Medical Centre

In a paper published in the Journal of Antimicrobial Chemotherapy , we discuss key issues in applying an evidence-based approach to the prescribing of antibiotics to children. Antimicrobial resistance is a growing threat to global health, yet antibiotics are frequently prescribed in primary care for acute childhood illness, where there is evidence of very limited clinical effectiveness. Moral philosophy supports the need for doctors to consider wider society, including future patients, when treating present individuals, and it is clearly wrong to waste antibiotics in situations where they are largely clinically ineffective at the expense of future generations. Doctors should feel confident in applying principles of antibiotic stewardship when treating children in primary care, but they must explain these to parents. Provision of accurate, accessible information about the benefits and harms of antibiotics is key to an ethical approach to antimicrobial stewardship and to supporting ...

In recent years, the NHS has invested in 'extended hours' schemes, whereby general practice are encourage to open beyond their contracted hours of 8am to 6.30pm Monday to Friday. In a study published in the British Journal of General Practice , we examined associations between overall experience of general practice and patient experience of making appointments and satisfaction with opening hours using data from the General Practice Patient Survey. We found that patient experience of making appointments and satisfaction with opening hours were only modestly associated with overall experience. Patient satisfaction was most strongly associated with GP interpersonal quality of care We concluded that policymakers in England should not assume that recent policies to improve access will result in large improvements in patients’ overall experience of general practice. The article was covered by the medical magazine Pulse .