Wales GP contract negotiations break down
Contract negotiations between the Welsh government, NHS Wales, and BMA Cymru Wales’s General Practitioners Committee…
Category: BMJ
Access to medical records: BMA and 21 other organisations warn about risks to domestic abuse victims
The BMA, the charity Refuge, and 20 other organisations have raised concern about the safety…
Number of UK children living in destitution almost triples in five years
Around a million children in the UK experienced destitution in 2022—almost three times as many…
NHS trusts get guidance on tackling racial discrimination in disciplinary procedures
NHS Providers has produced a guide for trust leaders on how to tackle racial discrimination…
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WHO pandemic treaty: Negotiations falter as pharma companies warn that intellectual property rules will harm profits
Pharmaceutical representatives and Germany’s health ministry have publicly opposed the latest draft of the World…
Sharp Scratch episode 94: How do I choose a specialty?
In this episode of Sharp Scratch, we discuss how to choose a medical specialty. We…
Labour’s proposed covid corruption commissioner: an important signal, but it won’t be easy to get the money back
The UK’s failure to prepare for the pandemic, despite having conducted exercises that identified much…
David Anthony Young
bmj;383/oct24_10/p2443/FAF1faDavid Anthony Young was born in Bedford and moved to London, where he met his…
Andrew George Brereton
bmj;383/oct24_9/p2430/FAF1faAndrew George Brereton did his house jobs in Carshalton and Shoreham. He met Eileen, a…
Transfer of clinical responsibility and risk in advice and guidance referrals
One of the key roles of the general practitioner is to stratify risk and manage…
Advice and guidance has the potential to improve care for patients
Salisbury discusses the advice and guidance (A&G) system from a primary care perspective.1In our department…
There is an overlap between long covid and ME/CFS
Thank you for highlighting the devastation long covid has wrought on healthcare workers’ lives, including…
Gaza hospitals are within hours of losing power as fuel embargo continues, say doctors and agencies
Hospitals in Gaza have less than 48 hours of generator fuel remaining, the Hamas run…
Health centre for retirees is named UK’s best new building of 2023
bmj;383/oct24_7/p2466/FAF1faJim Stephenson/RIBAA healthcare day centre for the residents of a London retirement community has been…
Helen Salisbury: How will medical apprenticeships work?
You may picture an “apprentice” as a young lad (the word has yet to shake…
Tackling racism in maternal health
Inequalities in maternal health outcomes for ethnic minority and Indigenous populations across the globe are…
Action to maximise childhood vaccination is urgently needed
Changes to the UK’s childhood vaccination schedule over the past three decades have seen both…
Long covid clinics offer a lifeline for this isolating disease
Waters’ report on doctors with long covid shows that it is a profoundly incapacitating disease….
Why I . . . write scripts
When Staffordshire GP Mark Williams sat down late one night after his family had gone…
GP who faked phone consultations in patients’ notes is suspended for nine months
A locum GP who failed to call eight patients for telephone consultations then wrote in…
Anaesthesia associates: College votes to halt recruitment until review is conducted
Members of the Royal College of Anaesthetists have voted through six resolutions proposed by grassroots…
Covid inquiry: Government developed intervention package without scientists’ advice before second lockdown
The Eat Out to Help Out scheme, the “rule of six,” and the local tier…
SAS and junior doctors in England agree to talks over pay disputes
The UK government has invited leaders of specialist, associate specialist, and specialty (SAS) doctors and…
College calls for better support for children to prevent adult mental health problems
Early action is needed across the UK to identify and support children under 5 with…
How can we ensure that the right patient gets the right blood at the right time?
The Infected Blood Inquiry’s final report, due in spring 2024, signals a welcome shift towards…
Nigeria debates mandatory domestic service to stem the medical brain drain
In April 2023, Nigeria’s lower legislative house debated a bill to try to stop the…
Living with uncertainty: lessons learnt from covid
As someone who spent his career teaching medical students about uncertainty, I appreciated Launer’s reflection.1Richard…
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Labour and RCGP clash over call for general practice funding boost
The chair of the Royal College of General Practitioners (RCGP) has defended her plans for…
Medical schools should teach chaos and complexity thinking
Launer’s excellent proposal to introduce trainees and medical students to existential uncertainty early1 can be…
Three questions for uncertainty in consultations
Launer asserts the need to introduce handling uncertainty into medical school and subsequent training.1 This…
Pandemic aftermath: GPs are disaster responders now
“A pandemic fundamentally changes the social contract between the public and healthcare workers. The patients…
National drive to reduce harms from illegal drugs needs more focus on causes, warns watchdog
Efforts to tackle harms to society caused by illegal drugs are being thwarted by too…
Cost of living and workforce crises are creating two tier health and care system, CQC warns
The unsustainable pressures on England’s health and social care system are leading to a “two…
Sixty seconds on . . . AI socks
Pull the other oneOr, rather, both of them. A trial is underway of socks that…
Tom Nolan’s research reviews—19 October 2023
Rhythm and reviewsBack in those dark early days of my medical career it seemed that…
Menopause health checks for all women over 40 are unworkable, say GPs
A demand for the NHS to offer menopause health checks to every woman over the…
The illegal drugs market is changing—is the UK prepared?
Drug related deaths in the UK are at crisis levels. This is largely driven by…
Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked
Operative vaginal deliveries—forceps and vacuum assisted deliveries—are recommended as safe, acceptable alternatives to caesarean delivery…
C difficile and antibiotics . . . and other stories
Clostridioides difficile infection after antibiotic exposureA case-control study from the US quantified the risk of…
Annular papules on the legs
These annular papules and plaques with brownish, raised, and advancing borders (fig 1) developed bilaterally…
Sudden onset generalised yellowish papules
A woman in her 20s presented to the dermatology clinic with a seven day history…
Author’s reply to Pereira Gray and colleagues
I thank Pereira Gray and colleagues for debating my provocative contention that neither prevention nor…
Cost effectiveness of continuity in general practice
Bhopal says that prevention and better primary care are unlikely to save money.1 He undervalues…
Seven days in medicine: 11-17 October
Waiting listsMore people are waiting longer in EnglandA further 65 000 people in England joined…
Clinical effectiveness of septoplasty versus medical management for nasal airways obstruction: multicentre, open label, randomised controlled trial
AbstractObjectiveTo assess the clinical effectiveness of septoplasty.DesignMulticentre, randomised controlled trial.Setting17 otolaryngology clinics in the UK’s…
Septoplasty for nasal obstruction
Health resources everywhere are stretched in this post-pandemic era. The pursuit of effectiveness has led…
Rosuvastatin versus atorvastatin treatment in adults with coronary artery disease: secondary analysis of the randomised LODESTAR trial
AbstractObjectiveTo compare the long term efficacy and safety of rosuvastatin with atorvastatin treatment in adults…
The government’s maȷor conditions strategy must look beyond the NHS
Scarlett McNally, 23 SeptemberMcNally is right, the new strategic framework for major conditions accurately details…
General practices need a safety alert system, says RCGP
General practices should have a patient safety alert system which allows them to suspend non-urgent…
Gaza: “Unprecedented” bombing of hospital leaves hundreds dead and inȷured
Hundreds of people are believed dead and many more injured after Al Ahli Arab Hospital…