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2025: the Larkins Lotto resolved

23 March 2026
"I can see what has happened. Marj and I have known each other for years. I appreciate this is unusual given national policy promoting episodic care as it does. She has sometimes had to submit requests many times, she tells me, and says she calls it the Larkins Lotto ..."
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AI in primary care: Secretary, not physician

The difference is crucial. When LLMs are used to structure and summarise known information, they augment human expertise. When they are used to generate new clinical interpretations in high-stakes settings, the limitations of human–AI interaction become more apparent.
20 March 2026

Opinion and Clinical

Time is the physics of care

"Time is not simply a tool for scheduling health care; it is the very medium through which care’s quality, safety, and justice are realised. It compresses attention, creates inertia, imposes thresholds, and dissipates energy. If we want to understand why care sometimes
18 March 2026

Fine. Thanks.

What if we were to let the patient into our own inner world; of battling against the clock, the relentless stacking up of admin that occurs in real time as the consultation progresses ... the lack of time in our relationships at
11 March 2026

Book Reviews

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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 Interviews

BJGP Interviews Podcast

BJGP TV | Research

BJGP News and Editorial Comment

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