This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users.. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.

Historians have long believed that Catholics were late and ambivalent supporters of the German nation. Rebecca Ayako Bennette’s bold new interpretation demonstrates definitively that from the beginning in 1871, when Wilhelm I was proclaimed Kaiser of a unified Germany, Catholics were actively promoting a German national identity for the new Reich.

An unparalleled and intimate account of Bernie Sanders from one of his most trusted confidants. Bernie Sanders inspires fervent love and, even among his enemies, a measure of grudging respect—yet, curiously, we know little about who the man really is, with Sanders deliberately keeping the focus on his policies. Now, with The Fighting Soul, Ari Rabin-Havt takes us where no profiles or televised interviews have been able to go. As a close advisor and deputy campaign manager on Sanders’s most recent—and likely last—presidential campaign, the tireless Rabin-Havt spent more hours between 2017 and 2020 with the Vermont senator than anyone else. Traveling the country for rallies and to support striking workers, the two visited thirty-six states, drove tens of thousands of miles, and ate in countless chain restaurants. One result was a meteoric and galvanizing presidential campaign. Another is The Fighting Soul, an unforgettable chronicle of life on the road with Sanders and the first in-depth portrait of this fiercely independent, and famously private, left-wing firebrand. Sanders’s second bid for the presidency began in Rabin-Havt’s apartment in Washington DC in January 2018. From there, Rabin-Havt offers a behind-the-scenes account of Sanders’s run, including his heart attack in Las Vegas, his notorious debate encounter with fellow-progressive Elizabeth Warren, and a momentous conversation between Sanders and Barack Obama that has never been reported before. At every step, Rabin-Havt shows us Bernie Sanders when the cameras turn off: his dry sense of humor; his views of his young supporters; the pivotal role his wife, Jane, plays in every decision he makes; and more. Delving into Sanders’s life and career, with moving glimpses of his childhood in Brooklyn and first forays into politics in Burlington, Rabin-Havt discloses that Sanders is shocked by his ascent: “Ari, my parents would tell me I was crazy if I told them I would become a senator, much less could become president of the United States.” Though his campaign ended in abrupt and unexpected defeat, Sanders has pushed the Democratic Party to the left and helped remake American politics—as Rabin-Havt suggests, he has done more to shape our history than anyone else who has not reached the White House. Revelatory and heartfelt, The Fighting Soul depicts the rare politician motivated by principle, not power.

You can know from that guy's burly figure that the collision just now didn't do him any harm at all. The man is in his thirties, and his pimples are dark. The scarlet Lama clothes and the criss-crossing scars on his bald head make him look extra scary. He looked around and found that when no one was with Xuanfei, there was an incredible expression on his face. This is a deserted grassland, and he really can't understand why a seven-or eight-year-old child will appear here.

This is a text book for all doctors but especially GPs, appraisers and registrars. It is written by a 40 year plus front line NHS doctor who for most of his career worked twice to three times the current doctors’ Working Time Directive limited week. Chris Heath has been a Paediatric Lecturer in a teaching hospital, an Anaesthetist, various junior specialists and a GP over 30 years in 3 different practices. He has been a GP Trainer and Appraiser and has seen politics and political correctness harm patients’ interests constantly over the last half of his career. From the way it selects young doctors to the way they are educated and assessed, the best interests of the patient are largely ignored. This is a text book but it also contains home truths, insights and a warts and all appraisal of how to be a good doctor as well as an unbiased assessment of what is wrong with today’s NHS. It also explains why today’s politicians, medical schools and doctors will resist the changes that are needed to put the patients’ needs first again.