"Looking after older, multimorbid patients is what we trained for as GPs." Frail patients are most in need of our attention as GPs, but in many cases they receive less and less of it, writes @helensalisbury.bsky.social www.bmj.com/content/393/...
Thomas Downes
@tomdownes.bsky.social
GP in Midlothian and Honorary Research Fellow at the University of Dundee. Interested in multimorbidity, applicability and polypharmacy.
youtu.be/XC0EMoFLbbI What challenges do people of colour have in diagnosis of #Eczema #Acne and #Psoriasis? doi.org/10.3399/BJGP... #SkinOfColour #Dermatology #HealthInequalities #CulturalCompetence #BJGP #PrimaryCare #research #GeneralPractice
Dermatology and skin of colour
Read the research: https://doi.org/10.3399/BJGP.2025.0720 Listen to the full-length interview: https://player.captivate.fm/episode/43e1c3c8-9c94-41e0-9888-61...
youtu.be
BIG NEWS!
Ben Goldacre@bengoldacre.bsky.social · 5mo agoOpenSAFELY is open from today! Huge thanks to all who supported this vast collaboration: whole population GP data; in a productive platform; innovative privacy protections; unprecedented support from professions, privacy campaigners; &c Now it's over to users! www.bennett.ox.ac.uk/blog/2026/02...
🆕 In their Comment, Peter Hanlon and colleagues discuss pragmatic prescribing for people with moderate or severe frailty in primary care Read the full Comment here ➡️ www.thelancet.com/journals/lan...
Frailty, polypharmacy, and the case for pragmatic prescribing in primary care
Primary care clinicians are often caught between conflicting recommendations for clinical care. On one side, specialist guidelines and trial evidence urge intensive treatment, such as tight blood pres...
thelancet.com
Hidden harms in #End-Of-Life injectable symptom control #HealthCare: many patient safety incidents reported as 'no harm' contain descriptions of physical/psychological harm experienced by patients and families doi.org/10.3399/BJGP... @drbenbowers.bsky.social @carsonstevens.bsky.social #PrimaryCare
Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication | British Journal of General Practice
doi.org
Had the opportunity last week to present my research on clinical trial applicability as an elevator pitch at the #NADEGS 2026 #primarycare conference in Edinburgh. Good to chance to consolidate thoughts and highlight main points. Looking forward to next year’s turn with Glasgow!
🆕 "The dominance of research... from mostly high-income countries means that much of the knowledge shaping primary care policy and practice reflects the priorities, populations, and health system structures of wealthier regions [limiting] the knowledge translation to the different contexts" ...
"The more I support people with obesity and learn about the impact of stigma and the drivers of ill health, the less I talk about weight at all in short primary care consultations." @ellenfallows.bsky.social on reframing consultations away from numbers on scales www.bmj.com/content/392/...
Excited to see work’s started on this new active travel link in Edinburgh: www.edinburgh.gov.uk/news/article...
Construction begins on first phase of West Edinburgh Link
Construction begins on first phase of West Edinburgh Link
edinburgh.gov.uk
🆕 In a single-blind RCT, topical hydrogen peroxide was compared with topic fusidic acid and simple wound hygiene in the management of non-severe impetigo lesions in school-aged children in Auckland, Aotearoa New Zealand. Read the findings of the TIARA trial ➡️ www.thelancet.com/journals/lan...
Topical hydrogen peroxide versus fusidic acid for non-severe impetigo in Auckland, Aotearoa New Zealand (the TIARA trial): a single-blind, randomised controlled trial
Topical hydrogen peroxide was not non-inferior to topical fusidic acid for treatment of non-severe impetigo. However, as these infections are mild and the difference in cure rate is small, when balanc...
thelancet.com
@bjgp.bsky.social bjgp.org/content/bjgp... Evidence-biased medicine? Applying a health equity lens to Sackett's methodological framework #GeneralPractice #DeepEndGP #FamilyMedicine #PrimaryCare @nihrspcr.bsky.social @nihrarcs.bsky.social
bjgp.org
Are you a GP registrar about to start your out-of-hours (OOH) shifts? Or a qualified GP looking to get back into OOH? Check out our new article to help get you ready @rcgp-innovait.bsky.social #primarycare journals.sagepub.com/doi/10.1177/...
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
🎉 Congrats to Sameera Toenjes and her team for an excellent publication in @plosone.org highlighting the perspectives of primary care clinicians regarding perceived barriers, facilitators, and team roles in addressing prescribing cascades: Read the full article here! buff.ly/yscPvts
Proud to see our research featured on my news feed this morning: Frailty index could improve life for younger patients www.bbc.com/news/article...
Electronic Frailty Index could improve life for younger patients
Researchers at the University of Dundee say a measure used to assess the health of older people can help younger patients.
bbc.com
Thomas Downes@tomdownes.bsky.social · 11mo agoThe electronic frailty index (eFI) is used to identify older adults (≥65 years) who may be living with frailty. In our new study, we found that the eFI also identifies younger adults (18-64 years) at high risk of mortality and hospital admission: www.thelancet.com/journals/lan... #frailty #medsky
"Undermining confidence in one of the few safe and effective pain and fever relief drugs in pregnancy risks causing unintended harm." Pregnant women are often excluded from clinical trials and evidence gaps enable unsubstantiated claims, @louiseckenny.bsky.social www.bmj.com/content/391/...
Useful and important primary care research ⬇️ bjgpopen.org/content/earl...
Use of unscheduled care in the last year of life for people with multiple long-term health conditions: a retrospective cohort study of 299,361 decedents
Background People living with and dying from multiple long-term health conditions are high users of healthcare services. Unscheduled care, the unplanned use of healthcare services, rises dramatically ...
bjgpopen.org
As we head into autumn, in many instances, patient expectations following a community acquired pneumonia can have a profound effect on repeat appointments (“I feel better but I’m still coughing, Doc”). Here’s a timely reminder from NICENG250
VERY EXCITING launch of the CENTRE FOR EVIDENCE AND VALUES IN HEALTHCARE at the Uni of St Andrews first event 31st October with Sir David Haslam and Scotland's new patient safety commissioner Karen Titchener find out more here medicine.st-andrews.ac.uk/centreforevi... please sign up and come
More women in cardiovascular trials still needed (and CVD trials are pretty good compared to other medical specialties...) jamanetwork.com/journals/jam...
Participation of Women in Cardiovascular Trials, 2017 to 2023
This systematic review describes the representation of women across a broad range of cardiovascular trials registered from 2017 to 2023.
jamanetwork.com
The electronic frailty index (eFI) is used to identify older adults (≥65 years) who may be living with frailty. In our new study, we found that the eFI also identifies younger adults (18-64 years) at high risk of mortality and hospital admission: www.thelancet.com/journals/lan... #frailty #medsky
Applicability of the electronic frailty index in younger and older adults in England: a population-based cohort study
Similarly to older adults, the eFI identifies younger adults with frailty at high risk of mortality and emergency hospital admission. The eFI might be a tool to identify individuals for further assess...
thelancet.com
MHRA approves UK’s first new type of antibiotic for urinary tract infections in nearly 30 years #Pharmsky #Medsky www.gov.uk/government/n...
MHRA approves UK’s first new type of antibiotic for urinary tract infections in nearly 30 years
As with any medicine, the MHRA will keep the safety of gepotidacin under close review.
gov.uk
Ever wonder what percentage of hospital admissions are caused by medications? 💊 A systematic review published in the Age and Ageing Journal finds adverse drug reactions (ADRs) and adverse drug events (ADEs) are significant causes of hospitalization in older adults. buff.ly/4Vuv4T2
As we age, changes in our bodies can affect drug exposure, leading to potentially increased risks of both medication toxicity and treatment failure. 💊 Great review article highlights major age-related physiological changes that can impact drug use: link.springer.com/article/10.1...
Open letter from the heads of Scotland’s medical schools on the threat to the clinical academic workforce. “If we do not act, we risk weakening the very system that has delivered some of the most transformative advances in modern medicine” www.universities-scotland.ac.uk/clinicalacad...
Scotland’s Quiet Crisis: Why Clinical Research Needs Urgent Rescue — Universities Scotland
universities-scotland.ac.uk
Our realist review from #RESOLVE study funded by @nihr.bsky.social published today @thementalelf.bsky.social @sapc.ac.uk @cmhpcommunity.pharmsky.app onlinelibrary.wiley.com/doi/10.1111/...
Non‐pharmacologicaL InterVEntions for Antipsychotic‐Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis
Introduction Antipsychotic medications are used to treat individuals with severe mental illness (SMI) but are associated with rapid weight gain and several physical and mental risk factors. Early, p.....
onlinelibrary.wiley.com
BMA and other national medical organisations come together as a voice for doctors in Europe to call for immediate action in Gaza
Standing Committee of European Doctors (CPME)@europeandoctors.bsky.social · last yr.The Standing Committee of European Doctors (CPME) expresses deep concern about the catastrophic humanitarian situation in Gaza and the desperate levels of starvation experienced by the population. Press release: www.cpme.eu/api/document...
A study highlighting sex differences in antihypertensive prescription patterns and efficacy in primary care reveals that women achieve better blood pressure control with lower doses and distinct drug types. This calls for sex-specific optimisation in hypertensive management ➡️doi.org/10.3399/BJGP...
Great day at the North Uist Highland Games today. Just about crossed the line in the Men’s 100m Flat Race for 2nd place!
