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What the 10-Year Health Plan means for GPs

What the 10-Year Health Plan means for GPs

Is this a taste of the future or back to old ideas?

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The PA experiment has failed – now invest in GPs
The PA experiment has failed – now invest in GPs

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‘Fails to meet the urgency’ – Doctors and PAs react to Leng review
‘Fails to meet the urgency’ – Doctors and PAs react to Leng review

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Please hold – your assisted death is important to us
Please hold – your assisted death is important to us

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The 10-year health preoccupation plan: fear for the future
The 10-year health preoccupation plan: fear for the future

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GP guest opinion: I was diagnosed with PTSD after workplace violence
GP guest opinion: I was diagnosed with PTSD after workplace violence

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The 10-year plan signals the end of the GP partnership model as we know it
The 10-year plan signals the end of the GP partnership model as we know it

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Live reaction to the Government’s 10-year health plan
Live reaction to the Government’s 10-year health plan

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I’ve fallen shorts of expectation
I’ve fallen shorts of expectation

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Is it really all good in the hood for GPs?
Is it really all good in the hood for GPs?

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AI will lead GPs up the garden path to oblivion
AI will lead GPs up the garden path to oblivion

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GPs caught in the middle of a muddled tirzepatide rollout
GPs caught in the middle of a muddled tirzepatide rollout

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Investing in general practice – if not now, when?
Investing in general practice – if not now, when?

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Dr Heather Ryan: How my own GLP-1 journey has reshaped patient consultations
Dr Heather Ryan: How my own GLP-1 journey has reshaped patient consultations

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Pulse Checker: Out-of-work GPs to be hired as physician associates’ assistants (PAAs)
Pulse Checker: Out-of-work GPs to be hired as physician associates’ assistants (PAAs)

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GPs need more than three strikes before we’re out
GPs need more than three strikes before we’re out

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Professor Gillian Leng: ‘There’s nothing that says PAs are 100% safe in primary care’
Professor Gillian Leng: ‘There’s nothing that says PAs are 100% safe in primary care’

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Blue-sky thinking is great, but not if it fails to reach the grassroots
Blue-sky thinking is great, but not if it fails to reach the grassroots

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Younger GPs don’t know how good we used to have it
Younger GPs don’t know how good we used to have it

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If we say goodbye to physician associates in general practice, what next?
If we say goodbye to physician associates in general practice, what next?

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Bullshit bureaucracy is back to block the system
Bullshit bureaucracy is back to block the system

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Expert analysis: Why are we not retaining GPs?
Expert analysis: Why are we not retaining GPs?

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God knows how we get through day duty
God knows how we get through day duty

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‘School attendance is everyone’s business – that includes GPs’
‘School attendance is everyone’s business – that includes GPs’

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The living with obesity epidemic
The living with obesity epidemic

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Australian GPs have it so good – remind me why I’m still here?
Australian GPs have it so good – remind me why I’m still here?

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Facing death: the courage GPs may need on assisted dying
Facing death: the courage GPs may need on assisted dying

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‘School attendance is everyone’s business – that includes GPs’
‘School attendance is everyone’s business – that includes GPs’

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The living with obesity epidemic
The living with obesity epidemic

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Australian GPs have it so good – remind me why I’m still here?
Australian GPs have it so good – remind me why I’m still here?

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Facing death: the courage GPs may need on assisted dying
Facing death: the courage GPs may need on assisted dying

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Navigating the Supreme Court ruling as a transgender GP
Navigating the Supreme Court ruling as a transgender GP

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‘I was ready to go to custody after an unfounded complaint’
‘I was ready to go to custody after an unfounded complaint’

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Consultants should face-to-face up to post-Covid consulting
Consultants should face-to-face up to post-Covid consulting

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A&G is not the way to keep ‘millions out of hospital’
A&G is not the way to keep ‘millions out of hospital’

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MP guest blog: ‘GPs should take back control of out-of-hours services’
MP guest blog: ‘GPs should take back control of out-of-hours services’

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Politicians need to man up on men’s health
Politicians need to man up on men’s health

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Allowing GPs to work as physician associates could boost retention
Allowing GPs to work as physician associates could boost retention

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Expert analysis: How many new GPs have really been hired under ARRS?
Expert analysis: How many new GPs have really been hired under ARRS?

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AI is not the write stuff
AI is not the write stuff

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What do GPs really think of the assisted dying bill?
What do GPs really think of the assisted dying bill?

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In defence of the GP partnership model
In defence of the GP partnership model

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The not-so-feckless-and-idle scroungers on welfare
The not-so-feckless-and-idle scroungers on welfare

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GP premises need state investment
GP premises need state investment

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Evidence of Streeting credibility
Evidence of Streeting credibility

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What is the future of the sick note for GPs?
What is the future of the sick note for GPs?

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Copperfield: New QOF is LDhelL
Copperfield: New QOF is LDhelL

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RCGP chair: ‘General practice needs resources to standardise green prescribing’
RCGP chair: ‘General practice needs resources to standardise green prescribing’

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Chaand Nagpaul: ‘The Government’s NHS plans depend on supporting GP wellbeing’
Chaand Nagpaul: ‘The Government’s NHS plans depend on supporting GP wellbeing’

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The vision for a ‘doctor-lite’ service is a mistake
The vision for a ‘doctor-lite’ service is a mistake

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Dr Burnt Out’s five-point plan for a reformed GP partnership model
Dr Burnt Out’s five-point plan for a reformed GP partnership model

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Overdiagnosis is an underused word
Overdiagnosis is an underused word

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A constructive week in general practice
A constructive week in general practice

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‘Burnout has made general practice a race to survive’
‘Burnout has made general practice a race to survive’

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Dr Victoria Tzortziou Brown: Patient records need to reflect who treated them
Dr Victoria Tzortziou Brown: Patient records need to reflect who treated them

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Stephen Kinnock’s Pulse LIVE address: ‘Our relationship with GPs is bigger than the contract’
Stephen Kinnock’s Pulse LIVE address: ‘Our relationship with GPs is bigger than the contract’

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Not your average practice: The youngest patient population in England
Not your average practice: The youngest patient population in England

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Is this the beginning of the end for the tick-box culture?
Is this the beginning of the end for the tick-box culture?

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Is general practice next in Government’s bold NHS overhaul plan?
Is general practice next in Government’s bold NHS overhaul plan?

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‘The end of an era for the NHS’: All the reaction to the Government scrapping NHS England
‘The end of an era for the NHS’: All the reaction to the Government scrapping NHS England

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The only problem with the polypill is that it doesn’t go far enough
The only problem with the polypill is that it doesn’t go far enough

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MP guest blog: New houses need new GP practices
MP guest blog: New houses need new GP practices

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In memory of Covid’s D-Day
In memory of Covid’s D-Day

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New contract causes collective confusion
New contract causes collective confusion

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Trojan ARRS horse could create a two-tiered GP system
Trojan ARRS horse could create a two-tiered GP system

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The 2025/26 GP contract – A new dawn or another dead end?
The 2025/26 GP contract – A new dawn or another dead end?

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Streeting passes first GP test but the next few months will be pivotal
Streeting passes first GP test but the next few months will be pivotal

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Dr Amanda Doyle: ‘Extensive talks were held to find a fair GP contract deal’
Dr Amanda Doyle: ‘Extensive talks were held to find a fair GP contract deal’

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Frankly, the patients can just fob off
Frankly, the patients can just fob off

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Dr Burnt Out: GPs are suffering with collective Stockholm syndrome
Dr Burnt Out: GPs are suffering with collective Stockholm syndrome

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‘We are jeopardising the careers of a whole generation of new GPs’
‘We are jeopardising the careers of a whole generation of new GPs’

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We’re all doom looped
We’re all doom looped

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A radical solution to the workforce crisis
A radical solution to the workforce crisis

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Change, change… please change the record Wes
Change, change… please change the record Wes

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‘It is too soon to call rural recruitment scheme a failure’
‘It is too soon to call rural recruitment scheme a failure’

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‘Seven-month CQC results delay caused immense damage to our GP practice’
‘Seven-month CQC results delay caused immense damage to our GP practice’

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Trigger warnings need a trigger warning
Trigger warnings need a trigger warning

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Less of the paperchase, more of the appraisal
Less of the paperchase, more of the appraisal

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BMA locum leader: ‘GP unemployment is unacceptable and bizarre’
BMA locum leader: ‘GP unemployment is unacceptable and bizarre’

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Letter: ‘GP A&G payment risks being a perverse incentive’
Letter: ‘GP A&G payment risks being a perverse incentive’

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Coast to coast
Coast to coast

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The pulse keepers: a poem
The pulse keepers: a poem

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Not ‘coasting’, but drowning Wes
Not ‘coasting’, but drowning Wes

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Dr Katie Bramall-Stainer letter to Wes Streeting: ‘Coasting GPs accusation deeply hurtful’
Dr Katie Bramall-Stainer letter to Wes Streeting: ‘Coasting GPs accusation deeply hurtful’

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NHS England’s plan for general practice reveals it has no plan whatsoever
NHS England’s plan for general practice reveals it has no plan whatsoever

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The Traitors is over, but the treachery isn’t
The Traitors is over, but the treachery isn’t

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‘Standardised referral criteria’? Gawd help us all
‘Standardised referral criteria’? Gawd help us all

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It is at times like this I can truly appreciate health workers
It is at times like this I can truly appreciate health workers

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A primary care approach to bereavement
A primary care approach to bereavement

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2025 – Time for solutions not resolutions
2025 – Time for solutions not resolutions

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Reform plan? No scan do
Reform plan? No scan do

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Not your average practice: Caring for homeless populations
Not your average practice: Caring for homeless populations

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Total triage as an antidote to selfish patients
Total triage as an antidote to selfish patients

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Why are GPs more prone to compassion fatigue?
Why are GPs more prone to compassion fatigue?

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Is £20 for A&G a good deal?
Is £20 for A&G a good deal?

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Practice Tips: Exploring the role of non-GP partners in general practice
Practice Tips: Exploring the role of non-GP partners in general practice

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The patients are revolting, or they should be
The patients are revolting, or they should be

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Should GP collective action become the new norm?
Should GP collective action become the new norm?

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Dr Burnt Out’s 2025 preview for general practice
Dr Burnt Out’s 2025 preview for general practice

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All I want for 2025 is some common sense
All I want for 2025 is some common sense

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‘To my family doctor, whoever that is’
‘To my family doctor, whoever that is’

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Letter: Copperfield is wrong – GPs do need women’s health training
Letter: Copperfield is wrong – GPs do need women’s health training

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How GP partnership in a broken system left me in financial ruin
How GP partnership in a broken system left me in financial ruin

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Patients need to know GPs pump the life blood of the NHS
Patients need to know GPs pump the life blood of the NHS

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Women’s health report is insulting bollocks
Women’s health report is insulting bollocks

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Communication breakdown: Approaching GP colleagues struggling with burnout
Communication breakdown: Approaching GP colleagues struggling with burnout

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Imposter syndrome in general practice
Imposter syndrome in general practice

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The kids aren’t alright – GPs must lead debate on social media ban
The kids aren’t alright – GPs must lead debate on social media ban

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Finance diary: How to provide a tax efficient Christmas for your practice
Finance diary: How to provide a tax efficient Christmas for your practice

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Wes makes ballsy attempt to distract us from NHS chaos
Wes makes ballsy attempt to distract us from NHS chaos

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GPs do too many diagnostic tests – but we can take a more rational approach
GPs do too many diagnostic tests – but we can take a more rational approach

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Dr Burnt Out on assisted dying: The meaning of neutrality
Dr Burnt Out on assisted dying: The meaning of neutrality

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Beastly attempt at rewriting GP face-to-face row history, Hancock
Beastly attempt at rewriting GP face-to-face row history, Hancock

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The dystopian future of general practice – the hubs won’t work
The dystopian future of general practice – the hubs won’t work

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On PAs and car mechanics: Just wait until you hire an amateur…
On PAs and car mechanics: Just wait until you hire an amateur…

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Against assisted dying – are you having a laugh?
Against assisted dying – are you having a laugh?

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Not your average practice: The oldest patient population in England
Not your average practice: The oldest patient population in England

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What you don’t know about… emergency medication in schools
What you don’t know about… emergency medication in schools

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League tables will not plug the hospital funding black hole
League tables will not plug the hospital funding black hole

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AI will save us – by destroying everything else
AI will save us – by destroying everything else

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Dr Burnt Out: The general practice ‘phantom zone’
Dr Burnt Out: The general practice ‘phantom zone’

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Is this budget the last straw for general practice?
Is this budget the last straw for general practice?

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The more things change…
The more things change…

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Finance diary: Working with PCNs to ensure that funding is maximised
Finance diary: Working with PCNs to ensure that funding is maximised

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I’m sick of awareness campaigns
I’m sick of awareness campaigns

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Help stop the deepfake doctors putting patients’ lives at risk
Help stop the deepfake doctors putting patients’ lives at risk

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GP partners are ‘working people’ too – but for how much longer?
GP partners are ‘working people’ too – but for how much longer?

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Is this the dumbest thing a health secretary has ever said?
Is this the dumbest thing a health secretary has ever said?

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ARRS for GPs? What a load of ARRS
ARRS for GPs? What a load of ARRS

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Communication breakdown: Dealing with racism
Communication breakdown: Dealing with racism

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How high do GPs need to jump for sustainable funding?
How high do GPs need to jump for sustainable funding?

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How our GP practice became a topic at the UN General Assembly
How our GP practice became a topic at the UN General Assembly

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Why should PAs be the only ones feeling the heat?
Why should PAs be the only ones feeling the heat?

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Dr Amanda Doyle: ‘GPs have an opportunity to shape a better, sustainable future’
Dr Amanda Doyle: ‘GPs have an opportunity to shape a better, sustainable future’

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Is the system really ‘broken’? 
Is the system really ‘broken’? 

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Why we set up women’s health hubs in Liverpool
Why we set up women’s health hubs in Liverpool

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The Government is choosing welfare gimmicks above systemic improvement
The Government is choosing welfare gimmicks above systemic improvement

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My new role: GP with a special interest in death
My new role: GP with a special interest in death

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We’re terrible with names
We’re terrible with names

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Writing competition winner: K’s birthday cake
Writing competition winner: K’s birthday cake

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Physician associate regulation – a simple solution
Physician associate regulation – a simple solution

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Well done, RCGP, for showing the pointlessness of the PA project
Well done, RCGP, for showing the pointlessness of the PA project

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Lord Darzi observed what GPs already knew
Lord Darzi observed what GPs already knew

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Sam’s plans
Sam’s plans

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The first whistleblower in general practice
The first whistleblower in general practice

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Have PAs been scopegoated?
Have PAs been scopegoated?

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‘I want to be white’
‘I want to be white’

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Pulse writing competition: Read our top 12 entries
Pulse writing competition: Read our top 12 entries

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A lesson in humanity
A lesson in humanity

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‘Go back to Syria’
‘Go back to Syria’

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The PA debate must be silenced with a statutory scope of practice
The PA debate must be silenced with a statutory scope of practice

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Pulse Writing Competition: The patient that taught me
Pulse Writing Competition: The patient that taught me

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The ‘clinic clichés’ that stop us in our tracks
The ‘clinic clichés’ that stop us in our tracks

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It’s not deep
It’s not deep

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The flicker: one more day
The flicker: one more day

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I’m more resident than the juniors
I’m more resident than the juniors

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A sixth sense
A sixth sense

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Pulse Writing Competition: Gut feelings
Pulse Writing Competition: Gut feelings

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Unfulfilled hope – a memorable patient
Unfulfilled hope – a memorable patient

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The Government should read Lord Darzi’s report
The Government should read Lord Darzi’s report

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Pulse Writing Competition: The big ideas
Pulse Writing Competition: The big ideas

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Scrap waiting rooms for calm spaces
Scrap waiting rooms for calm spaces

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Desperate times call for annual patient appraisals 
Desperate times call for annual patient appraisals 

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Government puts brakes on Darzi’s U-turn
Government puts brakes on Darzi’s U-turn

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Finance diary: Making the most of property reimbursements 
Finance diary: Making the most of property reimbursements 

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A Pretty Meagre Solution
A Pretty Meagre Solution

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The very definition of a GP
The very definition of a GP

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How we established our consultant-led surgery
How we established our consultant-led surgery

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Spotting the early signs of burnout: A guide for GPs
Spotting the early signs of burnout: A guide for GPs

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Those two doctors
Those two doctors

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A guide to the new medical examiner system
A guide to the new medical examiner system

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Will Generation Z save the NHS?
Will Generation Z save the NHS?

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Professor Kamila Hawthorne: ‘GP employment paradox must be resolved’
Professor Kamila Hawthorne: ‘GP employment paradox must be resolved’

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A GP in Gaza: Delivering care in disaster zones
A GP in Gaza: Delivering care in disaster zones

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They’ll screen and screen until I’m sick
They’ll screen and screen until I’m sick

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Fighting for general practice: the key to a net zero health service
Fighting for general practice: the key to a net zero health service

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I actually have sympathy with Streeting over his ARRS plans
I actually have sympathy with Streeting over his ARRS plans

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We need to be better at reaching out to burnt out colleagues
We need to be better at reaching out to burnt out colleagues

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How female GPs are disproportionately affected by the employment crisis
How female GPs are disproportionately affected by the employment crisis

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What you don’t know about… S2 funding
What you don’t know about… S2 funding

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Finance Diary: How GPs can make the most out of childcare funding
Finance Diary: How GPs can make the most out of childcare funding

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Collective action means goodwill games are over
Collective action means goodwill games are over

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Communication Breakdown: ‘I’m making a complaint!’
Communication Breakdown: ‘I’m making a complaint!’

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2+2 equals a kick up the ARRS
2+2 equals a kick up the ARRS

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Writing medicolegal reports on asylum seekers
Writing medicolegal reports on asylum seekers

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Concerns are not ‘legitimate’ if GPs are closing early for their safety
Concerns are not ‘legitimate’ if GPs are closing early for their safety

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How would I improve the NHS? Well, I wouldn’t start from here
How would I improve the NHS? Well, I wouldn’t start from here

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Pulse Writing Competition: Could you be our next blogger?
Pulse Writing Competition: Could you be our next blogger?

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Dr Amanda Doyle: ‘We have ensured ring-fenced funding for GP recruitment’
Dr Amanda Doyle: ‘We have ensured ring-fenced funding for GP recruitment’

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Why shouldn’t this collective action be the norm?
Why shouldn’t this collective action be the norm?

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First, do some harm
First, do some harm

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Learn the lesson from vets: we cannot replace GPs
Learn the lesson from vets: we cannot replace GPs

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Dr Burnt Out: The first weeks of August will determine the profession’s future
Dr Burnt Out: The first weeks of August will determine the profession’s future

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It’s time for central accountability for failing NHS IT
It’s time for central accountability for failing NHS IT

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Dr Brian Balmer: How Essex GPs coped with missing letters backlog
Dr Brian Balmer: How Essex GPs coped with missing letters backlog

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We may be safe – but patients aren’t 
We may be safe – but patients aren’t 

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Professor Clare Gerada and Dr Phil Hammond: Why we are performing at the Fringe
Professor Clare Gerada and Dr Phil Hammond: Why we are performing at the Fringe

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PAs: a symptom of NHS leadership groupthink and echo chambers
PAs: a symptom of NHS leadership groupthink and echo chambers

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Understanding the GP locum conundrum 
Understanding the GP locum conundrum 

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NHS computer systems – The modern-day emperor’s new clothes
NHS computer systems – The modern-day emperor’s new clothes

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Darzi could send ARRS to the dogs
Darzi could send ARRS to the dogs

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GMC case in focus: Should breaking the law always result in suspension?
GMC case in focus: Should breaking the law always result in suspension?

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We are in danger of losing the sacrosanctity of the GP role
We are in danger of losing the sacrosanctity of the GP role

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An invitation to Wes Streeting
An invitation to Wes Streeting

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GPCE chair to new health secretary: ‘Let’s work together to rebuild general practice’
GPCE chair to new health secretary: ‘Let’s work together to rebuild general practice’

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Streeting’s election encapsulates Labour MPs’ dilemma
Streeting’s election encapsulates Labour MPs’ dilemma

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The final manifesto – a prescription for general practice
The final manifesto – a prescription for general practice

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Acute care doesn’t always go with the flowchart
Acute care doesn’t always go with the flowchart

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Being a ‘slow’ GP isn’t all bad
Being a ‘slow’ GP isn’t all bad

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What you don’t know about… doctor apprenticeships
What you don’t know about… doctor apprenticeships

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We need to talk about the GP partners who game the system
We need to talk about the GP partners who game the system

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It’s a thin line between PAs and AI physio
It’s a thin line between PAs and AI physio

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Patience and planning – the next Government must think long-term
Patience and planning – the next Government must think long-term

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Why our high-performing practice in a deprived area had to close
Why our high-performing practice in a deprived area had to close

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PAs aren’t the enemy – this is a systemic issue
PAs aren’t the enemy – this is a systemic issue

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Pain killers don’t exist – so how can we help patients in pain?
Pain killers don’t exist – so how can we help patients in pain?

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Debate: Will AI replace clinicians?
Debate: Will AI replace clinicians?

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How PAs can be a successful part of an MDT
How PAs can be a successful part of an MDT

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The NHS is circling the drain – the care merry-go-round is exasperating
The NHS is circling the drain – the care merry-go-round is exasperating

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More Rons tasked with saving primary care – who do I vote for?
More Rons tasked with saving primary care – who do I vote for?

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Drexit: Moral injury is destroying the foundation of our NHS
Drexit: Moral injury is destroying the foundation of our NHS

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The paradox of plenty – where have all the jobs gone?
The paradox of plenty – where have all the jobs gone?

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‘LMCs can choose to separate themselves from same-day hubs, or get involved’
‘LMCs can choose to separate themselves from same-day hubs, or get involved’

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GP trainee recruitment requires more than half-baked commitments
GP trainee recruitment requires more than half-baked commitments

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Time to put action into words
Time to put action into words

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Dr Katie Bramall-Stainer: ‘We need to prepare for undated resignations’
Dr Katie Bramall-Stainer: ‘We need to prepare for undated resignations’

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The Carr-Hill formula is getting old
The Carr-Hill formula is getting old

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Can the LMC conference revive general practice across the UK?
Can the LMC conference revive general practice across the UK?

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Infected blood scandal: ‘Have I killed more patients than I have saved?’
Infected blood scandal: ‘Have I killed more patients than I have saved?’

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When technology and triage aren’t enough – we need money to pay for GPs
When technology and triage aren’t enough – we need money to pay for GPs

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Life in the slow lane: ‘Women’s work’
Life in the slow lane: ‘Women’s work’

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Dr Katie Bramall-Stainer: ‘Leadsom fails to acknowledge general practice is in crisis’
Dr Katie Bramall-Stainer: ‘Leadsom fails to acknowledge general practice is in crisis’

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If the college was in touch with GPs, it wouldn’t delight in trying to improve them
If the college was in touch with GPs, it wouldn’t delight in trying to improve them

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Andrea Leadsom: ‘I will fight to protect the principles of general practice’
Andrea Leadsom: ‘I will fight to protect the principles of general practice’

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Unsustainable workloads will drive GPs extinct
Unsustainable workloads will drive GPs extinct

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We need to blow our own trumpets more – GPs do an amazing job
We need to blow our own trumpets more – GPs do an amazing job

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The CQC is a symptom of ministers’ lack of trust in doctors
The CQC is a symptom of ministers’ lack of trust in doctors

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The trial that is GP life – how workload dump is hitting new lows 
The trial that is GP life – how workload dump is hitting new lows 

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Debate: Should we close doors as part of industrial action?
Debate: Should we close doors as part of industrial action?

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What is the point of the GMC?
What is the point of the GMC?

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Improving the lot of GP trainees
Improving the lot of GP trainees

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Because we’re worth it – it’s time to invest in GPs
Because we’re worth it – it’s time to invest in GPs

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‘My GMC suspension won’t stop me blowing the whistle on climate change’
‘My GMC suspension won’t stop me blowing the whistle on climate change’

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Sick of Med 3s – why GPs should welcome fit note reform
Sick of Med 3s – why GPs should welcome fit note reform

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How we are trying to ensure strong general practice in Denmark
How we are trying to ensure strong general practice in Denmark

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Putting a price on doctors’ mental health
Putting a price on doctors’ mental health

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We can fight back against this state of discontentment
We can fight back against this state of discontentment

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We can’t get no satisfaction 
We can’t get no satisfaction 

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What do we want? (Apart from money)
What do we want? (Apart from money)

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The sexism particular to general practice
The sexism particular to general practice

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Replace industrial inaction with clinical strikes
Replace industrial inaction with clinical strikes

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Who were the 0.8% who voted ‘yes’?
Who were the 0.8% who voted ‘yes’?

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Pushed to the limits of our responsibilities
Pushed to the limits of our responsibilities

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Debate: Are GP practices willing to spend money on locums?
Debate: Are GP practices willing to spend money on locums?

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Copperfield at Pulse LIVE: ‘I’m attracted to your sheep’
Copperfield at Pulse LIVE: ‘I’m attracted to your sheep’

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What kind of industrial action do GPs want?
What kind of industrial action do GPs want?

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The primary care witch project
The primary care witch project

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The cheapening of our health system is everyone’s business
The cheapening of our health system is everyone’s business

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This makes my urine boil
This makes my urine boil

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Kindness is a virtue…but not the only one
Kindness is a virtue…but not the only one

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Bored of AI
Bored of AI

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Enough is enough
Enough is enough

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A striking lack of enthusiasm
A striking lack of enthusiasm

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Lord Bethell: ‘I faced down drug dealers, so I know what intimidation looks like’
Lord Bethell: ‘I faced down drug dealers, so I know what intimidation looks like’

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What would industrial action look like?
What would industrial action look like?

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Open Surgery: Workforce diversification
Open Surgery: Workforce diversification

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The last word on insults
The last word on insults

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Yes, minister, general practice should be complex
Yes, minister, general practice should be complex

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GPs ‘do not face huge complexity’, claims former health minister ahead of PA debate
GPs ‘do not face huge complexity’, claims former health minister ahead of PA debate

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Open Surgery: PA or AI?
Open Surgery: PA or AI?

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On the eve of new beginnings
On the eve of new beginnings

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From ‘good enough’ to ‘this’ll do’
From ‘good enough’ to ‘this’ll do’

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Are your spidey senses tingling about that one patient?
Are your spidey senses tingling about that one patient?

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One thing gives general practice hope: GPs
One thing gives general practice hope: GPs

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Why we will oppose moves to stop same-day GP care
Why we will oppose moves to stop same-day GP care

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Chris Morris: ‘The Government would rather attack GPs than listen to them’
Chris Morris: ‘The Government would rather attack GPs than listen to them’

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We (still) need radical solutions
We (still) need radical solutions

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Battered and bruised, but still fighting
Battered and bruised, but still fighting

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Pharmacy First impressions are not good
Pharmacy First impressions are not good

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We’re up the proverbial creek
We’re up the proverbial creek

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My alternative ten-point plan
My alternative ten-point plan

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Open Surgery: Antisocial media
Open Surgery: Antisocial media

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Pulse in Print: The origins of Pulse and its TV-royalty first editor
Pulse in Print: The origins of Pulse and its TV-royalty first editor

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Peverley: I hope the GMC isn’t reading this
Peverley: I hope the GMC isn’t reading this

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Will the GMC allow 1.9% of social media fury?
Will the GMC allow 1.9% of social media fury?

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Pulse ça change
Pulse ça change

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What Scotland taught me about a functioning GP system
What Scotland taught me about a functioning GP system

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Better get a better mission statement
Better get a better mission statement

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So it turns out inflation is real
So it turns out inflation is real

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We’re in a permacrisis – so what?
We’re in a permacrisis – so what?

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Remember the days before TikTok doctors and virtual consultations?
Remember the days before TikTok doctors and virtual consultations?

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Who needs Traitors when you have politicians?
Who needs Traitors when you have politicians?

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Burnout: ‘I didn’t want to talk to anyone’
Burnout: ‘I didn’t want to talk to anyone’

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This is a funding crisis
This is a funding crisis

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Big interview: What is the future of England’s biggest GP practice?
Big interview: What is the future of England’s biggest GP practice?

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NHS England needs to rethink its vision for general practice
NHS England needs to rethink its vision for general practice

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GP partners must play their part in alleviating this crisis
GP partners must play their part in alleviating this crisis

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Contract negotiations about as redundant as GPs
Contract negotiations about as redundant as GPs

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Open surgery: It’s only a matter of time
Open surgery: It’s only a matter of time

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My New Year’s resolution is already broken
My New Year’s resolution is already broken

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Preview of the year: General practice gets the ABBA treatment
Preview of the year: General practice gets the ABBA treatment

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Doctors need to be ready for the assisted dying law to change
Doctors need to be ready for the assisted dying law to change

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How can I even think about morals when I have a bladder the size of a space hopper?
How can I even think about morals when I have a bladder the size of a space hopper?

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New year, new GP retention plan?
New year, new GP retention plan?

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If you thought 2023 was bad…
If you thought 2023 was bad…

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It’s a Christmas miracle
It’s a Christmas miracle

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Knowing me, Tony Copperfield, knowing you, anxious timewaster
Knowing me, Tony Copperfield, knowing you, anxious timewaster

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A year of nothingness
A year of nothingness

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Keeping up with clinical guidelines
Keeping up with clinical guidelines

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Walking the caring tightrope
Walking the caring tightrope

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Open surgery: Santa, please can I have a bigger staffing budget?
Open surgery: Santa, please can I have a bigger staffing budget?

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It’s about time we had GP trainees undertaking primary care mental health posts
It’s about time we had GP trainees undertaking primary care mental health posts

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Open surgery: Not a GP? No problem
Open surgery: Not a GP? No problem

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Schrödinger’s recruitment crisis
Schrödinger’s recruitment crisis

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We need to talk to patients about quality, not quantity, of life
We need to talk to patients about quality, not quantity, of life

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LMC decision not to send off acute care is short-sighted
LMC decision not to send off acute care is short-sighted

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Pharmacy second, corporates first?
Pharmacy second, corporates first?

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Open surgery: It’s all in the data
Open surgery: It’s all in the data

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Is Pharmacy First… a good idea?
Is Pharmacy First… a good idea?

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Please stop telling me what patients do not have wrong with them
Please stop telling me what patients do not have wrong with them

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Patient journey is a road to nowhere
Patient journey is a road to nowhere

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We’re not waving, we’re drowning
We’re not waving, we’re drowning

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The splintering of healthcare
The splintering of healthcare

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GPs are ready to work with politicians to rebuild general practice
GPs are ready to work with politicians to rebuild general practice

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Has the recruitment crisis come full circle?
Has the recruitment crisis come full circle?

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Travel for treatment means a journey to the GP
Travel for treatment means a journey to the GP

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Not enough GPs? Thousands of us are now unemployed
Not enough GPs? Thousands of us are now unemployed

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HRTeetering on the brink
HRTeetering on the brink

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Letter: ‘GPs need to speak out against the online abuse PAs face’
Letter: ‘GPs need to speak out against the online abuse PAs face’

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Developing a portfolio career
Developing a portfolio career

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Take my advice
Take my advice

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Physician associates are not trained to assess undifferentiated illnesses
Physician associates are not trained to assess undifferentiated illnesses

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Care pathway meetings are a guilt trap
Care pathway meetings are a guilt trap

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The gaping chasm is getting wider
The gaping chasm is getting wider

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All roads lead to the GP
All roads lead to the GP

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Open surgery: Sound the alarm
Open surgery: Sound the alarm

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Penalising GPs won’t preserve continuity of care
Penalising GPs won’t preserve continuity of care

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The chemicalisation of death
The chemicalisation of death

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The NHS has a scantastic future
The NHS has a scantastic future

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Worst among equals
Worst among equals

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What’s in a title?
What’s in a title?

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CQC is leading us down Quantity Street
CQC is leading us down Quantity Street

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Sex, power and gaslighting
Sex, power and gaslighting

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Open surgery: Leaving the NHS
Open surgery: Leaving the NHS

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A&G spells the end of OPA
A&G spells the end of OPA

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Letter: Ghost practices are haunting us
Letter: Ghost practices are haunting us

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Government magic trick has vanishing chance of success
Government magic trick has vanishing chance of success

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comments icon (6)

I need a support-level integrated framework to decipher NHS management speak
I need a support-level integrated framework to decipher NHS management speak

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comments icon (6)

We need higher pay, not lower standards
We need higher pay, not lower standards

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Flying into a rage
Flying into a rage

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We need a pseudoprescribing disincentive scheme
We need a pseudoprescribing disincentive scheme

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Open surgery: We’re not all World Cup athletes
Open surgery: We’re not all World Cup athletes

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Dear NICE, please join the real world…
Dear NICE, please join the real world…

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Might we actually have enough GPs?
Might we actually have enough GPs?

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Staying true to yourself
Staying true to yourself

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The kindness of staff is what keeps the NHS going
The kindness of staff is what keeps the NHS going

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In GPs we (should) trust
In GPs we (should) trust

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What does NHSE’s direction of travel mean for GPs?
What does NHSE’s direction of travel mean for GPs?

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Letter: This digital transformation isn’t real general practice
Letter: This digital transformation isn’t real general practice

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Things may have been different if Letby was a person of colour
Things may have been different if Letby was a person of colour

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GP to kindly be more kind
GP to kindly be more kind

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Lucy Letby case: Beware normalising the abnormal
Lucy Letby case: Beware normalising the abnormal

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There is a culture of Amazon Prime patients
There is a culture of Amazon Prime patients

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Myxoedema madness
Myxoedema madness

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We need to avoid another funding rollover
We need to avoid another funding rollover

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Why are we so bloody-minded?
Why are we so bloody-minded?

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What’s the big deal about coaching?
What’s the big deal about coaching?

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Babylon was all about short-termism
Babylon was all about short-termism

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Moving asylum seekers to Bibby Stockholm puts their health at risk
Moving asylum seekers to Bibby Stockholm puts their health at risk

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No (K)BS from new GPC chair
No (K)BS from new GPC chair

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Outsiders, disconnect, and a brave new chair: Inside GPC England’s chair election
Outsiders, disconnect, and a brave new chair: Inside GPC England’s chair election

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Maybe charging for NHS services isn’t a bad idea
Maybe charging for NHS services isn’t a bad idea

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Open surgery: It’s not all bad news
Open surgery: It’s not all bad news

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Never off duty
Never off duty

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The rise of YouTube as a medical education resource
The rise of YouTube as a medical education resource

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It’s not a good day to get sick
It’s not a good day to get sick

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A fable from the land of the Gillumps
A fable from the land of the Gillumps

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We need common sense medicine
We need common sense medicine

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Open surgery: Strapped in
Open surgery: Strapped in

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Micro-annoyances cause macro-exhaustion
Micro-annoyances cause macro-exhaustion

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Acute NHS care is a sick joke
Acute NHS care is a sick joke

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Why ChatGPT will never get a hug
Why ChatGPT will never get a hug

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Open surgery: In safe hands
Open surgery: In safe hands

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A driving licence is a privilege, not a right
A driving licence is a privilege, not a right

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This is a horrible look for the GPC
This is a horrible look for the GPC

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comments icon (6)

I’d prefer preferential treatment for NHS staff
I’d prefer preferential treatment for NHS staff

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What unites us?
What unites us?

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This is an issue of race
This is an issue of race

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Open surgery: Labour’s problem
Open surgery: Labour’s problem

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Hospitalised by an oatcake
Hospitalised by an oatcake

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Guilty by associate
Guilty by associate

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Should GPs be afraid of artificial intelligence?
Should GPs be afraid of artificial intelligence?

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Workforce problems need more than workforce solutions
Workforce problems need more than workforce solutions

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Open surgery: Taking the biscuit
Open surgery: Taking the biscuit

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How GPs can better support patients to choose contraception methods
How GPs can better support patients to choose contraception methods

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Dr Amanda Doyle: ‘I am confident this plan will help to make primary care more sustainable’
Dr Amanda Doyle: ‘I am confident this plan will help to make primary care more sustainable’

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Portfolio general practice is the future
Portfolio general practice is the future

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We can’t rely on the tech wizard
We can’t rely on the tech wizard

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Don’t we deserve to feel good about what we do?
Don’t we deserve to feel good about what we do?

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How lung checks are catching cancer early
How lung checks are catching cancer early

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How many avoidable deaths?
How many avoidable deaths?

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The end of the GP practice as we know it?
The end of the GP practice as we know it?

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comments icon (6)

Just keep listening
Just keep listening

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Taking the shortcut
Taking the shortcut

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comments icon (6)

The 2024 contract won’t be the revolution we were hoping for
The 2024 contract won’t be the revolution we were hoping for

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Stop being arsey about Darzi
Stop being arsey about Darzi

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Why being resilient is not enough
Why being resilient is not enough

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Are we overdiagnosing ADHD?
Are we overdiagnosing ADHD?

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I set up a private GP practice, but people called me greedy
I set up a private GP practice, but people called me greedy

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Twenty years of shared history and diagnostic blind alleys
Twenty years of shared history and diagnostic blind alleys

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The irony of patients’ access frustrations
The irony of patients’ access frustrations

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comments icon (6)

Around the access merry-go-round we go
Around the access merry-go-round we go

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Behind the headlines: Can Allison Pearson save general practice?
Behind the headlines: Can Allison Pearson save general practice?

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To preserve patient dignity or take a risk?
To preserve patient dignity or take a risk?

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comments icon (6)

Duck and dive, 25
Duck and dive, 25

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comments icon (6)

All this not working is not working
All this not working is not working

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Open surgery: Surf’s up
Open surgery: Surf’s up

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New tool takes my breath away
New tool takes my breath away

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Open surgery: Honesty is the best policy
Open surgery: Honesty is the best policy

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Do we care enough?
Do we care enough?

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comments icon (6)

Strike back against the medical empire
Strike back against the medical empire

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Health minister: ‘We will go further to boost the NHS workforce’
Health minister: ‘We will go further to boost the NHS workforce’

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Failing the screen test
Failing the screen test

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Consulting from the comfy chair
Consulting from the comfy chair

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comments icon (6)

The closure of a homeless practice removes a vital safety net
The closure of a homeless practice removes a vital safety net

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A new and more accessible route into medicine can only be a good thing
A new and more accessible route into medicine can only be a good thing

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comments icon (6)

The GP recovery plan could work like magic
The GP recovery plan could work like magic

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comments icon (6)

The ‘innovative practice’ should not be the basis of a recovery plan
The ‘innovative practice’ should not be the basis of a recovery plan

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comments icon (6)

Health minister: ‘We will free up time by cutting bureaucracy’
Health minister: ‘We will free up time by cutting bureaucracy’

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We keep doing our duties and keep feeling helpless
We keep doing our duties and keep feeling helpless

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comments icon (6)

Sometimes you’re in a race you can’t win
Sometimes you’re in a race you can’t win

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The straw that broke the camel’s back
The straw that broke the camel’s back

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Strike that option off the list
Strike that option off the list

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Pulse Writing Competition: Read the top 12 entries
Pulse Writing Competition: Read the top 12 entries

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Would my best still be enough in today’s NHS?
Would my best still be enough in today’s NHS?

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The vital door-handle question
The vital door-handle question

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Gratification delayed by a generation – the reward of continuity
Gratification delayed by a generation – the reward of continuity

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Nothing prepares you for the death of your mother – not even being a doctor
Nothing prepares you for the death of your mother – not even being a doctor

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comments icon (6)

So… will GPs be taking industrial action or not?
So… will GPs be taking industrial action or not?

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comments icon (6)

Stop kicking, GPs are lying down
Stop kicking, GPs are lying down

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comments icon (6)

What’s in a name?
What’s in a name?

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The new contract is backbreaking, but in a good way
The new contract is backbreaking, but in a good way

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comments icon (6)

If you want to get a life, get a dog
If you want to get a life, get a dog

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comments icon (6)

Labour are wolves in wolves’ clothing
Labour are wolves in wolves’ clothing

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Medicalising womanhood
Medicalising womanhood

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Hell’s kitchen
Hell’s kitchen

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Health minister: Pensions changes could help keep thousands of staff in the NHS
Health minister: Pensions changes could help keep thousands of staff in the NHS

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The workforce and wellbeing QI makes me want to go off sick
The workforce and wellbeing QI makes me want to go off sick

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The targets will continue until GP burnout improves
The targets will continue until GP burnout improves

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In full: Hewitt recommendations for general practice contract reform
In full: Hewitt recommendations for general practice contract reform

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The Government is having a laugh
The Government is having a laugh

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OTC blood testing makes mine boil
OTC blood testing makes mine boil

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Brace yourselves – the next week won’t be pretty
Brace yourselves – the next week won’t be pretty

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Were the Covid lockdowns justified?
Were the Covid lockdowns justified?

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The SAS can’t save us
The SAS can’t save us

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Open surgery: Working down under
Open surgery: Working down under

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Providing better and greener asthma care
Providing better and greener asthma care

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There is no magic GP tree
There is no magic GP tree

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There is a hierarchy of opportunity based on melanin
There is a hierarchy of opportunity based on melanin

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Not worth the paper it’s written on
Not worth the paper it’s written on

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A&G can help us raise standards, not lower them
A&G can help us raise standards, not lower them

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An excess of access
An excess of access

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We can’t strike, but we can stop treating erectile dysfunction
We can’t strike, but we can stop treating erectile dysfunction

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To strike, or not to strike
To strike, or not to strike

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The Government has given up the pretence of caring
The Government has given up the pretence of caring

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The new contract is a declaration of war
The new contract is a declaration of war

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What the QOF changes will mean for GP practices
What the QOF changes will mean for GP practices

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‘The final nails in the coffin’: All the reaction to the GP contract imposition
‘The final nails in the coffin’: All the reaction to the GP contract imposition

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Are pharmacists about to shut up shop?
Are pharmacists about to shut up shop?

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Finding the right words
Finding the right words

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Quality of years, not quantity
Quality of years, not quantity

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Ever gone the extra mile and the patient complained?
Ever gone the extra mile and the patient complained?

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Dumb zombie apocalypse groundhog day now
Dumb zombie apocalypse groundhog day now

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Can GPs come together over industrial action (and is now the time)?
Can GPs come together over industrial action (and is now the time)?

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Good call to send 999 patients to GPs? Not if no one is there
Good call to send 999 patients to GPs? Not if no one is there

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And now GPs have to extract the urine
And now GPs have to extract the urine

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A&G is an acceptance of slipping standards
A&G is an acceptance of slipping standards

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We asked a chatbot how they would save general practice, and this is what they said
We asked a chatbot how they would save general practice, and this is what they said

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Defining the lines of abuse
Defining the lines of abuse

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If we refer everyone, no one gets seen
If we refer everyone, no one gets seen

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No one likes us and we do care
No one likes us and we do care

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Insulting our intelligence
Insulting our intelligence

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In a recruitment crisis, why are practices turning GPs away?
In a recruitment crisis, why are practices turning GPs away?

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NHS England’s rescue plan is surprisingly intelligent
NHS England’s rescue plan is surprisingly intelligent

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We are now all in this together
We are now all in this together

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Why running late has us running on empty
Why running late has us running on empty

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Debate: Should we increase patients’ ability to self-refer to secondary care?
Debate: Should we increase patients’ ability to self-refer to secondary care?

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The Government’s major condition
The Government’s major condition

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Let’s take stock
Let’s take stock

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Working life: Climate change check-up
Working life: Climate change check-up

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Losing my religion
Losing my religion

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Guidelines and conveyor-belt medicine
Guidelines and conveyor-belt medicine

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To Labour: The point
To Labour: The point

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Moving deckchairs around the Titanic
Moving deckchairs around the Titanic

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Remote consultations are the future
Remote consultations are the future

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Our NHS is in a complete statin
Our NHS is in a complete statin

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Talking career change
Talking career change

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The shifting switches
The shifting switches

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We don’t know what we’ve got until it’s gone
We don’t know what we’ve got until it’s gone

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Open surgery: Super hubs
Open surgery: Super hubs

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Do it once, do it twice, do it three times
Do it once, do it twice, do it three times

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Preview of the year: Patients to be called ‘clients’
Preview of the year: Patients to be called ‘clients’

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Preview of the year: Dear diary, when I grow up, I want to be…
Preview of the year: Dear diary, when I grow up, I want to be…

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Rishi’s left me speechless
Rishi’s left me speechless

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Preview of the year: An optimistic outlook… with caveats
Preview of the year: An optimistic outlook… with caveats

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Preview of the year: Remote working from Barbados
Preview of the year: Remote working from Barbados

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I could earn £3bn a year, and I’m prepared to be transparent about it
I could earn £3bn a year, and I’m prepared to be transparent about it

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A perfect Christmas storm
A perfect Christmas storm

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Open surgery: A plea to Santa
Open surgery: A plea to Santa

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The NHS is dead, long live the NHS
The NHS is dead, long live the NHS

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My Christmas message to journalists
My Christmas message to journalists

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Open surgery: The naughty list
Open surgery: The naughty list

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This year is an opportunity lost
This year is an opportunity lost

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The options open to GPs to support patients with gambling addictions
The options open to GPs to support patients with gambling addictions

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There is no cavalry coming to save us
There is no cavalry coming to save us

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Life at the Deep End
Life at the Deep End

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Strep strop
Strep strop

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Government demand is bigger than patient demand
Government demand is bigger than patient demand

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Let’s be prospective about retrospective access
Let’s be prospective about retrospective access

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The health system isn’t failing – it has failed
The health system isn’t failing – it has failed

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Now GPs can prescribe heating, will we get cheaper energy tariffs?
Now GPs can prescribe heating, will we get cheaper energy tariffs?

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Capita is indicative of our acceptance of slow deterioration
Capita is indicative of our acceptance of slow deterioration

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Simple ideas are usually the best
Simple ideas are usually the best

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Call me an ambulance then call me a naive idiot
Call me an ambulance then call me a naive idiot

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‘We must ensure any new contract puts continuity above targets’
‘We must ensure any new contract puts continuity above targets’

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GPs are paid well – embrace it
GPs are paid well – embrace it

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End the dysfunctional primary-secondary care interface to improve GP access
End the dysfunctional primary-secondary care interface to improve GP access

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Medical professionals may not hold the answers
Medical professionals may not hold the answers

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How to help improve medicines safety for everyone
How to help improve medicines safety for everyone

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Yes, we have medicalised normal life… but it is not patients’ fault
Yes, we have medicalised normal life… but it is not patients’ fault

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Just scan this
Just scan this

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A&E is playing with fire
A&E is playing with fire

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Who can stop this crazy treadmill? Look in the mirror
Who can stop this crazy treadmill? Look in the mirror

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This CQC gimmick is outstanding
This CQC gimmick is outstanding

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We have medicalised normal life and it’s destroying the NHS
We have medicalised normal life and it’s destroying the NHS

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We need to rethink our approach to illegal drugs
We need to rethink our approach to illegal drugs

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Working life: Improving healthcare for veterans
Working life: Improving healthcare for veterans

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I’m A GP… Get Me Out Of Here!
I’m A GP… Get Me Out Of Here!

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Citizens’ record lack of access
Citizens’ record lack of access

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We are suffering from second victim syndrome
We are suffering from second victim syndrome

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Call in the SAS
Call in the SAS

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If Barclay outlasts a course of Amoxil, he should sort out respiratory hubs
If Barclay outlasts a course of Amoxil, he should sort out respiratory hubs

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Is the Government serious about levelling up?
Is the Government serious about levelling up?

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Campaigning for rural practices
Campaigning for rural practices

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Whose notes are they anyway?
Whose notes are they anyway?

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Removing barriers or building new ones?
Removing barriers or building new ones?

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Who dares wins
Who dares wins

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Enough of this merging nonsense
Enough of this merging nonsense

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Let’s be cautious of knee-jerk reactionary medicine
Let’s be cautious of knee-jerk reactionary medicine

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Not FIT for purpose
Not FIT for purpose

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Three toe curls and two high intensity cringes
Three toe curls and two high intensity cringes

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Why GP trainees are going part time
Why GP trainees are going part time

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Trying to improve prescribing? Give us a McCall
Trying to improve prescribing? Give us a McCall

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Babylon exit shows NHS general practice is no easy picking
Babylon exit shows NHS general practice is no easy picking

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Open surgery: Another NHS winter crisis
Open surgery: Another NHS winter crisis

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Coffey’s policies: Targets, GPs
Coffey’s policies: Targets, GPs

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Not everything that counts can be counted
Not everything that counts can be counted

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One week in medicopolitics, two weeks in the bin
One week in medicopolitics, two weeks in the bin

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Coffey, no sugar
Coffey, no sugar

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Open surgery: Covid boosters
Open surgery: Covid boosters

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Take a stand
Take a stand

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The criticism of GP access is unfair
The criticism of GP access is unfair

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Breaking barriers for research in primary care
Breaking barriers for research in primary care

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Open surgery: En root to find an NHS dentist
Open surgery: En root to find an NHS dentist

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It’s almost as if the access plan hasn’t been thought through
It’s almost as if the access plan hasn’t been thought through

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All the reaction to the health secretary’s GP access plan
All the reaction to the health secretary’s GP access plan

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Dr Coffey’s announcement is not a plan
Dr Coffey’s announcement is not a plan

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Why we set up Pulse Reference
Why we set up Pulse Reference

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We’re all equally burned out but some are more equally burned out than others
We’re all equally burned out but some are more equally burned out than others

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PCN roundtable: Health inequalities, part 1
PCN roundtable: Health inequalities, part 1

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General practice is a business
General practice is a business

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A pseudo-symptom of a broken system
A pseudo-symptom of a broken system

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Time for reflection
Time for reflection

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Practices need urgent support to mitigate climate change effects
Practices need urgent support to mitigate climate change effects

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Crushed by complaints
Crushed by complaints

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The undaunted Prime Minister
The undaunted Prime Minister

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Unhappy headlines because of the stupid ARRS
Unhappy headlines because of the stupid ARRS

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If they don’t listen now, when will they?
If they don’t listen now, when will they?

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‘We’re planning for a £50,000 increase in costs this winter’
‘We’re planning for a £50,000 increase in costs this winter’

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The end of GANFYD?
The end of GANFYD?

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Private health insurance is on the rise
Private health insurance is on the rise

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All doctors are equal, but some are more equal than others
All doctors are equal, but some are more equal than others

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Food banks and crowdfunding: the reality for some medical students
Food banks and crowdfunding: the reality for some medical students

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So long, Covid clinics
So long, Covid clinics

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My quick wins
My quick wins

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The things that needle me
The things that needle me

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Man the lifeboats, this ship is sinking
Man the lifeboats, this ship is sinking

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Toxic emissions are overheating Planet Primary Care
Toxic emissions are overheating Planet Primary Care

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Practices are not businesses
Practices are not businesses

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‘Removing atypical funding was the last straw’
‘Removing atypical funding was the last straw’

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Open surgery: EasyJet set
Open surgery: EasyJet set

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Parents should be trained on common childhood illnesses
Parents should be trained on common childhood illnesses

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Spending millions while Rome burns
Spending millions while Rome burns

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It’s in their DNA
It’s in their DNA

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Good medical practice changes will not open the floodgates to investigations
Good medical practice changes will not open the floodgates to investigations

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Sharing my shared decision-making certificate with you
Sharing my shared decision-making certificate with you

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Open Surgery: I can’t get no satisfaction
Open Surgery: I can’t get no satisfaction

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Letters: ‘We are having to work 75-hour weeks’
Letters: ‘We are having to work 75-hour weeks’

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‘We’re in a good place (or system)’: LMC’s update on NHS reorganisation
‘We’re in a good place (or system)’: LMC’s update on NHS reorganisation

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The ‘part time’ fallacy
The ‘part time’ fallacy

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Language matters – take my word for it
Language matters – take my word for it

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Let’s talk about a revolution
Let’s talk about a revolution

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Open Surgery: There is no crisis
Open Surgery: There is no crisis

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Stop with all the (wo)mandatory training
Stop with all the (wo)mandatory training

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comments icon (6)

Too much and not enough
Too much and not enough

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Letter: ‘GMC changes are making GPs more vulnerable to disciplinary action’
Letter: ‘GMC changes are making GPs more vulnerable to disciplinary action’

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‘Advice and guidance is eroding our long-term contract with secondary care’
‘Advice and guidance is eroding our long-term contract with secondary care’

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Pandering to the vocal classes
Pandering to the vocal classes

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Letter: QOF inequality doesn’t align to ‘NHS values’
Letter: QOF inequality doesn’t align to ‘NHS values’

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Crisis, what crisis? (Redux)
Crisis, what crisis? (Redux)

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Workload dump prevention causes loads of work
Workload dump prevention causes loads of work

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‘My imprisonment won’t stop me protesting against climate change’
‘My imprisonment won’t stop me protesting against climate change’

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Letter: Racism remains at all levels of general practice
Letter: Racism remains at all levels of general practice

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The temporary health secretary
The temporary health secretary

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Primary care is key to the success of Integrated Care Systems
Primary care is key to the success of Integrated Care Systems

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Too much food for thought
Too much food for thought

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Open Surgery: Give me something
Open Surgery: Give me something

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comments icon (6)

When do we admit defeat?
When do we admit defeat?

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comments icon (6)

Too much medicine, too little time
Too much medicine, too little time

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comments icon (6)

Have you tried to get through to another public service recently?
Have you tried to get through to another public service recently?

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Strike only when the iron is hot
Strike only when the iron is hot

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A retrograde step for women’s reproductive rights
A retrograde step for women’s reproductive rights

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An autistic GP – isn’t that an oxymoron?
An autistic GP – isn’t that an oxymoron?

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Will we ‘face-to-face’ the music?
Will we ‘face-to-face’ the music?

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To B12 or not to B12
To B12 or not to B12

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MPIG might fly
MPIG might fly

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Just a GP…
Just a GP…

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comments icon (6)

RIP EBM
RIP EBM

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comments icon (6)

Is that a complaint in your pocket or are you just pleased to see me?
Is that a complaint in your pocket or are you just pleased to see me?

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Racism starts at the very top
Racism starts at the very top

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‘The BMA’s behaviour principles are making a positive difference’
‘The BMA’s behaviour principles are making a positive difference’

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It’s enough to drive me away from retirement
It’s enough to drive me away from retirement

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What if Capita was a GP practice…
What if Capita was a GP practice…

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Evolve or die
Evolve or die

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comments icon (6)

Sexism at the BMA: Representation matters
Sexism at the BMA: Representation matters

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BMA’s full response to Pulse investigation into sexism and culture
BMA’s full response to Pulse investigation into sexism and culture

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Stocktake or pisstake
Stocktake or pisstake

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If bigger isn’t better, scaling up GP could prove disastrous
If bigger isn’t better, scaling up GP could prove disastrous

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The GMC on trial
The GMC on trial

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comments icon (6)

Flushing out the work backlog could get messy
Flushing out the work backlog could get messy

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Salaried and locum GPs need proper representation
Salaried and locum GPs need proper representation

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comments icon (6)

I’m a bit annoyed about microaggressions
I’m a bit annoyed about microaggressions

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Hoodwinking the profession
Hoodwinking the profession

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The [insert specialty here] referrals crisis
The [insert specialty here] referrals crisis

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United we stand, divided we fall: Why GPs are stronger together
United we stand, divided we fall: Why GPs are stronger together

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Is it time for a new national representative body?
Is it time for a new national representative body?

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No HRT, no problem
No HRT, no problem

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The trouble with being a superhero
The trouble with being a superhero

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10 Tips for creating a local general practice leadership group
10 Tips for creating a local general practice leadership group

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The messages to send to the media
The messages to send to the media

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comments icon (6)

Opinion: the trouble with single-issue campaigns
Opinion: the trouble with single-issue campaigns

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comments icon (6)

Jeremy Hunt at Pulse Live: ‘If I was a doctor, I’d want to be a GP’
Jeremy Hunt at Pulse Live: ‘If I was a doctor, I’d want to be a GP’

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A vision developing from the RCGP
A vision developing from the RCGP

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Copperfield at Pulse Live: Lessons on gambling disorder
Copperfield at Pulse Live: Lessons on gambling disorder

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Mental health in fitness-to-practise investigations
Mental health in fitness-to-practise investigations

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That bit worse
That bit worse

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Refinding the joy in general practice
Refinding the joy in general practice

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GP practices are paving the way with Covid research studies
GP practices are paving the way with Covid research studies

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That’s a weight on my mind
That’s a weight on my mind

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The QOF is increasing health inequalities
The QOF is increasing health inequalities

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comments icon (6)

Do they really want to reduce health inequalities?
Do they really want to reduce health inequalities?

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Did it hurt? Well yes, it really rather did!
Did it hurt? Well yes, it really rather did!

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Another dissatisfied customer
Another dissatisfied customer

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Debate: Was it the right decision to remove Covid restrictions?
Debate: Was it the right decision to remove Covid restrictions?

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Government sows, GPs reap
Government sows, GPs reap

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I’ll handle the genitals if secondary care can face some patients
I’ll handle the genitals if secondary care can face some patients

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comments icon (6)

We survive or fail based on the competence of secondary care
We survive or fail based on the competence of secondary care

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Rescued by a reception revolution? 
Rescued by a reception revolution? 

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This is a significant step for PCNs
This is a significant step for PCNs

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comments icon (6)

Our core is killing us
Our core is killing us

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RIP efficient patient notes, FFS
RIP efficient patient notes, FFS

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comments icon (6)

Open Surgery: Guidance against abuse
Open Surgery: Guidance against abuse

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comments icon (6)

GP-hospital mergers can be a great option for some
GP-hospital mergers can be a great option for some

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comments icon (6)

Are we seeing a bit of radicalism from the RCGP?
Are we seeing a bit of radicalism from the RCGP?

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Serious violence: GPs as part of the healing process
Serious violence: GPs as part of the healing process

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comments icon (6)

I left general practice after burning out – and I am happier for it
I left general practice after burning out – and I am happier for it

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comments icon (6)

Sajid’s speech promises fewer patients more cake
Sajid’s speech promises fewer patients more cake

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comments icon (6)

We need radical solutions, but do we want them?
We need radical solutions, but do we want them?

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comments icon (6)

We need to pull our finger out over cancer diagnosis. Or stick it in
We need to pull our finger out over cancer diagnosis. Or stick it in

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comments icon (6)

Why I removed my contribution to the future of general practice report
Why I removed my contribution to the future of general practice report

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comments icon (6)

Pharmacists saving 50 million appointments? It doesn’t add up
Pharmacists saving 50 million appointments? It doesn’t add up

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When Saturday comes
When Saturday comes

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‘The imposed deal must be legally tested’: All the reaction to 2022/23 GP contract
‘The imposed deal must be legally tested’: All the reaction to 2022/23 GP contract

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Let me refer you to my previous answer
Let me refer you to my previous answer

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Thank you, all
Thank you, all

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comments icon (6)

Want to fix hospital waiting lists? Fund general practice
Want to fix hospital waiting lists? Fund general practice

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comments icon (6)

How to advise and guide your patients
How to advise and guide your patients

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comments icon (6)

Is the NHS unfit for purpose?
Is the NHS unfit for purpose?

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comments icon (6)

Transparently wrong
Transparently wrong

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comments icon (6)

Miracles while you wait
Miracles while you wait

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comments icon (6)

Letter: Vaccinate the world
Letter: Vaccinate the world

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War huh
War huh

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comments icon (6)

We need a revolution in radiology
We need a revolution in radiology

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comments icon (6)

Overmedicalisation remains the easy route
Overmedicalisation remains the easy route

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A kick in the teeth for all GPs

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Madvice and misguidance

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My mind is set on ignoring cancer advice

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Open Surgery: Waiting times

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Every contact leaves a trace

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My blueprint for GP survival

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Cancer? What cancer?

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Alexa, why am I working a 12-hour day?

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A message to our new health secretary, from a beleaguered GP workforce

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