Shows
BJGP InterviewsCounting GPs: When definitions change the workforce pictureToday, we’re speaking to Dr Luisa Pettigrew, a GP and Research Fellow at the London School of Hygiene and Tropical Medicine and Senior Policy Fellow at the Health Foundation.Title of paper: Counting GPs: A comparative repeat cross-sectional analysis of NHS general practitionersAvailable at: https://doi.org/10.3399/BJGP.2024.0833There have been successive Government promises to increase GP numbers. However, the numbers of GPs in NHS general practice depend upon how GPs are defined and how data are analysed. This paper provides a comprehensive picture of trends in GP capacity in English NH...
2025-10-2115 minBJGP InterviewsReceptionists reimagined: How online services are transforming the GP front deskToday, we’re speaking to Dr Steph Stockwell, a senior analyst based at RAND Europe.Title of paper: Evolution of the general practice receptionist role and online services: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2024.0677The introduction of online systems and services into general practice and the impact on general practice staff has been considered from a clinician perspective, but comparatively little is known about how these introductions have affected the receptionist role. This study highlights that the use of online services is leading to an evolution of the general practice re...
2025-10-0715 minBJGP InterviewsInside the BJGP and editorial insights: Euan Lawson on the future of publishing and how to get publishedToday, we’re speaking to Euan Lawson, the Editor in Chief of the BJGP, about a number of issues around editing, the future of the journal and how you can get involved with the BJGP.Here's a link to the BJGP Research and Publishing Conference: https://bjgp.org/conferenceThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:00.400 - 00:00:55.980Hello and welcome to BJJP Interviews. I'm Nada Khan and I'm one of...
2025-09-2320 minBJGP InterviewsBalancing safety and access: The GP’s role in isotretinoin managementIn this episode, we speak to Dr Diarmuid Quinlan, a GP and MD candidate based at the Department of General Practice at University College Cork.Title of paper: Competencies and clinical guidelines for managing acne with isotretinoin in general practice: a scoping reviewAvailable at: https://doi.org/10.3399/BJGP.2025.0135There is evidence of inequitable access to the most effective treatment for severe acne, isotretinoin. This scoping review identified the clinical competencies to safely manage acne using isotretinoin. No global consensus exists among clinical practice guidelines (CGPs) on whether GPs are appropriate prescribers of...
2025-09-0918 minBJGP InterviewsWhat do patients really want? Rethinking general practice accessToday, we’re speaking to Professor Helen Atherton. Helen is Professor of Primary Care Research based at the University of Southampton.Title of paper: What do patients want from access to UK general practice?Available at: https://doi.org/10.3399/BJGP.2024.0582Widely accepted as perpetuated by the media is that patients are unhappy with access to general practice and desire faster access to a general practitioner. This review sought to summarise the research evidence about reported patient wants from access to general practice. Patients wanted to easily make an appointment in a t...
2025-06-2415 minBJGP InterviewsRisk of postural hypotension associated with antidepressants in older adults – what to think about when prescribingToday, we’re speaking to Dr Cini Bhanu, GP and Academic Clinical Lecturer in the Primary Care and Population Health Department at University College London. Title of paper: Antidepressants and risk of postural hypotension: a self-controlled case series study in UK primary careAvailable at: https://doi.org/10.3399/BJGP.2024.0429Antidepressants are associated with postural hypotension (PH). This is not widely recognised in general practice, where antihypertensives are considered the worst culprits. The present study examined >21 000 older adults and found a striking increased risk of PH with use of all antidepressants (over a four- fol...
2025-06-1014 minBJGP InterviewsThe ‘new kid on the block’ – same day versus routine care appointment systems in general practiceToday, we’re speaking to Dr Jamie Scuffell, GP and NIHR In Practice Fellow at King’s College London.Title of paper: Patterns in GP Appointment Systems: a cluster analysis of 3480 English practicesAvailable at: https://doi.org/10.3399/BJGP.2024.0556GP practices in the UK are using a wide range of different appointment systems to meet patient demand and improve access. This cluster analysis of NHS appointment data from 56 million appointments and 3480 English practices demonstrates two predominant models of primary care delivery. ‘Same day’ practices tend to fulfil appointments on the same day using GP telep...
2025-06-0317 minBJGP InterviewsMore chest x-rays lead to earlier lung cancer diagnoses and better cancer survival – what we can be doing differently in practiceToday, we’re speaking to Dr Steve Bradley, GP and Senior Clinical Lecturer based within the School of Medicine and Population Health at the University of Sheffield.Title of paper: General practice chest X-ray rate is associated with earlier lung cancer diagnosis and reduced all-cause mortality: a retrospective observational studyAvailable at: https://doi.org/10.3399/BJGP.2024.0466It is known that there is wide variation in the use of chest X-ray (CXR) by general practices, but previous studies have provided conflicting evidence as to whether greater utilisation of them leads to lung cancer being di...
2025-05-2718 minBJGP InterviewsUsing artificial intelligence techniques for early diagnosis of lung cancer in general practiceToday, we’re speaking to Professor Martijn Schut, Professor of Translational AI in Laboratory Medicine and Professor Henk CPM van Weert, GP and Emeritus Professor of General Practice, both based at Amsterdam University Medical Center.Title of paper: Artificial intelligence for early detection of lung cancer in GPs’ clinical notes: a retrospective observational cohort studyAvailable at: https://doi.org/10.3399/BJGP.2023.0489In most cancers, the prognosis depends substantially on the stage at the start of therapy. Therefore, many methods have been developed to enhance earlier diagnosis, for example, logistic regression models, biomarkers, and elect...
2025-05-2020 minBJGP InterviewsPrescribing testosterone in hypoactive sexual desire disorder – how to initiate it, and how to monitor it in general practiceToday, we’re speaking to Dr Stephen Gibbons, Consultant Clinical Biochemist at Leeds Teaching Hospitals NHS Trust, and Dr Clare Spencer, GP Partner and Menopause Specialist at the Meanwood Group Practice in Leeds.Title of paper: Optimising testosterone therapy in patients with hypoactive sexual desire disorderAvailable at: https://doi.org/10.3399/bjgp25X741321TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:00.400 - 00:01:08.824Hello and welcome to...
2025-05-0618 minBJGP InterviewsDifferential attainment in the MRCGP exam – the impact of language of study and what this means for the future of RCGP examsToday, we’re speaking to Dr Victoria Tzortziou Brown, a GP and Reader in Primary Healthcare and Health Policy at Queen Mary University of London, and Vice Chair for External Affairs at the Royal College of General Practitioners.Title of paper: Language of primary medical qualification and differential MRCGP exam attainment: an observational studyAvailable at: https://doi.org/10.3399/BJGP.2024.0296To the authors’ knowledge, this is the first study on the association between the language of the primary medical qualification and attainment in the Membership of the Royal College of General Practitioners (MRCGP) exam...
2025-03-1810 minBJGP InterviewsThe increasing digitalisation of general practice systems – how it’s impacting patients and what we can do about itToday, we’re speaking to Professor Helen Atherton, Professor of Primary Care Research at the University of Southampton. Title of paper: Supporting patients to use online services in general practice: focused ethnographic case studyAvailable at: https://doi.org/10.3399/BJGP.2024.0137Use of, and access to, online services are increasing within general practice in England. Current approaches to digital facilitation as observed in this study, appeared to be ad hoc and fitted around multiple services. Reception staff were key to supporting patients to use these platforms, but training, resources and support for such staff we...
2025-03-1116 minBJGP InterviewsUsing the PSA test in general practice – how should we approach testing in asymptomatic men?Today, we’re speaking to Dr Sam Merriel, a GP, and NIHR Academic Clinical Lecturer in General Practice based at the University of Manchester.Title of paper: Factors affecting prostate cancer detection through asymptomatic PSA testing in primary care in England: Evidence from the 2018 National Cancer Diagnosis AuditAvailable at: https://doi.org/10.3399/BJGP.2024.0376Asymptomatic, informed choice prostate specific antigen (PSA) testing occurs in primary care in the UK in the absence of a national prostate cancer screening programme. This study shows that four fifths of prostate cancers are diagnosed following symptomatic presentation ra...
2025-03-0417 minBJGP InterviewsHow to approach safety netting in general practiceToday, we’re speaking to Dr Pete Edwards, a GP and NIHR Research Fellow based at the University of Bristol. Pete has published a research article in the February issue of the BJGP titled,’ Safety-netting advice documentation in out-of-hours primary care: a retrospective cohort from 2013 to 2020’ along with an editorial about safety netting that we’re going to discuss today.Title of paper: Safety-netting advice documentation in out-of-hours primary care: a retrospective cohort from 2013 to 2020Available at: https://doi.org/10.3399/BJGP.2024.0057Title of editorial: Safety netting in primary care : managing the low incidence, high unce...
2025-02-2520 minBJGP InterviewsReSPECT forms in general practice – more than just a DNACPRToday, we’re speaking to Professor Anne Slowther, Emeritus Professor of Clinical Ethics based at the University of Warwick.Title of paper: Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relativesAvailable at: https://doi.org/10.3399/BJGP.2024.0248The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a specific model of emergency care treatment planning now used in primary care and hospitals, and in many areas of the UK. It...
2025-02-1820 minBJGP InterviewsBJGP’s top 10 most read papers of 2024It’s that time of the year again! This episode, we have a round table discussion with the editorial team of Sam Merriel, Tom Round and Nada Khan. This collection of the BJGP’s top 10 research most read and published in 2024 brings together high-profile primary care research and clinical innovation.And here are the top 10 most read papers of 2024:10. Patient experiences of an online consultation system: a qualitative study in English primary care post-COVID-19Available at: https://doi.org/10.3399/BJGP.2023.00769. Does shortage of GPs matter? A cross-sectional study of practice population life e...
2025-02-0439 minBJGP InterviewsStanding up for general practice – what it means to be a GPThe BJGP podcast is back for a new season! Today, we’re speaking to Professor Joanne Reeve, who is a GP and Professor of Primary Care Research at Hull York Medical School. Joanne has published an editorial in the recent January edition of the BJGP titled, ‘Standing up for general practice’, and today we’re going to speak about this article and what it means to be a GP. Title of paper: Standing up for general practiceAvailable at: https://doi.org/10.3399/bjgp25X740373
2025-01-2815 minBJGP InterviewsGetting ‘bang for your buck’ for good quality general practice, and why hybrid working leads to fragmented and inefficient careToday, we’re speaking to Dr Rebecca Payne and Professor Trish Greenhalgh. Rebecca is a GP and an NIHR In Practice Fellow, and works alongside Trish at the Nuffield Department of Primary Health Care Sciences at the University of Oxford. Title of paper: What are the challenges to quality in modern, hybrid general practice? A multi-site longitudinal studyAvailable at: https://doi.org/10.3399/BJGP.2024.0184Quality in primary care is a multidimensional construct embracing effectiveness, efficiency, safety, patient-centredness, equity, continuity, accessibility, and more. We report on how UK practices have striven to deliver on thes...
2024-11-2618 minBJGP InterviewsWhat's it like working in the Deep End Network in Northern Ireland? It's challenging, but ultimately rewardingToday, we’re speaking to Dr Dan Butler, a portfolio GP completing his PhD at Queen’s University Belfast. Title of paper: “Challenging but ultimately rewarding”: A qualitative analysis of Deep End GPs’ experiencesAvailable at: https://doi.org/10.3399/BJGP.2024.0167GPs working in the highest need, socioeconomically deprived areas, the “Deep End”, face additional challenges. This paper looks at the NI context and explores why, despite the challenges, GPs choose to work in these areas. The main issues relate to wider healthcare failings and the challenges of patient populations some of whom generally frequently use...
2024-11-1916 minBJGP InterviewsLooking at how people access (and can’t access) general practice – lessons to take into actionToday, we’re speaking to Dr Carol Sinnott, a GP and a Senior Clinical Research Associate based at The Healthcare Improvement Studies Institute. Title of paper: Understanding access to general practice through the lens of candidacy: a critical review of the literatureAvailable at: https://doi.org/10.3399/BJGP.2024.0033Dominant conceptualisations of access to health care are often framed in terms of speed and supply — these approaches risk obscuring important aspects of people’s experiences of access. The Candidacy Framework was developed to study access to health care by people in vulnerable groups. This study c...
2024-11-1218 minBJGP InterviewsPredicting psychosis in general practice - opportunities for earlier diagnosis using PRiskToday, we’re speaking to Dr Sarah Sullivan, a Senior Research Fellow based within the Centre for Academic Mental Health at the University of Bristol. Title of paper: External validation of a prognostic model to improve prediction of psychosis in primary careAvailable at: https://doi.org/10.3399/BJGP.2024.0017This paper reports the external validation of the only psychosis risk prediction algorithm to be used in primary care. External validation of prediction algorithms is essential to provide evidence of transportability i.e. that the algorithm can be used outside its training environment. This vital ste...
2024-11-0512 minBJGP InterviewsWhat’s behind decisions to do a diagnostic test in a child in general practice? Lessons from the NetherlandsToday, we’re speaking to Dr Sophie Ansems, a GP and PhD candidate, and Dr Lianne Mulder, both based at the Department of Primary and Long-term Care at the University of Groningen in the Netherlands. Title of paper: General practitioners’ perspectives on diagnostic testing in children with persistent non-specific symptomsAvailable at: https://doi.org/10.3399/BJGP.2023.0683It is known that GPs employ diagnostic tests in adults with persistent non-specific symptoms for motives beyond strictly diagnostic purposes, but comparable research has not been conducted in children. This study adds that although GPs want to limit...
2024-10-2912 minBJGP InterviewsWhy current clinical scoring systems don’t work when assessing acutely ill children in general practiceToday, we’re speaking to Dr Amy Clark and Dr Kathryn Hughes. Amy is a resident doctor in North West Anglia Foundation Trust, and Kathryn who is a GP and a Senior Clinical Lecturer based at PRIME Centre Wales within Cardiff University. Title of paper: Assessing acutely ill children in general practice using the National PEWS and LqSOFA clinical scores: a retrospective cohort studyAvailable at: https://doi.org/10.3399/BJGP.2023.0638The validity of the current NICE-recommended scoring system for identifying seriously ill children in general practice, the Traffic Light system, was recently investigated and...
2024-10-2215 minBJGP InterviewsThe triple whammy effect: Why people from ethnic minorities may not get adequate care for Long CovidToday, we’re speaking to Professor Carolyn Chew-Graham, Professor of General Practice Research at Keele University. Title of paper: People from ethnic minorities seeking help for Long Covid: a qualitative study.Available at: https://doi.org/10.3399/BJGP.2023.0631People from ethnic minority groups are less likely to present to primary healthcare for Long Covid. This study explored the lived experiences of Long Covid amongst people from ethnic minority groups. Participants were often previously unaware of Long Covid or available support and some described not feeling worthy of receiving care. Experiences of stigma and discrimination cont...
2024-10-1515 minBJGP InterviewsWhat predicts unplanned hospital admissions in older adults, and what can we do about it?Today, we speak to Dr Jet Klunder, a GP trainee and a PhD candidate based at the Department of General Practice at Amsterdam University Medical Centre in the Netherlands. Title of paper: Predicting unplanned admissions to hospital in older adults using routinely recorded general practice data: development and validation of a prediction modelAvailable at: https://doi.org/10.3399/BJGP.2023.0350Unplanned hospital admissions in older adults are a critical concern for patients, family caregivers, healthcare professionals, and service planners. In this study a robust and easy-to-use prediction model has been developed and validated using r...
2024-09-2412 minBJGP InterviewsThe first 100 days after childbirth - what do women need in general practice?In this episode, we talk to Dr Holly Smith, Research Fellow in Perinatal Mental Health based at the Department of Primary Care and Population Health at University College London. Title of paper: The first 100 days after childbirth: cross-sectional study of maternal clinical events and health needs from primary careAvailable at: https://doi.org/10.3399/BJGP.2023.0634The first 100 days after childbirth are a crucial time for women as they recover mentally and physically from pregnancy and birth. Previous studies have sought to identify common postnatal conditions and symptoms women may experience after birth, but n...
2024-09-1715 minBJGP InterviewsEarly intervention in psychosis and overcoming the lost connection in general practiceIn this episode, we talk to Dr Michelle Rickett, a Research Associate on the NIHR funded EXTEND study based at the School of Medicine at Keele University. Title of paper: Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2023.0558Early Intervention in Psychosis (EIP) service users may be referred from, and discharged back to, primary care. There is limited research on patient and carer experience of discharge to primary care from EIP services and little guidance around planning and implementation of d...
2024-09-1013 minBJGP InterviewsThe problem with defining GP work in terms of sessions – a study of trends in GP working hours and intensityIn this episode, we talk to Dr Joe Hutchinson, who is a salaried GP and an academic GP working within the Centre for Primary Care and Health Services Research at the University of Manchester. Title of paper: Trends in full-time working in general practice: repeated cross-sectional studyAvailable at: https://doi.org/10.3399/BJGP.2023.0432General practice is under increasing pressure, in part due to a lack of GPs. There is contention as to the proportion of GPs working full-time. We find that average hours and sessions worked per week by GPs in England have d...
2024-08-0612 minBJGP InterviewsHow to work with patients to prevent long-term use of opioids in general practiceIn this episode, we talk to Lisa Davies, a PhD candidate based at Utrecht University. Title of paper: Patients’ perspectives about the role of primary healthcare providers in long-term opioid therapy: a qualitative study in Dutch primary careAvailable at: https://doi.org/10.3399/BJGP.2023.0547Previous research has shown the pivotal role of primary healthcare providers in managing long-term opioid use for patients with chronic non-cancer pain. This study adds the patient’s perspective, underscoring the importance of improved communication, medication management, regular assessments, and a patient-centred approach, especially during opioid tapering. Clinicians should prior...
2024-07-2315 minBJGP InterviewsSarcoma: diagnosing this rare type of bone cancer in general practiceIn this episode, we talk to Dr Meena Rafiq, Academic GP and Clinical Research Fellow within the Institute of Epidemiology and Health at University of Melbourne. Title of paper: Clinical activity in general practice before sarcoma diagnosis: an Australian cohort studyAvailable at: https://doi.org/10.3399/BJGP.2023.0610Sarcoma is challenging to diagnose with delays associated with poor patient outcomes and experiences. This study has shown that patients with sarcoma often have multiple GP visits and imaging requests in the year before their diagnosis. Clinical activity in general practice increases from 6 months before sarcoma d...
2024-07-0910 minBJGP InterviewsAnal incontinence after childbirth: how to support women in general practiceIn this episode, we talk to Dr Abi Eccles, Assistant Professor within Warwick Applied Health at Warwick Medical School. Title of paper: The GP’s role in supporting women with anal incontinence after childbirth injuryAvailable at: https://doi.org/10.3399/BJGP.2023.0356Anal incontinence after childbirth injury has profound impacts on women’s lives and many find they cannot access healthcare and support. GPs can play a crucial role, but we know that very few women speak to their GPs about their symptoms. In combining GPs’ and women’s views, we show how anal incontine...
2024-07-0215 minBJGP InterviewsConsultations patterns in general practice before suicideIn this episode, we talk to Dr Ed Tyrell, a GP and Clinical Assistant Professor within the Faculty of Medicine and Health Sciences at the University of Nottingham. Title of paper: Primary care consultation patterns before suicide: a nationally representative case–control studyAvailable at: https://doi.org/10.3399/BJGP.2023.0509Although increased primary care utilisation in the preceding year has been linked with death by suicide, longer-term consulting patterns and primary care-recorded reasons for consulting have not been previously examined. This large, nationally representative sample from England showed rates of consulting among patients who die...
2024-06-2515 minBJGP InterviewsExploring the 4DSQ as a tool to help patients and clinicians in mental health consultationsIn this episode, we talk to Dr Adam Geraghty, Associate Professor of Psychology and Behavioural Medicine within the School of Primary Care, Population Sciences and Medical Education at the University of Southampton. Title of paper: Distinguishing emotional distress from mental disorder: A qualitative exploration of the Four-Dimensional Symptom Questionnaire (4DSQ)Available at: https://doi.org/10.3399/BJGP.2023.0574A range of different approaches have been suggested to support primary care clinicians in the identification and management of mental health problems, from brief depression questionnaires, to approaches focusing on shared understanding within consultations. The Four-Dimensional Symptom Q...
2024-06-1114 minBJGP InterviewsReferral decisions for younger people with suspected cancer and the system barriers in general practiceIn this episode, we talk to Dr Erica di Martino, a Research Fellow based within the School of Medicine at the University of Leeds.Title of paper: Understanding General Practitioners’ referral decisions for younger patients with symptoms of cancer: a qualitative interview studyAvailable at: https://doi.org/10.3399/BJGP.2023.0304Some cancers are becoming more common in younger people, yet clinical guidelines often recommend urgent referral for suspected cancer only if patients are above a certain age. Findings from this study show that, whilst most GPs interpret age criteria in cancer guidelines flexibly, some pe...
2024-05-2115 minBJGP InterviewsPerspectives from patients and GPs on how to provide better care for young people with ADHDIn this episode, we talk to Becky Gudka, a Graduate Research Assistant based at the University of Exeter, about a study she’s published here in the BJGP titled, ‘Primary care provision for young people with ADHD: A multi-perspective qualitative study’. We’re also joined by her study co-author, Dr Anna Price, a Senior Research Fellow also at the University of Exeter who is the study principle investigator and senior author who led this research. Title of paper: Primary care provision for young people with ADHD: A multi-perspective qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2023...
2024-05-1415 minBJGP InterviewsThe impact of continuity on mortality in four common and chronic diseases in general practiceIn this episode, we talk to Dr Sahar Pahlavanyali, a doctor and PhD candidate based at the Department of Global Public Health and Primary Care at the University of Bergen in Norway. Title of paper: Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry dataAvailable at: https://doi.org/10.3399/BJGP.2023.0211There is a growing body of evidence on advantages of continuity, and a GP personal list is believed to be one of the positive measures to improve continuity, though n...
2024-04-2313 minBJGP InterviewsThe challenges and impacts of the Additional Roles Reimbursement Scheme (ARRS) in general practiceIn this episode, we talk to Dr Zoe Anchors, a Research Fellow based at the Centre for Health and Clinical Research at the University of the West of England. Title of paper: A qualitative investigation of the Additional Roles Reimbursement Scheme in primary care’Available at: https://doi.org/10.3399/BJGP.2023.0433The government has delivered on its commitment of recruiting 26,000 more primary care professionals through the ARRS in order to reduce patient waiting lists, widen the range of healthcare services and meet the needs of local populations. This qualitative analysis supports the positive impact of...
2024-04-1617 minBJGP InterviewsImproving access to general practice for people with multiple disadvantageIn this episode, we talk to Dr Lucy Potter, a GP and a doctoral research fellow based at the Centre for Academic Primary Care at the University of Bristol.Title of paper: Improving access to general practice for and with people with severe and multiple disadvantageAvailable at: https://doi.org/10.3399/BJGP.2023.0244This study builds on previous work showing that continuity of care, being able to develop a trusting relationship and being proactive are of particular importance in providing care to highly people with SMD(3-7). This work describes co-designed strategies including prioritising...
2024-04-0915 minBJGP InterviewsAddressing child weight issues in the consultation – what could we be doing better in general practice?In this episode, we talk to Professor Miranda Pallan, a public health doctor who is Professor of Child and Adolescent Public Health at the University of Birmingham.Title of paper: Supporting healthcare professionals to address child weight with parents: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2023.0238Healthcare professionals (HCPs) working in primary care and community settings are known to experience barriers in discussing child excess weight with parents. We conducted a qualitative study with General Practitioners, Primary Care Nurses and School Nurses to further explore these barriers and identify facilitating factors...
2024-03-2616 minBJGP InterviewsSignals before a diagnosis of bipolar disorder and opportunities for earlier diagnosis by GPsIn this episode, we talk to Dr Cathy Morgan, a Research Fellow within the NIHR Greater Manchester Patient Safety Research Collaboration at the University of Manchester, and Professor Carolyn Chew-Graham, GP and Professor of General Practice Research at Keele University. Title of paper: Identifying prior signals of bipolar disorder using primary care electronic health recordsAvailable at: https://doi.org/10.3399/BJGP.2022.0286Delayed diagnosis and treatment of BD of between 6-10 years leads to adverse patient outcomes. No published studies examine the timings of early signals of BD in a primary care setting and/or...
2024-02-1315 minBJGP InterviewsA paradox of access and how we can address the increasing demand in general practiceIn this episode, we talk to Dr Jennifer Voorhees, who is a GP in Tameside and an NIHR Academic Clinical Lecturer based at the University of Manchester. Title of paper: A paradox of access problems in general practice: a qualitative participatory case studyAvailable at: https://doi.org/10.3399/BJGP.2023.0276Access to general practice is an important topic, yet research and policies addressing access often take a simplistic definition, resulting in a lack of understanding of the complexities of longstanding interrelated problems. This research explains a paradox of access problems, in which the focus a...
2024-01-2315 minBJGP InterviewsProviding proactive and holistic palliative care in general practice – exploring the patient perspectiveIn this episode, we talk to Isabel Leach, who is a final year medical student at the University of Sheffield. Title of paper: Understanding patient views and experiences of the IDENTIfication of PALLiative care needs (IDENTI-Pall): a qualitative interview studyAvailable at: https://doi.org/10.3399/BJGP.2023.0071Understanding into patient views and experiences of identification of palliative care needs is lacking. This study suggests an individualised and compassionate approach is required, with key components including open conversations about palliative care and the sharing of prognostic uncertainty. Proactive palliative care intervention by primary healthcare professionals f...
2024-01-1612 minBJGP InterviewsHow to safely taper off antidepressants – developing resources for patient useIn this episode, we talk to Professor Katharine Wallis, Head of the General Practice Clinical Unit at the University of Queensland in Brisbane, Australia. We caught up with her whilst she was in the UK to discuss the paper that she and first author Suzanne McDonald have published here in the BJGP. Title of paper: Acceptability and optimisation of resources to support antidepressant cessation: A qualitative think-aloud study with patientsAvailable at: https://doi.org/10.3399/BJGP.2023.0269It is not known how best to support patients to safely stop long-term (>12 months) antidepressants when there i...
2023-11-2814 minBJGP InterviewsRaising awareness of interconception care: what can we be doing to help women between pregnancies?In this episode, we talk to Dr Sharon James, a Research Fellow and Project Manager based at the School of Public Health and Preventive Medicine at Monash University in Australia. Title of paper: lnterconception care in Australian general practice: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2022.0624Interconception care (ICC) provides an opportunity to address risk factors contributing to poor pregnancy outcomes. However, GP perceptions on providing ICC are not well established. ICC is not a familiar concept for GPs, it is delivered opportunistically and there is lack of clarity as to w...
2023-11-0712 minBJGP InterviewsDomestic abuse during the Covid pandemic – patient experiences and how GPs can helpIn this episode, we talk to Dr Lizzie Emsley and Dr Eszter Szilassy from the University of Bristol. Paper: General practice as a place to receive help for domestic abuse during the COVID-19 pandemic: a qualitative interview study in England and WalesAvailable at: https://doi.org/10.3399/BJGP.2022.0528General practice is an important place for patients experiencing or perpetrating domestic violence and abuse (DVA) and for their children to seek and receive help. While the incidence of DVA may have increased during the COVID-19 pandemic, there has been a substantial reduction in DVA...
2023-10-1015 minBJGP InterviewsHearing the voice of primary care – what are women’s health needs in practice?In this episode, we talk to Dr Francine Toye and Dr Sharon Dixon, both working at Oxford on this project. Title of paper: Understanding primary care perspectives on supporting women’s health needs: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2023.0141The Women’s Health Strategy for England highlighted a need to understand and develop how general practice can support women’s health needs. This study’s aim was to hear the voices of primary care practitioners with experience of delivering services, and to further understand what works well to provide quality care. Rel...
2023-10-0315 minBJGP InterviewsBloods tests in primary care – Why test and what can we learn from looking at current practice?In this episode, we talk to Dr Jessica Watson, who is a GP and NIHR Academic Clinical Lecturer in general practice based at the Centre for Academic Primary Care at the University of Bristol.Paper: ‘Why test study: a UK-wide audit using the Primary Care Academic CollaboraTive to explore the reasons for primary care testing’.Available at: https://doi.org/10.3399/BJGP.2023.0191Previous research has shown a more than three-fold increase in the use of laboratory tests in UK primary care between 2000-2015, with significant variation in testing rates between GP practices. In this stud...
2023-09-2615 minBJGP InterviewsHow can we integrate brief conversations about alcohol reduction into practice? Lessons from an Australian interventionIn this episode, we talk to Dr Liz Sturgiss, who is an Associate Professor of Primary Care Research at the School of Primary and Allied Health Care at Monash University in Melbourne, Australia.Paper: Multifaceted intervention to increase the delivery of alcohol brief interventions in primary care: a mixed-methods process analysisAvailable at: https://doi.org/10.3399/BJGP.2022.0613Brief interventions can reduce alcohol- related harm when delivered in general practice, but there is an implementation gap in routine clinical practice. The REACH programme, which includes resources for patients, clinicians, and clinics, can improve alcohol re...
2023-09-1916 minBJGP InterviewsPatients and gut feelings, and how to take these into account in the general practice consultationIn this episode, we talk to Margje van de Wiel from the Department of Work and Social Psychology, at Maastricht University in The Netherlands.Title of paper: ‘How do patients in general practice voice their gut feelings and value them?’Available at: https://doi.org/10.3399/BJGP.2022.0427We know that primary care professionals acknowledge the usefulness of patients’ gut feelings for their clinical reasoning. However, we do not precisely know the wordings and expressions patients use to voice their gut feelings and how they share them with professionals. The results we found may improve the pr...
2023-09-0512 minBJGP InterviewsIt’s not all about the money – exploring the motivations of Danish GPsIn this episode, we talk to Line Pedersen and Anne Sophie Oxholm from the Research Unit for General Practice at the University of Southern Denmark.Title of paper: Mapping general practitioners’ motivation: It is not all about the money. A nation-wide cross-sectional survey study from DenmarkAvailable at: https://doi.org/10.3399/BJGP.2022.0563Understanding physicians’ motivation may be essential for designing policies and organisational structures that ensure the wellbeing and retention of GPs, and high-quality care. However, physicians’ motivation remains an understudied area. We find heterogeneity in GPs’ work motivation and identify five GP segments...
2023-08-1515 minBJGP InterviewsMicro-teams in primary care – opportunities and implications for continuity and for patientsIn this episode, we talk to Charlie Coombs who is a medical student and School for Primary Care Research intern working at University College London. Title of paper: Opportunities, challenges and implications of primary care micro-teams for patients and healthcare professionals: an international systematic reviewAvailable at: https://doi.org/10.3399/BJGP.2022.0545The number of GP practices in the UK has overall reduced, whilst individual practice size lists have increased. This systematic review uses a framework analysis to synthesis the current literature available around micro-teams as a potential intervention to mitigate compromised care in l...
2023-08-0812 minBJGP InterviewsHow to follow-up younger patients with atrial fibrillation and reassess stroke risk in general practiceIn this episode, we talk to Professor Jonathan Mant who is Professor of Primary Care and Head of the Primary Care Unit within the Department of Public Health & Primary Care in the University of Cambridge. Title of paper: Progression of stroke risk in atrial fibrillation: Cohort study in general practiceAvailable at: https://doi.org/10.3399/BJGP.2022.0568New technologies are likely to result in younger people being diagnosed with atrial fibrillation who do not require anticoagulation treatment at diagnosis. There are few data to inform follow up of such people. Risk of development of hy...
2023-08-0110 minBJGP InterviewsGender differences in pay and uptake of partnership roles – what can we do differently?In this episode, we talk to Dr Laura Jefferson, who is a Research Fellow within the Department of Health Sciences at the University of York. Title of paper: ‘Exploring gender differences in uptake of GP partnership roles: a qualitative mixed methods study’. Available at: https://doi.org/10.3399/BJGP.2022.0544An unadjusted gender pay gap of 33.5% exists in general practice, reflecting partly the differential uptake of partnerships amongst women GPs, but evidence exploring gender differences in GPs’ career progression is sparse. Our mixed methods approach used interview data, social media analysis and asynchronous online focus groups t...
2023-07-1115 minBJGP InterviewsThe association between burnout and the increasing prescribing of opioids and antibiotics in practice – what can we do differently?In this episode, we talk to Dr Alex Hodkinson, who is an NIHR senior research fellow within the NIHR Patient Safety Translational Research Centre at the University of Manchester. Title of paper: Association of strong opioids and antibiotics prescribing with GP burnout: a retrospective cross-sectional study’. Available at: https://doi.org/10.3399/BJGP.2022.0394Prescribing has important implications for patient safety; this is particularly the case for high-risk medications such as strong opioids, and medications where there may be public health implications such as antibiotics. Physician wellness such as burnout can also have a significant impa...
2023-06-2714 minBJGP InterviewsThinking about the best ways to integrate pharmacists into general practice – views of GPs and pharmacistsIn this episode, we talk to Ameerah Ibrahim and Carmel Hughes about the paper they’ve recently published in the BJGP titled, ‘GPs’ and pharmacists’ views of integrating pharmacists into general practices: a qualitative study’Title of paper: GPs’ and pharmacists’ views of integrating pharmacists into general practices: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2022.0518Little is known about primary healthcare professionals’ views on the impact of practice-based pharmacists (PBPs) in general practice. Participants interviewed in this study reported that PBPs had integrated well and perceived a positive impact on primary healthcare deliv...
2023-06-2014 minBJGP InterviewsHow the RCGP is supporting research – and how you can get involvedToday we are talking to Dr Nick Thomas, who is clinical lead for research at the Royal College of General Practice here in the UK.Read more about research here at the RCGP: https://www.rcgp.org.uk/representing-you/research-at-rcgpAnd for more information about the Research and Surveillance Centre, look here: https://www.rcgp.org.uk/representing-you/research-at-rcgp/research-surveillance-centreIf you are looking for research funding opportunities through the RCGP, read more here: https://www.rcgp.org.uk/representing-you/research-at-rcgp/how-rcgp-support-your-research#grants
2023-06-1310 minBJGP InterviewsLooking at what happens when a GP surgery closes – what are the wider impacts on patients and other practices?In this episode, we talk to Dr Joe Hutchinson, an academic clinical fellow at the Centre for Primary Care and Health Services Research at the University of Manchester. Title of paper: Consequences of the closure of General Practices: a retrospective cross-sectional studyDOI: https://doi.org/10.3399/BJGP.2022.0501Closures of UK general practices are increasingly common, yet little is known about the consequences. This cross-sectional study of English general practices finds practice closures increase list size in exposed practices, with changes in workforce composition and reductions in patient satisfaction.
2023-06-0614 minBJGP InterviewsClinical factors and characteristics of men who see their GP before death by suicideIn this episode, we talk to Dr Faraz Mughal, who is a practising NHS General Practitioner and NIHR Doctoral Fellow at the School of Medicine at Keele University. Title of paper: Recent GP consultation before death by suicide in middle-aged males: a national consecutive case series studyAvailable at: https://doi.org/10.3399/BJGP.2022.0589Preventing suicide in middle-aged males is a global priority. This national case series study found that 43% of middle-aged males who died by suicide had a final GP consultation in the preceding 3 months, and of these males, over half presented with...
2023-05-3011 minBJGP InterviewsWho’s at risk of acute kidney injury? Developing a score to use in general practice amongst patients with hypertensionIn this episode, we talk to Dr James Sheppard, who is an Associate Professor at the Nuffield Department of Primary Care Health Sciences at the University of Oxford. Title of paper: Predicting the risk of acute kidney injury: Derivation and validation of STRATIFY-AKIAvailable at: https://doi.org/10.3399/BJGP.2022.0389Acute kidney injury (AKI) is one of the more serious adverse events associated with antihypertensive treatment, reducing an individual’s health-related quality of life and increasing the risk of admission to hospital. Clinical guidelines recommend that when prescribing antihypertensives GPs should take into account the...
2023-05-2313 minBJGP InterviewsBetter colorectal cancer screening - lessons from the CRISP RCTIn this episode, we talk to Professor Jon Emery, who is the Herman Chair of Primary Care Cancer Research at the University of Melbourne. Title of paper: The CRISP Trial: RCT of a decision support tool for risk-stratified colorectal cancer screeningAvailable at: https://doi.org/10.3399/BJGP.2022.0480Using risk models that account for family history, lifestyle and medical history could tailor CRC screening and determine starting age and screening test. This could be more cost-effective than population screening. In this RCT, we showed that using the CRISP risk tool in general practice can i...
2023-04-2517 minBJGP InterviewsWhat constitutes good end of life care, and what is the role of general practice?In this episode, we talk to Professor Lucy Ziegler, Professor of Palliative Care and head of the St Gemma’s Academic Unit of Palliative Care at the University of Leeds.Title of paper: What characterises good home-based end-of-life care: Analysis of 5-year data from a nationwide mortality follow-back survey in EnglandAvailable at: https://doi.org/10.3399/BJGP.2022.0315Determinants of high quality care for patients living at home during their last three months of life are not well understood. We analysed 5-year data from a large, nationally representative bereavement survey collecting information on experiences and...
2023-04-0418 minBJGP InterviewsDiscussing increasing trends in the diagnosis and treatment of anxiety in BelgiumIn this episode, we talk to Dr Simon Beerten, who is a GP and a research fellow from the Department of Public Health and Primary Care at KU Leuven in Belgium. Title of paper: Trends in the registration of anxiety in Belgian primary care from 2000 to 2021: A registry-based studyAvailable at: https://doi.org/10.3399/BJGP.2022.0196Figures on anxiety in general practice are scarce. This study shows increasing incidence and prevalence of physician-registered anxiety. Patients with anxiety had an increasing number of comorbidities over time. Treatment of anxiety in this setting seems very dependent o...
2023-03-2813 minBJGP InterviewsListening to women’s experiences of heavy menstrual bleeding – what are the implications for GPs?In this episode, we talk to Professor Joe Kai, who is a GP and Clinical Professor in the Centre for Academic Primary Care at the University of Nottingham. Title of paper: Women’s experiences of heavy menstrual bleeding and medical treatment: Qualitative studyPaper available at: https://doi.org/10.3399/BJGP.2022.0460Heavy menstrual bleeding (HMB) is known to significantly affect women’s health and quality of life, with pressure to conceal symptoms. Recent evidence on women’s experiences of HMB and its treatment after seeking primary care is lacking. This research shows the debilitating impacts...
2023-03-1417 minBJGP InterviewsWhat do GPs think about prescribing aspirin to prevent colorectal cancer in Lynch syndrome?In this episode, we talk to Kelly Lloyd, who is a research fellow within the Leeds Institute of Health Sciences at the University of Leeds.Title of paper: A factorial randomised trial investigating factors influencing general practitioners’ willingness to prescribe aspirin for cancer preventive therapy in Lynch syndrome: a registered reportAvailable at: https://doi.org/10.3399/BJGP.2021.0610National Institute for Health and Care Excellence (NICE) guidance for England and Wales recommends daily aspirin for colorectal cancer prevention in people with Lynch syndrome, and it is likely that prescribing will occur in primary care. GP...
2023-03-0715 minBJGP InterviewsLooking at interventions to reduce antibiotic prescribing in general practice – results from a mixed-methods studyIn this episode, we talk to Dr Sarah Tonkin-Crine, an Associate Professor and Health Psychologist based within the Nuffield Department of Primary Care Health Sciences at the University of Oxford. Title of paper: Implementing antibiotic stewardship in high prescribing English general practices: a mixed-methods studyAvailable at: https://doi.org/10.3399/BJGP.2022.0298An intervention to support the implementation of three evidence-based antimicrobial stewardship (AMS) strategies was evaluated in nine high antibiotic prescribing general practices in England. General practice teams received intervention materials and chose to use them in substantially different ways in real-life settings, ou...
2023-02-2819 minBJGP InterviewsManaging patients with acute exacerbations of COPD in primary care – the Australian perspectiveIn this episode, we talk to Dr Bianca Perera, a GP in Tasmania who is undertaking a PhD at Monash University.Title of paper: General practice management of COPD patients following acute exacerbations: a qualitative studyAvailable at: https://doi.org/10.3399/BJGP.2022.0342The period immediately following an acute exacerbation of COPD is a high-risk period for recurrence and a critical time to intervene. Hospital-initiated, guideline-based care bundles have been previously proposed to optimise post-exacerbation care and reduce readmission, however convincing evidence of effectiveness has been lacking. As post-exacerbation care is mainly delivered by...
2023-02-2111 minBJGP InterviewsHome pulse oximetry amongst patients with Covid-19: patient perceptions and GP workloadIn this episode, we talk to Dr Karin Smit, who is a GP trainee and PhD student at the Department of General Practice at Utrecht University in The Netherlands. Title of paper: Home monitoring by pulse oximetry of primary care patients with COVID-19 - a pilot randomised controlled trialAvailable at: https://doi.org/10.3399/BJGP.2022.0224During the course of the pandemic, home or remote monitoring of COVID-19 patients by pulse oximetry took off. However, studies on its use are scarce. Our pilot randomised controlled trial showed that...
2023-02-1413 minBJGP InterviewsAdverse drug reactions– how common are these in general practice and what are the implications for practice?In this episode, we talk to Professor Emma Wallace, who is a GP and Professor of General Practice at University College Cork about the incidence and severity of adverse drug reactions in older adults in the community. Title of paper: Cumulative incidence and severity of adverse drug reactions and associated patient characteristics in older community-dwelling adults attending general practice – a six year prospective cohort studyAvailable at: https://doi.org/10.3399/BJGP.2022.0181No prospective studies have examined adverse drug reaction (ADR) occurrence among older adults attending general practice. ADRs were found to occur for appr...
2023-01-3116 minBJGP InterviewsExploring the reasons why general practice staff are reluctant to register undocumented peopleIn this episode, we talk to Dr Kitty Worthing, a GP registrar working for the Sheffield Teaching Hospitals Trust about work she did whilst working as an academic clinical foundation doctor and then clinical fellow at Queen Mary University. Title of paper: Reluctance to register: an exploration of the experiences and perceptions of general practice staff in North East LondonAvailable at: https://doi.org/10.3399/BJGP.2022.0336Previous research shows that people are often refused GP registration if they do not have access to documentation, highlighting a discrepancy between guidance and practice that has no...
2022-12-2018 minBJGP InterviewsPreconception care – what GPs need to know to optimise pregnancy outcomesIn this episode, we talk to Nishadi Withanage, a doctoral student in the Department of General Practice at Monash University in Australia. Title of paper: Effectiveness of preconception interventions in primary care: a systematic reviewAvailable at: https://doi.org/10.3399/BJGP.2022.0040Preconception care (PCC) delivered in community and hospital settings are effective in improving pregnancy outcomes and health knowledge, and reducing preconception risk factors; however, the effectiveness of primary care-based PCC has been unclear. This systematic review demonstrates that primary care-based PCC including brief and intensive education, supplementary medication, and dietary modification are e...
2022-12-0615 minBJGP InterviewsExamining disparities in continuity of care in some ethnic groups and implications for practiceToday, we talk to Mai Stafford, who is a senior analytical manager at the Health Foundation. Title of paper: Continuity of care in diverse ethnic groups: a general practice record study in EnglandAvailable at: https://doi.org/10.3399/BJGP.2022.0271Nationally representative survey data show lower continuity of care for most ethnic minority groups. To the authors’ knowledge, this is the first national study to examine ethnic inequalities in continuity of care using GP records. The study found that relational continuity of care was lower for people from Black African, Black Caribbean, any other Bla...
2022-11-2913 minBJGP InterviewsSurvivorship care for colorectal cancer: pathways for GP led follow upIn this episode, we talk to Julien Vos, who is a doctoral student and clinician based at the Department of General Practice at the University of Amsterdam. We’re going to discuss his paper about survivorship care for colorectal cancer and patients experiences of GP-led care in the Netherlands. Paper: Patients’ experiences with general practitioner-led colon cancer survivorship care; a mixed-methods evaluation at various time pointsAvailable at: https://doi.org/10.3399/BJGP.2022.0104Cancer survivorship care is often complex and requires a multi-dimensional approach. Patients receiving colon cancer survivorship care from either the GP or surg...
2022-11-0814 minBJGP InterviewsOpportunities for earlier diagnosis of psoriasis in general practiceIn this episode, we talk to Maha Abo-Tabik, a doctoral research student at the Global Psoriasis Atlas who is based at the University of Manchester.Paper: Mapping opportunities for the earlier diagnosis of psoriasis in primary care settings in the UKAvailable at: https://doi.org/10.3399/BJGP.2022.0137Many people suffer needlessly from psoriasis due to missed or delayed diagnosis. Primary care professionals are most often the first point of contact for people with psoriasis. The diagnosis of psoriasis can be a challenging task for non-dermatologists. Examining electronic health records from general practices showed tha...
2022-10-1814 minBJGP InterviewsNewspapers on the ‘warpath’: portrayal of GPs in the UK mediaIn this episode, we talk to Professor Trish Greenhalgh, Professor of Primary Care Health Sciences at the University of Oxford. Paper: UK newspapers “on the warpath”: media analysis of remote consulting in 2021Available at: https://doi.org/10.3399/BJGP.2022.0258How this fits inIn 2020, the shift from in-person to remote consulting in general practice was depicted positively by the media as part of the “war” on COVID-19. In 2021, remote consulting was depicted negatively by the media, and linked in press articles to difficulties accessing primary care and compromises in patient safety. Newspapers led campaig...
2022-10-1118 minBJGP InterviewsB12 deficiency, patient safety and self-injectionIn this episode, we talk to Dr Natasha Tyler and Dr Maria Panagioti who both work in the Centre for Primary Care and Health Services Research at the University of Manchester.Paper: Patient Safety, Self-injection and B12 deficiency: A UK Cross sectional studyhttps://doi.org/10.3399/BJGP.2021.0711It is known that individuals with vitamin B12 deficiency (including pernicious anaemia) describe their primary care consultations as ‘battles’ and feel stigmatised. However, the extent of this dissatisfaction with primary care and the effect this might have on patient safety and unsafe health behaviours is unknown. This...
2022-10-0414 minBJGP InterviewsConsidering symptom appraisal and help seeking for cancer symptoms in older adultsIn this episode, we talk to Dr Dan Jones, who is a GP and an Academic Clinical Lecturer at the University of Leeds.Paper: Factors influencing symptom appraisal and help-seeking of older adults with possible cancer: a mixed methods systematic reviewhttps://doi.org/10.3399/BJGP.2021.0655The burden of cancer falls predominantly on older (≥65 years) adults, and prompt presentation to primary care with cancer symptoms results in better patient outcomes. The current review, which included 80 studies, found that older adults with cancer symptoms may have prolonged symptom appraisal and shorter help-seeking intervals prior to pr...
2022-09-2717 minBJGP InterviewsThe golden thread of continuity of careIn this episode we talk to Dr Sally Hull who is a GP and Honorary Reader in Primary Care Development at QMUL.Paper: Measuring continuity of care in general practice: a comparison of two methods using routinely collected datahttps://doi.org/10.3399/BJGP.2022.0043Longitudinal continuity of care is associated with lower mortality, fewer hospital admissions, better care for chronic disease and greater patient satisfaction. In spite of these benefits few practices measure continuity and measurement is not supported by health policy. Using the UPC we report a strong correlation between patient measures of...
2022-09-0615 minBJGP InterviewsInflammatory marker blood tests suggest a diagnostic window to help earlier Hodgkin lymphoma diagnosisIn this episode we talk to Dr Meena Rafiq who is an academic GP and clinical research fellow at University College London.Paper: Inflammatory marker testing in primary care in the year before Hodgkin lymphoma diagnosis: a UK population-based case–control study in patients aged ≤50 yearshttps://doi.org/10.3399/BJGP.2021.0617Understanding the timing of the inflammatory response in Hodgkin lymphoma may help identify opportunities for earlier diagnosis. In patients with Hodgkin lymphoma presenting to U K general practice, greater than expected and increasing use of inflammatory marker tests in the year before diagnosis were...
2022-07-2610 minBJGP InterviewsImproving prescribing through feedback at individual patient levelIn this episode we talk to Dr Sean MacBride-Stewart who is Lead Pharmacist for Medicines Management Resources, Pharmacy Services, NHS Greater Glasgow and Clyde.Paper: Feedback of actionable individual patient prescription data to improve asthma prescribing: pragmatic cluster randomised trial in 233 UK general practiceshttps://doi.org/10.3399/BJGP.2021.0695Prescribing feedback to GPs is a common intervention but evidence suggests that alone it is not very effective in changing behaviour. We investigated whether newly available patient-level prescription data could be used to measure potentially inappropriate prescribing (PIP) of bronchodilators. This pragmatic study found patient-level...
2022-07-1915 minBJGP InterviewsPrimary care contacts with children and young people in the first Covid lockdownIn this episode we talk to Dr Kimberley Foley who is a Research Associate at the Department of Primary Care and Public Health, Imperial College London.Paper: Impact of Covid-19 on primary care contacts with children and young people aged 0-24 years in England; longitudinal trends study 2015-2020https://doi.org/10.3399/BJGP.2021.0643The Covid-19 pandemic response led to health system reorganisation globally, but its impact on children and young people’s access to primary care is largely unknown. Children and young people’s health contacts with general practitioners (GPs) fell by 41%, equivalent to 2.8 mill...
2022-06-0710 min