David Pencheon: Good general practice is sustainable general practice and vice versa

Once again the RCGP’s Annual conference last week in Liverpool produced a wealth of stimulating and topical debates – from the ethics of whether doctors should take a lead in commissioning (why do we always feel the need to “take the lead?”), to what constitutes sustainable general practice. The groups considering the latter issue, chaired […]

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David Pencheon: Climate change and health – let’s get professional

I am still proud to be a doctor. This used to be because I looked up to inspirational mentors, tutors, and role models. I still do, although my inspiration is increasingly derived from younger doctors and medical students (a cohort effect). We have a young inspirational medical student working with us currently doing research in his […]

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Should it be compulsory for adult cyclists to wear helmets?

Last week the bmj.com poll asked “Should it be compulsory for adult cyclists to wear helmets?” 68% of respondents voted no, out of a total 1,439 votes cast. The question triggered an interesting debate. Below are a selection of the comments posted in response to the poll. Sven Felsby: The idea of forcing cyclists to […]

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David Pencheon: Future-proof hospitals? Go straight for future-proof systems…

Chris Ham’s article in last week’s Observer newspaper (“Politicians have ducked hard decisions on the NHS for far too long” Sunday 19 June 2011), and a news story in this week’s BMJ (BMJ 2011;342:d3921), claim that up to 20 hospitals, around 10% of the total in England, may not be financially sustainable.    This is highly probable […]

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