Ann Ball, a paramedic working in general practice was inspired by our recent view “A paramedic’s move to general practice” and decided to share her experience. Background The end of my first year working in general practice is now fast approaching. If you had told me......

Since writing my ‘Outsider’s Observation’ piece about Medically Unexplained Symptoms in General Practice for GP View at the end of 2016, there seems to have been a remarkable proliferation of articles, and medical CPD events, around the issues of managing patients with medically unexplained symptoms. ......

My practice, Oxford Terrace and Rawling Road Medical Group, is situated in Central Gateshead. We support a population of about 15,200 patients in a community that is predominantly deprived, with high numbers of refugees and asylum seekers. We’re particularly passionate about managing patients with complex......

Just the same as being a Practice Manager but bigger – right? Undoubtedly, the skills associated with practice management remain critical following a merger between surgeries. The accounts still need doing, the CQRS (Calculating Quality Reporting Service) battle is ever the same, pressures driven from......

Pamela Sturges, a second year medical student from Keele, explains how she views GP as a potential career choice. Becoming a medical student in itself is a great challenge. Getting the highest grades, in addition to finding the best possible work experience and volunteer work, all......

I am an independent prescribing pharmacist working in a GP surgery. I am involved in a wide range of tasks, continuously working on improving the management of our daily workload. My typical day consists of the following: 8:30am – 11am – repeat prescription queries/clinical post I work......

Top tips for transformation making things better for everyone When GP View asked me to write a blog on how to do transformation, I admit I was a bit apprehensive. I fear that the term is the latest victim of that fatal NHS infection – ‘jargonitis.’......

It is now over 8 months since GP View first launched, and over that time we have published a wide variety of articles on many key matters relating to the future of general practice. I am grateful to our contributors who have provided thought-provoking and......

With the latest details of the exodus from general practice form the South West region, John Campbell who led the research found that of the 2,000 respondents two in five intended to leave the profession within the next five years. (1) The authors conclude –......



Each day I come to work not knowing what the day will bring and as my surgery has grown so have my duties. There are less appointments and more patients that need our help. On a usual day, if you can call it that way… the doors......

Three easy actions to implement measures to transform the experience of General Practice for the whole Practice Community With the pressures on general practice seemingly increasing every day, and the political heat around waiting times rising, what simple measures can we take that will have a real......

I had Jim Mackey in the back of the cab the other day… Actually, this is true. I really did drive him between two meetings in the Midlands so he could make a ludicrously tight schedule. And no, I’m not a taxi driver in my......

This feature is the first one of our monthly blog collaborations with The ELC Programme,  follow them on Twitter for more news. Morale in general practice is low, and there is considerable scepticism about all the talk of transformational change. Despite the many positive aspects of the job,......

Hi. I am a GP and I have a recurring mental illness. And I know that I’m not alone. There is a vast number of research projects addressing mental health in healthcare professionals and we know that doctors are more likely (than the general population) to......

As part of its five-year transformation plan, GP Forward View, NHS England has announced £45m over the next three years to help GP practices purchase online consultation systems. This is great news for those doctors embracing online consultation but worrying for the ‘traditionalists’.  Many of......

Why do so many of us stay GPs? ‘I am still excited about it 30 years on and my main role now is to inspire students and trainees as to what a great job it is. And before anybody asks, no I am not retiring......

I worked as a Paramedic for the East of England Ambulance service for seven years before taking a post in primary care. My decision for this move was spurred mainly due to my growing interest in medicine, but I also felt that my development as......

Managing menopausal women with Hormone Replacement Therapy (HRT) is definitely the most rewarding part of my job as a doctor. It is lovely when I hear women tell me that the HRT has given them their life back, that their energy has returned, that their......

Primary care is at breaking point. GPs report high levels of stress and burnout, with the relentless demand for 10 minute appointments and reviews, leaving both doctors and patients feeling dissatisfied. We have worked this way for so long, it is hard to imagine an......

Following the wave of negative headlines last week, which highlighted the shortcomings of GP opening hours, GP View Editor-in-chief Dr Mark Newbold, shifts the focus to the root of the problem and the strategies that will help to address it. Yet again there is more......

My day-to-day work at VideoDoc is quite varied and interesting.  I work from 8am to 5pm Monday to Friday, although there are also evening and weekend shifts available.  The VideoDoc service is offered from 8am to 10pm seven days a week.  My work is very......

An approach to involving people in decisions that affect their lives may hold a key to reducing repeat GP visits, increasing adherence to medical advice without increasing costs.  This approach began as an exercise in finding ways of improving service-user experiences of social services. Working......

General practice needs to be in a good shape if it is to drive the upcoming transformation – coping with demand, recruiting strongly, soundly based and well placed to innovate. But how can all of this be achieved? Few would disagree that general practice is......

There is much written about the future of general practice and the role of the GPs, nurses and the need to embrace alternative clinical skill mix for new models of general practice, but what about the practice manager? The role of the practice manager (PM)......

Following our recent series with colleagues advocating for personal lists and locum models of work Dr Hannah Allen of babylon health, explains what it is like to work behind the app.  Day-to-day work Day-to-day work at babylon is very varied. I usually start around 8 o’clock......

Highlights There wasn’t much expectation that the budget this week would offer a lot for the NHS, apart from the widely forecast funding for social care. This is a positive outcome, of course, although it is not yet clear how much influence the health service......

How nudging techniques could help alleviate pressure on GP consultation times and create better health outcomes. Techniques routinely deployed in commerce could help improve clinical outcomes despite time pressures in GP consultations. Already, Britain has some of the shortest consultations in Europe but emerging pressures......

A letter to medical students and young doctors Following our series of articles on GP as a career, we asked Dr Will Taylor, an established but still young GP, to talk about his career choice and why he enjoys the challenge. The question ‘Why be......

Will STPs ever be implemented? This blog is based on a debate held at a junior doctor training event in Bristol. The motion was ‘Are the proposals in STPs sufficient to ensure an effective and sustainable NHS?’ I was asked to make the case for......

On attitudes towards GP As med students we saw enough during our ubiquitous 5-day work placements to create positive experiences of General Practice – experiences, which unfortunately, did not seem to survive the prevailing attitudes of medical school. “That look. A little remark. An ill-placed......

It sounds a rather portentous title really and certainly a few years ago, debating this subject, would have been a signal to increase the required dose of Olanzapine. However of late, it is no longer a rhetorical question and it is being suggested that the......

I saw a patient this week. They were over 60, their gender doesn’t matter, but they came in with a simple history. “I hadn’t been to the loo for 4 days, then I did, and I bled” Straightforward really. Easy peasy. I went through the......

The recent comments attributed to the Prime Minister have upset GPs who feel they are being scapegoated for the problems in the wider urgent care system and particularly in hospitals.  For someone who has, in a previous life, run hospitals that have busy A&E departments,......

Having retired from the NHS in April 2016, the last 26 years as a GP, I had plotted many ambitious plans to keep my body and mind active with fresh ideas. Mentoring has always been a dream of mine and soon afterwards, I have been......

“Why bother with this?” That is the question a lot of us GPs seem to be asking at the moment. Reading this article alone may take 5 minutes, and at the end, you may wonder why you bothered. This is a thought that often fills......

Once upon a time, in a reality not very far away, there was an ancient town. In the old days all the citizens had to fend and provide for themselves. The poor were often left needy and many died well before their time. About 60......

My name is Kel O’Neill. I am neither a GP and nor do I work in primary care.  I’m also acutely aware that my specialist topic might not seem of immediate importance to you. However, I ask that you be kind enough to lend me......

Marion Brown is the first of our guest mental health experts to share their story this week. Marion is not a GP (she is a psychotherapist and workplace mediator) – though was married to one for 35 years. Her GP husband sadly took his own......

The festive period is a busy one for general practice and we at GP View wish you well for the season, and hope you find some time to relax and rejuvenate. We are really pleased with the start we have made at GP View and......

This week we will be discussing the reasons behind colleagues choosing to become GPs. Dr Irini Gergianaki talks about the stigma of choosing general practice in Greece. Let us know if you ever encountered this issue and why you decided to choose general practice in......

This week we will be discussing the reasons behind colleagues choosing to become GPs. Dr Patrice Baptiste opens the series. Let us know why you decided to choose general practice in the comments below. I knew general practice was the career choice for me when......

“You know what’s the problem with you, young GPs? You’re spoilt and fussy. You move from one surgery to another doing a half-hearted job.” A senior GP once said this when we were discussing the junior doctor strikes. She was especially irritated by the fact......

Mark Newbold reviews “The future of general practice: Real life case studies of innovation and new ways of working” by Ben Gowland and Ian Keeber of Ockham Healthcare. Ockham Healthcare describe themselves as a ‘think tank and consultancy’. Ben Gowland has a background in general practice......

First part of the series discussed the advantages of personal lists, make sure to come back next week to read a view of a Locum advocate. Why I would never work anywhere without them. The image of the local GP who has their own list......

Before I recommend an app to a patient I want to know three things: Is it going to be suitable for them to use? Will it improve their health outcomes? Will it be safe? On the surface these questions seem relatively straightforward.  However finding answers......

General practice seems to be in a bit of a pickle. Surely it cannot get any worse. The reality is however that it is likely that GP numbers will continue to decline with few new physicians assistants, specialist nurses or any other GP substitutes appearing......

General practice is facing many challenges at the moment. The day to day pressures in the surgery and consulting room are more acute than ever, as relentlessly rising demand combine with critical staffing and recruitment shortfalls to make life very difficult indeed. Aside from highlighting......

I used to write a personal blog, from the perspective of a hospital CEO, and found there was lots of interest in reading about my personal experience of running hospitals. Now I’m involved in the world of general practice, helping to support a large GP......

“It was snowing in Gateshead at 9am, Friday before the bank holiday. On leaving the surgery I bumped into Jez, a homeless patient, who has recently been released from prison. The receptionist had sorted his script. I was late for a meeting. He followed me......