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Collaborative discussions between GPs and pharmacists to optimise patient medication: a qualitative study within a UK primary care clinical trial
Collaborative discussions between GPs and pharmacists to optimise patient medication: a qualitative study within a UK primary care clinical trial
Background There has been significant investment in pharmacists working in UK general practice to improve the effective an...
Yonder: Improving connections, AI in reflective practice, lung cancer diagnosis, and euthanasia aftercare
Yonder: Improving connections, AI in reflective practice, lung cancer diagnosis, and euthanasia aftercare
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literatureIn 2...
CGRP therapy in primary care for migraine: prevention and acute medication
CGRP therapy in primary care for migraine: prevention and acute medication
Migraine affects about one in seven people worldwide1 and is the leading cause of disability among people aged under 50 ye...
The Ealing domestic abuse initiative: a success story
The Ealing domestic abuse initiative: a success story
Domestic abuse (DA) is a severe human rights violation and public health issue, affecting the health and wellbeing of surv...
Reclaiming holistic medicine
Reclaiming holistic medicine
I always thought we’d let the term ‘holistic’ get away from us. As a GP I just thought being holistic was just what we did...
'The Fellowship is breaking, it has already begun’
'The Fellowship is breaking, it has already begun’
Life moves fast in general practice. Things can pass you by. The last year has been a time of great uncertainty, and as we...
Books: The Story of a Heart
Books: The Story of a Heart
Rachel Clarke Abacus, 2024, HB, 288pp, £18.99, 978-0349145594In summer 2016, 9-year-old Max developed serious heart proble...
Can’t prescribe, can’t dispense: the challenge of medicine shortages
Can’t prescribe, can’t dispense: the challenge of medicine shortages
Medicine shortages are an ever increasing problem for the UK primary care system, with the Department of Health and Social...
Conversations matter: improving the diagnosis experience for people with type 2 diabetes
Conversations matter: improving the diagnosis experience for people with type 2 diabetes
More than 5 million people in the UK are living with diabetes, of whom 90% have type 2 diabetes mellitus (T2DM).1 Primary ...
Are good GPs holistic?
Are good GPs holistic?
Good GPs are holistic. Is that harder to argue than ‘GPs are holistic’? Is holistic part of being good or just a part of b...
Primary care health professionals’ approach to clinical coding: a qualitative interview study
Primary care health professionals’ approach to clinical coding: a qualitative interview study
Thank you for this article that explores the topic of coding in medical records.1 I think there are deeper conceptual prob...
Propranolol in anxiety: poor evidence for efficacy and toxicity in overdose
Propranolol in anxiety: poor evidence for efficacy and toxicity in overdose
IntroductionAnxiety is the most common mental health problem in the UK, with a prevalence of 5.9%.1 Initial treatments may...
Medicines prescribed elsewhere: don’t forget to record them in the GP record!
Medicines prescribed elsewhere: don’t forget to record them in the GP record!
While over 1 billion items are prescribed each year in primary care in England alone,1 patients are also provided with a l...
GPs’ views of prescribing beta- blockers for people with anxiety disorders: a qualitative study
GPs’ views of prescribing beta- blockers for people with anxiety disorders: a qualitative study
Background Between 2003 and 2018, incident prescriptions of beta-blockers for anxiety increased substantially, particularl...
Cardiovascular disease — risk assessment and reduction: NICE 2023 update for GPs
Cardiovascular disease — risk assessment and reduction: NICE 2023 update for GPs
IntroductionThe National Institute for Health and Care Excellence (NICE) guidelines on preventing cardiovascular disease h...
Weight trends among adults with diabetes or hypertension during the COVID-19 pandemic: an observational study using OpenSAFELY
Weight trends among adults with diabetes or hypertension during the COVID-19 pandemic: an observational study using OpenSAFELY
Research Miriam Samuel, Robin Y Park, Sophie V Eastwood, Fabiola Eto, Caroline E Morton, ...
Information needs for GPs on type 2 diabetes in Western countries: a systematic review
Information needs for GPs on type 2 diabetes in Western countries: a systematic review
Background Most people with type 2 diabetes receive treatment in primary care by GPs who are not specialised in diabetes. ...
Challenging the status quo: deprescribing antihypertensive medication in older adults in primary care
Challenging the status quo: deprescribing antihypertensive medication in older adults in primary care
Antihypertensive treatment in older adultsAntihypertensive medications are commonly prescribed in primary care1 and are ef...
Geographic inequalities in need and provision of social prescribing link workers a retrospective study in primary care
Geographic inequalities in need and provision of social prescribing link workers a retrospective study in primary care
Background Long-term health conditions are major challenges for care systems. Social prescribing link workers have been in...
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...
The case for Integrated Training Posts
The case for Integrated Training Posts
We are writing this as two GP trainees in our first 2 years of training. For the last 6 months we have been completing a p...
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