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The plane truth – Black Box Thinking in the NHS

In the first part of this three article series on errors and mistakes in general practice, we explored the psychological basis for errors and biases in human behaviour that lead to mistakes occurring. In this second instalment, we think about the psychological limits that contribute to mistakes, and how we can use these insights to…
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Are you another victim of the attention economy?

Are we turning into 'phone zombies'? Zoning in on our phones may mean we're zoning out on a more fulfilling life. Kate Little from physicianburnout.co.uk explains the risks, and how to win our lives back. “Mummy, you’re not listening” my son says. “Mmmm. Sorry, I have just got to reply to this e-mail and I’ll…
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Stop smoking intervention

This is a new guideline from NICE on stop smoking interventions. If you do nothing else, I would strongly encourage you to do the National Centre for Smoking Cessation and Training NCSCT e-learning module on offering very brief advice to smokers. It only takes 10 minutes and is excellent. NICE advises that we use the…
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Is my pay all going on income tax?

Liz Densley is often get asked ‘Is it worth working harder and earning more? Or am I paying it all in income tax?’ Here she explains a better balance. There are certain ‘crunch points’ at income levels where it can make a material difference, depending on various circumstances, to different types of tax liabilities. There…
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Heavy menstrual bleeding (menorrhagia)

NICE published an update to its guideline on heavy menstrual bleeding (menorrhagia) in March 2018. There are a couple of changes: Hysteroscopy is now the first line investigation for most women who need investigating for heavy menstrual bleeding, rather than ultrasound. There is no mention of age '45' now. In the old menorrhagia guideline, being…
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Home visits, the decline 
of the roving doctor

When I was training to be a GP, my tutor showed me a painting by Sir Luke Fildes called “The Doctor”. Its significance was lost to me in those fun-filled days of team-building exercises and group learning, however I remembered it again recently when I was asked to fill out an insurance report for one…
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Podcast | The Sessional GP Magazine June 2018

In our 101st edition, Richard kicks off about blame in the NHS, Judith shows how health evidence is changing a culture and protecting the environment, Liz on working less but earning more, Kate on why we should unplug, Louise on menstruation and Rachel on how to say sorry. Richard gives a brief 10-minute run-through. Read…
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Gauging stress before the crash

Ever had that feeling that you have too many things to do, all of them important, that you don’t quite know where to start? Kate Little looks at ways of recognising when your stress levels are getting too high. That feeling that if someone asks you to do one more thing, you are not sure…
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