Dr Lieke Koggel tells us all about research into inappropriate PPI prescribing in the Netherlands.
Health care has seen a seismic shift to the utilisation of telehealth. Through the use of this technology many practices have seen a significant reduction in home visits, an acceleration of existing trends. However, at the boundaries of such acceleration we find
In this episode, we talk about research that explores the perspectives of GPs and considers how we can help women and girls who are at risk or have experienced female genital mutilation.
In this episode we talk to Professor Samuel Wong about his research into COVID-19 and its impact on loneliness and mental health in a cohort of older adults in Hong Kong.
Dr Mairead Murphy and Prof Chris Salisbury talk about continuity of care. It is already known that relational continuity of care (seeing the same GP over time) is valued by patients with long-term conditions. This qualitative study identifies that patients believe that
Professor Jeannie Haggerty and Professor Richard Baker talk about their systematic review considering continuity and patient mortality. Their study confirms the 2018 findings of an association in the context of primary medical care, but also shows that it is variable.
Sally Hull discusses new research published in BJGP. E London GPs were incredibly busy seeing COVID in the early stages of the pandemic, even though this work was missing in the national narrative, and she explains their findings related to ethnicity.
Aarti Bansal is a GP in Sheffield and the founder of Greener Practice. She talks about greener lower carbon prescribing, reducing waste, and improving clinical outcomes. She also considers how we can reduce travel for patients and other practical actions practices can
Claire Friedemann Smith explains the findings of a systematic review that suggests GPs' gut feelings may have a role in cancer diagnosis. The studies, which used varied conceptualisations of 'gut feelings', showed associations with patients initially being unwell rather than with a
Carter Singh is a full time GP partner at Willowbrook Medical Practice, Nottinghamshire. An 'expert-by-lived-experience' in racial inequality, it is this passion that motivates him to challenge discrimination, inequality, and marginalisation in the NHS.
Dr Tony Williams is a consultant occupational physician and discusses their evidence-based tool that helps patients understand their risk and vulnerability. GPs can use it in the consultation to calculate a "Covid-age".
Professor Donald Li talks us through some of the reasons, detailed in his editorial, co-authored with Chak-sing Lau, for the relative success of Asian countries in managing COVID-19.
Professor Azeem Majeed from Imperial College in London talks through the current situation. New infections are much reduced and he discusses the track and trace programme that is now working, though not as well as we might like. Everyday practice is not
Professor Michael Kidd is a GP and Deputy Chief Medical Officer, Australia. He talks through five principles for dealing with the COVID-19 crisis and pandemic preparedness.
Dr Chanpreet Arhi tells us about research in over 7000 patients that shows delays in referral, including for red flag symptoms, resulted in an increase in all-cause mortality.
We talk to Dr Zudin Puthucheary, an ITU specialist, and Dr Eve Corner, a physiotherapist about the challenges faced by patients who get discharged from ITU.
Prof Bill Phillips discusses the two crises in USA, COVID-19 and racism, and the role of family doctors. In Seattle, around 7000 doctors and nurses demonstrated peacefully as part of the White Coats for Black Lives movement.
Professor Felicity Goodyear-Smith outlines how New Zealand have done so well. They are a small isolated island nation and didn't leave it another week. A lot of testing seems to be key. Like everywhere, there were challenges in general practice with dramatic
Hassan Awan is a GP in Manchester and talks about how we can better manage South Asian people with long term conditions and mental health problems. COVID has laid bare inequalities and he talks more about the importance of cultural competencies with
Dr Brendan Crosbie talks about his real time data workload survey in Ireland. He found that GPs worked 9.9 hours per day on average and one-third of that time is on non-clinical work. One in 10 GPs work until after 10pm in
Catherine Himsworth discusses the findings of her research in people who are homeless. The trimorbidity of homelessness – chronic disease, mental health problems, and substance misuse –increased fourfold the risk of unplanned hospital admissions.
Dr Mike Tomson tells us about a community-based contact tracing initiative he helped set up in Sheffield. Numbers were small in this pilot but their experience with index cases and their contacts highlights the challenges and barriers in contact tracing.
Professor Donald Li, President of WONCA and a GP in Hong Kong, talks about the current situation in Hong Kong and the challenges ahead. There have been almost no new cases, excluding imported disease, in recent weeks but 14 day quarantine on
Dr Giri Madhavan and Emma Reading talk about consulting with people who have learning difficulties and adapting to the use of video consultations.
Dr Gordon Macdonald suggests practices with significant numbers of elderly patients should be considered as "Far End" practices to address the important challenges in this population.
Professor Michael Kidd is a GP and Deputy Chief Medical Officer, Australia. He talks about their response to COVID-19 including the early decision to close their border and lockdown. They have tested a million people (4% of the population) and the number
Dr Nick Hopkinson is a respiratory physician from the Royal Brompton, London, and Medical Director of ASH and he joins Domhnall to talk about COVID-19 and smoking. The research suggests smokers are more likely to get symptoms and die due to COVID-19.
Mark Cucuzzella is Professor of Family Medicine in West Virginia where African-Americans are being disproportionately affected by COVID-19. Mark talks about this work in the hospital and he is mindful of the need to keep "humanity and personal relationships" in clinical contacts.
Dr Chaand Nagpaul, Chair of BMA Council, discusses the extraordinary contribution of BAME doctors and other healthcare workers in the NHS who have been disproportionately affected by COVID-19.
Professor Carolyn Chew-Graham and Dr David Shier talk about the particular importance of primary care for people with severe enduring mental health problems. They discuss the gaps in care, as well as the opportunities, as we have moved to remote consulting.
Dr Sian Stanley is Clinical Director of Stort Valley and Villages PCN. She talks about the recovery from COVID-19 and symptoms people are experiencing. She also explains the videos they have been producing to help patients and doctors navigate the new COVID
Professor Clare Heal from James Cook University in Queenslands talks about the impact of COVID-19 in Australia. The overall response has been very effective and included some contact tracing using a smartphone app, though there have been some privacy concerns.
Professor Azeem Majeed from Imperial College talks through COVID-19 mortality and concern about indirect deaths. He puts forward his view that people in their 60s should be taking extra precautions — which raises concerns about older healthcare professionals returning to the frontline
Josephine Sauvage is a GP and chair of a north London CCG and she talks through some of the challenges facing practice including death certification in the community, particularly with elderly patients who may present atypically, and the ongoing concern around accessing
Dr Tom Round is a GP in Tower Hamlets and a researcher at KCL, London. His research looks at GP referrals and their impact on mortality and stage of disease at presentation. There are now over two million '2 week wait' referrals
Professor John Frey tells us about the reorganisation of primary care in the US and the shift to remote consultations. Practices have been closing as they have lost revenue and 34% of practices in the country may not be financially viable as
“This pandemic, and now the attack on WHO, is going to set countries back decades”. Richard Horton talks through the worrying impact on health systems throughout the world as WHO faces the prospect of losing 20% of its funding. He offers advice
Professor Brian McKinstry talks us through the science of remote consultations and the findings of his research. Certain types of consultations, like ones related to mental health, are well suited to video consultation. He also talks about groups where there may be
Dr Ambra Abate talks about her clinical experience in Northern Italy in her practice of 1800 patients. Around 360-370 patients were unwell at one time and they faced severe pressures. Read more at www.bjgplife.com/COVIDItaly.
Dr Clare Gerada, former Chair of the RCGP, talks about her experience with COVID-19. Visit PractitionerHealth.nhs.uk if you need health advice and support — they are there for all GPs and medical students and retired doctors can now also take advantage of