The summaries of product characteristics (SmPCs; previously called data sheets) of certain drugs sometimes specify that they should be used “at the discretion of the physician,” often when advising ...

Mumtaz Patel has been elected president of the Royal College of Physicians for the next four years with a promise to “modernise the college and re-establish the RCP as the voice of our membership and ...

Afghanistan has made important strides in healthcare delivery and outcomes despite political instability, but withdrawal of international funding threatens progress and system collapse, write Sabera ...

With another NHS reorganisation looming, any changes must strengthen the role of public health in the NHS, write Chad Byworth and colleagues The government’s decision to abolish NHS England while ...

Tom Nolan reviews this week’s research It wasn’t long ago that we’d routinely. advise people with heart failure and fluid overload to restrict their fluid intake. Nowadays, restriction advice is ...

Darcie is a woman in her early 20s with migraine, hypermobile Ehlers-Danlos syndrome, anorexia, irritable bowel syndrome, postural orthostatic tachycardia syndrome, autism, attention ...

GPs appointed in past six months More than 1500 additional GPs, equating to 851 full time doctors, have been recruited to England’s workforce in the past six months under the Additional Roles ...

This article introduces a series of papers on new guidance for the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. Core GRADE was produced in response to the need ...

I’ve been sitting on my hands over the topic of assisted dying. Not because I’m scared, or irritated, or confused. I’ve purposely not spoken out owing to something much more serious. Because of my ...

The chairs of the BMJ Commission on the Future of Academic Medicine set out principles for transforming academic medicine and to help improve population and planetary health Academic medicine is in ...

In his first sit-down television interview the US health secretary, Robert F Kennedy Jr, claimed that he was “not familiar” with the ongoing cuts to state and local public health programs, adding that ...

NHS outpatient care is “archaic, disjointed, and inefficient” and needs radical reform to bring down waiting lists, the Royal College of Physicians and the Patients Association have said.1 The two ...