BJGP Interviews

The British Journal of General Practice

Listen to BJGP Interviews for the latest updates on primary care and general practice research. Hear from researchers and clinicians who will update and guide you to the best practice. We all want to deliver better care to patients and improve health through better research and its translation into practice and policy. The BJGP is a leading international journal of primary care with the aim to serve the primary care community. Whether you are a general practitioner or a nurse, a researcher, we publish a full range of research studies from RCTs to the best qualitative literature on primary care. In addition, we publish editorials, articles on the clinical practice, and in-depth analysis of the topics that matter. We are inclusive and determined to serve the primary care community. BJGP Interviews brings all these articles to you through conversations with world-leading experts. The BJGP is the journal of the UK's Royal College of General Practitioners (RCGP). The RCGP grant full editorial independence to the BJGP and the views published in the BJGP do not necessarily represent those of the College. For all the latest research, editorials and clinical practice articles visit BJGP.org (https://www.bjgp.org). If you want all the podcast shownotes plus the latest comment and opinion on primary care and general practice then visit BJGP Life (https://www.bjgplife.com).

The NICE traffic light system to assess sick children is not suitable for use as a clinical tool in general practiceThe GP workforce crisis - how are outcomes associated with different professionals?PRINCIPLE trial findings on the use of colchicine for COVID-19 in the community
13 mins
The rise in prescribing for anxiety in primary careGP wellbeing during the COVID-19 pandemicAustin O'Carroll talks about the Triple F**k SyndromeDo we need greater stratification of routine blood test monitoring in people on DMARDs?
In this episode we talk to Dr Simon Fraser who is an associate professor of public health at the School of Primary Care at the University of Southampton. Paper: Persistently normal blood tests in patients taking methotrexate for RA or azathioprine for IBD: a retrospective cohort study https://doi.org/10.3399/BJGP.2021.0595 (https://doi.org/10.3399/BJGP.2021.0595) Clinical guidance from the National Institute for Health and Care Excellence recommends 3-monthly blood-tests for the ongoing safety monitoring of conventional synthetic disease-modifying anti-rheumatic drugs, but questions have been raised about the need for this testing frequency. Using 2 years’ data from a large primary care database, this study found that persistent normality of blood-test results was common and abnormalities were dominated by reduced renal function among older people, with relatively few hepatic or haematological abnormalities. Greater stratification of monitoring may reduce workload and costs for patients and health services, but more evidence is required on the long-term safety, acceptability, and cost-effectiveness of changing current practice. BJGP research on optimising primary care research dissemination: an online surveyERGO number: 70228.A1 We would like to find out how often practising GPs and GP trainees access primary care research (in any form), and how we could improve its dissemination. We are very much interested in the views of those who don't access research regularly, as well as those who do. We would therefore be very grateful if you could consider completing a short online survey which will take less than 5 minutes to complete. If you are willing to participate, please access the survey via this link: https://southampton.qualtrics.com/jfe/form/SV_bIRKhaA0CrmZJ3w (https://southampton.qualtrics.com/jfe/form/SV_bIRKhaA0CrmZJ3w)
13 mins
Why do GPs rarely do video consultations?Burnout among general practitioners across the world is often at high levelsLarge prospective cohort study shows no association between breast pain alone and breast cancerManaging emotional distress in people of South Asian origin with long-term conditionsContinuity of care for people with dementia is linked to significant clinical benefitsThe unintended consequences of online consultationsUsing urine collection devices to reduce urine sample contamination - results from a single-blind randomised controlled trialThe use of CXRs varies significantly between practices and addressing this could help with early detection of lung cancer
In this episode we talk to Dr Stephen Bradley who is a GP and clinical research fellow at the University of Leeds. Paper: Associations between general practice characteristics and chest X-ray rate: an observational study https://doi.org/10.3399/BJGP.2021.0232 (https://doi.org/10.3399/BJGP.2021.0232) Abnormal findings on chest X-rays that have been requested by GPs because of symptoms are an important route to lung cancer diagnosis. Previous research has suggested that increased rates of chest X-ray and urgent referral for suspected cancer may be associated with earlier stage at diagnosis for lung cancer. This study demonstrates that there is substantial variation in rates of investigation between practices, and that only a small proportion of that variation is owing to examined population and practice characteristics. Encouraging practices that have low chest X-ray rates to lower their thresholds for investigation could prove to be an effective strategy to detect lung cancer earlier and improve outcomes. Relevant referencesStudies by CanTest Leeds team on CXR discussed in the podcastSystematic Review on sensitivity CXR: https://bjgp.org/content/69/689/e827 (https://bjgp.org/content/69/689/e827) Observational study on sensitivity of CXR: https://bjgp.org/content/71/712/e862 (https://bjgp.org/content/71/712/e862) Estimating risk of lung cancer following negative CXR: https://bjgp.org/content/71/705/e280 (https://bjgp.org/content/71/705/e280) Observational study on frequency of CXR use and practice/population characteristics: https://bjgp.org/content/72/714/e34 (https://bjgp.org/content/72/714/e34) Remaining uncertainty regarding whether increasing GP CXR rates leads to improved outcomesLung cancer stage shift following a symptom awareness campaign (Kennedy) https://thorax.bmj.com/content/73/12/1128 (https://thorax.bmj.com/content/73/12/1128) What characteristics of primary care and patients are associated with early death in patients with lung cancer in the UK? (O'Dowd )https://thorax.bmj.com/content/70/2/161 (https://thorax.bmj.com/content/70/2/161) Lung cancer screening and the place for ongoing sympatomatic detection alongside asymptomatic screeningThe proportion of lung cancer patients attending UK lung cancer clinics who would have been eligible for low-dose CT screening (Gracie) https://erj.ersjournals.com/content/54/2/1802221 (https://erj.ersjournals.com/content/54/2/1802221) What is the balance of benefits and harms for lung cancer screening with low-dose computed tomography?  (Bradley) https://journals.sagepub.com/doi/full/10.1177/0141076821991108 (https://journals.sagepub.com/doi/full/10.1177/0141076821991108) Views expressed on the future of lung cancer imaging policy and research in the UKEvidence submitted to health & social care parliamentary select committee inquiry on cancer services (Bradley) https://committees.parliament.uk/writtenevidence/38850/pdf/ (https://committees.parliament.uk/writtenevidence/38850/pdf/)
14 mins
Locum use in England has remained stable in recent years
12 mins
Non-speculum sampling with a clinician boosts cervical screening uptake in older womenIona Heath on rewilding general practiceIdentifying how GPs spend their time and the everyday obstacles they faceHow patients feel about GPs using gut feelings