Around 11 000 ambulances are waiting more than an hour at A&E every week, analysis finds
The number of patients having to wait in ambulances outside hospitals in England for more…
Author: British Medical Journal
Poor housing and dark satanic mills
Articles in The BMJ this week featuring mills and housing may seem like a throwback,…
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Covid-19: High rates in hospitals have hampered elective care recovery, says NHS chief
The NHS in England significantly underestimated the continuing impact of covid-19 on hospital bed capacity…
Deep brain stimulation surgery is suspended at Birmingham trust over poor clinical results
Deep brain stimulation surgery (DBS) for movement disorders has been suspended indefinitely by University Hospitals…
Correction for vol. 379, p.
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled…
An unusual cause of stroke
A woman in her 60s presented with acute onset numbness and weakness of the left…
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Domestic abuse is important risk factor for suicide
A coroner’s inquest in England has concluded that the underlying cause of a 34 year…
Lung health after covid . . . and other stories
Long term effects of covid-19 pneumoniaPersisting structural lung abnormalities after covid-19 pneumonia seem to be…
Tom Nolan’s research reviews—1 December 2022
Waiting for the next confidence intervalMany of the terms used in research papers seem ripe…
Oxygen administration during surgery and postoperative organ injury: observational cohort study
AbstractObjectiveTo examine whether supraphysiological oxygen administration during surgery is associated with lower or higher postoperative…
Oxygen administration during general anaesthesia for surgery
Oxygen is routinely administered to almost all patients undergoing general anaesthesia,1 to ensure adequate oxygenation…
Effectiveness of mRNA-1273, BNT162b2, and BBIBP-CorV vaccines against infection and mortality in children in Argentina, during predominance of delta and omicron covid-19 variants: test negative, case-control study
AbstractObjectiveTo estimate the effectiveness of a two dose vaccine schedule (mRNA-1273, BNT162b2, and BBIBP-CorV) against…
Everything, every day, all at once—why we need to ask less of medical students
The romanticised narrative that our university years will be the “best of our life” can…
NICE publishes two potential new QOF indicators for inclusion in GP contract
The National Institute for Health and Care Excellence (NICE) has published two draft indicators1—for atrial…
NHS England halts mass rollout of automatic patient access to GP records
NHS England has instructed the IT system suppliers EMIS and TPP not to switch on…
Northern Ireland: Tackle isolation among clinicians to avoid future patient harms, says review into neurologist
The health and care watchdog in Northern Ireland must tackle isolation among clinicians working alone,…
GPs caught in media menopause spotlight
Menopause is certainly big news at the moment. Last week, NHS England published its first…
Covid-19: Protests against lockdowns in China reignite amid crackdown
The Chinese government has been struggling to quell protests against lockdowns throughout the country that…
Scarlett McNally: Prioritising the health of our children by reducing road traffic deaths
Last year, 27 450 people were killed or seriously injured on Britain’s roads.1 If these…
Squamous cell carcinoma arising in smallpox vaccination scar
This is a red macule with thick scales on the left arm of a man…
David Oliver: England is still waiting for social care solutions
In Samuel Beckett’s Waiting for Godot, Vladimir says, “Well. What do we do?”—to which Estragon…
RIP #medtwitter? What Twitter’s potential collapse could mean for doctors
Many people have been saying their farewells to mutual followers on Twitter in the past…
GMC needs to take a more proactive role in preventing harm and suicide in doctors under investigation
In the reference we quoted, 29 doctors died while under investigation by the General Medical…
Regression towards the mean—a plea for civility in peer review
Peer review is integral to the ongoing publication of high quality research. In pursuit of…
Complaints against GPs up by more than a third on pre-covid level
The number of written complaints against GPs is now 37% higher than before the covid…
AIDS: “Harmful” gender inequalities and norms are holding back the end of the pandemic
A “feminist route map” is the only effective course to ending the AIDS pandemic, according…
Beach nudity spreads skin cancer message
bmj;379/nov29_12/o2882/FAF1faDon ArnoldThousands of people posed naked on Bondi Beach in Sydney, Australia, at sunrise last…
Learning from the Arora case: the GMC must prioritise early intervention and prevention
Iqbal and Martin make sensible recommendations for managing concerns about doctors at a local level…
Co-design of new post-covid oncology rehabilitation services offers a model for the future
Justin Roe and Grainne Brady, on behalf of the therapies experience based co-design teamThe therapies…
Forensic examiner who failed to examine alleged rape victims is struck off
A former forensic medical examiner who was suspended in 2018 for failing to examine two…
Diphtheria: Home Office ignored offer of help to manage migrant centre outbreak, say public health leaders
The diphtheria outbreak linked to the Manston migrant processing centre in Kent “could and should…
Sri Lanka’s health crisis
Sri Lanka is facing a severe political and economic crisis, and the health system is…
Rammya Mathew: The NHS and its staff are being set up to fail
When I chose to become a doctor all those years ago, I never imagined that…
Primary care in Spain: underfunded, understaffed, and neglected
Spain’s covid-19 pandemic put intensive care units1 and nursing homes2 in the spotlight. But during…
Challenging prejudice: the chief medical officer and consultant psychiatrist
“People find it very hard to accept that there is structural or institutional racism—and even…
Helen Salisbury: Looking into the abyss
Just at the moment, our GP surgery is in the happy position of having enough…
Scottish footballers are advised to limit heading the ball over brain injury fears
Scottish football has introduced some of the most stringent guidelines in the world limiting the…
Ministers plan to replicate vaccine task force for cancer, obesity, mental health, and addiction
The UK government has pledged to replicate the blueprint it used for its covid vaccine…
Advances in diagnosis and treatment of testicular cancer
AbstractTesticular cancer is a curable cancer. The success of physicians in curing the disease is…
Retracted papers originating from paper mills: cross sectional study
AbstractObjectivesTo describe retracted papers originating from paper mills, including their characteristics, visibility, and impact over…
NICE’s new methods: putting innovation first, but at what cost?
Deciding when a new drug merits funding and when it does not—often to the displeasure…
Endometriosis
What you need to knowConsider endometriosis when women of reproductive age present with abdomino-pelvic pain…
Health and social services staff missed chances to protect murdered 5 year old from dangers at home
A 5 year old child who was murdered by his mother and her partner and…
The autumn budget 2022—what next for health and adult social care?
Recent fiscal events have been a mixed bag for the health and care sector. This…
English LMCs: Core hours, patient records, and other key motions
Core GP hoursThe BMA must negotiate for the new GP contract to reduce core working…
Sixty seconds on . . . hydration
I know this one—eight glasses of water a day, right?Not exactly. New research in Science…
Diabetes prevalence in Americas tripled in 30 years
The number of adults with diabetes in the American continents has more than tripled in…
Government’s “neglect” of GP workforce has made services unsafe, conference hears
General practice in England is being “damaged and broken” through neglect and exploitation by the…
GPs call for better gender dysphoria services
Current care pathways for gender dysphoria are putting patients at risk by forcing GPs to…
Preoccupied with the war, Russia skipped one wave of covid and ignored another
The question of how Russia is doing in the ongoing pandemic is an opaque one….