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Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis
Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis
Background Safety-netting advice (SNA) can help in the management of acutely ill children.Aim To assess the effectiveness ...
Crossing the Rubicon: assisted dying in general practice
Crossing the Rubicon: assisted dying in general practice
As I write, the UK is moving towards the legalisation of assisted dying. Bills have progressed in Parliaments in England a...
Strengthening general practice will help improve longevity and could reduce health inequalities
Strengthening general practice will help improve longevity and could reduce health inequalities
IntroductionIn the year April 2023 to March 2024, English general practices provided 352.6 million appointments, of which ...
Memento mori — remember that you must die: but then what?
Memento mori — remember that you must die: but then what?
What (if anything) happens when we die? This is a question that human beings have been pondering since time immemorial. As...
Yonder: Antidepressant follow-up, NHS app use, sore throats in community pharmacy, and dementia and anticholinergics
Yonder: Antidepressant follow-up, NHS app use, sore throats in community pharmacy, and dementia and anticholinergics
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literatureOn i...
Overcoming the monster
Overcoming the monster
Most of our struggles are mundane, a steady shovelling to clear a path while snow falls from a lowering sky; neither our c...
Books: Rebalancing Medicine
Books: Rebalancing Medicine
Neal Maskrey PublishNation, 2024, PB, 486pp, £15.42, 978-1917293754Most doctors do more good than harm, but which doctors ...
Better health for all: public health and general practice working together
Better health for all: public health and general practice working together
Health is not merely the absence of disease, but a state of complete physical, mental, and social wellbeing. Yet as a nati...
Counting the cost for children in temporary accommodation
Counting the cost for children in temporary accommodation
All letters are subject to editing and may be shortened. General letters can be sent to bjgpdisc@rcgp.org.uk (please inclu...
Goldilocks and the three 'Whats’
Goldilocks and the three 'Whats’
There is an idea that strikes terror (or more usually, cynicism) into the hearts of many doctors. Reflective practice is a...
Seven cautionary tales we tell our children: a brief literature review
Seven cautionary tales we tell our children: a brief literature review
Old wives’ tales are the cautionary tales we tell our children, passing down wisdom through generations. They often blend ...
Written on a gravestone: a story of medical misadventure from 1869
Written on a gravestone: a story of medical misadventure from 1869
Aaron Emery was a beef and ham dealer from Marylebone. His son, William, died in 1869 aged only 4 months, and 5 weeks afte...
Stories and medical records
Stories and medical records
Are you sitting comfortably? Then I’ll begin. The world of general practice is made up of narratives that are both present...
An empathy definition at last: exposing the narcissism of small differences
An empathy definition at last: exposing the narcissism of small differences
Research on empathy has increased 10-fold over the last two decades. Controversy has accompanied this growth, with some cl...
New-onset double vision in general practice
New-onset double vision in general practice
IntroductionEach year at least 0.9% of GP consultations involve eye conditions.1 Among these consultations, diplopia (doub...
Five questions about food allergy: management in primary care
Five questions about food allergy: management in primary care
What is it?Food allergy is an adverse immune-mediated response that occurs reproducibly from the ingestion, inhalation, or...
Pilot postal birth cohort hepatitis C virus screening in UK primary care: HepCAPP study
Pilot postal birth cohort hepatitis C virus screening in UK primary care: HepCAPP study
Research Ruth Simmons, Annabel A Powell, Samreen Ijaz, Sema Mandal, Justin Shute, Yasmin ...
GPs’ perspectives on diagnostic testing in children with persistent non-specific symptoms: a qualitative study
GPs’ perspectives on diagnostic testing in children with persistent non-specific symptoms: a qualitative study
Background Diagnostic testing is prevalent among children with persistent non-specific symptoms (PNS), and both undertesti...
Safety netting in primary care: managing the low incidence, high uncertainty of severe illness
Safety netting in primary care: managing the low incidence, high uncertainty of severe illness
Assessing acutely unwell children in primary care is fraught with challenges. While clinicians may use objective clinical ...
'Everyone has heard of it, but no one knows what it is’: a qualitative study of patient understandings and experiences of herpes zoster
'Everyone has heard of it, but no one knows what it is’: a qualitative study of patient understandings and experiences of herpes zoster
Background Shingles (herpes zoster), caused by reactivation of the varicella-zoster virus, is usually diagnosed and manage...
What’s new in osteoporosis management? Leading the fight in primary care
What’s new in osteoporosis management? Leading the fight in primary care
Osteoporosis has been defined as a ‘progressive systemic skeletal disease characterized by low bone mass and microarchitec...
A bitter pill to swallow: the rising use of street valium in Scotland
A bitter pill to swallow: the rising use of street valium in Scotland
‘It’s been nearly a year since he died and I still can’t believe it doctor.’ All I could do was listen to the mother in fr...
Trust
Trust
My two-partner practice was inspected by the Care Quality Commission (CQC) in late 2019 and found to be good. A year later...
Advancing back to the Middle Ages: the barbers of Saxmundham
Advancing back to the Middle Ages: the barbers of Saxmundham
It is now a scary fact that the majority of the UK population is overweight.1 If you are normal weight, it follows that yo...
Books: John Berger: Ways of Learning
Books: John Berger: Ways of Learning
Iona Heath Oxford University Press, 2024, HB, 192pp, £18.99, 978-0192864239This book is both fascinating and saddening. Th...
Regression to 'barefoot’
Regression to 'barefoot’
Non-medically qualified practitioners of medicine are not new. One may look at two spectacular examples of the contributio...
Do new models of primary care risk exacerbating existing inequity?
Do new models of primary care risk exacerbating existing inequity?
There have been major changes in modalities of both access and provision in general practice.1 Delivery of general practic...
Role of GP trainees in improving patient care
Role of GP trainees in improving patient care
GP training in the UK is associated with improved patient outcomes and high GP trainee satisfaction with their training ex...
Optimising access to primary care services for young people: lessons from England and Australia
Optimising access to primary care services for young people: lessons from England and Australia
The contextYoung people’s health has recently received growing attention, accelerated by the COVID-19 pandemic, and rightl...
'A tool for every ȷob’: use of video in urgent primary care
'A tool for every ȷob’: use of video in urgent primary care
Telemedicine, including video consulting, has been available for decades and its widespread adoption accelerated dramatica...
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