Opinion - Page 9

If general practice becomes unsustainable, we will lose the most effective and efficient health service we have, and it will not be easily replaced. It’s time we involved GPs in the critical analysis of the holes in the system, before our capacity

So why am I more exhausted from a full day in practice when I have only seen four patients face-to-face, dealt with 30 or so patients over the phone and conducted a MS Teams practice meeting? The ambience around appears calmer –

Most clinicians will encounter cases of self-neglect during their career, which will vary from mild presentations to really disturbing cases where the self-neglect becomes extreme. What drives such behaviour and how do we manage it?

Described as the 'cornerstone of safe and effective practice', the physical examination has always been an integral part of what makes a competent GP. With recent evidence presenting a decline in GPs' physical examination skills over recent years, GP Simon Morgan reflects

Might a headlong rush to implement ICSs erode the trust that those who have to work in and implement ICSs have for those who drive this agenda? When there is such fragility and strain across an entire service, a natural pause in

The effect of being stopped and searched by the police can be psychologically traumatic and leave one feeling scared, powerless and humiliated. I thought about my patients. A lot of patients I look after are black and I wondered about how negative

“Look sorry, right, no offence but we need a white doctor.” Dad looked at the wall as he spoke. It was almost as if something was compelling him. I really didn’t know what to say. I felt myself flushing, the prickle in

Health experts and politicians have warned for over 170 years that health inequality is killing those in the most deprived parts of society. We now witness the poorest in society disproportionately dying of COVID-19, suggesting that the social murder observed by Engels

The new GP contract in England now recognises the necessity for clinical pharmacists to ensure the optimal use of medicines for patients within all primary care networks. What about the benefits to the wider healthcare team within general practice?

Everyone of us in the health service has overheard unacceptable rudeness, sly put-downs, exclusion or smiling say-the-opposite-of what-you-mean British insincerity. We need to acknowledge that it is happening. There is no mysterious genetic or melanin fault causing excess deaths among health workers

How much does it take for us to genuinely express sorrow and compassion for the terrible trials our patients endure? We have pride in the NHS but we have prejudice too. Perhaps it is the NHS clinician that is Icarus, flying too

An individual working as a GP runs the risk of becoming an automaton. Evidence-based medicine and professional standardisation contribute to uniformity and by definition a reduction in diversity. Camus says that “if the world were clear, art would not exist” and I

Some reflections on retirement... Ours is a great community. I look back with thanks, but forward with both compassion for the world and belief in our ability to be better than this. And in a deeper parallel, just as we as individuals

Decision fatigue is something we have all experienced. We each have a finite amount of mental energy that we can expend on decision making before our brain starts to look for a shortcut. Decision fatigue is also a well recognised reason behind

As a 20-something millennial GP trainee, the sudden talk about the future of primary care is exciting. I once heard a futurologist say, “Don’t ask ‘what will it look like down line?’ ask ‘what do you want it to look like?’” I

The Changing Face of Medicine project is gathering momentum. As President of the BMA, Professor Pali Hungin launched a project to look into the impact of fast moving technological advances, the shifting role of the doctor, the adequacy of medical education, the

Throughout the last century we have witnessed major advancements for women in the UK, but gender inequalities continue to exist in the workplace. The NHS, established with the intent to treat everyone equally, is no exception. On average, female GPs — who

When I first qualified as a physician associate (PA), I had no intention to work in general practice, at least until later in my career. I was unsure of the impact a PA could have in a GP setting prior to the

Dr Katie Barnett is a Post CCT Fellow with Haxby Group Practice in York and an Honorary Clinical Fellow in the Department of Health Sciences at the University of York. She is on Twitter @drkatiebarnett1 and blogs about wellbeing and fellowship at:

Rachel Handscombe is a GP partner in Derbyshire. She is an activity enthusiast and is keen to share the benefits of exercise to those she meets. I wore my 100 parkrun t-shirt to work today. I was curious as to what my

Peter Aird is a GP in Bridgwater, Somerset. Not so long ago, a school uniform committee was set up at the local educational establishment frequented by my children. Predictably enough, though nobody seemed to have a problem with the previously requisite attire,

Paul Roberts was a GP for 30 years in Rochdale then Stoke-on-Trent.  He is chair of Willow Bank CIC (a social enterprise delivering primary care) and a director of North Staffordshire GP Federation. It doesn’t happen very often, but it is recognisable

Tim Senior is a GP in Australia and a BJGP columnist. Fans of Douglas Adams will recognise the scene.[footnote]Adams D (1982) Life, the universe and everything (Pan Books Ltd, London).[/footnote] There’s a spaceship landed at Lords cricket ground, but no one notices