British Journal of General Practice
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Elinor Cleghorn Weidenfeld & Nicolson Ltd, 2021, HB, 496pp, £12.44, 978-1474616850 About 8 years ago, a close friend of mine died of breast cancer. At diagnosis, after a referral delay when she was advised that the lump she felt was benign, she was given a 25% chance of living for 5 years. Following her difficult and distressing death, her husband told me of the consultation with the surgical team at her 12-month follow-up, after enduring mastectomy, chemotherapy, and radiotherapy. The (male) su...
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#1Tammi Walker (Durham University)
Last. Carolyn Chew-Graham (Keele University)H-Index: 63
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People with severe mental illness (SMI) have a life expectancy that is reduced by up to 20 years compared with the general population, and primary care has a key role in reducing this mortality gap.1 Providing primary care in the prison setting requires special consideration. People in prison have multiple complex health and social care needs.2 There are up to 80 000 people in prison in England and Wales at any one time, and imprisoned women make up around 5% of this population.3 Women in prison...
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#1Richard D Neal (University of Exeter)H-Index: 1
#2Lesley Smith (University of Leeds)H-Index: 9
Urgent GP cancer referrals, often referred to as 2-week wait (2WW) referrals in England (with equivalent processes in the devolved nations), have changed the landscape of cancer diagnosis in the UK. The data presented by Round et al ,1 demonstrate this starkly: referrals have increased hugely over the past decade and the detection rate (DR; the percentage of new cancer cases treated resulting from a 2WW referral) has increased from 41% to 52% over this period. This is especially good news as pat...
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Big data is big business. Health data is valuable for the public good — it can save and improve lives — but it can also be monetised for private profit. The UK’s NHS data has been valued at £10 billion. GP data — with details of everything from medications to diagnoses that include mental illness, abortions, sexually transmitted diseases, suicide attempts, and addictions — is arguably the most detailed, valuable, and sensitive of all. Health data provides the fodder for machine learning, a subfi...
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People experiencing self-harm and suicidal behaviour often present to primary care to seek help. In fact, 80% of those who die by suicide contact primary care in the year (even months) prior to the suicide.1 We know from our work2 and that of others,3 that GPs are a trusted and valued source for help-seeking among those who are at risk of suicide. Suicide prevention remains, however, a challenge for primary care with many GPs citing constraints including time pressures, lack of training and reso...
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I would like to thank the authors for a concise article, highlighting the importance of safety netting and symptom assessment along a cancer diagnostic …
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Have rapid advances in IT, and the necessary coronavirus restrictions, rendered traditional face-to-face medical consultations largely redundant? Here are the views of three doctors: one younger, publicly on television; two older, more privately. In the third week of April 2020, already deep into our long COVID-19 maelstrom, a young female GP, Dr YW, was briefly interviewed for BBC2’s Newsnight . She was fresh, direct, and warmly personable, and was introduced as, also, a newspaper journalist an...
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#1Ahmed Rashid (UCL: University College London)H-Index: 4
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