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Thomas Round

@drtomround.bsky.social
707 followers 621 following 28 posts

Academic GP King’s College London primary care cancer research. Associate Editor British Journal of General Practice (BJGP). E-learning Royal College of GPs (RCGP)

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Thomas Round @drtomround.bsky.social · 04/03/2026
Latest podcast @rcgp.bsky.social @bjgp.bsky.social Respiratory tract infections (RTIs) 🤧🦠& primary care 🩺 With Professor Paul Little @unisouthampton 👉audioboom.com/posts/8867254-… 👉podcasts.apple.com/gb/podcast/rcg… #meded #podcast #medicine
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BJGP @bjgp.org · 19/02/2026
YT: youtu.be/imm-HmbBils Watch the visualised podcast with #BJGP Associate Editors @nadakhan.bsky.social, @drtomround.bsky.social, and @sammerriel.bsky.social on the #BJGPTop10 most read research published in 2025. #BJGP #BJGPRC #PrimaryCare #research #GeneralPractice #FamilyMedicine
youtu.be
Visualised podcast – BJGP Top 10
Visualised podcast – BJGP Top 10 In this video, BJGP Associate Editors, Drs Nada Khan, Tom Round and Sam Merriel, discuss the BJGP's Top 10 research most re...
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King's College London @kingscollegelondon.bsky.social · 29/07/2025
Offering self-sampling kits to test for HPV during a routine GP appointment could prevent cervical cancer in an extra 1000 women a year, new research from @kingslsm.bsky.social, @qmulfmd.bsky.social, @cancerresearchuk.org finds. www.kcl.ac.uk/news/self-sa...
kcl.ac.uk
Self-sampling kits in GP appointments could prevent cancer in 1000 women a year
Women who are overdue for cervical cancer screening are most likely to participate in screening when a self-sampling kit is offered by a healthcare professional as part of routine GP appointments
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Thomas Round @drtomround.bsky.social · 29/07/2025
New paper 👉 implementationscience.biomedcentral.com/articles/10.... @implementsci.bsky.social systematic review of computerised decision support systems (CDSS) for disease detection in #primarycare & recommendations
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Implementation Science Journals @implementsci.bsky.social · 17/07/2025
The implementation challenge of computerised clinical decision support systems for the detection of disease in primary care: systematic review and recommendations #impsci implementationscience.biomedcentral.com/articles/10....
implementationscience.biomedcentral.com
The implementation challenge of computerised clinical decision support systems for the detection of disease in primary care: systematic review and recommendations - Implementation Science
Background Early detection of diseases in primary care is crucial for timely treatment and better outcomes. Complex care demands and limited resources can make early detection challenging. Clinical de...
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Thomas Round @drtomround.bsky.social · 19/06/2025
@dr-michael-n.bsky.social @bjgp.bsky.social paper Climate change & primary care:how to reduce the carbon footprint of your practice top 3 accessed papers of year so far bjgp.org/content/75/7... some great tips for GPs/practices #climatecrisis #primarycare @rcgp.bsky.social @bromleybybow.bsky.social
bjgp.org
Climate change and primary care: how to reduce the carbon footprint of your practice
Health care is responsible for approximately 5% of the UK’s greenhouse gas emissions, with primary care responsible for over 20% of these emissions.1 The World Health Organization has recognised clima...
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BJGP @bjgp.org · 11/06/2025
Peer review workshop at BJGP conference 2025: @drtomround.bsky.social, @nadakhan.bsky.social, and @sammerriel.bsky.social host a workshop on the past, present, and future of peer review youtu.be/HsDHawedIQI #BJGPRC #PrimaryCare 
youtu.be
- YouTube
Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.
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Thomas Round @drtomround.bsky.social · 08/05/2025
new paper👉 NHS-Galleri trial - MCED RCT- first model standardised referral of asymptomatic individuals from a trial into NHS standard-of-care cancer pathways.  frontiersin.org/journals/oncol… @richarddneal.bsky.social @qmul.ac.uk @charlesswanton.bsky.social #cancer #research @frontiersin.bsky.social
frontiersin.org
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BJGP Open @bjgpopen.bsky.social · 21/03/2025
An interactive workshop this afternoon with Dr Sam Merriel (pictured), Dr Thomas Round and Dr Nada Khan - BJGP's fantastic associate editors - on peer review! How to peer review, what to expect as an author, and what the challenges will be for peer review in the future #BJGPRC
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Thomas Round @drtomround.bsky.social · 20/03/2025
My last meeting as a Barts Charity trustee today after nearly 10yrs. @bartscharity.bsky.social thanks to all the amazing colleagues at the charity, Barts Health & @qmul.ac.uk @qmulfmd.bsky.social - great iterative evolution of strategy including population health & digital transformation
bartscharity.bsky.social
Barts Charity (@bartscharity.bsky.social)
For healthy East London lives.
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BJGP Open @bjgpopen.bsky.social · 18/03/2025
Results from a nationwide survey in Denmark show GPs find marked discharge summaries with recommendation text boxes improve patient safety and the handover to general practice after discharge from hospital ➡️ doi.org/10.3399/BJGP... @thmikkelsen.bsky.social
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Thomas Round @drtomround.bsky.social · 13/03/2025
Having been around long enough to experience PCTs, CCGs, ICBs now abolishing NHSE…..yes cut the red tape & more lean/rapid decision making at the top- but people want good quality local accessible care & to avoid hospitals unless really necessary- ie invest in primary care & population health !
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BJGP @bjgp.org · 05/03/2025
Primary care assessment of transient loss of consciousness - Key aspects in differentiating causes of TLoC, including the recommended approach to assessment and referral, plus the relevant DVLA rules. doi.org/10.3399/bjgp... #GPworkforce #GPSky #TransientLossOfConsciousness #TLoC
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Dr Rageshri Dhairyawan @drrageshri.bsky.social · 14/02/2025
✨My essay in @thelancet.bsky.social this week has made the front page!✨ (I didn’t know about this 🤗) ‘Reflect, Collaborate and Listen’ looks at why doctors don’t listen and the urgent need to rebalance the power dynamic in the patient - doctor relationship. www.thelancet.com/journals/lan...
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Dr Steve Taylor @drstevetaylor.bsky.social · 18/02/2025
GPs and patients are feeling the effects of the crisis in #GeneralPractice - especially in deprived areas. Gateshead GP Dr Paul Evans took The Guardian inside his surgery to show the impact of the crisis. #RebuildGP #TeamGP @rthonwesstreeting.bsky.social www.theguardian.com/uk-news/vide...
theguardian.com
‘Fix poverty, fix health’: A day in the life of a ‘failing’ NHS
A GP surgery in one of the most deprived areas in the north-east of England is struggling to provide care for its patients as the health system crumbles around them. In the depths of the winter flu se...
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Thomas Round @drtomround.bsky.social · 12/02/2025
@bjgp.bsky.social how to reduce your carbon footprint in GP #primarycare #climatecrisis bjgp.org/content/75/7... @qmul-wiph.bsky.social @bromleybybow.bsky.social @drselvarajah.bsky.social @rcgp.bsky.social
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Dr Steve Taylor @drstevetaylor.bsky.social · 12/02/2025
NHS provider trusts – making up over three-quarters of NHS day-to-day expenditure – reported a £1.2 billion overspend last year, amounting to 0.9% of income in 2023/24. Or to put it another way 10% of the entire GP budget for the year who are not allowed to overspend at all!
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Thomas Round @drtomround.bsky.social · 11/02/2025
@drsdeg.bsky.social many thanks Steph for joining me on latest @rcgp.bsky.social #podcast #meded on GLP1RA for #obesity in #primarycare #Mounjaro #ozempic audioboom.com/posts/8649627-… learnt a lot - and code private prescriptions onto GP record
audioboom.com
EKU Podcast: The evolving role of GLP1-RA in obesity
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are a class of drugs initially developed to treat type 2 diabetes and are now becoming more widely used for obesity. They work by mimicking the act...
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BJGP @bjgp.org · 04/02/2025
Listen to BJGP Associate Editors discussing BJGP's Top 10 most read research published in the last year www.bjgplife.com/193 #BJGPTop10 #PrimaryCare @sammerriel.bsky.social l @drtomround.bsky.social @nadakhan.bsky.social
bjgplife.com
BJGP’s top 10 most read papers of 2024
Quickly and easily listen to BJGP Interviews for free!
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BJGP @bjgp.org · 17/01/2025
BJGP Research & Publishing Conference 2025 Join us at the Lowry Hotel, Manchester on Friday 21 March for a day filled with presentations, keynote speakers: Kath Checkland and Rageshri Dhairyawan, and plenty of networking. Book your ticket: rcgp.my.site.com/s/l... #BJGPRC ⬇️
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Thomas Round @drtomround.bsky.social · 18/01/2025
What new fresh hell/nonsense is this? Only pay if you get an antibiotic prescription? Cough/cold/sore throat vast majority viral Self limiting and better within 2 weeks thegpservice.co.uk/video-consul...
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Dr Steve Taylor @drstevetaylor.bsky.social · 16/01/2025
These stats are frankly bonkers. If anybody is complaining about why they are waiting to see a GP. They need to ask why successive governments have not supported the same growth in GP numbers as it has hospital medic numbers. Agree @rthonwesstreeting.bsky.social or just going to sit & watch the end
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Thomas Round @drtomround.bsky.social · 09/01/2025
Meta/facebook Zuckerberg following in the wake of Elon and Trump with removal of social media moderation. Now ok to call LGBTQ+ people mentally ill or women property mashable.com/article/meta... - what troubling times with polarization and Trump 2.0. Will @bsky.app be last safe space?
mashable.com
Meta now lets users call women 'property' and gay people 'mentally ill'
The tech giant overhauled Facebook, Instagram, and Threads' Hateful Conduct policy to be much more permissive.
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Thomas Round @drtomround.bsky.social · 04/01/2025
@miafarrow.bsky.social great to see you on @bsky.app nicer than the other place! loved seeing you on the stage in the roommate on recent NYC trip was a highlight of the trip!
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The Lancet @thelancet.com · 11/12/2024
Oesophageal cancer is the 7th leading cause of cancer mortality worldwide. In a Seminar, authors provide an overview of advances in the screening, diagnosis, and treatment of oesophageal squamous cell carcinoma and oesophageal adenocarcinoma: tinyurl.com/yc5h472f
Figure showing genomic changes during the development of oesophageal cancer. Copyright: 2024 Elsevier Ltd. All rights are reserved.
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Nuffield Trust @nuffieldtrust.org.uk · 14/12/2024
General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. Our briefing, proposes replacing Carr-Hill with a modern, needs-based formula.
buff.ly
Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do?
General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. This briefing, produced…
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Thomas Round @drtomround.bsky.social · 17/12/2024
If you need some feel good #christmas TV watch the story of Wham’s Last Christmas on bbc iPlayer www.bbc.co.uk/iplayer/epis...
bbc.co.uk
Wham!: Last Christmas Unwrapped
This Christmas special tells the story of how George Michael and Andrew Ridgeley’s Wham! turned one song into a cultural phenomenon.
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 12/12/2024
Read this brilliant and terrifying truth-to-power piece by @doctoroxford.bsky.social The UK General Medical Council is unfit for purpose. #medsky #healthpolicy www.prospectmagazine.co.uk/politics/pol...
prospectmagazine.co.uk
Why Britain's doctors are in revolt
To save the NHS money, the General Medical Council has been pushing the use of physician associates in place of qualified doctors—and putting patients...
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Thomas Round @drtomround.bsky.social · 12/12/2024
#climatechange & #primarycare how to reduce your carbon footprint bjgplife.com/climate-chan... @bjgp.bsky.social @bjgpopen.bsky.social @rcgp.bsky.social
bjgplife.com
Climate change and primary care: how to reduce the carbon footprint of your practice
"Reducing the carbon footprint of primary care has the potential to improve the health of our patients and communities, while decreasing workload and saving resources ..." – Michael Naughton and co
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Nuffield Trust @nuffieldtrust.org.uk · 12/12/2024
NEW BRIEFING by @becksfisher.bsky.social in collaboration with Health Equity Evidence Centre calls for the outdated GP funding formula to be replaced by a needs-based payment to better address health inequalities. 💷 Read here: www.nuffieldtrust.org.uk/resource/fai...
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Nuffield Trust @nuffieldtrust.org.uk · 03/12/2024
NEW: Shifting care from hospitals into community services is central to the government's plan for fixing the #NHS. Why is this, and how can we avoid failure this time? Find out in our new long read by @theasrstein.bsky.social & @sjanereed.bsky.social ✍️ www.nuffieldtrust.org.uk/news-item/br...
nuffieldtrust.org.uk
Bringing care closer to home: three questions that need answering
Shifting care from hospitals into community services is central to the government's plan for fixing the NHS. Previous administrations made similar pledges, yet a real shift from hospital to home has n...
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Thomas Round @drtomround.bsky.social · 03/12/2024
@bjgp.bsky.social @rcgp.bsky.social read Iona Heath’s BJGP Editorial from 20yrs ago on pitfalls of #physicianassociates & particular issues for deprived areas & inverse care pmc.ncbi.nlm.nih.gov/articles/PMC... we need more GPs particularly in deprived areas!
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Queen Mary Faculty of Medicine & Dentistry @qmulfmd.bsky.social · 26/11/2024
A #genetic predisposition to having lower insulin production and less healthy fat distribution are major causes of early-onset #type2diabetes in British Asian people, according to new #research from our colleagues in the Genes & Health team.
A photo of Whitechapel Market in the East End of London.
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Thomas Round @drtomround.bsky.social · 26/11/2024
So our regulator the GMC spending £700k of our money on private healthcare- over 1000 Drs fees. Charitable status’ income £150m/yr & £50m assets www.gmc-uk.org/-/media/docu... - total rip off to uk Drs & not fit for purpose
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Selvaseelan Selvarajah @drselvarajah.bsky.social · 20/11/2024
General Practice is struggling to deliver for patients. Yet, we are the first port of call for 1.4 million patients a day. We have fewer GPs and practices. Without support for NI hike, like rest of #NHS has, GP practices are at risk of closing. www.bbc.co.uk/news/article...
bbc.co.uk
Tax hike could push surgeries ‘over the edge', says GP
A doctor who represents 300 GP practices says many would be forced to cut back on staffing or close.
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Euan Lawson @euanlawson.social · 19/11/2024
Fab, all the @bjgp.bsky.social editors are here as @gentlemedic.bsky.social has arrived joining @nadakhan.bsky.social, @drtomround.bsky.social, and @sammerriel.bsky.social Give them a follow. 😀 (And, yes, I did use an Oxford comma in that first sentence. That’s how we roll at the #BJGP.)
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Cancer Research UK @cancerresearchuk.org · 15/11/2024
Hi everyone 👋 Bluesky is growing so rapidly – so we want to share some key information about cancer, for anyone here who might need it. Nearly 1 in 2 people in the UK will get cancer – so if this thread might be of use to anyone you know, please pass it on to them. 1/3
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Thomas Round @drtomround.bsky.social · 15/11/2024
Do follow excellent bsky.app/profile/bjgp... BJGP for latest #primarycare GP #research #meded
bsky.app
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BJGP @bjgp.org · 14/11/2024
The communication of poor prognosis from secondary to #PrimaryCare is highly valued by GPs, but rarely occurs due to cultural and systemic challenges doi.org/10.3399/BJGP...
doi.org
What helps or hinders the communication of poor prognosis between secondary and primary care? A systematic review with narrative synthesis | British Journal of General Practice
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BJGP @bjgp.org · 15/11/2024
| @bjgpopen.bsky.social This review of 25 studies found that 92% provided strong evidence of an association between unexpected weight loss and undiagnosed cancer, and calls for updated guidelines reflecting recommendations tailored to age, sex and probability of diagnosis ➡️ doi.org/10.3399/BJGP...
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BJGP @bjgp.org · 31/10/2024
Get ready for an unforgettable event Join us at on Friday 21 March 2025 for an exhilarating day of workshops, presentations, keynote speakers, prizes and networking opportunities. We're expecting #BJGPRC to be bigger and better! Early bird rates until 5 December 2024 Book: bit.ly/BJGPRC-Book-...
Image of conference attendees with the words, British Journal of General Practice Research Conference #BJGPRC - 21 March 2025, The Lowry Hotel, Manchester - early bird rates available when you book before Thursday 5 December 2024.  #BJGPRC
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Dave Jones @welshgasdoc.bsky.social · 14/11/2024
This is a disaster for global health…
Breaking News: RFK Junior chosen as health secretary by Donald Trump.
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Dr Linda Dykes @drlindadykes.bsky.social · 14/11/2024
Well, I’ve deleted Twitter from my phone, locked the account, and put this up as my pinned tweet. I’m not de-activating as I don’t want anyone pinching my username, and I’ll check periodically for DMs. Feels weird, but Twitter went bad.
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Thomas Round @drtomround.bsky.social · 14/11/2024
Great to see so many GP & Academic colleagues on here @bsky.app - Elon has wrecked twitter/X
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Thomas Round @drtomround.bsky.social · 20/10/2024
Latest bright idea ‘smart watches will save the NHS’ ….& last week the saviour was ozempic injections- less on the non sensical ideas & more evidence based health- like fixing #primarycare GP services with sustained investment & funding for deprivation x.com/telegraph/st...
x.com
x.com
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 03/10/2024
We just won RCGP Research Paper of the Year for this: qualitysafety.bmj.com/content/33/9...
qualitysafety.bmj.com
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis
Background Triage and clinical consultations increasingly occur remotely. We aimed to learn why safety incidents occur in remote encounters and how to prevent them. Setting and sample UK primary care...
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Thomas Round @drtomround.bsky.social · 03/10/2024
Sobering opening plenary #RCGPAC - average 2300pts/GP worse in deprived areas. Inverse care law has become more entrenched. Most GPs working way beyond contracted hours with high levels of stress/burnout #rcgpac24 - we need a whole new GP contract focus on deprivation, LTCs continuity & workload
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Thomas Round @drtomround.bsky.social · 02/10/2024
‘None of the CDRs outperformed the unaided judgment of GP’s’ ie clinical intuition works!
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Euan Lawson @euanlawson.social · 02/10/2024
Nothing here surprising... though no less important. Pts/GP is a useful metric to help folk bend their head around the problem. However, if it was the same everywhere that would remain problematic - e.g. deprived communities need *more* GPs per head. They get fewer. #GPSky
buff.ly
The places with the worst GP shortages in England revealed
Patient numbers per GP are twice as high in some areas than others, as list sizes jump 17% since 2015.
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