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Put a cap on it: safe workload levels in general practice
Put a cap on it: safe workload levels in general practice
It’s been, so far, another tough winter on the NHS frontline. In recent weeks, a perfect storm of flu, COVID-19, strep A, ...
Safeguarding and children’s oral health: what to look out for in primary care
Safeguarding and children’s oral health: what to look out for in primary care
INTRODUCTIONChild neglect or maltreatment can manifest in the oral cavity and present in GP consultations. Even though ora...
GPs are not 'things’
GPs are not 'things’
‘People are not things’  is a memorable mantra, sometimes attributed to the late Lord David ‘Rambo’ Ramsbotham (1934–2022)...
Flag-waving and learning to dance
Flag-waving and learning to dance
Do you ever feel swamped during consultations? There can be a lot to keep track of: the patient’s clinical problem, along ...
Self-ageism among older rural people
Self-ageism among older rural people
I have read, with great respect, the research titled ‘Underlying cancer risk among patients with fatigue and other vague s...
Yonder: HFpEF, amputees, professional identity formation, and leadership training
Yonder: HFpEF, amputees, professional identity formation, and leadership training
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literatureHear...
What needs to be done to address staffing shortages in health and social care?
What needs to be done to address staffing shortages in health and social care?
England’s NHS does not have an adequate workforce strategy. Staffing shortages in health and adult social care are limitin...
Primary care and bipolar disorder
Primary care and bipolar disorder
The recent publication of the Bipolar Commission’s report, ‘Bipolar Minds Matter’, by Bipolar UK (BDUK) makes it timely to...
Determining the role of genetic risk scores in symptomatic cancer detection
Determining the role of genetic risk scores in symptomatic cancer detection
Improving cancer diagnosis is a national priority in the UK, with the NHS Long Term Plan pledging to increase the percenta...
Who is your doctor?
Who is your doctor?
Many patients simply don’t know. If we are to realise the ambition of the Health and Social Care Select Committee, to prov...
Lymphadenopathy following COVID-19 vaccination: a wake-up call from case reports
Lymphadenopathy following COVID-19 vaccination: a wake-up call from case reports
Enlargement of axillary, supraclavicular, or cervical lymph nodes following vaccination with COVID-19 mRNA vaccines is mor...
Jacquet erosive dermatitis in an era of 'going green’
Jacquet erosive dermatitis in an era of 'going green’
Thank you for recommending British Journal of General Practice.NOTE: We only request your email address so that the pers...
Withdrawing from SSRI antidepressants: advice for primary care
Withdrawing from SSRI antidepressants: advice for primary care
All major classes of antidepressants can cause a withdrawal syndrome when removed.1 Withdrawal is common, experienced by 5...
The changing face of missed appointments
The changing face of missed appointments
BACKGROUNDPatients failing to attend general practice appointments has substantial time and cost implications for health c...
General practice management of COPD patients following acute exacerbations: a qualitative study
General practice management of COPD patients following acute exacerbations: a qualitative study
Background Exacerbations are the strongest risk factor for future exacerbations for patients living with chronic obstructi...
Implementing antibiotic stewardship in high-prescribing English general practices: a mixed-methods study
Implementing antibiotic stewardship in high-prescribing English general practices: a mixed-methods study
Background Trials have identified antimicrobial stewardship (AMS) strategies that effectively reduce antibiotic use in pri...
Precision public-health intervention for care coordination: a real-world study
Precision public-health intervention for care coordination: a real-world study
Background Health emergencies disproportionally affect vulnerable populations. Digital tools can help primary care provide...
Nitrofurantoin failure in males with an uncomplicated urinary tract infection: a primary care observational cohort study
Nitrofurantoin failure in males with an uncomplicated urinary tract infection: a primary care observational cohort study
Background Nitrofurantoin is the first-choice antibiotic treatment for uncomplicated urinary tract infections (UTIs) in ma...
Antibiotic stewardship: where next?
Antibiotic stewardship: where next?
Over the last few years the headlines and news of an antibiotic apocalypse have been displaced by war and pandemic. Howeve...
Do you still need your licence to practise? Some reflections for British GPs
Do you still need your licence to practise? Some reflections for British GPs
To practise as a GP in the UK you must be registered with the General Medical Council (GMC), hold a licence to practise, a...
Books: 36 Hours
Books: 36 Hours
Fiona Mason Word After Word Press, 2022, PB, 192pp, £7.43, 978-1916165523‘Last night, after the three hours it took to get...
How to be a triple bottom line general practice: working for profit, the people, and the planet
How to be a triple bottom line general practice: working for profit, the people, and the planet
The single bottom line in a business is its annual profit or loss. For 30 years advocates1 for social justice and the envi...
Yonder: Breastmilk expression, mild cognitive impairment, Ramadan, and 111 online — an 'invisible service’
Yonder: Breastmilk expression, mild cognitive impairment, Ramadan, and 111 online — an 'invisible service’
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literatureThe ...
Sleepwalking into a two-tiered healthcare system
Sleepwalking into a two-tiered healthcare system
If you could afford it, would you pay to get quicker access to health care? Leaked minutes from a Scottish NHS chiefs meet...
Advocating for patients through laboratory tests: what do GPs’ use of blood tests for suspected cancer tell us?
Advocating for patients through laboratory tests: what do GPs’ use of blood tests for suspected cancer tell us?
In this issue of the BJGP, Ben Cranfield and colleagues describe the frequency with which common blood tests were ordered ...
Diagnosis of prostate cancer in primary care: navigating updated clinical guidance
Diagnosis of prostate cancer in primary care: navigating updated clinical guidance
Prostate cancer became the most common cancer diagnosed in males in the UK in 2018, with around 52 300 new cases.1 The COV...
Socioeconomic deprivation and post-stroke care in the community
Socioeconomic deprivation and post-stroke care in the community
INTRODUCTIONLow socioeconomic status (SES) is associated with an increased incidence of stroke.1 People who live in more d...
An earlier diagnosis of heart failure
An earlier diagnosis of heart failure
All letters are subject to editing and may be shortened. General letters can be sent to bjgpdisc@rcgp.org.uk (please inclu...
Group A strep: has point-of-care testing for primary care finally come of age?
Group A strep: has point-of-care testing for primary care finally come of age?
The recent outbreak of group A streptococcal infections in the UK1 highlights the need for accurate and prompt diagnosis o...
The WHO’s definition of health: a baby to be retrieved from the bathwater?
The WHO’s definition of health: a baby to be retrieved from the bathwater?
The Constitution of the World Health Organization (WHO) was adopted by the International Health Conference held in New Yor...
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