Medicine and Science from The BMJ

Mistakes were made

The Francis report, the Berwick report, the Keogh review - all of these have highlighted how important learning from mistakes is in healthcare.
Reporting incidents is key to this, and in this podcast Jen Perry, from BMJ Quality, tells Harriet Vickers the whats, hows and whys of incident reporting.
And Emily Hotton, previously a foundation doctor at Royal United Hospital Bath, UK, talks about how her project helped junior doctors at the hospital become more confident at incident reporting, and bumped up the number of incidents they logged.
Read Emily's full report: http://qir.bmj.com/content/3/1/u202381.w2481.full
Check out BMJ Quality: http://quality.bmj.com

Médecins Sans Frontières’s Dunkirk spirit

As France has moved in recent weeks to clear camps where migrants stay while trying to cross illegally into Britain, Médecins Sans Frontières has just opened a new one.
Sophie Arie talks to Caroline Gollé, medical coordinator at the Médecins Sans Frontières​ La Linière camp​.
Read more about the camp:
http://www.bmj.com/content/352/bmj.i1696

How and when to treat depression in pregnancy

Depression in pregnancy affects up to 10% of women, a rate only slightly lower than in the postpartum period. Yet, as few as 20% of pregnant women with depression receive adequate treatment.
Louise Howard, professor in women’s mental health at King's College London, joins us to discuss the clinical review on depression in pregnancy.
Read the full article:
http://www.bmj.com/content/352/bmj.i1547

Should doctors boycott working in Australia’s immigration detention centres?

However well intentioned, working in detention centres amounts to complicity in torture, says David Berger, a district medical officer in emergency medicine at Broome Hospital in Australia.
However, Steven Miles, chair in bioethics at the University of Minnesota thinks that they play an important role in telling the world about conditions in these camps.
Read the full debate:
http://www.bmj.com/content/352/bmj.i1600

Jeremy Hunt Interview

Jeremy Hunt is a health secretary under pressure. In this exclusive interview with The BMJ’s editor in chief Fiona Godlee, the man who could soon become England's longest serving health secretary insists he has more to give.
The steady hand brought in to steer the NHS away from the front pages has been shaking in recent months, but the grip seems to be intact. As he greets The BMJ in his Whitehall office, Jeremy Hunt does not betray the signs of a man buckling under the pressure despite a tumultuous few months that have left many NHS staff feeling downtrodden, battered, and
bruised—and that have brought calls for his resignation after he was rebuked for misrepresenting data published in The BMJ to support the case for seven day working in the NHS.
Read Gareth Iacobucci's report of the interview:
http://www.bmj.com/content/352/bmj.i1632

”I thought I was the worst person with type I...” - Self management of diabetes

Nick Oliver, consultant diabetologist at Imperial Healthcare NHS Trust and Philippa Cooper, who has type I diabetes, join us to explain how structured education works for patients, and give tips on self management.
Read the full review:
http://www.bmj.com/content/352/bmj.i998

”We’re pulling the rug out from under the feet of [GPs]”

Gareth Iacobucci talks to Candace Imison, director of policy at The Nuffield Trust, about the problems facing GPs, and how primary care could be changed.
"5 minutes with... Candace Imison": http://www.bmj.com/content/352/bmj.i1378

”It’s the workforce, stupid” - is the NHS workforce in crisis?

As the junior doctors in England strike, concerns for the workforce are foremost in the minds of those running the NHS.
A summary is available here: http://www.bmj.com/content/352/bmj.i1510
In The BMJ roundtable, recorded at the Nuffield Trust Health Policy Summit on Friday 4 March 2016, we asked our participants if they think the NHS is in crisis, and what they think can be done to help those working across the system.
The participants were Clifford Mann, president of the Royal College of Emergency Medicine, Samantha Barrell, chief executive at Taunton and Somerset NHS Foundation Trust, Candace Imison, director of policy at the Nuffield Trust, Richard Jones, consultant cardiologist, Saira Ghafur, specialist registrar, Neena Modi, president of the Royal College of Paediatrics and Child Health, Claire Lemer, consultant in general paediatrics, Ben Mearns , chief of medicine at Surrey & Sussex Healthcare NHS Trust, Sarah Pickup, deputy chief executive at the Local Government Association, and Jeremy Taylor, chief executive of National Voices.

Zika virus - ”it really felt like having bad sunburn, all over your body”

“Juliet”, a woman living in London, was diagnosed with a mysterious illness in November 2015, Ian Cropley, a consultant in infectious disease from The Royal Free London NHS Foundation Trust, was there to investigate.
In this podcast, we find out how Zika, once a little known virus causing a rash and fever, has subsequently become a global health emergency. We also discuss how the infection is linked to microcephaly, and what we still need to understand to control the disease.
All Zika virus resources from BMJ are now freely available on www.bmj.com/freezikaresources.

What is vaginal seeding - and is it safe?

How should health professionals engage with this increasingly popular but unproved practice?
Aubrey Cunnington, a consultant paediatrician from Imperial College London joins us to discuss.
Read the full editorial:
http://www.bmj.com/content/352/bmj.i227