Clinical education & evidence platform for UK primary care clinicians.

One patient, three pains: a palliative care case study in opioid titration

This week, our expert insights will guide you through a case study from Jan Brassington’s webinar, ‘Managing Pain in Palliative Care.’ You can now watch it as an on-demand video on our CPD Webinars page!

MHRA tightens the warnings on 5-ARIs / DHT blockers

Medicine Central | Clinical Update. Safety warnings from MHRA on the use of 5-alpha reductase inhibitors, sometimes referred to as DHT blockers.

Unseen in primary care: how patients with complex mental health difficulties experience accessing help

Around a quarter of patients presenting to primary care with mental health difficulties meet criteria for personality disorder, yet only 1 to 1.5% have a coded diagnosis. A new qualitative study explores what that gap looks like from the patient side.

NG28 was the biggest NICE change in a decade. Here is what else moved this year.

The February 2026 NG28 update rewrote type 2 diabetes care for UK GPs. What changed, why it matters, and the four other NICE updates from the past year worth knowing.

How to Get Started in Research as a Primary Care Professional in the UK

LatAm-FINGERS: Can lifestyle intervention help prevent dementia?

Falling blood pressure and BMI in T2D may signal early dementia

ADHD prescribing in primary care: what GPs need to know

Rising ADHD referrals means more GPs managing shared-care stimulant prescribing. This week's article is a GP guide to shared-care monitoring, red flags and drug interactions, with a free downloadable cheat sheet.

Could your repeat PPI list become a Barrett’s screening list?

Three practices searched their records for patients on long-term PPIs and invited them for a capsule sponge test. Nearly 9 in 10 eligible, interested patients took it. About 1 in 25 had Barrett’s oesophagus.

The no-biopsy pathway has arrived, and it stops at the surgery door

AI in elderly care: two problems nobody is talking about together

AI is arriving in care homes — wearables, fall sensors, pain recognition apps. The potential is real. But two compounding problems are not getting enough attention: the data gap and the deployment gap.

MART versus conventional ICS/LABA plus SABA: does switching actually change outcomes?

Across 19 papers published since 2022, a consistent picture emerges on MART versus conventional ICS/LABA plus SABA. The headline benefit is concentrated in exacerbation prevention - but the size of the gain depends heavily on baseline exacerbation risk.