General Practice

Fit And Healthy Adults Should Pay To See A GP And Ease The NHS Burden

Dr Seth Rankin | Posted 13.06.2017 | UK
Dr Seth Rankin

Cash strapped, under-staffed and over-stretched - GP practices across the UK are at breaking point but there is a simple solution. If more fit and healthy adults between the ages of 18 - 65 paid to see a private doctor, it would significantly ease the overwhelming burden on NHS GPs.

New Models Of Care - Form Must Follow Function

Dr Michelle Drage, MBBS, FRCGP | Posted 06.06.2017 | UK Politics
Dr Michelle Drage, MBBS, FRCGP

The future of London general practice is set for a continuing state of emergency, despite a raft of plans, strategies and forward views anyone who is anyone is still looking for a new model of care which fits with our values, as I told our conference at the end of April.

A GP's Concern About The Lack Of Mental Health Services

Dr Sara Ahmed | Posted 23.05.2017 | UK
Dr Sara Ahmed

With the mental health service functioning in a deprived state, we as GPs will have to fill in the gaps. Regardless of whether we have the appointments to accommodate this, do we even have the skills? And can we safely evaluate risk in a 10-minute consultation? All of this leaves me unable to shake the sense of foreboding during my mental health consultations.

Nobody Ever Fails At Breastfeeding And This Is Why

Vanessa Christie | Posted 08.05.2017 | UK Parents
Vanessa Christie

They can often be left reeling with a deep sense of failure and guilt. But in truth, it is never their personal responsibility. It is the failure of a medical and cultural system, that has not enabled them to reach their goals, or at the very least, given them a knowledgeable and non-judgmental explanation as to what happened.

You Do Your #PublicDuty

Dr Zoe Norris | Posted 28.04.2017 | UK Politics
Dr Zoe Norris

In 2017, work is a constant battle. There are not enough doctors or nurses to see the patients. I don't know what the future of general practice is. No young doctors want to join the profession, and my colleagues are leaving in droves. In the last month, 5 GP friends have left medicine entirely. Another has left the country, feeling no longer welcome as a European after the Brexit vote. We are recruiting doctors from abroad to plug the gap; we are shortening training to get doctors through faster and fill the empty spaces; we are inventing new roles to patch up the crumbling workforce. We are desperate.

It's Doctor, Actually

Dr Sara Ahmed | Posted 25.04.2017 | UK
Dr Sara Ahmed

During medical school, this was a frequent occurrence. Once qualified, donning the stethoscope made my doctor status apparent. I lost this however as soon as I got married, and with my vows I seemed to bequeath my title to my husband.

What's So Good About GPs Being Independent Contractors?

Dr John Cosgrove | Posted 13.04.2017 | UK Politics
Dr John Cosgrove

GPs are not directly employed by the NHS. GP principals (who usually work in partnerships and may themselves employ other, salaried, GPs) are contracted to NHS England for the work that they do. They are free to undertake private work (such as providing insurance and legal reports) but the vast majority of their work is for the NHS.

What Really Happens Behind Closed Doors In A GP's Surgery

Samir Dawlatly | Posted 27.01.2017 | UK
Samir Dawlatly

If I don't get everything done, I have to leave it to the next day, knowing that there will be even more. Alternatively, I log on to our computer system from home, after I have said goodnight to the children, and continue with the paperwork. So the work continues, to try to maintain high standards of patient care, even when my door is closed and I don't have a patient sat in front of me.

The NHS 'Should Be Cherished'

Janet Davies | Posted 18.01.2017 | UK Politics
Janet Davies

Since the Government announced the withdrawal of student funding for would-be nurses last year, we are already hearing of a 20% drop in applications for graduate nursing courses. And the 1% pay cap on salaries is not helping to encourage people into nursing and is making existing nurses reconsider whether they can even afford to continue. If the NHS wants to achieve a clean bill of health, we need to ensure there is adequate staffing, funding, resource and education. The health of the nation is at stake.

Mass GP Resignation May Save The NHS

Adam Staten | Posted 15.01.2017 | UK Politics
Adam Staten

90% of patient care in the NHS happens in general practice and yet general practice only receives around 10% of the NHS budget. This cost efficiency is what allows the NHS to consistently be among the best healthcare systems in the world (as independently assessed by the US based Commonwealth Fund year after year) on a relative shoestring.

You're 'Ordering' GPs Are You, Mrs May?

Dr Zoe Norris | Posted 16.01.2017 | UK Politics
Dr Zoe Norris

I haven't blogged for a while. The reason will shock our esteemed Prime Minister. It's because I've been a bit busy - see Mrs May, I'm a GP. So waking up on Saturday to hear your briefing to the press suggesting that I am to blame for the current crisis in the NHS, and that you will 'order' me and all my colleagues to be open 7 days a week, 8am to 8pm, made me pick up my laptop.

What Is Wrong With The NHS?

Dr Seth Rankin | Posted 08.12.2016 | UK
Dr Seth Rankin

I would not advocate privatising the NHS or trying to charge people for its services. There is little to be gained and much to be lost. There is no perfect health system on this planet and the NHS is the UK's own grand version of an imperfect system.

His Name Was Paul

Samuel Goh | Posted 25.11.2016 | UK Universities & Education
Samuel Goh

Medicine is about treating the patient as a human being - to alleviate symptoms, to calm their worries, to address their concerns. It's about treating Paul, the man bearing the full brunt of life's storm. Not Paul, the patient with irregular bowel habits.

Provision Of Trans Healthcare In Wales

Dr Helen Webberley | Posted 30.09.2016 | UK Lifestyle
Dr Helen Webberley

The Gender Identity Clinics to which trans patients are referred, spend a relatively short time looking after people with gender health issues and their role is really one of assessment, diagnosis and developing a treatment plan.

Time Is A Great Healer

Dr Michelle Drage, MBBS, FRCGP | Posted 26.08.2017 | UK
Dr Michelle Drage, MBBS, FRCGP

Looking at the numbers, a GP appointment costs on average £13.50, while a hospital appointment costs £108. If we can free up GPs to see more patients and get those people on the mend without going to hospital then everyone's a winner. So what are the ways hospitals will be working more effectively with GPs?

Is NHS General Practice No Longer a Valued Member of the Family as It Turns 68?

Dr Michelle Drage, MBBS, FRCGP | Posted 02.07.2017 | UK
Dr Michelle Drage, MBBS, FRCGP

NHS general practice turns 68 today, which is a cause for celebration and a time to reflect on its place in the family of national institutions. But it feels like the mood of Government has turned from looking at general practice as a wise and valued guide through life, to seeing it as a burdensome hanger-on from a past age.

Talking to Your GP About Mental Health Doesn't Have to Be Difficult

Paul Farmer | Posted 11.06.2017 | UK Lifestyle
Paul Farmer

This week we've seen lots of news about mental health - from claims that a blood test can predict responsiveness to antidepressants to a suggestion th...

A Year In, the Government Is Gathering a Storm and There's Not Enough Cover!

Dr Michelle Drage, MBBS, FRCGP | Posted 19.05.2017 | UK Politics
Dr Michelle Drage, MBBS, FRCGP

As we study a new Queen's Speech, it seems a good time to reflect on what has been a busy twelve months for general practice: In May 2015 we saw the...

A Prescription for the New London Mayor's Health Team

Dr Michelle Drage, MBBS, FRCGP | Posted 06.05.2017 | UK Politics
Dr Michelle Drage, MBBS, FRCGP

The last 28 days have been eventful; London's GPs declaring a state of emergency; almost immediately Simon Steven's saying the cavalry is on its way ....

Why Modern Medicine Needs to Change

Dr. Rangan Chatterjee | Posted 29.04.2017 | UK Lifestyle
Dr. Rangan Chatterjee

Fundamentally, chronic problems need a different approach to acute ones. The magic bullet intervention that works for acute illness does not work as well for chronic problems. These often need many small but positive changes that, when implemented together, can have a powerful synergistic effect.

GPs: How Do You Break Bad News To Us?

Dr Rebecca Jones | Posted 13.04.2017 | UK
Dr Rebecca Jones

Yesterday was a bad day. Not because I had that Monday morning feeling. Not because there was already a queue before I even started. And not even because my inbox was full of results waiting for me on top of all of this. Monday was a bad day because in the middle of my surgery, there was a message asking me to call the coroner to discuss a sudden death...

What the Junior Doctor Contract Imposition Means for the Rest of Us

Dr Rebecca Jones | Posted 12.02.2017 | UK
Dr Rebecca Jones

Junior doctors have fought valiantly over the last few months, and have been well supported by other medical professionals and the public, so much so that it felt like it was our fight too. GPs have tweeted, rallied, and picked up the extra work when registrars were striking, so the final insult - that all of this had made no impact on the government - felt personal.

Why Schools Should Not Say 'Get a Note From Your Doctor'

Dr John Cosgrove | Posted 22.01.2017 | UK
Dr John Cosgrove

According to the Mail on Sunday, a growing number of schools are now demanding that parents of children unfit to participate in PE lessons consult GPs...

'Will I Be Able to See You Next Time?'

Chris Lowry | Posted 11.01.2017 | UK Politics
Chris Lowry

We seem to be afraid to say it, but the NHS needs patients to take some responsibility for minor ailments. Every doctor you will see has a hundred stories about patients attending needlessly. We need a prescription of that very British quality: good old common sense.

Make 2016 the Year of Positivity for General Practice

Dr Michelle Drage, MBBS, FRCGP | Posted 04.01.2017 | UK Politics
Dr Michelle Drage, MBBS, FRCGP

What a grim year 2015 was. A new Government (same Health Secretary); a new vision for the NHS (same money). But let's not dwell - new year, new start!...