Ah, I've just been nosing around on the Wayback Machine and even on the 6th April I can see that page has a form to fill. That's the bit that's missing at the moment for me on all my browsers. Which explains my confusion. If not a general problem at your end then all cool - I'll keep fiddling...

Thanks for this Petra. I used to subscribe to The Marginalian but found myself not reading it and feeling guilt. A timely recommendation is far superior - and this is a good one.

Also, I actually seem to own this book - though a slightly different (?UK) title. Time for a re-read maybe...

Just done it. 👍

Here's my sprocker, Sprout, absolutely owning it on Winder in the Howgills today.

I live in #Cumbria but this is actually #YorkshireDales National Park. Yet only 8% of land in England has a right of access - we need #RighttoRoam legislation for everyone's health @righttoroam.bsky.social

Today on the local hills... in the interests of correcting an obvious bias, I think it's very important to post, occasionally, some crap photos rather than the usually lovely ones of the places we live and visit. Here's the summit of Winder today. Dreich, as they would say in Scotland. 😀

#crapPhoto

If you see this, post a picture taken in the mountains.

This old photo happens to be on my desk - the summit of the Matterhorn c1995. One of the slowest ever efforts on the Hornli ridge - 8½ hours up, 8½ hours down with a random bloke, Fletcher from Erskine Bridge, I met two days before. 😂

My weekend reading is a little out of shape - but I am a huge fan of magazines and love that the #BJGP still has a print version. It's sad to me that the racks in WHSmith have dwindled over the years. I'm very happy to support them - even I don't always manage to read everything cover-to cover. 😀

Two weeks ago, the tumble dryer was asystolic - totally unresponsive. Hopefully the carbon cost of Googling diagnosis/Rx has not been too astronomical... but I have persisted. Finally, bought a new circuit board off eBay and it is fixed. Up there as my greatest achievement this month. 😀

Thanks Rob. The conversations in the Mapping Doctors team - led by @lizbrewster.bsky.social of course - around SAS are always interesting. This is very positive, as it should be, and would be interested to get your views on the current challenges/problems.

www.lancaster.ac.uk/mappingdocto...

Yes, a staggering change in ownership - as per CMA this year - and if you look at only small animal practices it is worse.

There are parallels with GP and NHS - but the NHS model does offer some resistance. However, the lack of GPs remains a major barrier to the viability of small practices.

Some evening reading lined up. Chanced on the new hardback Pawson book in the Uni library…

And been doing more palliative care of late as an OOH GP and already, just 50 pages in, feel that @drkathrynmannix.bsky.social and her book With the End in Mind has shaped my future conversations. #books

One cool feature of Bluesky is the feeds (as well as hashtags) so you can curate how you find content.

Have collated several GP-adjacent hashtags into one 'GP and Primary Care' feed. #GeneralPractice #PrimaryCare #GPSky #BJGP #FamilyMedicine all included.

bsky.app/profile/did:...

Overall though, it feels odd, though not untypical, that GPs are getting bashed for something that they almost certainly agree about… it’s just not helpful.

https://www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/pressures/pressures-in-general-practice-data-analysis

Which, frankly, feels like a sure-fire guarantee of some response bias. And I had a little dive into the technical report and here is the response rate by age. It skews very heavily indeed towards older age groups. Hmm.

I’m not sure it’s easy to work out national avg consult lengths. But there was a BJGP study in 2021 of 300,000 people in England that put the average length at 10.9 minutes and, natch, it was worse in more deprived communities.

I wrote then about the doomloop.

https://bjgp.org/content/71/707/245