Coeliac disease is a chronic systemic autoimmune disorder induced by gluten proteins present in wheat, barley, and rye. One quarter of all new patients diagnosed with coeliac disease are in their seventh decade or older and it affects one in 100 children and up to three in 100 in some other European countries. Most children remain undiagnosed.
A GP has many roles, but mostly it is to act as the main point of contact for general healthcare. They treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. In recent years, demand for their services has increased. This article highlights the most common problems seen in primary care.
Insect bite consultations are common in primary care and treatment is usually with antibiotics. However, Public Health England claims that one in five GP antibiotic prescriptions may be inappropriate. A survey by a subgroup of the RCGP overdiagnosis group examined current practice in insect and tick bite management.
Good communication during a GP consultation is essential and leads to better outcomes for both the doctor and the patient. In this article, Dr Jamshid Nikkhah asks what other societal, economic and political factors impact on this communication and the relationship between doctors and their patient.