BJGP Life – The home of general practice and family medicine

Latest

The secret of a long GP career: 51 years in the NHS and 46 years as a GP in my training practice

18 July 2026

I am 74 and still work three days a week. I am conscious that ... positive career stories are infrequent, but hope that my personal journey can provide some insight into professional survival in today’s demanding NHS.

Teaching the art of noticing – a poem

I noticed that you started the conversation ... before she sat down...

17 July 2026

Keeping the Question Open: Reflections on the philosophy of general practice in BJGP Life

Writing this series, a pattern gradually emerged: clinical understanding forms in practice under conditions of uncertainty. It is not applied to the consultation; it is shaped within it.

16 July 2026

Could it be that General Practice isn’t running out of appointments, but running out of resolved work?

We expected to find a shortage of appointments. What became clearer was something less visible: work was not consistently reaching resolution.

15 July 2026

Opinion and Clinical

Opinion

Keeping the Question Open: Reflections on the philosophy of general practice in BJGP Life

Writing this series, a pattern gradually emerged: clinical understanding forms in practice under conditions of uncertainty. It is not applied to the consultation; it is shaped within it.

16 July 2026

Opinion

Could it be that General Practice isn’t running out of appointments, but running out of resolved work?

We expected to find a shortage of appointments. What became clearer was something less visible: work was not consistently reaching resolution.

15 July 2026

1

Opinion

Social Media, skincare, and the pressure on young girls

Children are learning to scrutinise their faces before they are old enough to understand their worth. General practice is left managing the fallout.

14 July 2026

Opinion

Keeping the question open: How clinical understanding emerges as process

Clinical understanding does not precede the consultation; it takes shape within it. It is not a finished product applied to clinical situations but something that emerges through interpretation, negotiation, and revision.

10 July 2026

International·Opinion

Medical tourism: the good, the bad, and the ugly

Medical tourism doesn’t reduce NHS workload. It splits it. The funded, planned, well-resourced part of care happens elsewhere. The complications, the uncertainty, the chronic follow-up land back in general practice. Without warning. Without resource. And without anyone having agreed to it.

9 July 2026

International·Opinion

Wielding a double-edged sword: how can learners use AI well in reflection?

Dialogue with a supervisor is precious, but there are physical limits to how often and how long it can occur. AI was always available, ready to work through my reflections whenever I needed.

8 July 2026

Clinical·Podcast·Videos

Episode 238: Reflecting on the last season of the BJGP podcast

In this episode, we look back at the last season of the BJGP podcast and reflect on some of the work we’ve discussed.

7 July 2026

Opinion

How general practice is being failed: complexity, coordination, and the limits of the traditional model

Public and political discussion ... risks overlooking a more fundamental issue: the changing nature of the modern GP consultation itself. Sustainable reform must recognise the growing burden of multimorbidity, coordination work, mental health complexity, and system fragmentation.

6 July 2026

Book review·Opinion

Your health as the climate changes: Disease and death on a warming planet, by Scott G Fraser

This book is informative and shocking but also surprising. It quite literally brings home the biggest global health threat of the 21st century (so far).

4 July 2026

Book Reviews

Book review

Magnifica Humanitas: On safeguarding the human person in the time of artificial intelligence, by Pope Leo XIV

The central message of the encyclical is that humanity, with all its greatness and weakness, must never be replaced or surpassed. Technology should remain a tool that serves human beings, not a force that defines or controls them.

3 mins read

Book review·Opinion

Your health as the climate changes: Disease and death on a warming planet, by Scott G Fraser

This book is informative and shocking but also surprising. It quite literally brings home the biggest global health threat of the 21st century (so far).

3 mins read

Arts·Book review

Exhibition review: A Second Life by Tracey Emin

"Emin, through her art, has converted the chaos generated from sexual abuse and poverty in early life into a beautiful lens for us to understand ourselves and our patients better." - Hector Watson and Elizabeth Walton review Tracey Emin's A Second Life, exhibiting at Tate

3 mins read

1

Book review

Self-defence: A myth busting guide to immune health, by Daniel M Davis

...our immune system is a complex and story-laden set of ideas with implications... Naturally, all manner of amusing and occasionally annoying myths abound. There is 'healthy' and enjoyable approach to immunity in this book.

3 mins read

Book review

Book review: The Morbid Age: Britain and the Crisis of Civilization, 1919–1939

The Labour government of 1945 acted on the Beveridge report and, amongst a raft of achievements, created the welfare state and the NHS. However, the seeds of these accomplishments were planted earlier, during the morbid age.

7 mins read

Book review·Opinion

My Fourth Time, We Drowned by Sally Hayden

'My Fourth time, We Drowned,' challenges us to be human. As doctors we have the unique opportunity to address the injustices described in the book at an individual level.

5 mins read

Book review

Book review: The Golden Rule: Lessons in Living from a Doctor of Ageing

The Golden Rule is a 'lesson in living from a doctor of ageing' and it is full of hidden gems and pearls of wisdom from Lucy Pollock's ability to acutely observe beyond what is and isn’t being said. It exudes warmth and intelligence.

4 mins read

Book review

Book review: Gloria Don’t Speak

"This book gives Gloria a voice. It needs to be read widely by anyone involved in the care of people with learning disability or neurodiversity." - Peter Lindsay reviews Gloria Don't Speak by Lucy Apps

3 mins read

Book review

Understanding health, illness and society: a patient centred approach to healthcare by Alexis Paton

I have found another slim sociology text that takes the fight for health justice to audiences whose attention and focus is under siege. Alexis Paton channels her talents as a bioethicist, journalist, and a social scientist, reconnecting this topic with a sense of righteous outrage.

3 mins read

Book review

Some Bright Nowhere by Ann Packer

Ann Packer’s novel vividly depicts the complex, uncertain world of terminal care at home.

1 min read

International

International·Opinion

Medical tourism: the good, the bad, and the ugly

Medical tourism doesn’t reduce NHS workload. It splits it. The funded, planned, well-resourced part of care happens elsewhere. The complications, the uncertainty, the chronic follow-up land back in general practice. Without warning. Without resource. And without anyone having agreed to it.

4 mins read

International·Opinion

Wielding a double-edged sword: how can learners use AI well in reflection?

Dialogue with a supervisor is precious, but there are physical limits to how often and how long it can occur. AI was always available, ready to work through my reflections whenever I needed.

3 mins read

International·Opinion

Gatekeepers at the exit

General practitioners, while bearing uncertainty about the need for specialist intervention, sustain continuous and comprehensive relationships with patients. I would argue that super-aged societies also require gatekeepers at the exit from medicine.

2 mins read

International·Opinion

The Strait of Hormuz and global antibiotic security

War effectively closed the Strait of Hormuz in March 2026... the waterway carries petrochemical feedstocks that manufacturers in India use to produce active pharmaceutical ingredients for millions of generic drugs, including antibiotics, worldwide.

5 mins read

Clinical·International·Opinion

Reflections from the EASO primary care obesity masterclass, Vienna 2026

Sally Howlett attended the 2026 EASO primary care obesity masterclass in Vienna and brings back some useful insights for everyday practice.

4 mins read

Long Read

The ethics of looking after family and friends, a call for more helpful guidance and education

BJGP Long Read·Opinion

Being a doctor when a loved one is ill can be a very difficult place to be. Guidelines do not generally reflect the reality on the ground and in the main emphasise the negative aspects of intervening. Monica Aquilina reflects on the issues...

9 mins read

5

Ambivalent care: when patients feel unheard and unsupported

BJGP Long Read·Opinion

As a clinician, do you find it challenging to treat patients with symptoms that are difficult to understand, explain or manage?

11 mins read

Medical societies in the 19th Century: How they influenced general practice

BJGP Long Read·Stories

Many of these societies may be historical relics, but their contribution to the development of general practice in the nineteenth century should not be forgotten.

7 mins read

Undervalued and unsustainable: The economic reality of GP minor surgery services

BJGP Long Read·Opinion

When the price of a portion of fish and chips has tripled in 20 years but the tariff for a joint injection remains static, something has gone seriously wrong with how we value general practice.

5 mins read

23

We need to talk about dying

BJGP Long Read

"Taking dying and death out of the solely medical domain, becoming joint partners in caring for the dying patient in the broadest sense, facilitates personalised and holistic care, and creates opportunity for a more relational and compassionate interaction ..."

15 mins read

Trainees and students

Teaching the art of noticing – a poem

AiT·Arts·Opinion

I noticed that you started the conversation ... before she sat down...

1 min read

AI detection in GP training – A hidden burden on supervisors

AiT·Opinion

As generative AI tools become more powerful and accessible, concerns about the authenticity of reflective writing are growing. Can we recognise AI‑generated text? How do we know whether a reflection is truly a learner’s own thinking?

3 mins read

Personal Protective Equipment (A Poem)

AiT·Arts·Opinion·Stories

The clinell wipes held in emerald green... They’re for my body... But what the hell Is there for my soul? A poem.

1 min read

Community-focussed curricula and the ScotGEM programme: Personal reflections on a research visit

Opinion·Undergraduate

Medical students’ interest in GP is declining. ScotGEM, and other community-orientated tracks, aim to buck this trend.

4 mins read

Who am I when I put the stethoscope on?

Opinion·Undergraduate

We are not passive witnesses in consultations, we are active partners. What happens in a consultation is not fixed but co-created, and I am more responsible for that than I had realised.

2 mins read

BJGP Interviews

BJGP Interviews Podcast

BJGP TV | Research

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BJGP conference highlights, 2026

Visualised podcast – BJGP Top 10

Urine testing for cervical screening

Trust in health professionals

BJGP Top 10 research 2025

Professor Martin Marshall at the BJGP Research Conference

1

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Trainees and students

BJGP Interviews

BJGP Interviews Podcast

BJGP TV | Research

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BJGP News and Editorial Comment