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<title><![CDATA[Innovating to find the right way to left shift]]></title>
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<dc:creator><![CDATA[Euan Lawson]]></dc:creator>
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<dc:title><![CDATA[Innovating to find the right way to left shift]]></dc:title>
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<title><![CDATA[It&#x2019;s time to get serious about funding neighbourhood health care]]></title>
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<dc:creator><![CDATA[Matthew Harris, Cornelia Junghans Minton, Caroline Taylor]]></dc:creator>
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<dc:title><![CDATA[Developing a 'neighbourhood health service&#x2019;: ensuring equity of access for rural populations]]></dc:title>
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<title><![CDATA[Ketamine use and stimulant prescribing: parallel responses to distress]]></title>
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<dc:creator><![CDATA[Niall P Fitzpatrick]]></dc:creator>
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<dc:title><![CDATA[Ketamine use and stimulant prescribing: parallel responses to distress]]></dc:title>
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<dc:creator><![CDATA[Paulo Santos]]></dc:creator>
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<dc:title><![CDATA[Patient removals: a symptom of a changing era for the doctor-patient relationship]]></dc:title>
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<title><![CDATA[Correction]]></title>
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<dc:creator><![CDATA[]]></dc:creator>
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<item rdf:about="http://bjgp.org/content/76/764/119.short?rss=1">
<title><![CDATA[General practice: medicine&#x2019;s living philosophy]]></title>
<link>http://bjgp.org/content/76/764/119.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[John Goldie]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744345</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/119</dc:identifier>
<dc:title><![CDATA[General practice: medicine&#x2019;s living philosophy]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>119</prism:startingPage>
<prism:endingPage>119</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/120.short?rss=1">
<title><![CDATA[Two&#x2019;s company, three&#x2019;s a crowd: AI in the consultation]]></title>
<link>http://bjgp.org/content/76/764/120.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Roger Neighbour]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744357</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/120</dc:identifier>
<dc:title><![CDATA[Two&#x2019;s company, three&#x2019;s a crowd: AI in the consultation]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>120</prism:startingPage>
<prism:endingPage>122</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/123.short?rss=1">
<title><![CDATA[Seeing double]]></title>
<link>http://bjgp.org/content/76/764/123.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Charlotte Sidebotham]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744369</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/123</dc:identifier>
<dc:title><![CDATA[Seeing double]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>123</prism:startingPage>
<prism:endingPage>123</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/124.short?rss=1">
<title><![CDATA[When normal tests end care too early]]></title>
<link>http://bjgp.org/content/76/764/124.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Kees van Boven]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744381</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/124</dc:identifier>
<dc:title><![CDATA[When normal tests end care too early]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>124</prism:startingPage>
<prism:endingPage>124</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/125.short?rss=1">
<title><![CDATA[The three-body problem]]></title>
<link>http://bjgp.org/content/76/764/125.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Ben Hoban]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744393</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/125</dc:identifier>
<dc:title><![CDATA[The three-body problem]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>125</prism:startingPage>
<prism:endingPage>125</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/126.short?rss=1">
<title><![CDATA[Poem]]></title>
<link>http://bjgp.org/content/76/764/126.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alex Burns]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744405</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/126</dc:identifier>
<dc:title><![CDATA[Poem]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>126</prism:startingPage>
<prism:endingPage>126</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/127.short?rss=1">
<title><![CDATA[Film review: 28 Years Later: The Bone Temple]]></title>
<link>http://bjgp.org/content/76/764/127.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Sati Heer-Stavert]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744489</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/127</dc:identifier>
<dc:title><![CDATA[Film review: 28 Years Later: The Bone Temple]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>127</prism:startingPage>
<prism:endingPage>127</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/128.short?rss=1">
<title><![CDATA[Yonder]]></title>
<link>http://bjgp.org/content/76/764/128.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alex Burrell]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744417</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/128</dc:identifier>
<dc:title><![CDATA[Yonder]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>128</prism:startingPage>
<prism:endingPage>128</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/129.1.short?rss=1">
<title><![CDATA[Books: Psychology&#x2019;s Quiet Conservatism: How a Supposedly Woke Science Promotes Capitalism and Protects Privilege]]></title>
<link>http://bjgp.org/content/76/764/129.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Elke Hausmann]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744429</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/129</dc:identifier>
<dc:title><![CDATA[Books: Psychology&#x2019;s Quiet Conservatism: How a Supposedly Woke Science Promotes Capitalism and Protects Privilege]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>129</prism:startingPage>
<prism:endingPage>130</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/129.2.short?rss=1">
<title><![CDATA[Books: The Leopard in My House: One Man&#x2019;s Adventures in Cancerland]]></title>
<link>http://bjgp.org/content/76/764/129.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Kirsty Shires]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744441</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/129-a</dc:identifier>
<dc:title><![CDATA[Books: The Leopard in My House: One Man&#x2019;s Adventures in Cancerland]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>129</prism:startingPage>
<prism:endingPage>129</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/130.short?rss=1">
<title><![CDATA[Books: The elements]]></title>
<link>http://bjgp.org/content/76/764/130.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[David Misselbrook]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744453</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/130</dc:identifier>
<dc:title><![CDATA[Books: The elements]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>130</prism:startingPage>
<prism:endingPage>130</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/131.short?rss=1">
<title><![CDATA[Action required]]></title>
<link>http://bjgp.org/content/76/764/131.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Saul Miller]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744465</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/131</dc:identifier>
<dc:title><![CDATA[Action required]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>131</prism:startingPage>
<prism:endingPage>131</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/133.short?rss=1">
<title><![CDATA[Neighbourhood delivery of urgent care in North Yorkshire, UK]]></title>
<link>http://bjgp.org/content/76/764/133.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Victoria Blake, Daniel Kimberling, Emma Olandj, Zulf Ali, Mike Holmes]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744477</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/133</dc:identifier>
<dc:title><![CDATA[Neighbourhood delivery of urgent care in North Yorkshire, UK]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Innovation in Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>133</prism:startingPage>
<prism:endingPage>136</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/137.short?rss=1">
<title><![CDATA[Paediatric cervical lymphadenopathy: an evidence-based approach for GPs]]></title>
<link>http://bjgp.org/content/76/764/137.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Behrad Barmayehvar, Alexandra Anna Rachel Keay, Rosie Elsegood, Amit Parmar]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0666</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/137</dc:identifier>
<dc:title><![CDATA[Paediatric cervical lymphadenopathy: an evidence-based approach for GPs]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>137</prism:startingPage>
<prism:endingPage>140</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/141.short?rss=1">
<title><![CDATA[Recognising and managing thoracic outlet syndrome in primary care]]></title>
<link>http://bjgp.org/content/76/764/141.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Nirupa Sivathasan, Ashley Iain Simpson]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0548</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/764/141</dc:identifier>
<dc:title><![CDATA[Recognising and managing thoracic outlet syndrome in primary care]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>141</prism:startingPage>
<prism:endingPage>143</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e175.short?rss=1">
<title><![CDATA[Counting general practitioners: a comparative repeat cross-sectional analysis of GPs in NHS general practice in England]]></title>
<link>http://bjgp.org/content/76/764/e175.short?rss=1</link>
<description><![CDATA[BackgroundThere have been successive government promises to increase general practitioner (GP) numbers in England.AimTo compare how NHS general practice GP numbers and trends differ depending on how GPs are defined and data are analysed.Design and settingThis was a comparative repeat cross-sectional study of NHS general practice GP numbers in England.MethodThe study compared NHS England’s General Practice Workforce GP data quarterly between September 2015 and September 2024 by headcount and full-time equivalent (FTE); with and without general practice trainees; and relative to population size.ResultsBetween September 2015 and September 2024, if counting fully qualified GPs and general practice trainees, there was an 18% (41 193 to 48 758) rise in numbers; whereas if fully qualified FTE GPs alone were counted there was a 5% reduction (29 364 to 27 966). Once growth of the population registered with an NHS general practice was considered, the trend in GPs per capita varied between a 6% rise or 15% reduction. There was an increasing difference in the number of patients per GP between practices, with a 5th to 95th percentile range of 1204 and 4139 patients per fully qualified FTE GP in 2015; by 2024 these percentiles increased to 1357 and 5559. Using Office for National Statistics (ONS) mid-year population estimates produced different results as their population estimates are lower than the total number of patients registered with an NHS general practice.ConclusionHow GPs are defined, whether working hours are considered, and what measure of population size is used affects the interpretation of workforce trends. Using fully qualified FTE GPs per capita most closely reflects GP capacity, although there are limitations to current NHS data. Reporting the spread of patients per GP at practice level is necessary to capture the widening variation in GP provision in England.]]></description>
<dc:creator><![CDATA[Luisa M Pettigrew, Soraya Akl, Aamena Valiji Bharmal, Josephine Exley, Luke N Allen, Irene Petersen, David A Cromwell, Nicholas Mays]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0833</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0833</dc:identifier>
<dc:title><![CDATA[Counting general practitioners: a comparative repeat cross-sectional analysis of GPs in NHS general practice in England]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e175</prism:startingPage>
<prism:endingPage>e182</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e183.short?rss=1">
<title><![CDATA[Understanding persistent GP turnover using work and personal characteristics: a retrospective observational study]]></title>
<link>http://bjgp.org/content/76/764/e183.short?rss=1</link>
<description><![CDATA[BackgroundRising GP turnover, declining participation rates, and growing workforce pressures threaten the sustainability of general practice. As policy shifts towards community-based care and workforce retention, understanding the job characteristics linked to high turnover is crucial.AimTo examine the relationship between practice-level persistent GP turnover and GP job satisfaction.Design and settingA retrospective observational study was conducted using linked national administrative data and survey responses for GPs in England.MethodAnnual national GP workforce datasets were linked for 2013–2019 to calculate GP turnover, defining persistent high-turnover practices as those where over 10% of GPs left each year in three consecutive years. This information was merged with responses of individual GPs participating in the national GP Worklife Survey (GPWLS) in 2015, 2017, and 2019. Multiple linear regression analyses were used to relate work satisfaction components (including composite scores ‘autonomy’, ‘belonging’, and ‘competence’) to persistent turnover.ResultsAmong 2403 GPs, 8% worked in persistent high-turnover practices. After adjusting for covariates, these GPs reported significantly lower sense of autonomy, belonging, and competence in their roles, and lower overall job satisfaction, life satisfaction, and higher working hours. Notably lower scores were found for elements of the role related to GPs’ sense of competence.ConclusionA clear relationship exists between GP job satisfaction and high turnover. The notable differences in experiences in some key work characteristics suggest targets for developing interventions supporting GP retention.]]></description>
<dc:creator><![CDATA[Laura Jefferson, Ben Walker, Rosa Parisi, Matt Sutton, Evangelos Kontopantelis, Katherine Checkland]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0260</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0260</dc:identifier>
<dc:title><![CDATA[Understanding persistent GP turnover using work and personal characteristics: a retrospective observational study]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e183</prism:startingPage>
<prism:endingPage>e191</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e192.short?rss=1">
<title><![CDATA[GP workforce sustainability to maximise effective and equitable patient care: a realist review]]></title>
<link>http://bjgp.org/content/76/764/e192.short?rss=1</link>
<description><![CDATA[BackgroundUK and global primary care face significant GP workforce shortages. Much research focuses on individual-level factors such as wellbeing, resilience, and professional identity; however, less attention has been given to organisational- and system-level influences on GP work and workforce sustainability.AimTo examine how general practice work and healthcare systems support GP workforce sustainability and effective, equitable patient care.Design and settingThis was a UK-focused realist review of empirical and grey literature. The search strategy encompassed six electronic databases.MethodThe realist synthesis involved 1) finding existing theories, 2) searching for evidence, 3) selecting articles, 4) extracting data, and 5) synthesising evidence and drawing conclusions. Context–mechanism–outcome configurations were developed using extracted data, alongside input from patient and public contributors and stakeholders to iteratively refine the programme theory.ResultsIn total, 190 documents were included. Findings highlight the importance of meaningful work and engagement; relationships across individuals, organisations, and communities; and learning and development. Sustaining the GP workforce and delivering effective and equitable patient care require congruence between GPs’ core values and their work; cumulative-knowledge building; system agility; psychological safety; and direct human connections.ConclusionStructures, policies, and relational connections within general practice are central for sustaining the GP workforce and enabling effective, equitable patient care. Collaboration among GPs, patients, and policymakers is essential. Future systems should prioritise personalised care, support meaning making, and protect GP autonomy to foster sustained engagement, expertise, and equity in care delivery.]]></description>
<dc:creator><![CDATA[Emily Owen-Boukra, Bryan Burford, Tanya Cohen, Claire Duddy, Harry Dunn, Vacha Fadia, Claire Goodman, Cecily Henry, Elizabeth I Lamb, Margaret Ogden, Tim Rapley, Eliot L Rees, Nia Roberts, Etienne Royer-Gray, Gillian Vance, Geoff Wong, Sophie Park]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0061</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0061</dc:identifier>
<dc:title><![CDATA[GP workforce sustainability to maximise effective and equitable patient care: a realist review]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e192</prism:startingPage>
<prism:endingPage>e203</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e204.short?rss=1">
<title><![CDATA[Access to general practice appointments and sustainable change: a focused ethnographic case study]]></title>
<link>http://bjgp.org/content/76/764/e204.short?rss=1</link>
<description><![CDATA[BackgroundAccess to an appointment with a GP is important to patients, but hard to achieve in modern general practice, with general practice delivering more consultations than ever before. Research has focused on discrete systems for managing access in general practice, for example, telephone prioritisation, and these have been demonstrated to be variably successful in managing demand.AimTo examine the sustainability of previous attempts to improve access to GP appointments to understand if access systems previously deployed have been adapted, abandoned, or sustained.Design and settingThis was a focused ethnographic comparative case study in eight English general practices.MethodQualitative observation, semi-structured interviews, and documentary analysis were undertaken. The study included 74 patient and 70 staff interviews.ResultsApproaches to managing access are heavily focused on management of demand, and general practices constantly change access systems to try to achieve this. In all the case-study practices, access solutions previously deployed were adapted, rather than abandoned or adopted, usually via ongoing changes or ‘persistent tinkering’. The complexity introduced by these adaptations can be confusing for patients and fuels dissatisfaction, stress, and hostility. Persistent change to access systems creates unintended consequences and significant work for all involved.ConclusionPersistent tinkering is a necessary and reasonable response to the challenges of access in general practice. In part this is because the problem is framed as one of managing demand. An alternative approach might investigate what patients want or need and consider how best this could be delivered.]]></description>
<dc:creator><![CDATA[Helen Atherton, Abi Eccles, Carol Bryce, Annelieke Driessen, Toto Gronlund, Catherine Pope]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0140</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0140</dc:identifier>
<dc:title><![CDATA[Access to general practice appointments and sustainable change: a focused ethnographic case study]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e204</prism:startingPage>
<prism:endingPage>e212</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e213.short?rss=1">
<title><![CDATA[Consultations with locum doctors in UK general practice: longitudinal analysis of electronic health records]]></title>
<link>http://bjgp.org/content/76/764/e213.short?rss=1</link>
<description><![CDATA[BackgroundLocum doctors are vital for maintaining healthcare provision, especially in general practice. However, their levels of use, role, and impact remain relatively understudied and official statistics cannot be compared between UK countries.AimTo explore locum use more comprehensively in the UK, over time and across geographies.Design and settingA retrospective cohort study using the Clinical Practice Research Datalink (CPRD) GOLD from April 2010 to March 2022, analysing consultations across UK general practices.MethodConsultation types were categorised by GP type (locum versus permanent). Multilevel mixed-effects logistic regressions modelled the association between locum consultations and patient and practice characteristics.ResultsBetween 2010 and 2022, 914 UK general practices contributed to the dataset. UK locums provided more care than previously estimated, with a 2019 (pre-COVID-19 pandemic) mean of 14.9% (standard deviation 20.7) and median of 7.5% (interquartile range 2.3–17.5) of all consultations, indicating substantial variation. Over time, the use of locums in the UK remained relatively stable, but this masks different trends within the UK. The study found that use in England is increasing, in Scotland and Northern Ireland decreasing, and in Wales is flat. Regression analysis found that variation in locum use was largely unexplained by patient and practice characteristics.ConclusionThis study indicates higher use of locums across the UK than available NHS statistics would suggest. These differences are probably because of alternative ways of measuring GP activity (consultations versus hours worked). Regional and country differences highlight diverse workforce challenges where local solutions may be needed. These findings contribute to understanding NHS workforce dynamics and may help inform strategies for primary care service delivery.]]></description>
<dc:creator><![CDATA[Thomas Allen, Christos Grigoroglou, Kieran Walshe, Gemma Stringer, Jane Ferguson, Evangelos Kontopantelis, Stuart Stewart, Charlotte Morris, Darren M Ashcroft]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0298</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0298</dc:identifier>
<dc:title><![CDATA[Consultations with locum doctors in UK general practice: longitudinal analysis of electronic health records]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e213</prism:startingPage>
<prism:endingPage>e222</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e223.short?rss=1">
<title><![CDATA[What do patients and clinicians think about continuity in general practice in England? a qualitative study]]></title>
<link>http://bjgp.org/content/76/764/e223.short?rss=1</link>
<description><![CDATA[BackgroundRelational continuity — an ongoing therapeutic relationship between a patient and a clinician — has long been a hallmark of general practice. However, its prevalence in England has declined over the past decade amid increasing demand, workforce shortages, and structural changes in primary care delivery.AimTo explore patient and clinician views on continuity in general practice, and understand the factors influencing these perspectives.Design and settingA qualitative study using interviews and focus groups conducted in England between July 2024 and February 2025.MethodSemi-structured interviews were conducted with 17 primary care staff, and six focus groups were held with 40 patients. Staff were recruited through team contacts and snowballing. Patients were recruited through adverts in general practices. Inductive thematic analysis was informed by theoretical models of continuity, Reeve and Byng’s United Model of Generalism, and the biopsychosocial model of care. Data were coded using NVivo software.ResultsFour themes were identified: many patients lack experience of continuity and struggle to understand its value; patients and clinicians often prioritise other elements of care, such as quick access, over continuity; views on the value of continuity are shaped by beliefs about the role of general practice; and there is scepticism about the feasibility of restoring continuity within current system constraints.ConclusionWe may be reaching a tipping point, whereby a critical mass of patients views general practice solely as a method of accessing biomedical services from whichever staff member is available. If we want to improve continuity, we need to act before changes in attitudes and care delivery make change an impossibility.]]></description>
<dc:creator><![CDATA[Patrick Burch, Stephen Iles, Aaron Poppleton, Kath Checkland, Sarah Skyrme]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0323</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0323</dc:identifier>
<dc:title><![CDATA[What do patients and clinicians think about continuity in general practice in England? a qualitative study]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e223</prism:startingPage>
<prism:endingPage>e233</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e234.short?rss=1">
<title><![CDATA[Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication]]></title>
<link>http://bjgp.org/content/76/764/e234.short?rss=1</link>
<description><![CDATA[BackgroundMany patients dying in the community are prescribed injectable medications and are vulnerable to unsafe care. Developing safer and effective healthcare systems requires learning from patient safety incidents, including those resulting in no harm or near misses, however, health systems typically, must prioritise learning from harmful incidents because of resource constraints and are at risk of missing key learning.AimTo appraise the nature and outcomes of reported ‘no harm’ injectable end-of-life symptom control medication incidents, and understand the characteristics of those incidents and how they differ from those reclassified during the study analysis as ‘harmful’.Design and settingThis was a mixed-methods analysis of nationally reported (England and Wales) patient safety incidents to the National Reporting and Learning System involving injectable end-of-life symptom control medications in the community.MethodA random sample of 1000 incidents reported as ‘no harm’ incidents submitted between 2017 and 2022 was screened. The PatIent SAfety (PISA) classification system was used to characterise incident type, contributory factors, reported harms, and outcomes, with subsequent thematic analysis of free-text narratives.ResultsIn total, 388 incidents were included. Of these, 107 (28%) reports described harm to patients and families including 43 that detailed psychological harms. Comparing incidents reclassified as harmful with the true ‘no harm’ incidents, the harmful incidents contained more conflicting views between professionals and family members and there was clear variability in perceptions of what constitutes a harm.ConclusionHealthcare teams need to incorporate the impact on the patient and families when reporting and learning from end-of-life symptom control incidents, notably resultant emotional and psychological harms.]]></description>
<dc:creator><![CDATA[Isabel Hope, Ben Bowers, Isobel J McFadzean, Sarah Yardley, Kristian Pollock, Stuart Hellard, Andrew Carson-Stevens]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0301</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0301</dc:identifier>
<dc:title><![CDATA[Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e234</prism:startingPage>
<prism:endingPage>e243</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e244.short?rss=1">
<title><![CDATA[Critical illness in prisons: a multi-methods analysis of reported healthcare safety incidents in England]]></title>
<link>http://bjgp.org/content/76/764/e244.short?rss=1</link>
<description><![CDATA[BackgroundPrisoners have disproportionately poorer health and complex needs compared with the general population. Prisons should provide care that is equivalent to community care to achieve equitable health outcomes, which includes managing physical deterioration.AimTo characterise reported patient safety incidents involving critically unwell prisoners and identify opportunities to improve prison healthcare systems.Design and settingSecondary multi-methods analysis of incident reports submitted from English prisons to the National Reporting and Learning System (NRLS) between 2018 and 2019.MethodThe patient safety incidents had been characterised in previous research focusing on patient safety in prisons, describing incident types, contributory factors, and outcomes. Purposive sampling of these coded data was carried out using search terms to identify healthcare-associated harm, or near misses, related to critical illness (ill health with risk of death if urgent care is not provided). Included reports were sequentially analysed by descriptive and framework analysis.ResultsOf 4112 reports submitted to the NRLS within 12 months, 983 (23.9%) were identified by the search terms and screened, and 94 (9.6%) met the inclusion criteria for analysis, containing 189 safety incidents. The most common patient outcomes within the reports included delayed assessment or treatments (n = 46 reports, 48.9%), avoidable hospital admissions (n = 15, 16.0%), and patient deterioration (n = 13, 13.8%). Key issues identified were insufficient provision of emergency equipment, failure to recognise severity of symptoms and act appropriately on symptoms, and ineffective communication between prisons and ambulance services. Moderate and severe harm outcomes were reported in a quarter of reports (n = 26, 27.7%).ConclusionSystem-wide interventions are needed to improve the safety of care delivered to critically ill prisoners, including improved continuity of care, enhanced emergency response training, reviews of emergency protocols surrounding clinical assessments, recognition of critical illness, escalation plans, and communication with wider teams.]]></description>
<dc:creator><![CDATA[Isobel J McFadzean, Lauren Donovan, Thomas Hewson, Jake Hard, Jenny Shaw, Adrian Edwards, Andrew Carson-Stevens]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0239</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0239</dc:identifier>
<dc:title><![CDATA[Critical illness in prisons: a multi-methods analysis of reported healthcare safety incidents in England]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e244</prism:startingPage>
<prism:endingPage>e252</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/764/e253.short?rss=1">
<title><![CDATA[Self-management of male urinary symptoms: qualitative findings from a primary care trial]]></title>
<link>http://bjgp.org/content/76/764/e253.short?rss=1</link>
<description><![CDATA[BackgroundInformed self-management is the first-line treatment for male lower urinary tract symptoms (LUTS), although the extent of delivery in primary care is unclear. The TReating Urinary symptoms in Men in Primary Health care (TRIUMPH) cluster randomised controlled trial (reference: ISRCTN11669964) compared a structured self-management intervention with usual care for men with LUTS. We report on embedded qualitative interviews.AimTo investigate men’s experiences of LUTS, engagement with primary care, and responses to a self-management intervention, along with the perspectives of primary care clinicians in order to inform the delivery of self-management guidance in primary care.Design & settingQualitative interview study embedded in the TRIUMPH trial, which was conducted across 30 general practice sites in the South West of England.MethodSemi-structured interviews were conducted with 58 men with LUTS (selected purposively from the TRIUMPH trial population) and 14 treating clinicians (recruited from the TRIUMPH trial primary care sites), then analysed using thematic analysis.ResultsMen with LUTS were characterised as ‘languishing’, poorly informed, discounting symptoms as ‘just old men’s problems’, and experiencing prostate-specific antigen (PSA) testing cycles that did not resolve their LUTS. GPs described a focus on LUTS self-management being restricted by clinical pressures and attending to prostate cancer concerns. The TRIUMPH self-help intervention booklet was strongly valued by men: many reported that it gave them a greater understanding of their symptoms and self-management options, reduced anxiety, and that using it improved their LUTS and quality of life. A few men, however, found the intervention unrewarding.ConclusionExplanations and tailored self-management support were liked and found useful by many men with LUTS. Recommendations for clinical practice include: avoiding the expression ‘old men’s problems’, ensuring LUTS follow-up after PSA testing, focusing on symptoms and self-management approaches, and distributing the TRIUMPH booklet widely.]]></description>
<dc:creator><![CDATA[Jessica R Wheeler, Jo Worthington, Marcus J Drake, Jessica Frost, Mandy Fader, Lucy McGeagh, Hashim Hashim, Margaret Macaulay, Jonathan Rees, Luke A Robles, Gordon Taylor, Matthew J Ridd, Stephanie J MacNeill, Sian Noble, J Athene Lane, Nikki Cotterill]]></dc:creator>
<dc:date>2026-02-26T16:05:30-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0046</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0046</dc:identifier>
<dc:title><![CDATA[Self-management of male urinary symptoms: qualitative findings from a primary care trial]]></dc:title>
<prism:publicationDate>2026-03-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>764</prism:number>
<prism:startingPage>e253</prism:startingPage>
<prism:endingPage>e263</prism:endingPage>
<prism:issueIdentifier>764</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/51.short?rss=1">
<title><![CDATA[Closing the gap in health care for older people]]></title>
<link>http://bjgp.org/content/76/763/51.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Euan Lawson]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744069</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/51</dc:identifier>
<dc:title><![CDATA[Closing the gap in health care for older people]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Editor&#x2019;s Briefing</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>51</prism:startingPage>
<prism:endingPage>51</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/52.short?rss=1">
<title><![CDATA[Winter pressures in general practice in England]]></title>
<link>http://bjgp.org/content/76/763/52.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Rachel E Denholm, Luisa M Pettigrew, Shrinkhala Dawadi, Emily Herrett, Ruth E Costello, Mengxuan Zou, Rosalind M Eggo]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0799</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/52</dc:identifier>
<dc:title><![CDATA[Winter pressures in general practice in England]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>52</prism:startingPage>
<prism:endingPage>53</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/54.short?rss=1">
<title><![CDATA[Cultivating hope: reframing the 'heart-sink&#x2019; consultation]]></title>
<link>http://bjgp.org/content/76/763/54.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Mohammed Mustafa, Hassan Awan, Awadalla Youssef, Carolyn A Chew-Graham]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0728</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/54</dc:identifier>
<dc:title><![CDATA[Cultivating hope: reframing the 'heart-sink&#x2019; consultation]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>54</prism:startingPage>
<prism:endingPage>55</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/56.short?rss=1">
<title><![CDATA[What is the future of the fit note?]]></title>
<link>http://bjgp.org/content/76/763/56.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Dipesh P Gopal, Lisa Newington, Shriti Pattani, Kabir Abraham Varghese, Ge Yu, Umesh Kadam, Sarah Dorrington, Austen El-Osta, Lara Shemtob]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0779</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/56</dc:identifier>
<dc:title><![CDATA[What is the future of the fit note?]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>56</prism:startingPage>
<prism:endingPage>57</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/59.1.short?rss=1">
<title><![CDATA[Time for a broader definition of continuity?]]></title>
<link>http://bjgp.org/content/76/763/59.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Louisa Polak]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744081</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/59</dc:identifier>
<dc:title><![CDATA[Time for a broader definition of continuity?]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>59</prism:startingPage>
<prism:endingPage>59</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/59.2.short?rss=1">
<title><![CDATA[Management of IBS in primary care]]></title>
<link>http://bjgp.org/content/76/763/59.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Kevork Hopayian]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744093</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/59-a</dc:identifier>
<dc:title><![CDATA[Management of IBS in primary care]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>59</prism:startingPage>
<prism:endingPage>60</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/60.short?rss=1">
<title><![CDATA[Authors&#x2019; response]]></title>
<link>http://bjgp.org/content/76/763/60.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alex Ford, Hazel Everitt]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744117</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/60</dc:identifier>
<dc:title><![CDATA[Authors&#x2019; response]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>60</prism:startingPage>
<prism:endingPage>60</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/72.short?rss=1">
<title><![CDATA[Cultural boundaries of general practice]]></title>
<link>http://bjgp.org/content/76/763/72.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Andrew Papanikitas]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744141</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/72</dc:identifier>
<dc:title><![CDATA[Cultural boundaries of general practice]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>72</prism:startingPage>
<prism:endingPage>72</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/73.short?rss=1">
<title><![CDATA[Poem: How to Use a Stethoscope]]></title>
<link>http://bjgp.org/content/76/763/73.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Emer Forde]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744153</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/73</dc:identifier>
<dc:title><![CDATA[Poem: How to Use a Stethoscope]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>73</prism:startingPage>
<prism:endingPage>73</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/74.short?rss=1">
<title><![CDATA[Tackling the problem of quality in peer review]]></title>
<link>http://bjgp.org/content/76/763/74.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Mohammad Sharif Razai]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744165</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/74</dc:identifier>
<dc:title><![CDATA[Tackling the problem of quality in peer review]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>74</prism:startingPage>
<prism:endingPage>75</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/76.short?rss=1">
<title><![CDATA[General Practice 179: a doctor, a lawyer, and an artist]]></title>
<link>http://bjgp.org/content/76/763/76.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Annie Farrell]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744177</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/76</dc:identifier>
<dc:title><![CDATA[General Practice 179: a doctor, a lawyer, and an artist]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>76</prism:startingPage>
<prism:endingPage>77</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/78.short?rss=1">
<title><![CDATA[Culpable in the face of uncertainty? A perspective from military intelligence]]></title>
<link>http://bjgp.org/content/76/763/78.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Nada Khan]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744189</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/78</dc:identifier>
<dc:title><![CDATA[Culpable in the face of uncertainty? A perspective from military intelligence]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>78</prism:startingPage>
<prism:endingPage>79</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/80.short?rss=1">
<title><![CDATA[Treating doctor-patients and work colleagues: a need for some international principles]]></title>
<link>http://bjgp.org/content/76/763/80.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Saud Jukaku, Fahad Wali Ahmed, Abdulelah Almutairi, Taimur Butt]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744201</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/80</dc:identifier>
<dc:title><![CDATA[Treating doctor-patients and work colleagues: a need for some international principles]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>80</prism:startingPage>
<prism:endingPage>81</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/82.short?rss=1">
<title><![CDATA[Yonder: Scale, shared care, AI scribes, and trust in supervision]]></title>
<link>http://bjgp.org/content/76/763/82.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alex Burrell]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744213</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/82</dc:identifier>
<dc:title><![CDATA[Yonder: Scale, shared care, AI scribes, and trust in supervision]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>82</prism:startingPage>
<prism:endingPage>82</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/83.short?rss=1">
<title><![CDATA[Book: Death in a Shallow Pond: a Philosopher, a Drowning Child, and Strangers in Need]]></title>
<link>http://bjgp.org/content/76/763/83.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Terry Kemple]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744225</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/83</dc:identifier>
<dc:title><![CDATA[Book: Death in a Shallow Pond: a Philosopher, a Drowning Child, and Strangers in Need]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>83</prism:startingPage>
<prism:endingPage>83</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/84.short?rss=1">
<title><![CDATA[Every gap is an educational gap]]></title>
<link>http://bjgp.org/content/76/763/84.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Tim Senior]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744237</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/84</dc:identifier>
<dc:title><![CDATA[Every gap is an educational gap]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>84</prism:startingPage>
<prism:endingPage>84</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/85.short?rss=1">
<title><![CDATA[What potential cancer symptoms should we consider 'unexplained&#x2019;?]]></title>
<link>http://bjgp.org/content/76/763/85.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Stephen H Bradley, Jessica Watson, William T Hamilton]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0433</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/85</dc:identifier>
<dc:title><![CDATA[What potential cancer symptoms should we consider 'unexplained&#x2019;?]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Analysis</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>85</prism:startingPage>
<prism:endingPage>89</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/90.short?rss=1">
<title><![CDATA[Chronic pruritus of unknown origin: assessment and management in general practice]]></title>
<link>http://bjgp.org/content/76/763/90.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Chris Papas, Jim Muir, Lauren Chan]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0586</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/90</dc:identifier>
<dc:title><![CDATA[Chronic pruritus of unknown origin: assessment and management in general practice]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>90</prism:startingPage>
<prism:endingPage>92</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e91.short?rss=1">
<title><![CDATA[General practice consultation patterns and patient factors predicting older patients&#x2019; use of out-of-hours services: a nationwide register-based cohort study]]></title>
<link>http://bjgp.org/content/76/763/e91.short?rss=1</link>
<description><![CDATA[BackgroundOut-of-hours primary care services cannot provide the same continuity and coordination of care as daytime general practice. Thus, patients with high risk of complex care trajectories should, when possible, be seen by the GP during daytime opening hours. However, little is known about how provision of daytime consultation services affects older patients’ out-of-hours healthcare seeking.AimTo analyse how patient characteristics and general practices’ patterns of daytime consultations relates to their older patients’ use of out-of-hours services.Design and settingThis was a register-based cohort study of all Danish citizens aged ≥75 years in the Northern, Central, Southern, and Zealand Region of Denmark in 2017–2021.MethodThe general practices’ frequencies of daytime consultations were adjusted for patient population characteristics. Latent profile analysis identified group patterns of daytime consultation types and frequencies. Zero-inflated Poisson regression was used to analyse how patient characteristics and practice pattern of daytime consultations were associated with older patients’ use of out-of-hours primary care.ResultsIncreasing age, multimorbidity, number of drugs, level of home healthcare services, and non-Western ethnicity were associated with being a user of out-of-hours services and higher frequency of consultations. Older patients in the general practices that provided substantially more daytime consultations than most general practices had no fewer consultations in out-of-hours primary care services.ConclusionUse of out-of-hours primary care services depends more on patient characteristics than general practice organisation of daytime consultations. The findings suggest that increasing the number of daytime consultations may not reduce use of out-of-hours services.]]></description>
<dc:creator><![CDATA[Jonas Olsen, Sonja Wehberg, Frans Boch Waldorff, Daniel Pilsgaard Henriksen, Jesper Lykkegaard]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0798</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0798</dc:identifier>
<dc:title><![CDATA[General practice consultation patterns and patient factors predicting older patients&#x2019; use of out-of-hours services: a nationwide register-based cohort study]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e91</prism:startingPage>
<prism:endingPage>e99</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/93.short?rss=1">
<title><![CDATA[Recognising obesity-related skin conditions in general practice: a practical guide]]></title>
<link>http://bjgp.org/content/76/763/93.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alyssa Susanto, Christopher Robinson, Miranda Wallace, Jim Muir]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0601</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/763/93</dc:identifier>
<dc:title><![CDATA[Recognising obesity-related skin conditions in general practice: a practical guide]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>93</prism:startingPage>
<prism:endingPage>95</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e100.short?rss=1">
<title><![CDATA[Evaluating the role of faecal calprotectin in older adults: a retrospective observational study]]></title>
<link>http://bjgp.org/content/76/763/e100.short?rss=1</link>
<description><![CDATA[BackgroundFaecal calprotectin (FC) is a marker of gastrointestinal (GI) inflammation that is widely used in primary care to identify patients who need to be referred for endoscopic assessment. Most guidelines advise against its use in older adults because of higher rates of colorectal cancer (CRC) in this group, and many studies include only younger adults, even though FC is still used in older adults.AimTo evaluate FC performance in identifying inflammatory bowel disease (IBD) and significant organic pathology in adults aged ≥50 years, to help inform its use and interpretation in primary care. Where available, faecal immunochemical test (FIT) data were also analysed.Design and settingA retrospective observational study of patients who were referred from primary care to secondary care for colonoscopy at Imperial College Healthcare NHS Trust.MethodPatients who had undergone FC testing, followed by a colonoscopy, were recruited and grouped into younger adults (aged 18–49 years) and older adults (aged ≥50 years). Data were then collected using electronic health records to allow for analysis of FC diagnostic performance.ResultsIn total, 669 patients were included: 423 aged 18–49 years and 246 aged ≥50 years. There were no significant differences in FC levels between the groups (median FC level: 71 µg/g versus 85.5 µg/g respectively, P = 0.29). An FC level of >50 µg/g showed a high sensitivity for inflammatory bowel disease (IBD) in both groups (94.1% in those aged 18–49 years and 93.8% in those aged ≥50 years), but the positive predictive value was low — particularly in those aged ≥50 years (12.8%) versus the younger cohort (20.9%). An FC level of >50 µg/g outperformed FIT (threshold 10 µg/g) for the diagnosis of IBD and organic pathology in both groups. However, in patients aged ≥50 years, FIT outperformed FC at 150 µg/g for the diagnosis of organic pathology, including CRC.ConclusionThese data show that FC remains a sensitive test in older adults. FC may have a role as a ‘rule-out’ test in adults aged ≥50 years who have lower GI symptoms and a negative FIT, when CRC is not suspected.]]></description>
<dc:creator><![CDATA[Robert W Perry, Peter FG Foulser, David Zhang, Pablo Martinez Perez, Shakira Taylor, Angelica Sharma, Mithun Kumaran, Sharmili Balarajah, Shiva T Radhakrishnan, Rohan Sundramoorthi, Carmen MY Chung, David Mummery, James L Alexander, Azeem Majeed, Lucy C Hicks, Horace RT Williams]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0169</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0169</dc:identifier>
<dc:title><![CDATA[Evaluating the role of faecal calprotectin in older adults: a retrospective observational study]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e100</prism:startingPage>
<prism:endingPage>e107</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e108.short?rss=1">
<title><![CDATA[Sociodemographic variation in symptomatic faecal immunochemical testing return: a population-based analysis of 125 659 patients]]></title>
<link>http://bjgp.org/content/76/763/e108.short?rss=1</link>
<description><![CDATA[BackgroundIn the UK, patients presenting in primary care with possible symptoms of colorectal cancer complete faecal immunochemical testing (FIT) as triage for (urgent) colorectal investigation. Little is known about FIT completion rates or sociodemographic variations in these.AimTo measure overall FIT return for the year 2023 and assess sociodemographic variation in completion.Design and settingA population-based analysis of FIT requests made in 2023 to one pathology laboratory serving the North East, North Yorkshire, and Shropshire.MethodThe study included patients aged ≥18 years, for whom sex, postcode sector, and return status were recorded. Index of Multiple Deprivation quintiles, ethnicity tertiles, and rural–urban categories were assigned. Multiple logistic regression assessed associations between sociodemographic characteristics and test (non-)return within 10 weeks. Sensitivity analyses were undertaken: a) excluding younger patients (aged <50 years); and b) removing the 10-week window for test return.ResultsIn total, 93% (n = 116 786/125 659) of patients returned their test. Of those who returned them, 54% (n = 63 534) did so within 1 week; only 5% (n = 5637) took >3 weeks. Patients aged <50 years, male patients, those in the most deprived and ethnically diverse areas, and urban residents all had a significantly higher likelihood of non-return. Findings were unchanged in sensitivity analyses.ConclusionAlthough FIT completion was high, sociodemographic patterning of (non-)return was evident. Further work is needed on barriers to and facilitators of FIT completion to inform measures to address these observed inequalities and support patients to access timely diagnosis.]]></description>
<dc:creator><![CDATA[Emily Haworth, Caroline Addison, Willie Hamilton, Colin Rees, Ian Dunn, Pete Wheatstone, Linda Sharp, Christina Dobson]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0144</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0144</dc:identifier>
<dc:title><![CDATA[Sociodemographic variation in symptomatic faecal immunochemical testing return: a population-based analysis of 125 659 patients]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e108</prism:startingPage>
<prism:endingPage>e115</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e116.short?rss=1">
<title><![CDATA[Continuity of primary care and end-of-life care costs in dementia: a retrospective cohort study]]></title>
<link>http://bjgp.org/content/76/763/e116.short?rss=1</link>
<description><![CDATA[BackgroundEnd-of-life dementia care costs are expected to rise as populations age. Higher continuity of care with GPs is associated with reduced hospital admissions at the end of life, but the impact on costs is not known.AimTo explore the association of continuity of primary care on hospital and general practice costs in the last year of life among people with dementia.Design and settingA retrospective cohort study using a primary care dataset linked with national hospital and mortality records. Adults (aged >18 years) who died in England between 2009 and 2018 with a diagnosis of dementia were included.MethodThe Continuity of Care Index (COCI) of GP contacts in the last year of life was calculated, which measures patterns of care across GPs. Hospital and general practice costs were calculated using average national tariffs. Costs were modelled using a multivariable generalised linear model, estimating the average marginal effect of perfect continuity over non-continuity of care.ResultsIn total, 32 799 people were included. The mean age at death was 86.60 years (standard deviation [SD] 8.04 years), 64.2% (n = 21 057) were female, and 56.6% (n = 18 556) lived in care homes before death. The average COCI score was 0.38 (SD 0.25). People with perfect continuity had on average £2097 (95% confidence interval = 1319 to 2875) lower total costs in the last year than those with non-continuity of care.ConclusionContinuity of care with GPs is associated with lower total costs and might contribute to reduce hospital admissions and costs among people with dementia in their last year of life.]]></description>
<dc:creator><![CDATA[Javiera Leniz, Peter May, Martin Gulliford, Katherine E Sleeman]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0218</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0218</dc:identifier>
<dc:title><![CDATA[Continuity of primary care and end-of-life care costs in dementia: a retrospective cohort study]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e116</prism:startingPage>
<prism:endingPage>e123</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e124.short?rss=1">
<title><![CDATA[Exploring the views of key stakeholders on dementia risk prediction in primary care in areas of socioeconomic deprivation: a qualitative study]]></title>
<link>http://bjgp.org/content/76/763/e124.short?rss=1</link>
<description><![CDATA[BackgroundThere is growing interest in personalised approaches to dementia risk assessment and prevention. Risk prediction tools can estimate an individual’s likelihood of developing dementia, but none are currently used clinically. Socioeconomic deprivation may reduce opportunities for individuals to engage in healthy behaviours that support brain health even if risk is determined.AimTo explore the potential challenges and facilitators in introducing dementia risk prediction tools into UK general practice, with an emphasis on those living in areas of socioeconomic deprivation.Design and settingThis was a qualitative study set in general practices from three geographical areas of England (Greater Manchester, North East, and South East).MethodSemi-structured qualitative interviews explored the views of key stakeholders about the use of risk prediction tools for future dementia. These were analysed using thematic analysis.ResultsIn total, 71 participants were purposively sampled and interviewed (31 primary care staff; 40 patients). We identified four themes that influenced engagement with dementia risk prediction in general practice: 1) risk as an idea; 2) patient views on the impact of, and choice around, risk screening; 3) embedding risk prediction into clinical consultations; and 4) wider system-level engagement to support adoption of risk prediction tools to prevent dementia.ConclusionDementia risk assessment presents distinct challenges compared with other areas of medicine. Increased public awareness around dementia prevention and risk reduction can facilitate this process. When developing interventions, there needs to be a recognition of the need for a whole-systems approach that supports individuals to adopt strategies to reduce their risk.]]></description>
<dc:creator><![CDATA[Rebecca L Morris, Nicola Schmidt-Renfree, Wendy Joseph, David Reeves, Catharine Morgan, Blossom Christa Maree Stephan, Harm van Marwijk, Elizabeth Ford, Sarah Sowden, Lindsey Brown, Eugene Yee Hing Tang]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0318</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0318</dc:identifier>
<dc:title><![CDATA[Exploring the views of key stakeholders on dementia risk prediction in primary care in areas of socioeconomic deprivation: a qualitative study]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e124</prism:startingPage>
<prism:endingPage>e131</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e132.short?rss=1">
<title><![CDATA[Attitudes to earlier advance care planning: a qualitative interview study in general practice]]></title>
<link>http://bjgp.org/content/76/763/e132.short?rss=1</link>
<description><![CDATA[BackgroundAdvance care planning (ACP) research has often focused on those experiencing deteriorating health. There is limited research regarding attitudes to early ACP among people living with long-term conditions without advanced illness or severe frailty.AimTo explore how people living with a non-cancer long-term condition understand ACP; and their preferences for how, if at all, these discussions should be undertaken, including within annual health reviews.Design and settingQualitative interviews undertaken with participants from general practices in village, market town, coastal town, and city settings within England, UK.MethodThe interviews were semi-structured and in depth. The inclusion criteria were: >18 years old; registered at a participating practice; living with cardiovascular disease, diabetes mellitus, kidney disease, or chronic obstructive pulmonary disease. Thematic analysis used a critical realist approach. Participants contributed to a member checking process. This study had NHS ethics approval (23/PR/0078).ResultsIn total, 21 participants were recruited who were aged 61–91 years, eight were men, and 17 participants were living with multimorbidity. Participants discussed three forms of ACP: proactive planning, preparing for change, and discussing the end of life. Participants described early ACP as less distressing. Participants perceived ACP as an ongoing process, with early consultations encouraging discussion of existing preferences and preparing people for future decision making. Participants discussed how ACP could facilitate proactive and person-centred health care. Participants described the importance of normalising ACP.ConclusionThis study suggests that ACP may be well received and could be discussed earlier with adults living with long-term conditions, before onset of advanced illness or severe frailty.]]></description>
<dc:creator><![CDATA[Sonya Bushell, Doctor, Ishbel Winter-Luke, Doctor, Elizabeth Dennis, Doctor, Fliss EM Murtagh, Professor]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0393</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0393</dc:identifier>
<dc:title><![CDATA[Attitudes to earlier advance care planning: a qualitative interview study in general practice]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e132</prism:startingPage>
<prism:endingPage>e140</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e141.short?rss=1">
<title><![CDATA[Clinical assessment of recurrent cancer: a Danish cohort study in general practice]]></title>
<link>http://bjgp.org/content/76/763/e141.short?rss=1</link>
<description><![CDATA[BackgroundGPs may detect cancer recurrence (CR) between specialised follow-up visits or after completed follow-up. Knowledge of CR detection is needed to inform GP decision making in general practice.AimTo examine how often GPs suspected cancer in patients presenting with CR, diagnostic actions taken, and how cancer suspicion and diagnostic actions were associated with the time to recurrence diagnosis.Design and settingA retrospective cohort study was conducted linking survey data and national register data.MethodPatients diagnosed with recurrence (of one of seven cancer types) between 1 January 2022 and 31 May 2024 were included. Their GPs provided details on the diagnostic process.ResultsThe GP survey response rate was 48% (1265/2611), and 469 patients presented with signs or symptoms of recurrence. The GPs suspected cancer at the first consultation in 226 patients (48%). A referral was made for diagnostic evaluation in 282 (60%) patients, with fast-track cancer pathways being the most frequent (48%) and fastest referral mode. Diagnostic intervals differed across cancer types at the 90th percentile. The longest intervals were seen for melanoma recurrence, which was 47 days longer than colorectal CR. The median diagnostic interval was 60 days shorter when GPs suspected cancer compared with no suspicion of cancer or other serious disease.ConclusionThe GPs suspected cancer in approximately half of the patients and referred three in five presenting with signs or symptoms of recurrence. In approximately one-third, the GP had no suspicion. The length of the diagnostic interval differed considerably between the seven investigated cancer types.]]></description>
<dc:creator><![CDATA[Kasper Grooss, Linda Aagaard Rasmussen, Kaj Sparle Christensen, Anette Fischer Pedersen, Alina Zalounina Falborg, Peter Vedsted]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0316</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0316</dc:identifier>
<dc:title><![CDATA[Clinical assessment of recurrent cancer: a Danish cohort study in general practice]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e141</prism:startingPage>
<prism:endingPage>e150</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e151.short?rss=1">
<title><![CDATA[Learning from end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis]]></title>
<link>http://bjgp.org/content/76/763/e151.short?rss=1</link>
<description><![CDATA[BackgroundProcesses to implement injectable end-of-life symptom control medications in the community are complex and can have an adverse impact on patient safety. Recurring patient safety incident types and their contributory factors remain underrecognised, inhibiting system-wide learning.AimTo understand injectable end-of-life symptom control medication incidents, their contributory factors, the impact on patients/families, and identify priority areas for improving safe, effective, and timely care.Design and settingMixed-methods analysis of nationally reported injectable medication patient safety incidents involving adults in the community in England and Wales between 2017 and 2022.MethodA stratified random sample of 2150 incidents from the National Reporting and Learning System were screened for eligibility. Incidents that involved end-of-life injectable medications in the community were included and analysed. Deductive coding was undertaken to classify incident types, the contributory factors involved, the impact on the patient, and harm severity. An iterative thematic analysis was then conducted to identify patterns between recurring incident types and contributory factors.ResultsIn total, 419 patient safety reports detailed injectable medication-related patient safety incidents: 59.7% (n = 250) of incidents described harm to patients. Frequently reported patient safety incidents included: medication administration issues (49.2%, n = 206); delayed and inadequate assessments (10.3%, n = 43); and prescription issues (8.6%, n = 36). Incidents often involved multiple services and delays. Recurrent, and often interacting, contributory factors included inadequate continuity of care, distractions and mistakes, poor equipment design, and insufficient staffing levels.ConclusionInterventions to improve injectable end-of-life symptom control care should focus on ensuring timely access to assessments and prescriptions, enhancing continuity of care, and mechanisms to ensure rapid visits to administer medication.]]></description>
<dc:creator><![CDATA[Ben Bowers, Sioned Gwyn, Sarah Yardley, Stuart Hellard, P John Clarkson, Isobel J McFadzean, Kristian Pollock, Stephen Barclay, Andrew Carson-Stevens]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0106</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0106</dc:identifier>
<dc:title><![CDATA[Learning from end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e151</prism:startingPage>
<prism:endingPage>e162</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/763/e163.short?rss=1">
<title><![CDATA[Evaluating genotype-treatment interactions for high-risk medications in British general practice: a retrospective cohort study using UK Biobank]]></title>
<link>http://bjgp.org/content/76/763/e163.short?rss=1</link>
<description><![CDATA[BackgroundPharmacogenetics has the potential to optimise drug therapy and reduce adverse drug effects (ADEs) by tailoring treatment to a patient’s genotype, particularly for chronic disorders managed in general practice. However, the adoption of pharmacogenetics in general practice remains slow.AimTo evaluate the reproducibility of previously reported associations between genomic variants and medically important adverse drug effects (MIADEs) associated with high-risk medications in general practice.Design and settingA retrospective study using data from the UK Biobank (UKBB), a population-based cohort of over 500 000 community-based participants.MethodHigh-risk medications prescribed in general practice were identified by linking serious ADEs from the Yellow Card database with English general practice prescription data. These high-risk medications were then cross-examined with genomic variants associated with MIADEs from the Pharmacogenomics Knowledgebase (PharmGKB) to select variant–drug pairs for investigation within the UKBB.ResultsFrom 78 high-risk medications prescribed in general practice and 56 PharmGKB annotations linked to MIADE risk, SLCO1B1 rs4149056 was the only variant with guideline-based prescribing recommendations. This variant, along with others of lower evidence levels, was analysed in the UKBB. No genotype–treatment interaction was observed for SLCO1B1 rs4149056 and statin-related muscle toxicity. Similarly, no interactions were detected for the remaining variants in either secondary or exploratory analyses.ConclusionNo statistically significant genotype–treatment interactions were observed for MIADE risk associated with high-risk medications in general practice. However, the limited predictive value of the assessed variants may reflect underlying phenotypic imprecision and methodological limitations. Hence, further research is needed to validate these results.]]></description>
<dc:creator><![CDATA[Kinan Mokbel, Michael Weedon, Rob Daniels, Victoria Moye, Leigh Jackson]]></dc:creator>
<dc:date>2026-01-30T03:06:19-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0806</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0806</dc:identifier>
<dc:title><![CDATA[Evaluating genotype-treatment interactions for high-risk medications in British general practice: a retrospective cohort study using UK Biobank]]></dc:title>
<prism:publicationDate>2026-02-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>763</prism:number>
<prism:startingPage>e163</prism:startingPage>
<prism:endingPage>e174</prism:endingPage>
<prism:issueIdentifier>763</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e1.short?rss=1">
<title><![CDATA[Predicting risk of psychosis in primary care: a qualitative study]]></title>
<link>http://bjgp.org/content/76/762/e1.short?rss=1</link>
<description><![CDATA[BackgroundP Risk is a new tool that aims to help GPs identify people who are at risk of developing psychosis. It uses electronic health record data on non-psychotic symptoms, medications, and sociodemographic factors.AimTo explore clinicians’ and patients’ views of the acceptability and usefulness of using P Risk in primary care for identifying people at risk of developing psychosis.Design  however, some clinicians raised concerns about the quality of clinician coding in primary care medical records, availability of effective treatments, limited capacity of EI teams to work with people at risk, increased workload for GPs, and the negative impact on patients from being told about their risk of developing psychosis. For patients, identifying people at risk only made sense if treatment for them would be available. Interviewees said that clinicians should explain to patients what psychosis is, what it means to be at risk, which factors drive the risk, and how to address those factors.ConclusionAlthough most clinicians and patients welcomed the development of P Risk, there needs to be a clear pathway for assessing patients and offering treatment to those who are identified as being at risk of developing psychosis.]]></description>
<dc:creator><![CDATA[Daniela Strelchuk, Sarah Sullivan, David Kessler, Irwin Nazareth, Katrina Turner]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0222</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0222</dc:identifier>
<dc:title><![CDATA[Predicting risk of psychosis in primary care: a qualitative study]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e1</prism:startingPage>
<prism:endingPage>e9</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/3.short?rss=1">
<title><![CDATA[Moving beyond 'duel&#x2019; diagnosis]]></title>
<link>http://bjgp.org/content/76/762/3.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Euan Lawson]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743829</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/3</dc:identifier>
<dc:title><![CDATA[Moving beyond 'duel&#x2019; diagnosis]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Editor&#x2019;s Briefing</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>3</prism:startingPage>
<prism:endingPage>3</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/4.short?rss=1">
<title><![CDATA[Young people&#x2019;s mental health: an NHS primary care perspective, 10 years on]]></title>
<link>http://bjgp.org/content/76/762/4.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Daniel Romeu, Prathiba Chitsabesan, Faraz Mughal]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0743</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/4</dc:identifier>
<dc:title><![CDATA[Young people&#x2019;s mental health: an NHS primary care perspective, 10 years on]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>4</prism:startingPage>
<prism:endingPage>6</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/7.1.short?rss=1">
<title><![CDATA[Should antidepressants be prescribed simply if it is the patient&#x2019;s preference? Why NICE guidelines must be revised]]></title>
<link>http://bjgp.org/content/76/762/7.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[James Davies, John Read]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0596</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/7</dc:identifier>
<dc:title><![CDATA[Should antidepressants be prescribed simply if it is the patient&#x2019;s preference? Why NICE guidelines must be revised]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>7</prism:startingPage>
<prism:endingPage>9</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/10.short?rss=1">
<title><![CDATA[Patient removals: time to rethink exclusion in general practice?]]></title>
<link>http://bjgp.org/content/76/762/10.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Natassia Brenman, Francesca H Dakin, Jessica Drinkwater, Anne-Laure Donskoy, Kelly Howells, Clive Rowe, Sara E Shaw, Jackie van Dael]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0751</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/10</dc:identifier>
<dc:title><![CDATA[Patient removals: time to rethink exclusion in general practice?]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>10</prism:startingPage>
<prism:endingPage>11</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e10.short?rss=1">
<title><![CDATA[Complex mental health difficulties: a mixed-methods study in primary care]]></title>
<link>http://bjgp.org/content/76/762/e10.short?rss=1</link>
<description><![CDATA[BackgroundThe term ‘complex mental health difficulties’ describes long-term difficulties with emotional regulation and relationships, including personality disorders, complex trauma, and dysthymia. People with complex mental health difficulties often experience episodic and crisis-related care.AimTo understand how general practices can better recognise people with complex mental health difficulties and provide the best care.Design and settingA concurrent mixed-methods study was conducted with three components: two qualitative studies and a database study.MethodPeople with lived experience of complex mental health difficulties were consulted throughout the study. Qualitative interviews with GPs and people with complex mental health difficulties were conducted and transcripts analysed using thematic analysis. For the database element a retrospective case–control analysis was conducted using the Connected Bradford database. Integration of results was conducted using ‘following the thread’ and triangulation methods.ResultsIn the GP interviews, four overarching themes were identified: the challenges of complex mental health difficulties; role expectations; fragmented communication, fragmented care; and treatment in the primary care context. In the lived experience interviews, four main themes were identified: 'How I got here'; varied care experiences; traversing mental health services; and 'being seen'. In the database study element, approximately 3040 (0.3% of the database population of approximately 1.2 million) records met our criteria for complex mental health difficulties, suggesting significant undercoding. The most informative feature was the count of unique psychiatric diagnoses. From the triangulation process, five meta-themes were identified: complexity of mental health difficulties; experience of trauma; diagnosis; specialist services; and GP services.ConclusionThe current organisation of care and lack of an acceptable language for complex mental health difficulties means that patients’ needs continue to go unrecognised and 'unseen'.]]></description>
<dc:creator><![CDATA[Phillip Oliver, Vyv Huddy, Ciaran McInerney, Ada Achinanya, Michelle Horspool, Kritica Dwivedi, Chris Burton]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0818</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0818</dc:identifier>
<dc:title><![CDATA[Complex mental health difficulties: a mixed-methods study in primary care]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e10</prism:startingPage>
<prism:endingPage>e20</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/12.1.short?rss=1">
<title><![CDATA[Should antidepressants be prescribed simply if it is the patient&#x2019;s preference?]]></title>
<link>http://bjgp.org/content/76/762/12.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Katharina Dworzynski, Stephen Pilling, Eric Power]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743853</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/12</dc:identifier>
<dc:title><![CDATA[Should antidepressants be prescribed simply if it is the patient&#x2019;s preference?]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>12</prism:startingPage>
<prism:endingPage>12</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/12.2.short?rss=1">
<title><![CDATA[Optimising post-acute coronary syndrome care: the case for a structured 14-day check]]></title>
<link>http://bjgp.org/content/76/762/12.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Angad Singh]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743865</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/12-a</dc:identifier>
<dc:title><![CDATA[Optimising post-acute coronary syndrome care: the case for a structured 14-day check]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>12</prism:startingPage>
<prism:endingPage>12</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/13.1.short?rss=1">
<title><![CDATA[Optimising care post-acute coronary syndrome]]></title>
<link>http://bjgp.org/content/76/762/13.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[John Sharvill]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743877</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/13</dc:identifier>
<dc:title><![CDATA[Optimising care post-acute coronary syndrome]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>13</prism:startingPage>
<prism:endingPage>13</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/13.2.short?rss=1">
<title><![CDATA[Author response to Dr Sharvill and Dr Singh]]></title>
<link>http://bjgp.org/content/76/762/13.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Thomas Round]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743889</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/13-a</dc:identifier>
<dc:title><![CDATA[Author response to Dr Sharvill and Dr Singh]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>13</prism:startingPage>
<prism:endingPage>13</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/13.3.short?rss=1">
<title><![CDATA[Continuity of care in primary care: is it time to demand it?]]></title>
<link>http://bjgp.org/content/76/762/13.3.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Manuel Martinez-Selles]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743901</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/13-b</dc:identifier>
<dc:title><![CDATA[Continuity of care in primary care: is it time to demand it?]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>13</prism:startingPage>
<prism:endingPage>13</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e21.short?rss=1">
<title><![CDATA[Increasing uptake of physical health checks for people living with severe mental illness: a systematic review]]></title>
<link>http://bjgp.org/content/76/762/e21.short?rss=1</link>
<description><![CDATA[BackgroundPeople living with severe mental illness (SMI) can experience greater risk of premature mortality than the general population with preventable physical ill health a major contributor. Physical health checks are a strategy to improve physical health but uptake is variable.AimTo collate and assess the published evidence on the effectiveness of interventions to increase access to, and uptake of, physical health reviews for people living with SMI.Design and settingThis was a systematic review.MethodThree databases (Medline, CINAHL, and PsycINFO) were searched for studies evaluating interventions aiming to increase access to and uptake of physical health checks for people with SMI. Searches were conducted during October and November 2024 for studies published from 2000 onwards. Studies were included that reported on outcomes of uptake or receipt of physical health checks or screening, including cancer screening. Both randomised controlled trials (RCTs) and comparative non-randomised studies were eligible. Primary, secondary, and tertiary care settings were included. Studies from high-income countries were also included. Risk of bias was assessed using version 2 of the Cochrane risk-of-bias tool for randomised trials (RoB2), an adaptation of the Risk of Bias in Non-randomised Studies of Exposures (ROBINS-E), and Risk of Bias in Non-randomised Studies — of Interventions (ROBINS-I) tools. Data synthesis involved an effect direction plot.ResultsOf 4437 identified studies, 12 were eligible. Intervention categories were case management (n = 2), financial incentivisation (n = 3), service change (n = 5), invitation (n = 1), and mixed (n = 1). Two RCTs showed a positive effect of a case-management approach; for one study there was 'high' risk of bias. For other interventions, diverse non-randomised studies were included with either positive or mixed findings and risk of bias ranging from 'moderate' to 'critical'.ConclusionThe study identified a scarcity of data and although a case-management approach shows promise there should be further robust and high-quality research.]]></description>
<dc:creator><![CDATA[Elizabeth Emsley, Sarah A Sullivan, Elizabeth Rose-Innes, Emma Sidebotham, Clare E French]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0826</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0826</dc:identifier>
<dc:title><![CDATA[Increasing uptake of physical health checks for people living with severe mental illness: a systematic review]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e21</prism:startingPage>
<prism:endingPage>e28</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/23.short?rss=1">
<title><![CDATA[A wassail for the new year!]]></title>
<link>http://bjgp.org/content/76/762/23.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Andrew Papanikitas]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743913</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/23</dc:identifier>
<dc:title><![CDATA[A wassail for the new year!]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>23</prism:startingPage>
<prism:endingPage>23</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/24.short?rss=1">
<title><![CDATA[Shaking hands again]]></title>
<link>http://bjgp.org/content/76/762/24.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Jorge L Polo-Sabau]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743925</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/24</dc:identifier>
<dc:title><![CDATA[Shaking hands again]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>24</prism:startingPage>
<prism:endingPage>24</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/25.short?rss=1">
<title><![CDATA[The value of time]]></title>
<link>http://bjgp.org/content/76/762/25.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Emma Ladds]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743937</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/25</dc:identifier>
<dc:title><![CDATA[The value of time]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>25</prism:startingPage>
<prism:endingPage>25</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/26.short?rss=1">
<title><![CDATA[The RCGP curriculum]]></title>
<link>http://bjgp.org/content/76/762/26.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Terry Kemple]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743949</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/26</dc:identifier>
<dc:title><![CDATA[The RCGP curriculum]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>26</prism:startingPage>
<prism:endingPage>26</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/27.short?rss=1">
<title><![CDATA[Knowledge, wisdom, and following the blue line]]></title>
<link>http://bjgp.org/content/76/762/27.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Ben Hoban]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743961</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/27</dc:identifier>
<dc:title><![CDATA[Knowledge, wisdom, and following the blue line]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>27</prism:startingPage>
<prism:endingPage>27</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/28.short?rss=1">
<title><![CDATA[Poem: On decision fatigue]]></title>
<link>http://bjgp.org/content/76/762/28.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Tasneem Khan]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743973</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/28</dc:identifier>
<dc:title><![CDATA[Poem: On decision fatigue]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>28</prism:startingPage>
<prism:endingPage>28</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/29.short?rss=1">
<title><![CDATA[Ketamine: when the party&#x2019;s over]]></title>
<link>http://bjgp.org/content/76/762/29.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Paul McNamara, Megan Glover]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743985</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/29</dc:identifier>
<dc:title><![CDATA[Ketamine: when the party&#x2019;s over]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>29</prism:startingPage>
<prism:endingPage>29</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e29.short?rss=1">
<title><![CDATA[Patterns of antidepressant prescribing around pregnancy: a descriptive analysis using Clinical Practice Research Datalink GOLD]]></title>
<link>http://bjgp.org/content/76/762/e29.short?rss=1</link>
<description><![CDATA[BackgroundAntidepressant use is increasing during pregnancy but estimates of prevalence and patterns of prescribing are outdated.AimTo describe the prevalence and patterns of antidepressant prescribing in and around pregnancy.Design and settingThis was a drug utilisation study using the UK’s Clinical Practice Research Datalink (CPRD) GOLD Pregnancy Register.MethodUsing primary care prescription records, individuals were identified who had been prescribed antidepressants in and around pregnancy between 1996 and 2018 and the prevalence of prescribing during pregnancy over time was described. Those with ‘prevalent’ or ‘incident’ antidepressant use were defined, where the ‘prevalent’ group contained individuals who were prescribed antidepressants both before and during pregnancy, whereas individuals in the ‘incident’ group were newly prescribed antidepressants during pregnancy. Patterns of prescribing were then qualitatively compared between these two groups. The study also investigated post-pregnancy prescribing, as well as characteristics associated with antidepressant discontinuation anytime during pregnancy.ResultsA total of 1 033 783 pregnancies were eligible: 79 144/1 033 783 (7.7%) individuals were prescribed antidepressants during pregnancy and 15 733/79 144 (19.9%) were in the ‘incident’ group. Antidepressant prescribing during pregnancy increased from 3.2% (556/17 653) in 1996 to 13.4% (3889/29 079) in 2018. Most women, both those whose antidepressants were ‘prevalent’ and ‘incident’ prescribed, discontinued their medication anytime during pregnancy (54.9% [34 801/63 411] and 59.9% [9427/15 733], respectively). Over half of those who discontinued during pregnancy were prescribed antidepressants in the 12 months after pregnancy (53.0%, 23 457/44 228). Younger age, previous stillbirth, and higher deprivation were associated with more frequent discontinuation anytime during pregnancy.ConclusionAntidepressant prescribing during pregnancy has been increasing in the UK. Over half of the sample discontinued antidepressants at some point before the end of pregnancy, but post-pregnancy resumption of antidepressants was common. The results presented here highlight the benefit of counselling women when initiating antidepressants to support informed decision making.]]></description>
<dc:creator><![CDATA[Florence Z Martin, Gemma C Sharp, Kayleigh E Easey, Paul Madley-Dowd, Liza Bowen, Victoria Nimmo-Smith, Aws Sadik, Jonathan L Richardson, Dheeraj Rai, Harriet Forbes]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.1093</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.1093</dc:identifier>
<dc:title><![CDATA[Patterns of antidepressant prescribing around pregnancy: a descriptive analysis using Clinical Practice Research Datalink GOLD]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e29</prism:startingPage>
<prism:endingPage>e39</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/30.short?rss=1">
<title><![CDATA[Reflections on racism, civility, and the role of general practice]]></title>
<link>http://bjgp.org/content/76/762/30.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Carter Singh]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X743997</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/30</dc:identifier>
<dc:title><![CDATA[Reflections on racism, civility, and the role of general practice]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>30</prism:startingPage>
<prism:endingPage>30</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/31.short?rss=1">
<title><![CDATA[Fellowship re-ignited my GP career: could it do the same for yours?]]></title>
<link>http://bjgp.org/content/76/762/31.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Simon Tobin]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744009</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/31</dc:identifier>
<dc:title><![CDATA[Fellowship re-ignited my GP career: could it do the same for yours?]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>31</prism:startingPage>
<prism:endingPage>31</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/32.short?rss=1">
<title><![CDATA[Books: If Anyone Builds It, Everyone Dies: The Case Against Superintelligent AI]]></title>
<link>http://bjgp.org/content/76/762/32.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Euan Lawson]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744021</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/32</dc:identifier>
<dc:title><![CDATA[Books: If Anyone Builds It, Everyone Dies: The Case Against Superintelligent AI]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>32</prism:startingPage>
<prism:endingPage>32</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/33.short?rss=1">
<title><![CDATA[A doctor&#x2019;s Bag for Tomorrow: Packed with Apps, AI and Good Old Fashioned Eye Contact]]></title>
<link>http://bjgp.org/content/76/762/33.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Andrew Papanikitas]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744033</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/33</dc:identifier>
<dc:title><![CDATA[A doctor&#x2019;s Bag for Tomorrow: Packed with Apps, AI and Good Old Fashioned Eye Contact]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>33</prism:startingPage>
<prism:endingPage>33</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/34.short?rss=1">
<title><![CDATA[Balance, boundaries, and burnout]]></title>
<link>http://bjgp.org/content/76/762/34.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Emilie Couchman]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744057</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/34</dc:identifier>
<dc:title><![CDATA[Balance, boundaries, and burnout]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>34</prism:startingPage>
<prism:endingPage>34</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/35.2.short?rss=1">
<title><![CDATA[Yonder: Social prescribing, asking about drug allergies, commercial primary care pricing, and HbA1c variability]]></title>
<link>http://bjgp.org/content/76/762/35.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alex Burrell]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp26X744045</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/35-a</dc:identifier>
<dc:title><![CDATA[Yonder: Social prescribing, asking about drug allergies, commercial primary care pricing, and HbA1c variability]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>35</prism:startingPage>
<prism:endingPage>35</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/36.short?rss=1">
<title><![CDATA['You can mix your methods, but you can&#x2019;t mix your paradigms&#x2019;: a guide to ontology and epistemology for the confused researcher]]></title>
<link>http://bjgp.org/content/76/762/36.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Stefanie Disbeschl, Katherine Checkland, Kris Stutchbury, Rebecca Payne]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0390</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/36</dc:identifier>
<dc:title><![CDATA['You can mix your methods, but you can&#x2019;t mix your paradigms&#x2019;: a guide to ontology and epistemology for the confused researcher]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Analysis</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>36</prism:startingPage>
<prism:endingPage>40</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e40.short?rss=1">
<title><![CDATA['We&#x2019;re all doing different things&#x2019; &#x2014; exploring primary care practitioners' perspectives of managing distress: a qualitative study]]></title>
<link>http://bjgp.org/content/76/762/e40.short?rss=1</link>
<description><![CDATA[BackgroundDistinguishing emotional distress from mental health problems such as anxiety and depression can be difficult for clinicians. Both commonly present and are managed in primary care. There are likely to be important differences in the management of emotional distress compared with anxiety and/or depression, but the current nature of assessment and management is unclear.AimTo explore how emotional distress is understood and how people are managed by a range of practitioners in primary care settings in the UK.Design and settingA qualitative study using semi-structured interviews with primary care practitioners in the UK.MethodOnline interviews were conducted with practitioners who directly assess patients with mental health symptoms, including GPs, nurse practitioners, social prescribers, and mental health practitioners. Recruitment was via a digital poster circulated by research delivery networks. Interviews covered how practitioners understood and identified distress, the support provided to patients, and challenges assessing and managing emotional distress. Verbatim transcriptions were analysed using an inductive thematic approach.ResultsIn total, 29 interviews were conducted and four themes were developed in collaboration with the wider team, including public contributors: the multifaceted nature of distress; ‘We’re all doing very different things’; managing and understanding distress is challenging; and demedicalising distress in the face of increasing societal pressures. Complexity was driven by the wide-ranging professionals involved, complex patient circumstances, systemic challenges, and societal contexts.ConclusionIdentifying and managing emotional distress is complex, variable, and challenging. Complexity appears to be increasing through the systemic challenges and range of professionals involved.]]></description>
<dc:creator><![CDATA[Hannah Bowers, Carolyn A Chew-Graham, Miriam Santer, Harm Van Marwijk, Berend Terluin, Tony Kendrick, Paul Little, Michael Moore, Manoj Mistry, Debs Smith, Al Richards, Bronwyn Evans, Nikki Lester, Roya Kolahy, Adam W A Geraghty]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0820</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0820</dc:identifier>
<dc:title><![CDATA['We&#x2019;re all doing different things&#x2019; &#x2014; exploring primary care practitioners' perspectives of managing distress: a qualitative study]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e40</prism:startingPage>
<prism:endingPage>e47</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/41.short?rss=1">
<title><![CDATA[How GPs can help forcibly displaced young migrants]]></title>
<link>http://bjgp.org/content/76/762/41.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Liz Hare, Amy Stevens, Jessica Keeble, Christian Harkensee]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0225</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/41</dc:identifier>
<dc:title><![CDATA[How GPs can help forcibly displaced young migrants]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>41</prism:startingPage>
<prism:endingPage>44</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/45.short?rss=1">
<title><![CDATA[Bile acid diarrhoea: a clinical conundrum in primary care]]></title>
<link>http://bjgp.org/content/76/762/45.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[John Thirkettle, John McLaughlin, Maiedha Raza]]></dc:creator>
<dc:date>2026-01-01T16:05:23-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0613</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;76/762/45</dc:identifier>
<dc:title><![CDATA[Bile acid diarrhoea: a clinical conundrum in primary care]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>45</prism:startingPage>
<prism:endingPage>47</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e48.short?rss=1">
<title><![CDATA[Health problems of people with intellectual disabilities in general practice: dynamic cohort study between 2012 and 2021 with Dutch routine care data]]></title>
<link>http://bjgp.org/content/76/762/e48.short?rss=1</link>
<description><![CDATA[BackgroundDespite advancements in health care, patients with intellectual disabilities (ID) in many countries continue to face barriers in accessing and utilising primary care. Implementation of improvements in accessibility and quality of care requires up-to-date and accurate insights into their health problems.AimTo investigate health problems in patients with ID in GP care compared with matched patients without ID.Design and settingA retrospective dynamic cohort study undertaken using data from >80 Dutch general practices.MethodAll adult patients with indicators of ID, registered at any participating general practice for a minimum of 1 year between 2012 and 2021, were included, and individually matched (1:5) with persons without ID. Patients’ characteristics, encounters, symptoms, diagnoses, and prescribed medication were retrieved.ResultsPatients with ID had 2.2 times more contacts with their GP than patients without ID, presented with a broader range of symptoms and diagnoses across various body systems, and were more frequently prescribed medication. The largest relative difference was seen for depression, which was nearly twice as common in patients with ID compared with those without.ConclusionThe health problems and prescription patterns of people with ID in general practice remain distinct from those without ID but largely mirror findings from two decades ago. These patterns still fit well within the scope of general practice, yet underscore the continuing need for GPs to recognise these differences and adapt their care to address the specific needs of their patients with ID.]]></description>
<dc:creator><![CDATA[Marloes Heutmekers, Bianca Schalk, Annemarie Uijen, Jenneken Naaldenberg, Geraline Leusink, Maarten Cuypers]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0084</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0084</dc:identifier>
<dc:title><![CDATA[Health problems of people with intellectual disabilities in general practice: dynamic cohort study between 2012 and 2021 with Dutch routine care data]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e48</prism:startingPage>
<prism:endingPage>e56</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e57.short?rss=1">
<title><![CDATA[Patients&#x2019; experiences of a patient-centred polypharmacy medication review intervention: a mixed-methods study]]></title>
<link>http://bjgp.org/content/76/762/e57.short?rss=1</link>
<description><![CDATA[BackgroundPeople prescribed multiple medications need regular review to optimise medication and improve health outcomes. Although the most effective method to improve inappropriate polypharmacy remains unclear, medication reviews incorporating patient-centred care and shared decision making are believed to be key to achieving optimal outcomes.AimTo explore patients’ experiences of an intervention to deliver patient-centred polypharmacy medication review in primary care.Design and settingA mixed-methods process evaluation was undertaken within the Improving Medicines use in People with Polypharmacy in Primary Care (IMPPP) randomised controlled trial conducted in the Bristol and West Midlands regions of England.MethodParticipants receiving the intervention were invited to complete a patient experience survey. Additionally, participants were purposively sampled and invited to participate in an interview and/or audio-recording of their medication review, to explore views and experiences.ResultsSurvey response rate was 72.5% (n = 556/767); 28 patients were interviewed, 27 reviews were recorded. Overall, 73.2% (n = 407) were satisfied with their review, strongly associated with shared decision making, and 79.9% (n = 444) expressed satisfaction with how the review was delivered (primarily pharmacist-led telephone consultations). Most audio-recordings of reviews demonstrated collaborative decision making. Patients valued reviews when they felt well-informed, prepared, and received clear follow-up. Pharmacist-led delivery was acceptable, although unfamiliarity with the reviewer and concerns about prescribing authority were perceived negatively.ConclusionParticipants were satisfied with their review, although this may be contingent on preparation and support. Findings highlight the importance of communication throughout, and how the clinician role and familiarity shape patient experience. A person-centred review approach has the potential to improve patient experience, satisfaction, and engagement.]]></description>
<dc:creator><![CDATA[Lorna J Duncan, Deborah McCahon, Barbara Caddick, Roxanne M Parslow, Katrina Turner, Carolyn A Chew-Graham, Bruce Guthrie, Rupert A Payne]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0052</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0052</dc:identifier>
<dc:title><![CDATA[Patients&#x2019; experiences of a patient-centred polypharmacy medication review intervention: a mixed-methods study]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e57</prism:startingPage>
<prism:endingPage>e67</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e68.short?rss=1">
<title><![CDATA[Understanding measurement of postural hypotension: a nationwide survey of general practice in England]]></title>
<link>http://bjgp.org/content/76/762/e68.short?rss=1</link>
<description><![CDATA[BackgroundPostural hypotension is associated with excess mortality, falls, and cognitive decline. Postural hypotension is poorly recorded in routine general practice records. Few studies have explored measurement and diagnosis of postural hypotension in general practice.AimTo understand how postural hypotension is measured, diagnosed, and managed in general practice.Design and settingThis was an online survey of general practice staff in England.MethodClinical research networks distributed the survey to practices, seeking individual responses from any clinical staff involved in routine blood pressure (BP) measurement. Responses were analysed according to role and demographic data using descriptive statistics. Multivariable modelling of checking for postural BP measurements was performed.ResultsThere were 703 responses from 243 general practices (mean practice-level response rate 17%). Half (362; 51%) of responders were doctors, 196 (28%) nurses, and 77 (11%) healthcare assistants (HCAs). In total, 8% (58/703) did not routinely check for postural hypotension, usually citing time constraints. For the remaining 92%, postural symptoms were the predominant reason for checking (97% responders, 627/645); only 24% cited any other guideline indication for postural hypotension testing. The study found that 77% used sit-to-stand BP measurements; approximately one-quarter measured standing BP for >1 min. On regression modelling, other professionals tested less for postural hypotension than doctors (odds ratios: nurses 0.323, 95% confidence interval [CI] = 0.117 to 0.894, HCAs 0.102, 95% CI = 0.032 to 0.325, and pharmacists 0.099, 95% CI = 0.023 to 0.411).ConclusionAwareness of reasons, besides symptoms, and adherence to guidelines for postural hypotension testing, are low. Time is the key barrier to improved testing for postural hypotension. Clarity on pragmatic methods of measuring postural hypotension in general practice would also facilitate measurement uptake.]]></description>
<dc:creator><![CDATA[Sinead TJ McDonagh, Rosina Cross, Jane Masoli, Judit Konya, Gary Abel, James P Sheppard, Bethany Jakubowski, Cini Bhanu, Jayne Fordham, Katrina Turner, Sarah E Lamb, Rupert A Payne, Richard J McManus, John L Campbell, Christopher E Clark]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0025</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0025</dc:identifier>
<dc:title><![CDATA[Understanding measurement of postural hypotension: a nationwide survey of general practice in England]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e68</prism:startingPage>
<prism:endingPage>e76</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/76/762/e77.short?rss=1">
<title><![CDATA[Developing the PATH-GP (Prevention and Testing for HIV in General Practice) intervention: a person-based approach intervention development study to increase HIV testing and PrEP access]]></title>
<link>http://bjgp.org/content/76/762/e77.short?rss=1</link>
<description><![CDATA[BackgroundTesting for HIV, linkage to treatment, and access to pre-exposure prophylaxis (PrEP) (medication that reduces the risk of acquiring HIV) is essential for early HIV diagnosis, treatment, and prevention. General practice could play a key role in maximising HIV testing opportunities and supporting access to PrEP.AimTo develop an intervention for general practice to increase HIV testing and facilitate access to PrEP.Design and settingThis was a person-based approach (PBA) intervention development study using the capability, opportunity, motivation, behaviour model in South West England.MethodA scoping review and semi-structured interviews with healthcare professionals (HCPs) and local organisation representatives with an interest in HIV prevention/health care were conducted to understand the challenges and find potential solutions to increase HIV testing and facilitate access to PrEP in general practice. Intervention development used focus groups with HCPs and the public. Purposive sampling ensured diversity of practices and participants. Data were analysed using the PBA table of planning and the collaborative and intensive pragmatic qualitative approach.ResultsBarriers identified included lack of clinician knowledge of HIV and PrEP, concern about stretched resources, and a lack of systematic testing methods. Proposed strategies included simpler testing approaches to normalise testing and reduce HIV stigma. The intervention developed consists of: education, a prompt to test, simplified and standardised testing, PrEP signposting processes, patient information, and practice champions.ConclusionResearch is needed to explore the feasibility and the effectiveness of this multicomponent intervention to increase testing and access to PrEP within general practice. Funding barriers also need to be addressed.]]></description>
<dc:creator><![CDATA[Anne Scott, Hannah Family, Jeremy Horwood, John Saunders, Ann Sullivan, Jo Burgin, Lindsey Harryman, Sarah Stockwell, Joanna Copping, Paul Sheehan, John Macleod, Sarah Dawson, Joanna May Kesten, Sarah Denford]]></dc:creator>
<dc:date>2026-01-27T06:15:38-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0151</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0151</dc:identifier>
<dc:title><![CDATA[Developing the PATH-GP (Prevention and Testing for HIV in General Practice) intervention: a person-based approach intervention development study to increase HIV testing and PrEP access]]></dc:title>
<prism:publicationDate>2026-01-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>76</prism:volume>
<prism:number>762</prism:number>
<prism:startingPage>e77</prism:startingPage>
<prism:endingPage>e90</prism:endingPage>
<prism:issueIdentifier>762</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/539.short?rss=1">
<title><![CDATA[A different kind of power]]></title>
<link>http://bjgp.org/content/75/761/539.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Nada Khan]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743613</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/539</dc:identifier>
<dc:title><![CDATA[A different kind of power]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Editor&#x2019;s briefing</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>539</prism:startingPage>
<prism:endingPage>539</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/540.short?rss=1">
<title><![CDATA[Fetal alcohol spectrum disorder (FASD): how primary care can make a difference]]></title>
<link>http://bjgp.org/content/75/761/540.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Cheryl McQuire, Lou Millington, Amy Dillon, Andy Boyd, James Parsonage, Raja Mukherjee, Sandra I Butcher, Patricia D Jackson]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0587</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/540</dc:identifier>
<dc:title><![CDATA[Fetal alcohol spectrum disorder (FASD): how primary care can make a difference]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>540</prism:startingPage>
<prism:endingPage>542</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/543.short?rss=1">
<title><![CDATA[Is now the time to rethink risk thresholds in cancer referral guidelines?]]></title>
<link>http://bjgp.org/content/75/761/543.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Brian D Nicholson, Garth Funston, Charlotte Williamson, Samantha Leigh Harrison, Gary A Abel]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0671</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/543</dc:identifier>
<dc:title><![CDATA[Is now the time to rethink risk thresholds in cancer referral guidelines?]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Editorials</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>543</prism:startingPage>
<prism:endingPage>544</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/546.1.short?rss=1">
<title><![CDATA[GP registrars are facing unemployment and underemployment: findings from the Severn region]]></title>
<link>http://bjgp.org/content/75/761/546.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Stuart Roney, Molly Dineen, Zachary du Toit]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743625</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/546</dc:identifier>
<dc:title><![CDATA[GP registrars are facing unemployment and underemployment: findings from the Severn region]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>546</prism:startingPage>
<prism:endingPage>546</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/546.2.short?rss=1">
<title><![CDATA[Why coding the modality of primary care consultations matters]]></title>
<link>http://bjgp.org/content/75/761/546.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Helen Atherton]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743637</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/546-a</dc:identifier>
<dc:title><![CDATA[Why coding the modality of primary care consultations matters]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>546</prism:startingPage>
<prism:endingPage>547</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/547.1.short?rss=1">
<title><![CDATA[Microplastic ingestion: an overlooked ticking time bomb?]]></title>
<link>http://bjgp.org/content/75/761/547.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Amelia Holloway, Jason Heath, Max Cooper]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743649</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/547</dc:identifier>
<dc:title><![CDATA[Microplastic ingestion: an overlooked ticking time bomb?]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>547</prism:startingPage>
<prism:endingPage>547</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/547.2.short?rss=1">
<title><![CDATA[Building capacity in the academic general practice research workforce]]></title>
<link>http://bjgp.org/content/75/761/547.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[George K Freeman, Amanda C Howe]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743661</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/547-a</dc:identifier>
<dc:title><![CDATA[Building capacity in the academic general practice research workforce]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>547</prism:startingPage>
<prism:endingPage>548</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/548.1.short?rss=1">
<title><![CDATA[Testing patients for orthostatic hypotension in less than a minute is better than not testing at all]]></title>
<link>http://bjgp.org/content/75/761/548.1.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Stephen Katona]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743673</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/548</dc:identifier>
<dc:title><![CDATA[Testing patients for orthostatic hypotension in less than a minute is better than not testing at all]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>548</prism:startingPage>
<prism:endingPage>548</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/548.2.short?rss=1">
<title><![CDATA[Isotretinoin: equal in name only?]]></title>
<link>http://bjgp.org/content/75/761/548.2.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Gabriel Sherliker]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743685</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/548-a</dc:identifier>
<dc:title><![CDATA[Isotretinoin: equal in name only?]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Letters</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>548</prism:startingPage>
<prism:endingPage>548</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/562.short?rss=1">
<title><![CDATA[A Yuletide mystery]]></title>
<link>http://bjgp.org/content/75/761/562.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Andrew Papanikitas]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743697</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/562</dc:identifier>
<dc:title><![CDATA[A Yuletide mystery]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>562</prism:startingPage>
<prism:endingPage>562</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/563.short?rss=1">
<title><![CDATA[It&#x2019;s not the antidepressants, it&#x2019;s the keys]]></title>
<link>http://bjgp.org/content/75/761/563.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Hirrah Syed]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743721</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/563</dc:identifier>
<dc:title><![CDATA[It&#x2019;s not the antidepressants, it&#x2019;s the keys]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>563</prism:startingPage>
<prism:endingPage>563</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/564.short?rss=1">
<title><![CDATA[Six books to read, give, or talk about during the festive season]]></title>
<link>http://bjgp.org/content/75/761/564.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Andrew Papanikitas]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743733</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/564</dc:identifier>
<dc:title><![CDATA[Six books to read, give, or talk about during the festive season]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>564</prism:startingPage>
<prism:endingPage>565</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/566.short?rss=1">
<title><![CDATA[Is loneliness the HPV of general practice&#x2019;s burnout cancer?]]></title>
<link>http://bjgp.org/content/75/761/566.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Ishbel Orla Whitehead]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743745</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/566</dc:identifier>
<dc:title><![CDATA[Is loneliness the HPV of general practice&#x2019;s burnout cancer?]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>566</prism:startingPage>
<prism:endingPage>566</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/567.short?rss=1">
<title><![CDATA[Position vacant]]></title>
<link>http://bjgp.org/content/75/761/567.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Ben Hoban]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743757</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/567</dc:identifier>
<dc:title><![CDATA[Position vacant]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>567</prism:startingPage>
<prism:endingPage>567</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/568.short?rss=1">
<title><![CDATA[Where continuity is key: primary care in Norway]]></title>
<link>http://bjgp.org/content/75/761/568.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Kerry Greenan]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743769</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/568</dc:identifier>
<dc:title><![CDATA[Where continuity is key: primary care in Norway]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>568</prism:startingPage>
<prism:endingPage>568</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/569.short?rss=1">
<title><![CDATA[Yonder: Wishbones, gifts from patients, and Christmas Ozempic advertising]]></title>
<link>http://bjgp.org/content/75/761/569.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Alex Burrell]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743781</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/569</dc:identifier>
<dc:title><![CDATA[Yonder: Wishbones, gifts from patients, and Christmas Ozempic advertising]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>569</prism:startingPage>
<prism:endingPage>569</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/570.short?rss=1">
<title><![CDATA[Epistemic injustice: a tale of how not to be heard in general practice]]></title>
<link>http://bjgp.org/content/75/761/570.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[David Misselbrook]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743793</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/570</dc:identifier>
<dc:title><![CDATA[Epistemic injustice: a tale of how not to be heard in general practice]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>570</prism:startingPage>
<prism:endingPage>570</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/571.short?rss=1">
<title><![CDATA[Book: I Shall Not Hate]]></title>
<link>http://bjgp.org/content/75/761/571.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Trevor Thompson]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743805</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/571</dc:identifier>
<dc:title><![CDATA[Book: I Shall Not Hate]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>571</prism:startingPage>
<prism:endingPage>572</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/572.short?rss=1">
<title><![CDATA[Mind the gap]]></title>
<link>http://bjgp.org/content/75/761/572.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Saul Miller]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/bjgp25X743817</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/572</dc:identifier>
<dc:title><![CDATA[Mind the gap]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Life &#x26; Times</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>572</prism:startingPage>
<prism:endingPage>572</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/574.short?rss=1">
<title><![CDATA[Evidence-biased medicine? Applying a health equity lens to Sackett&#x2019;s methodological framework]]></title>
<link>http://bjgp.org/content/75/761/574.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Caroline Mitchell, Teresa Hagan, Kate Fryer, Josephine Reynolds, Rebecca Mawson, Qizhi Huang, Laura Emery, Benjamin Duke, Mahendra G Patel]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0385</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/574</dc:identifier>
<dc:title><![CDATA[Evidence-biased medicine? Applying a health equity lens to Sackett&#x2019;s methodological framework]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Analysis</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>574</prism:startingPage>
<prism:endingPage>578</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/579.short?rss=1">
<title><![CDATA[The challenge of persistent physical symptoms]]></title>
<link>http://bjgp.org/content/75/761/579.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Adrian Tookman, Jay Verma, Eva Diehl-Wiesenecker, Richard Stephens, Jennifer E McCallum, Ursula Unterberger, Steven Walker]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0442</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/579</dc:identifier>
<dc:title><![CDATA[The challenge of persistent physical symptoms]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Analysis</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>579</prism:startingPage>
<prism:endingPage>582</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/583.short?rss=1">
<title><![CDATA[Genitourinary syndrome of menopause]]></title>
<link>http://bjgp.org/content/75/761/583.short?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Jo Burgin, Laura Manning, Katherine Kearley-Shiers]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0676</dc:identifier>
<dc:identifier>hwp:resource-id:bjgp;75/761/583</dc:identifier>
<dc:title><![CDATA[Genitourinary syndrome of menopause]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Clinical Practice</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>583</prism:startingPage>
<prism:endingPage>585</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e807.short?rss=1">
<title><![CDATA[Mental health consultations during the perimenopausal age range: a qualitative study of GP and patient experiences]]></title>
<link>http://bjgp.org/content/75/761/e807.short?rss=1</link>
<description><![CDATA[BackgroundThere is an increased risk of mood changes in perimenopause, and evidence that patients and GPs may overlook this association. Evidence also shows that GPs have a lack of confidence in managing perimenopausal symptoms.AimTo examine clinical consultations for patients in the perimenopausal age range who were presenting with mental health symptoms, and the experiences of GPs providing care to such patients.Design & settingA qualitative study was undertaken in one integrated care system in south-west England. It involved 18 women aged 45–55 years, who had consulted with their GP about a mental health symptom in the previous 6 months, and 11 GPs.MethodParticipants were recruited between February 2023 and August 2023. Data were collected through semi-structured interviews, and thematic analysis was used to identify recurring patterns and key insights regarding consultation practices, patient–GP communication, and gaps in education and training.ResultsWomen either did not recognise perimenopause or were uncertain whether it contributed to their mental health symptoms, and felt inhibited or embarrassed about raising the issue. GPs reported using variable approaches to asking about perimenopausal symptoms and acknowledged that there were gaps in their training. Time constraints and the stigma surrounding menopause further hindered consultations.ConclusionAddressing mental health symptoms during perimenopause requires a proactive and informed approach in primary care. Improved GP training on menopause, coupled with patient education to increase awareness and confidence, could improve consultations and the management of mental health symptoms experienced during perimenopause.]]></description>
<dc:creator><![CDATA[Jo Burgin, Yvette Pyne, Anna Davies, David Kessler]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0069</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0069</dc:identifier>
<dc:title><![CDATA[Mental health consultations during the perimenopausal age range: a qualitative study of GP and patient experiences]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e807</prism:startingPage>
<prism:endingPage>e815</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e816.short?rss=1">
<title><![CDATA[Accessing equitable menopause care in the contemporary NHS: a qualitative study of women's experiences]]></title>
<link>http://bjgp.org/content/75/761/e816.short?rss=1</link>
<description><![CDATA[BackgroundWomen from lower socioeconomic status and minority ethnic backgrounds have earlier onset and more complex menopause symptoms. Hormone replacement therapy (HRT) has grown in popularity in recent years, however there are stark disparities in those who access HRT. Rates of use in deprived areas and for Black and Asian women are significantly lower than that of White women and those in more affluent areas.AimTo explore women’s experiences of menopause and accessing primary care, as well as how perceptions and approaches may be shaped by cultural norms, to gain deeper understanding of factors shaping approaches to managing menopause and HRT prescribing patterns.Design  managing menopause alongside high workloads and caring responsibilities posed challenges perceived as distinct from previous generations; and there was heightened awareness, reduced stigma, and mixed views regarding HRT; 2) ‘How menopause care is experienced’ demonstrated how consultations about menopause were emotionally charged, many felt they would have to advocate for HRT (if they wanted it), and some felt frustrated with the lack of options available; and 3) ‘Cultural and economic background influences on menopause help seeking’ included how some women from Black or Asian backgrounds did not discuss menopause within their communities. Mistrust of medical institutions and treatments, as well as lack of representation, was problematic for Black and Asian participants. Some women worried about stereotyping during consultations.ConclusionThe findings outline how menopause may be particularly disruptive to modern women, demonstrate how women are often dissatisfied with the options available, and highlight key areas, such as communication about HRT benefits and/or risks, which could be improved in primary care settings.]]></description>
<dc:creator><![CDATA[Abi Eccles, Sabrina Keating, Claire Mann, Lisa Shah, Jeremy Dale, Patricia Apenteng, Neelam Heera, Nina Kuypers, Lynn Tatnell, Sarah Hillman]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0781</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0781</dc:identifier>
<dc:title><![CDATA[Accessing equitable menopause care in the contemporary NHS: a qualitative study of women's experiences]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e816</prism:startingPage>
<prism:endingPage>e823</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e824.short?rss=1">
<title><![CDATA[Menopause care for diverse communities: a qualitative study of GP clinician experiences]]></title>
<link>http://bjgp.org/content/75/761/e824.short?rss=1</link>
<description><![CDATA[BackgroundIn the UK, there is increasing public awareness of menopause. However, there remain inequalities in its treatment, with lower hormone replacement therapy (HRT) prescribing in areas of social deprivation. Little is known about how healthcare professionals (HCPs) view and understand this inequality.AimTo explore barriers to, and facilitators of, the provision of menopause care in diverse communities.Design and settingQualitative, semi-structured interviews were conducted with HCPs across central England.MethodThe authors purposively sampled 15 HCPs working in patient-facing roles in areas of high deprivation. An interview schedule was developed, and 11 individual interviews and one focus group were conducted between January and March 2024. The data were subject to team-based iterative thematic analysis.ResultsData were categorised into three key themes: the context of contemporary primary care, delivering menopause care, and limitations of the current approach to menopause care. HCPs reported that awareness of menopause and requests for HRT were increasing, but cultural and ethnic differences were perceived as affecting whether women sought menopause care and/or HRT from their GP. HCPs believed women had high expectations of HRT and felt that discussions around realistic expectations were important. They also emphasised: the difficulty of remaining up to date on menopause care; there being limited time, resources, and ability to refer to specialists; the impact of patients’ requests for testosterone; the need for targeted, culturally sensitive patient outreach initiatives and education; and the need for dedicated training for HCPs.ConclusionHCPs believed that differences in levels of menopause care across diverse populations that experienced health inequalities reflected differing demands from communities, as well as a lack of time and funding to provide targeted community-based education on menopause and its treatment. Future work to improve menopause care should include additional research as well as culturally sensitive and targeted health education for patients and HCPs.]]></description>
<dc:creator><![CDATA[Claire Mann, Dr, Lisa Shah, Abi Eccles, Sabrina Keating, Jeremy Dale, Patricia Apenteng, Sarah Hillman]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0780</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0780</dc:identifier>
<dc:title><![CDATA[Menopause care for diverse communities: a qualitative study of GP clinician experiences]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e824</prism:startingPage>
<prism:endingPage>e831</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e832.short?rss=1">
<title><![CDATA['I think it is helpful &#x2026; I mean it&#x2019;s not always helpful&#x2019; &#x2014; diagnostic complexity in endometriosis: a qualitative study]]></title>
<link>http://bjgp.org/content/75/761/e832.short?rss=1</link>
<description><![CDATA[BackgroundEndometriosis affects approximately 10% of those assigned female at birth. Diagnostic journeys can be complex. The average 8–9 years between presenting symptoms and diagnosis has not changed significantly despite guidance.AimTo explore primary care clinicians’ diagnostic considerations in the context of symptoms that suggest possible endometriosis.Design and settingQualitative semi-structured interviews with general practice clinicians working in England.MethodWe report a further analysis of 56 interviews from two inter-linked datasets with GPs and primary care clinicians about supporting patients with symptoms aligned with endometriosis. Analysis was informed by sociologies of diagnosis and ambivalence.ResultsClinicians valued the importance of diagnoses to patients. Diagnoses support longitudinal care throughout episodes of intermittent specialist input, anticipating and responding to current and future health needs, and delivering evidence-based (biomedical) medicine. Diagnoses help clinicians feel more confident and comfortable, and may confer protection from medicolegal risk. Clinicians balanced these considerations against known uncertainties, including recognition that diagnosis might not change the treatment offered, may not be accessible if empirical trials of treatment relieve symptoms, and that an endometriosis diagnosis may not enable individualised advice or risk prediction. Potential advantages were balanced against diagnostic test risks and system pressures. Recognising that patient care remains with them, GPs anticipate and actively ensure ongoing relationships and care, whatever the outcome of tests. Holding these opposing role- based priorities and expectations in parallel creates tensions, which can be characterised through the concept of sociological ambivalence.ConclusionDiagnostic considerations are complex. Educational interventions that do not recognise this may be ineffective in improving or enabling endometriosis diagnostic care journeys.]]></description>
<dc:creator><![CDATA[Sharon Dixon, Emma Evans, Katy Vincent, Francine Toye, Abi McNiven, Lisa Hinton]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0799</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0799</dc:identifier>
<dc:title><![CDATA['I think it is helpful &#x2026; I mean it&#x2019;s not always helpful&#x2019; &#x2014; diagnostic complexity in endometriosis: a qualitative study]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e832</prism:startingPage>
<prism:endingPage>e842</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e843.short?rss=1">
<title><![CDATA[First trimester antidepressant use and miscarriage: a population-based cohort study using Clinical Practice Research Datalink GOLD]]></title>
<link>http://bjgp.org/content/75/761/e843.short?rss=1</link>
<description><![CDATA[BackgroundDepression and anxiety during pregnancy is on the rise, thus more pregnant women are being offered antidepressants; however, uncertainties remain surrounding safety.AimTo investigate the association between first trimester antidepressant use and miscarriage.Design and settingPopulation-based cohort study using the UK Clinical Practice Research Datalink (CPRD) GOLD.MethodPregnancies included in the CPRD GOLD Pregnancy Register between 1996 and 2018 were identified. Pregnancies in those with prescriptions for antidepressants overlapping with the first trimester were defined as ‘exposed’ and compared with pregnancies in those who were unexposed. Cox models, adjusted hazard ratios (aHRs), and absolute risk of miscarriage were calculated adjusted for confounders including depression, anxiety, smoking, and other health, lifestyle, and obstetric factors.ResultsAmong the 1 021 384 eligible pregnancies, 73 540 patients were prescribed antidepressants in the first trimester (7.2%); 10 693/73 540 (14.5%) pregnancies ended in miscarriage among those prescribed antidepressants versus 116 641/947 844 (12.3%) in those not prescribed antidepressants. Antidepressant prescription during the first trimester was only modestly associated with miscarriage following adjustment (aHR 1.04, 95% confidence interval [CI] = 1.02 to 1.06). These findings translated to an absolute risk adjusted for confounders of 13.1% (95% CI = 13.0 to 13.2) for those not prescribed and 13.6% (95% CI = 13.3 to 13.8) for those prescribed antidepressants. Among those prescribed antidepressants in the 3 months before pregnancy and during the first trimester, the risk of miscarriage was the same as among those unexposed (aHR 1.00, 95% CI = 0.98 to 1.03).ConclusionFirst trimester antidepressant use was associated with a small, clinically insignificant increased risk of miscarriage, with no evidence suggesting taking antidepressants before pregnancy and into the first trimester increases the risk of miscarriage.]]></description>
<dc:creator><![CDATA[Florence Z Martin, Paul C Madley-Dowd, Viktor H Ahlqvist, Gemma C Sharp, Kayleigh E Easey, Brian K Lee, Abi Merriel, Dheeraj Rai, Harriet Forbes]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0092</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0092</dc:identifier>
<dc:title><![CDATA[First trimester antidepressant use and miscarriage: a population-based cohort study using Clinical Practice Research Datalink GOLD]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e843</prism:startingPage>
<prism:endingPage>e852</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e853.short?rss=1">
<title><![CDATA[Urine human papillomavirus testing for cervical screening in a UK general screening population: a diagnostic test accuracy study]]></title>
<link>http://bjgp.org/content/75/761/e853.short?rss=1</link>
<description><![CDATA[BackgroundCervical screening uptake is decreasing in the UK, with only 67.5% of those eligible under 50 years old attending in 2022. Barriers include restricted access to screening appointments and poor acceptability of the speculum examination. Urine self-sampling is an alternative cervical screening method that has the potential to improve uptake.AimTo determine the clinical performance and acceptability of human papillomavirus (HPV)-tested urine for cervical screening in a UK general screening population.Design and settingProspective, cross-sectional diagnostic test accuracy study in North-West England.MethodUrine was self-collected using a first-void urine (FVU) collection device (DNA Genotek Colli-Pee® 10 ml with urine conservation medium) before obtaining matched routine cervical screening samples. HPV testing used Roche Cobas® 8800 at cervical sample thresholds. A questionnaire evaluated urine self-sampling acceptability. HPV-positive cervical samples underwent reflex cytology, managed under standard NHS protocols, and clinical outcomes were collected.ResultsIn total, 1517 participants provided matched urine and cervical samples. There were 207 of 1517 (13.6%) cervical and 245 of 1517 (16.2%) urine samples that were HPV positive with a 1.6% (n = 25/1517) incidence of cervical intraepithelial neoplasia (CIN)2+ following colposcopic assessment (n = 80). The specificity of urine was non-inferior (P = 0.0004) to the specificity of cervical samples at 85.19% (95% confidence interval [CI] = 83.28 to 86.95) versus 87.80% (95% CI = 86.03 to 89.42), giving a relative specificity of 0.97 (95% CI = 0.95 to 0.99). Urine detected 24 of 25 (96.0%) participants with CIN2+. In the future, 41.6% (n = 575/1382) of participants would prefer current cervical screening, compared with 30.0% (n = 414/1382) with no preference and 28.4% (n = 393/1382) preferring urine self-sampling.ConclusionHPV-tested urine showed non-inferior specificity to cervical samples in a general screening population. Urine self-sampling was acceptable to current attenders but some prefer traditional screening, making choice an important consideration for policymakers.]]></description>
<dc:creator><![CDATA[Jennifer C Davies, Suzanne Carter, Jiexin Cao, Maya Whittaker, Helena O&#x2019;Flynn, Clare Gilham, Peter Sasieni, Alexandra Sargent, Emma J Crosbie]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0105</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0105</dc:identifier>
<dc:title><![CDATA[Urine human papillomavirus testing for cervical screening in a UK general screening population: a diagnostic test accuracy study]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e853</prism:startingPage>
<prism:endingPage>e861</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e862.short?rss=1">
<title><![CDATA[What deters GPs from talking about sexual assault? a qualitative interview study]]></title>
<link>http://bjgp.org/content/75/761/e862.short?rss=1</link>
<description><![CDATA[BackgroundSexual assault affects overall health due to its somatic, psychological, and social consequences. Many survivors will present their health issues to GPs, unaware of the relationship between their symptoms and their history. Studies on intimate partner violence (IPV) show that GPs often lack the competencies to recognise and discuss IPV, which leads to substandard care. This leads to the research question of whether this also applies to sexual assault.AimTo explore GPs’ experiences regarding the identification and discussion of sexual assault.Design & settingQualitative study using semi-structured interviews with GPs in the Netherlands.MethodInterviews were conducted with 14 GPs between March and August 2023. The interviews were transcribed and analysed using thematic analysis.ResultsMost GPs thought sexual assault should be discussed in their consulting rooms. Although both barriers and facilitators were explored, GPs talked predominantly about barriers. Professionally, they felt hampered by the tendency to approach symptoms from a biomedical perspective and by their fixation on problem solving. Emotional resistance and discomfort also prevented them from discussing sexual assault. Female doctors struggled to remain aware that males can also be victims of sexual assault, and male doctors were reluctant to discuss sexual assault with female victims because of a fear of doing harm.ConclusionThis study provides insights into why GPs find it hard to talk about sexual assault. The findings indicate that they should be offered training that tackles the issues raised in order to become competent at recognising and discussing sexual assault with survivors.]]></description>
<dc:creator><![CDATA[Fiona Elizabeth van Zyl-Bonk, Antoinette Leonarda Maria Lagro-Janssen, Anna Maria Cornelia Henrica de Klein, Theodora Alberta Maria Teunissen]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0761</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0761</dc:identifier>
<dc:title><![CDATA[What deters GPs from talking about sexual assault? a qualitative interview study]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e862</prism:startingPage>
<prism:endingPage>e869</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e870.short?rss=1">
<title><![CDATA[Exploring the lived experiences of early- and mid-career female academic GPs in the UK: a biographical narrative interview study]]></title>
<link>http://bjgp.org/content/75/761/e870.short?rss=1</link>
<description><![CDATA[BackgroundWomen are underrepresented within academic general practice, particularly after mid-career.AimTo explore the lived experiences of early- and mid-career female academic GPs and inform ways to reduce attrition through the GP academic career path.Design and settingThis was an in-depth qualitative interview study within the UK.MethodAdapted biographical narrative interpretive method interviews were utilised, analysed thematically using Braun and Clarke’s reflexive method, and informed by Bourdieu’s theory of practice. Composite narratives were developed as part of the analysis to identify key biographical storylines and to present findings.ResultsIn total, 39 interviews with a diverse sample of 13 female academic GPs were conducted. Five composite narratives reflecting corresponding themes were generated. Participants described: challenges in ‘thriving? or surviving?’ in academic general practice; ‘feeling on the cliff edge’ with precarious careers balanced against fulfilment and creativity; the cumulative burdens of ‘doing the juggle’; and living between ‘two worlds’. Women who followed conventional academic career pathways appeared more positive within their careers than those who did not. Women who entered later in their GP careers and those who experienced multiple forms of disadvantage reported additional barriers. Participants described their efforts managing practical and ethical tensions between their clinical, academic, and personal responsibilities.ConclusionWomen academic GPs live complex and demanding lives. Different strands of their unfolding life narratives — as clinicians, academics, and partners and/or carers — generate recurrent tensions and conflicting pressures. Experiences are varied. Academic support structures should address (among other things) the career-limiting impact of short-term contracts, mentorship, and inequity in navigating the field.]]></description>
<dc:creator><![CDATA[Ellen MacIver, Pavel Ovseiko, Eleanor Barry, Trisha Greenhalgh]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2025.0359</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2025.0359</dc:identifier>
<dc:title><![CDATA[Exploring the lived experiences of early- and mid-career female academic GPs in the UK: a biographical narrative interview study]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e870</prism:startingPage>
<prism:endingPage>e876</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
<item rdf:about="http://bjgp.org/content/75/761/e880.short?rss=1">
<title><![CDATA[Impact of the rollout of the national social prescribing link worker programme on population outcomes: evidence from a repeated cross-sectional survey]]></title>
<link>http://bjgp.org/content/75/761/e880.short?rss=1</link>
<description><![CDATA[BackgroundSocial prescribing link workers have been rolled out nationally through the Additional Roles Reimbursement Scheme. Link workers connect people to advice and support to address the non-medical and social issues affecting their health and wellbeing.AimTo determine whether the rollout of social prescribing link workers through primary care networks improved population outcomes.Design and settingRepeated cross-sectional survey of General Practice Patient Survey (GPPS; 2018 to 2023) data combined with administrative workforce data.MethodLogistic regression models were used to relate the number of full-time equivalent social prescribing link workers per 50 000 patients to five population outcomes.ResultsIn total, data from 4 132 676 responders from repeated cross-sections of the GPPS were used. An additional full-time equivalent link worker per 50 000 patients was associated with higher probabilities of responders with long-term conditions having confidence in managing long-term condition(s) (odds ratio [OR] 1.006, 95% confidence interval [CI] = 1.001 to 1.010) and having enough support from local services (OR 1.005, 95% CI = 1.001 to 1.008). For all responders, the same size increase in link workers was associated with a higher probability of having a good experience at their general practice (OR 1.015, 95% CI = 1.004 to 1.027). For responders with mental health needs, this increase in link workers was associated with a higher probability of having their mental health needs understood (OR 1.012, 95% CI = 1.003 to 1.021).ConclusionThe rollout of link workers was associated with small improvements in patient experience and slightly better outcomes for population groups specifically targeted for social prescribing. Future work is required to determine whether the scheme is financially sustainable and to ensure it does not widen existing health inequalities.]]></description>
<dc:creator><![CDATA[Anna Wilding, Efundem Agboraw, Luke Munford, Matthew Sutton, Stewart W Mercer, Chris Salisbury, Morgan Beeson, John Wildman, Paul Wilson]]></dc:creator>
<dc:date>2025-11-27T16:05:32-08:00</dc:date>
<dc:identifier>info:doi/10.3399/BJGP.2024.0542</dc:identifier>
<dc:identifier>hwp:master-id:bjgp;BJGP.2024.0542</dc:identifier>
<dc:title><![CDATA[Impact of the rollout of the national social prescribing link worker programme on population outcomes: evidence from a repeated cross-sectional survey]]></dc:title>
<prism:publicationDate>2025-12-01</prism:publicationDate>
<prism:section>Research</prism:section>
<prism:volume>75</prism:volume>
<prism:number>761</prism:number>
<prism:startingPage>e880</prism:startingPage>
<prism:endingPage>e888</prism:endingPage>
<prism:issueIdentifier>761</prism:issueIdentifier>
</item>
</rdf:RDF>