Integrating Mental Health, Cardiovascular Prevention, Monitoring and Goal-Directed Care to Improve Ulcerative Colitis Outcomes in Rural Primary Care Pathways

Ulcerative colitis (UC) requires coordinated biopsychosocial management, yet rural primary care often faces gaps in monitoring, mental-health (MH) assessment, cardiovascular disease (CVD) prevention and access to specialist IBD services. Previous local audits revealed inconsistent treat-to-target (T2T) practices, limited patient confidence in flare management and poor awareness of faecal calprotectin (FCP). Alongside this, UC is associated…

Is what I see really what I see?

A 56-year-old woman comes to the clinic with multiple acrochordon-type lesions in both malar regions.A 56-year-old woman presents with multiple skin tag-like lesions on the left side of her face, which, although already present, are now increased in size and number. The patient also reports itching in the affected area. She mentions a previous consultation…

Advance Care Planning in Neurocognitive Disorders: Challenges and Opportunities in French General Practice

Advance Care Planning (ACP) is essential for supporting people living with neurocognitive disorders (NCDs), whose progressive decline in communication and decision-making capacity narrows the active participation in care preferences. In France, general practitioners (GPs) are often the first to identify and follow these patients, placing them in a key position to initiate ACP. Despite this,…

Participative sciences in health : an active research project for improving women’s healthcare pathway

The French healthcare system, built on the principle of universal equality, still faces entrenched socio-cultural constructions and gender stereotypes. Medical knowledge is historically Eurocentric and male-centred, reflecting the dominant perspective of those who produced it. These biases and sexist and medical violence (SMV) significantly affect women’s health pathways, widen inequalities and undermine their trust in healthcare settings.Qualitative: in-depth interviews, focus groups, peer groups and observational studies. Quantitative: questionnaires and statistical data on SMVThe…

Participative sciences in health : an active research project for improving women’s healthcare pathway

The French healthcare system, built on the principle of universal equality, still faces entrenched socio-cultural constructions and gender stereotypes. Medical knowledge is historically Eurocentric and male-centred, reflecting the dominant perspective of those who produced it. These biases and sexist and medical violence (SMV) significantly affect women’s health pathways, widen inequalities and undermine their trust in healthcare settings.Qualitative: in-depth interviews, focus groups, peer groups and observational studies. Quantitative: questionnaires and statistical data on SMVThe…

Building Resilience in Primary Care: A Practical Toolkit for Crisis Preparedness in XXXXX General Practices

The COVID-19 pandemic was the most significant healthcare crisis in the past decade, placing unprecedented pressure on society and primary care. Despite the high quality of healthcare in the XXX, general practices were insufficiently prepared for such a crisis. Shortages of medical materials (e.g. personal protective equipment, medication) and the need for rapid implementation of…

Advancing Secondary ASCVD Prevention: Real-World Inclisiran Patient Experience Supporting LDL-C Target Achievement and WONCA, NHS and WHO Priorities

Achieving stringent LDL-C targets is essential for reducing atherosclerotic cardiovascular disease (ASCVD) risk. ESC guidance recommends ≥50% LDL-C reduction and targets of <1.8 mmol/L (high risk) and <1.4 mmol/L (very high risk). Delivering this equitably aligns with WONCA Europe’s principles of person-centred, community-oriented primary care, the NHS Long Term Plan’s cardiovascular disease ambitions, and WHO…

Navigating Systemic Challenges to Achieve Optimal Primary Health Care

Achieving an ideal primary care system – one that delivers accessible, comprehensive, and coordinated person-centred care – is a continuing priority across diverse settings. Progress is often hindered by systemic barriers such as fragmented policies, poor integration across services, workforce shortages, limited patient engagement, and inadequate data governance, which collectively perpetuate suboptimal care models.Identify and…

Sinus pause in a middle aged woman: a reminder not to overlook cardiac cause of syncope

Syncope is a brief and sudden loss of consciousness associated with loss of postural tone with spontaneous recovery. It remains a challenging presentation to primary care. Both cardiac and autonomic causes can lead to syncope. Important differential diagnoses include seizure, migraine, hypoglycemia, toxin exposure, functional disorder and nacrolepsy. In younger adults, it is often attributed to…

Clinical Use of Cannabidiol (CBD) in Urban Primary Care: Practical Experience and Regulatory Challenges in an Evolving Healthcare Environment

Urban primary care clinics increasingly encounter patients seeking cannabidiol (CBD) for sleep disturbances, anxiety, stress-related symptoms, chronic pain, and women’s health concerns. CBD lies at the intersection of clinical medicine, legal regulation, product quality, public understanding, and ethics. In several East Asian settings, regulatory and quality standards are still evolving, creating uncertainty in routine clinical…