effect’. Nada Khan examines the effect of celebrity narratives
Could Deep End practices assess and treat complex patients in deprived settings to help psychiatric services feel less overwhelmed? Henk de Vries offers a new perspective on the role of Deep End practices in caring for patients with personality disorders.
Oleksii Korzh writes from the Kharkiv Medical Academy of Postgraduate Education, Ukraine, to describe the effect of the conflict on primary healthcare.
Richard Armitage reminds us that, while they play no part in geopolitical games, it is children – in particular the maintenance of their health and wellbeing – that pay one of the largest and most deeply unjust costs for the accident of
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?
Nada Khan asks how can we tackle fuel poverty and food insecurity in practice, offering some solid tips for practice
Can a statement be a lie if if its author does not know (or want to know) that they are lying? John Spicer reviews an intriguing little book 'On Bullshit.'
Richard Armitage discusses the interaction of battlefront conditions and COVID-19 in Ukraine
Pallavi Devulapalli reminds us that learning about what is happening to soil and engaging with policymakers to reverse its loss and degradation is of primary importance to all responsible citizens.
In an open letter to BJGP Life, Roghieh Dehghan and members of the Medact migrant solidarity group argue that deporting refugees to Rwanda is an uncomplicated moral wrong and note the frequent silence of healthcare leadership when these wrongs are mooted by
Paul McNamara 'never wanted to be a GP' but now argues that undergraduate self selected components in general practice could help with recruitment and retention.
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
Joanne Reeve explores three misconceptions about medical generalist and highlights the work of the WISEGP and CATALYST programmes.
Richard Armitage uses the inverse care law to discuss the health inequalities affecting Ukrainian civilians who have been unable to flee the country.
Ben Hoban reflects on the power of naming a thing in medicine. But with great power comes great responsibility...
Robert MacGibbon reviews a new radical blueprint for health which examines ‘five frontiers of health’; social justice, economic, social care, sustainability and a public health new deal.
Paul McNamara and Tanvi Cheetirala argue that UK general practice is suffering as a profession and as a 'brand.' But will re-branding or specialist status help?
Rafia Aftab shares practical wisdom about doing things 'just right' gained on the Catalyst Programme
Richard Armitage is usually a GP in Nottingham but is currently providing primary care to internally displaced people in the east of Ukraine. He discusses issues for primary care in the region.
Koki Kato reflects on the tension between patient safety and patient centered-ness with a hypothetical case that will be familiar to many. Does it have to be one or the other?
Aaron Poppleton, Dennis Ougrin, and Yana Maksymets give a responsive overview of the health needs of Ukrainian refugees and provide a list of useful resources for GPs
Nada Khan investigates research into the causes of the UK GP workforce crisis and finds plenty of issues to address.
Emma Ladds reflects on being 'at home' as a GP, in response to a bunch of tulips and an article in a national newspaper
Koki Kato reflects on learning from an RCGP 'training the trainers' course in Japan, and finds a community of practice.
It’s our ‘final warning’; the world is failing to limit the impacts of climate change and primary care can help. Nada Khan highlights resources, aided by our planetary primary care column.
Drs Farah Bede and Emma Radcliffe describe an ‘inverse climate law’, where those at greatest risk of the climate crisis lack resources and are least resilient to it due to pre-existing societal inequality.
Aldis H. Petriceks finds a sense of primary care at an unsuccessful resuscitation in the surgical ICU