The British journal of general practice : the journal of the Royal College of General Practitioners
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Primary care professionals deliver the majority of end-of-life care to patients. However, extensive pressures and constraints can contribute to variable and substandard care quality. We will report on the preliminary results from an independent evaluation of the 'Daffodil Standards for Advanced Serious Illness and End-of-Life Care', created by the Royal College of General Practitioners and Marie Curie. ⋯ The results will be used to inform and refine the design illustrative case studies to capture best available learning and identify exemplars of best practice for later phases of the study.
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Dementia is a rapidly growing problem projected to rise steepest in ethnic minority communities; nearly 600% over 40 years compared to the UK population. Despite this, patients from ethnic minorities are referred less to memory clinics, diagnosed at more advanced stages, and present more often in crisis. ⋯ Participatory action research project using Photovoice qualitative methodology was co-designed with communities. Stakeholders to co-produce complex intervention prototype seeking to improve dementia services for ethnic minority communities.
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Cancer risk algorithms were introduced to clinical practice in the last decade, but they remain underused. ⋯ Cancer risk algorithms have the potential to impact risk assessment and decision making and may have a role as learning tools. Informing clinicians about their proven usefulness to colleagues may maximise impact.
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General practice has a diverse training programme. It is majority female (57%) and more than half of all trainees are from an ethnic minority, according to the GMC workforce report 2022. However, we are not seeing the same representation of ethnic minorities in academic general practice, with 85.1% of GP professors being White. ⋯ With such a diverse training scheme, we need to have a better representation of ethnic minorities in GP academia. There is a clear problem recruiting or attracting people from ethnic minorities to an academic career and work needs to be done to understand and overcome those barriers.
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On 2 August 2022, it was announced by the NHS that all patients suffering from type 1 diabetes (T1DM) would be eligible for continuous glucose monitoring (CGM). Patients previously would have needed to scan or take a finger prick test at fixed time intervals to monitor their blood glucose. ⋯ Patients no longer need to live in fear of hyperglycaemia and maintain need for routine glucose measurements, allowing patients to live a more convenient and stress-free lifestyle.All of the T1DM patients (100%) registered at Broom Lane Medical Centre are eligible to be switched over to the CGM.