In this episode, we talk about working in the Deep End network in Northern Ireland.
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
Dr Hajira Dambha-Miller is the editor of BJGP Open. BJGP's open access online journal is calling for COVID-19 research: Rapid reviews, preliminary work, protocols, research briefs, opinion, or policy pieces are welcome with fast decisions on all submissions.
Iona Heath, past president of the RCGP, talks further about how we handle death during the pandemic. She expresses concern at the blanket exclusion of relatives as people die from COVID-19 and how we are handling it in the current crisis. She
Azeem Majeed is Professor of Primary Care and Head of the Department of Primary Care & Public Health at Imperial College London and he is a world-leading primary care epidemiologist. In this short video he talks about the changing epidemiology of COVID-19
Dr Stephen Bradley talks about some of the concerns of managing vulnerable patients during the COVID-19 crisis. Homeless patients, people who use drugs, asylum seekers and refugees have particular needs that are particularly challenging to meet just now.
Professor Joe Rosenthal talks about undergraduate and postgraduate education in general practice. Students have now been withdrawn from all medical placements during the COVID-19 pandemic.
Let me introduce myself as the incoming editor of BJGP. What a time to start! Someone must have pressed the fast forward button — our medical world has started spinning at ever increasing speed and seems barely in control. Meanwhile, the rest
Trisha Greenhalgh is Professor of Primary Care Health Science working with the Centre for Evidence-Based Medicine at the University of Oxford. She talks about the evidence around video consultations and how the research can help GPs and nurses consult safely and with
Dr Dave Triska is a GP who has come up with a simple design for PPE face protection that was featured on Channel 4 news. We would always recommend using standard PPE but this video offers an insight into Dave's process for
Dr Sonia Kumar is Director of Primary Care Education at Imperial College London. She takes us through some of the radical changes in undergraduate medical education in the past few weeks with COVID-19.
Dr Komal Chadha talks through her experience as a salaried GP in London as the daily work of general practice dramatically alters.
Azeem Majeed is Professor of Primary Care and Head of the Department of Primary Care & Public Health at Imperial College London and he is a world-leading primary care epidemiologist. In this short video he talks about the impact of COVID-19 generally