Viewpoint: Change is all around us

MDDUS chief medical officer Dr John Holden has seen plenty of change over his career as a GP, and in this article he considers that against the transformative change brought by the pandemic.

Man taking call on headset Article

Call log

A range of common - and not so common - queries from GPs and practice managers.


Practice management: Dressing the part

Employment law adviser Janice Sibbald offers advice on what is and isn’t appropriate work attire.


Advice: Need a dentist, then why ask a doctor?

A common dilemma faced by GP practices - particularly in holiday periods - is whether to treat patients who present with dental problems.


Best practice: Ensuring safe handovers between primary and secondary care

MDDUS medical adviser Dr Annabelle MacGregor looks at some common pitfalls in the handover of patient care between primary and secondary care.


Practice matters: Keep complaint records separate

How organisations go about resolving patient complaints will vary depending on the circumstances - but one often overlooked aspect is documenting such matters


Pitfalls in spotting cauda equina syndrome

Dr Guy Krauth highlights common pitfalls in making a timely referral for cauda equina syndrome


Resilient practice – addressing human factors

Head of training Liz Price discusses how ‘human factors’ hold the key to creating safer systems.


A time of constant change - two years of Covid

Insight catches up with inner-city GP Dr Khyati Bakhai after two very difficult years dealing with Covid-19


No man’s land - the pioneering women of WW1

Author Wendy Moore on the story behind her book celebrating the ground-breaking WWI “suffragettes’ hospital” at Endell Street, London

Case study

Case study: An inconvenient “mole”

...It is alleged that Dr J failed to consider a diagnosis of basal cell carcinoma and refer the patient for further investigations...

Case study

Case study: Back pain

...The letter claims that had Mr U been referred to hospital after the first follow-up consultation he would have likely undergone an emergency MRI scan which would have identified a paracentral disc protrusion compressing the cauda equina...

Case study

Case study: Long-term diazepam prescription

...Dr H prescribes the drug weekly despite complaints by Mr C that he runs out of medication by the weekend...


Dilemma: Covert recording made public

A patient covertly records a medical consultation and posts it on social media. Is this within their rights?


Ethics: Lessons learned - ethical and educational

Professor Deborah Bowman becomes a student again and reflects on the ethical context of how we as individuals meet and treat aspiring clinicians.


Book choice: Recovery – The Lost Art of Convalescence

Review of book by Gavin Francis


Vignette: Elsie Widdowson (1906-2000)

Pioneering nutritionist who developed and tested wartime rations

View previous issues of Insight Primary

Insight Primary is published quarterly and distributed to MDDUS members through the UK who work in primary care

View all issues
Insight Primary Care Q1 2021 cover

For registration, or any login issues, please visit our login page.