Looking Back: Evaluating PBSGL in Salisbury Plain (2017) As we timetable the 100th meeting of the Salisbury Plain PBSGL group, it feels timely to revisit my first formal evaluation of the group, undertaken in 2017. At that point, PBSGL was already well established locally, but there had been little structured examination of its educational or pastoral impact within a mixed Defence primary care setting.

One of the areas I have found most challenging in menopause care is choosing the right progestogen. Not because options are lacking — but because there are several, each with subtly different properties, and the differences are often poorly explained in everyday practice. I realised I was not as clear as I wanted to be on how the commonly used progestogens really differ from one another.

Roobol MJ, de Vos II, Månsson M, Godtman RA, Talala KM, den Hond E, et al. European Study of Prostate Cancer Screening - 23-Year Follow-up. N Engl J Med. 2025 Oct 30;393(17):1669–80. Long-Term Outcomes of PSA ScreeningThis paper caught my eye while reading a summary in one of the broadsheets. Also, being a man of a certain age, it has a more personal relevance.

Peters et al., 2025 – “Just Put Up With It: Women’s Experiences of Perimenopause and Menopause” (J Adv Nurs) Back in 2021, myself and my brilliant colleague, Kate King, undertook some research look…

Peters et al., 2025 – “Just Put Up With It: Women’s Experiences of Perimenopause and Menopause” (J Adv Nurs) Back in 2021, myself and my brilliant colleague, Kate King, undertook some research looking at the experiences of servicewomen who were suffering from symptoms of the perimenopause. Although this was a cross-sectional survey, with all its limitations, what really hit home were some of the challenging experiences our servicewomen were having, from the Chain of Command and Healthcare Professionals, as well as in their working environment.

I’ve updated some of the perinatal resources I’ve been collecting to include the following (look under the ‘resources’ tab in the menu). The aim is to have these in one location for sharing to patients or to healthcare professional colleagues for onward dissemination. I hope all the links work but please let me know if there are any issues. Preconception and Early Support…

Clinical learning rarely follows a neat script. More often it emerges from the difficult cases – the ones that unsettle us, challenge our assumptions, and force us to rethink how we practise. The P…

Will Ward disagrees with my assessment of a JAMA-Psychiatry meta-analysis. His argument is persuasive and belongs on Sensible Medicine JMM

Recorded consultations are a useful tool for developing consultation skills for general practice speciality trainees (GPSTs). Historical barriers to utility include a lack of recording equipment an...

Background Abortion is a common pregnancy outcome; in the UK one in three women will have an abortion by age 45 years. Despite women making up 11.7% of the UK Armed Forces (UKAF), anecdotal voices fro...

Chirinos DA, Yin Z, Schreiner PJ, Appiah D, Wellons MF, Lewis CE, et al. Trajectories of depressive symptoms in a population-based cohort of Black and White women from late reproductive age through…

Background Access to high-quality perimenopause (PMP) care for UK Armed Forces (UKAF) personnel is crucial, given the increasing proportion of women aged 40-55. However, due to the lack of exposure of...