Medicine and Science from The BMJ

Mark Folman GP - time pressure and patient care

Mark Folman, a GP in Nottinghamshire, is concerned that more and more work, with more and more patients, means less time with those who really need him.
BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.com.
If you would like to contribute to this collection, please email a brief audio recording to voices@bmj.com or phone +44 (20) 3058 7427 and tell us what your main concern for the NHS is. Please include your name, job title, and place of work.

Michelle Sinclair GP - surgery buildings are not up to scratch

Michelle Sinclar, a GP in Hampshire who is concerned that GP premises aren't fit for purpose and limit her ability to provide fully rounded patient care.
BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.com.
If you would like to contribute to this collection, please email a brief audio recording to voices@bmj.com or phone +44 (20) 3058 7427 and tell us what your main concern for the NHS is. Please include your name, job title, and place of work.

Patient spotlight - How can we get better at providing patient centred care?

Participants in our discussion on person centred care in January
agreed that a change in culture and better use of technology
could benefit both patients and doctors.
At the roundtable:
Fiona Godlee (chair), editor in chief, The BMJ
Tessa Richards, senior editor, patient partnership, The BMJ
Rosamund Snow, patient editor, The BMJ
Navjoyt Ladher, clinical editor, The BMJ
Angela Coulter, director of global initiatives, Informed Medical Decisions Foundation (www.informedmedicaldecisions.org)
Paul Wicks, vice president of innovation, PatientsLikeMe (www.patientslikeme.com)
Michael Seres, founder, 11 Health (www.11health.com)
Alf Collins, clinical associate in person centred care, Health Foundation (www.health.org.uk)
Jeremy Taylor, chief executive, National Voices (www.nationalvoices.org.uk)
Dave deBronkart, cochair, Society for Participatory Medicine (www.participatorymedicine.org)
Amir Hannan, general practitioner and member of clinical commissioning group board
Alexander Silverstein, past president, International Diabetes Federation’s young leaders in diabetes project
Paul Hodgkin, founder, Patient Opinion (www.patientopinion.org.uk)
Ben Mearns, consultant in acute care and elderly medicine, Surrey and Sussex Healthcare NHS Trust
Sara Riggare, PhD student in health informatics, Karolinska Institute
Rupert Whitaker, founder, Tuke Institute (www.tukeinstitute.org)
Stephen Leyshon (observer), DNV Healthcare

Patient spotlight - Doing it for themselves

In our accompanying roundtable discussion,we hear views from a group of patients and clinicians based largely in the UK on the actions required  to advance  progress towards providing patient centred care.
To extend the conversation we talked to members of the BMJ's international patient advisory panel and other patient advocates - and what follows are short clips of hour long conversations with people in the US, Europe, India, Equador and Uganda.
While the quality of the recordings vary there is no mistaking
the passion of these advocates to improve care for fellow patients and the barriers which need to be overcome to make it happen.
Taking part in this discussion in order are:
Dominck Frosch,associate professor, University of California
Maggie Breslin US designer, researcher and writer
Matthew Maleska, designer, Patient Revolution Project
Cristin Lind, patient advocate, Rare Diseases Sweden
Corine Jansen, cheif listening officer, JoConnect
Jonas Gonseth, chief executive, Gaerente en Hospital de Especialidades Guayaquil, Equador
Rakhal Gaitonde chair, community advisory board of the National
Institute for Research on Tuberculosis
Robinah Alambuya, president of the Pan African Network of People with Psychosocial Disabilities, Uganda
Daniel Iga Mwesigwa, executive medical director, Mwesigwa Medical Centre, Uganda

International donations to the Ebola virus outbreak: too little, too late?

Karen Grépin, assistant professor of global health policy at New York University, has been examining the pledges made by the international community to help fight the ebola virus outbreak - was it really too little, too late?
Read her full analysis:
http://www.bmj.com/content/350/bmj.h376

Helping Eddie Redmayne play Stephen Hawking

Katie Sidle is a consultant neurologist at the National Hospital for Neurology and Neurosurgery, in London. She helped actor Eddie Redmayne in his portrayal of theoretical physicist and cosmologist Stephen Hawking in the film The Theory of Everything.
She joins us to describe how that process worked, and what Motor Neurone Disease patients thought about how their condition was depicted.
Read the feature:
http://www.bmj.com/content/350/bmj.h483

Management of cancer induced bone pain

Bone pain is the most common type of pain from cancer and is present in around one third of patients with bone metastases, currently, improvements in cancer treatments mean that many patients are living with metastatic cancer for several years.
Christopher Kane, NIHR academic clinical fellow in palliative medicine at Leeds University School of Medicine, and Michael Bennett, St Gemma’s professor of palliative medicine at University College London join us to discuss the management of cancer induced bone pain.
Read the full clinical review:
http://www.bmj.com/content/350/bmj.h315

Cash for referrals

Private hospital chains have been “buying” referrals by offering clinicians lucrative packages, including free facilities in sought after locations. And the doctors’ regulator is turning a blind eye to those who are tempted, Reporter Jonathan Gornall joins us to discuss the investigation.
Read the full report:
http://www.bmj.com/content/350/bmj.h396

Managing multimorbidity in primary care

Multimorbidity presents a number of different challenges, for the patients living with the conditions, but also for the health professionals caring for them in systems that often are not designed with these more complex needs in mind.
Emma Wallace, general practice lecturer, and Susan Smith, a professor of general practice at the Royal College of Surgeons in Ireland Medical School join us to discuss how to work within the system, and what their dream scenario for care would be.
Read the full clinical review:
http://www.bmj.com/content/350/bmj.h176

WHO needs exercise?

Philipe de Souto Barreto argues that, to reduce premature mortality, policies should focus on getting fully inactive people to do a little physical activity rather than strive for the entire population to meet current physical activity recommendations.
Read the full analysis paper:
http://www.bmj.com/content/350/bmj.h23