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Opinion - Page 16

Low carbon inhalers: an opportunity for much wider change

Inhaler prescribing alone accounts for approximately 3% of the NHS’s carbon footprint. Unsurprisingly, this has been targeted by Greener NHS as a priority area. Here, Emma Radcliffe describes a number of success stories of practices reducing their metered dose inhaler (MDI) prescribing,
15 March 2023
4 mins read

Video consultation services – A paradoxical lifeline

They are billed as digital solutions, but they simply offer a locum GP, restricted to video. My experience over the last 3 years leading a GP federation has opened my eyes to the long-term perils of short-term solutions such as this.
10 March 2023
4 mins read
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Being an ethnic doctor is easier … but not easy

My parents being immigrants, enforced into us to keep our heads down and work hard, to adopt a ‘don’t cause trouble’ attitude... Being called these occasional names I still performed well academically at school, it never placed limits. Life was good …
9 March 2023
2 mins read
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Waiting for a National Health Godot

The phrase ‘we can’t go on like this’ is frequently banded around on social media in relation to the NHS. However, it seems that the staff working within this organisation can, and are; but at what cost?
26 February 2023
1 min read
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Seeing and hearing

Ask any doctor, and they’ll tell you that talking to patients can be difficult. Mind you, ask any patient and they’ll tell you that talking to doctors can be really difficult too. Ben Hoban discusses how we address the problem.
23 February 2023
3 mins read

Putting an end to domestic abuse

For the first time, a coroner in the UK declared domestic abuse as having a causal role in death by suicide. Domestic abuse is a growing public health burden, so what can primary care do to protect individuals experiencing domestic abuse? Here,
17 February 2023
5 mins read
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GPs are far more than gatekeepers…

So, is the description of the GP as a ‘gatekeeper’ outdated? I would argue it is. GPs are not trying to block access to specialists. Rather, through their distinct expertise, they provide a safety net for patients who could risk further harm
15 February 2023
5 mins read
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Repetition breeds contempt not continuity

Imagine having to relive the moment you are told that you have a life-limiting illness every time you need support; every time you feel vulnerable because of a physical or mental complaint that needs attention. Emilie Couchman argues for meaningful informational continuity.
13 February 2023
2 mins read
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Don’t pass me the drink

The Canadian Centre on Substance Use and Addiction (CCSA), in new guidelines endorsed by Health Canada, recommend that Canadians should have no more than two alcohol-containing drinks per week. Nada Khan explores alcohol advice in primary care.
6 February 2023
5 mins read

Doing too much of nothing?

Is it because people are getting older and sicker, developing more and more chronic diseases as they age and then expecting a magic cure-all that doesn’t exist? Expectations for such, we have all likely fed into.
5 February 2023
3 mins read
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Making it real

When someone asks you whether you’re telling them it’s all in their head, the most accurate answer is: Yes, but isn’t everything?
3 February 2023
5 mins read

How to attract good partners and hold on to them

Finding the right partner is critical. With a generation of senior and capable partners retiring and not being replaced at the same rate, there is a huge concern of seeing this post continue to diminish. Here, Adnan Saad outlines how best to
2 February 2023
3 mins read
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Being philosophical when it’s complicated

We can use concepts and language to share ideas/help us see things we might overlook. We can use the narratives of others to extend our own experiences of the world. The dangers from being intellectually and morally passive compel us to embrace
27 January 2023
5 mins read
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Why barbers have ‘an edge’ on GPs

"When a patient who happens to be a barber comes to see me for a consultation, that is precisely what – and only what – he gets.  When I go to see my barber for a haircut, however, not only do I
23 January 2023
5 mins read
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Be lucky

Ask yourself ‘Do I feel lucky?’ This often-misquoted line from Dirty Harry, said by Clint Eastwood in role, serves to introduce the notion of moral luck. Gratifyingly, we do not often find ourselves staring down the barrel of a violent cop wielding
20 January 2023
6 mins read
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General practice cannot be piecework

Piecework is advantageous for production where output volume is a reliable proxy for productivity and monitoring and incentivising output volume does not compromise quality. Lara Shemtob and colleagues argue this is inappropriate for general practice.
19 January 2023
5 mins read

Flag-waving and learning to dance

Ben Hoban suggests that GPs can keep track of more in the consultation by not worrying about keeping track of so much, but instead choosing what to focus on.
13 January 2023
3 mins read

A world without general practice

Tim Senior argues that without GPs we systemically remove the part of the health system that has researched and trained in handling relationships and complexity, and is capable of doing this well. We need to be able to describe what health systems
12 January 2023
2 mins read
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