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British Journal of General Practice title: British Journal of General Practice |
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We read with great interest Elwenspoek et al.’s evidence-based review of blood tests for monitoring adults with hypertension in primary care. The authors identify a minimal set of tests and appropriately highlight substantial variation in testing and the limited evidence underpinning some recommendations. Importantly, they also note that further ...
Dr Hay articulates the opposite arguments to those I advanced in a previous article in the BJGP. 1,2 This vision has, unfortunately, from the first sentence, rested on fallacies and untested hypotheses.
Access, continuity of care, and low cost are not competing objectives. Achieving one tends to improve achievement of the others.
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Reidy and colleagues expose a paradox at the heart of structured medication reviews (SMRs). The reviews are deliberately “structured”, yet the features pharmacists considered most valuable were often the least standardisable: time, trust, preparation, continuity and difficult conversations about deprescribing. Experienced pharmacists described usi...
Kingsley and colleagues have identified more than a recording problem. By January 2025, only 36.3% of recorded Pharmacy First consultations contained a structured clinical condition, medication or both¹. This raises a more fundamental question: what does it mean to “complete an episode of care” if the clinical story does not reliably travel with ...
I can see that Dr Hay will predict correctly. I personally would not choose GP as a career under such a plan. My concerns are over diagnosis, investigation and treatment when almost 90% of what a GP sees is dealt with by time.
If no-fault compensation comes in, then these teams might be able to use time as a diagnostic tool and learn to l...