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Book review: Gloria Don’t Speak

2 May 2026
"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
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Strange new lifeworlds

"When health care becomes overly focused on decontextualised or superficial goals, this world can be neglected or even forgotten, leaving us open to the risk of dehumanising research and practice ..."
1 May 2026

The myth of the autonomous clinician

We work through constant interaction with patients, reception staff, nurses, colleagues, and managers. Moral agency is not exercised in isolation but through negotiation, shared responsibility, and emotional labour. Ethical models that ignore this fail to describe the world in which
29 April 2026

Opinion and Clinical

The myth of the autonomous clinician

We work through constant interaction with patients, reception staff, nurses, colleagues, and managers. Moral agency is not exercised in isolation but through negotiation, shared responsibility, and emotional labour. Ethical models that ignore this fail to describe the world in which general practice
29 April 2026

Speaking power to suffering

...there is a language barrier between the specialist, who thinks in terms of technical problems and how to solve them, and the lay person, who is more concerned with their own experience and how to make sense of it. Anyone working in
23 April 2026

The surgery that thinks

General practice is not a solo cognitive act but a distributed system of people, tools, and spaces thinking together. Safety and fairness depend less on individual reasoning than on how this network aligns.
20 April 2026

Thresholds

The consultation ends. The next one has not yet begun. In between, there are a few seconds. These are thresholds. We rarely notice them. We probably should.
17 April 2026

The first clinical decision of the day

"The phones start ringing before the shutters are fully up. On line three, a woman tries to sound calm but keeps losing her breath mid-sentence. The receptionist tilts their head, listening more to the rhythm than the words. Something isn’t right. The
15 April 2026

Book Reviews

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
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28 Years Later: The Bone Temple

In many respects, Kelson embodies the idealised GP of cultural consciousness: an easy-to-talk-to, principled eccentric... Set against the film’s graphic, meandering violence, Kelson’s permanence echoes reassuring familiarity.
1 min read
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Icarus Plummeting

Zigmond mercilessly describes the ways in which our healthcare systems have made us less able to listen to the patient’s experience, less able to see their experience in the context of their life, their family and their social circumstances.
2 mins read

Book review: How Animals Heal Us

"How Animals Heal Us is a deeply heartfelt work from an author with lived experience of both devastating mental ill health and the restorative power of animal friendship. It contains uplifting and joyful anecdotes of animal companionship and ministration. It is also, at times, a
2 mins read

International

Long Read

We need to talk about dying

"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

Are we judging GP registrars on their outfits?

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Professionalism may not be a discrete domain on the mark scheme, yet it shapes how registrars are assessed, creating a standard that remains open to personal interpretation. And when that interpretation is shaped by assumptions about religion, culture, gender, or identity, attire can become an
3 mins read
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BJGP News and Editorial Comment

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