Why GPs and patients need to talk more openly about death

Hospitals have a role to play too.

Lucy Pocock, University of Bristol

Dealing with death is part of the job description for all doctors. For those working in general practice, this often means planning ahead, with GPs encouraged to keep a register of patients thought to be in the last year of their life. Continue reading

Repeat prescriptions are expensive and time consuming – it’s time for an NHS rethink

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Rupert Payne, University of Bristol and Céline Miani, University of Bielefeld

Over a billion NHS prescription medicines are issued by pharmacists in England every year – at a cost of over £9 billion. Many of these are prescribed by GPs to manage long-term health conditions, such as diabetes or cardiovascular disease.

The current “repeat prescription” system allows patients to request a further supply of medicines without the inconvenience of another doctor’s appointment. Continue reading

Difficult to get a GP appointment? Barriers are even greater for people with autism

Dr Pauline Heslop, Norah Fry Research Centre, School for Policy Studies

Dr Pauline Heslop, Norah Fry Research Centre, School for Policy Studies

The challenges of providing a responsive GP service in the face of greater demand, a shortage of GPs and diminished available funding have been highlighted in the media over the past few months. Jeremy Hunt, the Health Secretary, has advocated for the greater use of telephone consultations to improve access to GPs by patients, but a new report published in the Lancet this week suggests that this does not reduce pressure on practices or save money, and may indeed increase workload. Yet some patient groups face greater barriers than others in accessing GP services. In recognition of this, the Royal College of General Practitioners (RCGP) has now selected autism as a clinical priority from April 2014-March 2017. The work, to be led by Bristol GP Dr Carole Buckley, will aim to improve access to primary care for people with autism and their families, and to enhance their health outcomes.

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