Dr.Mark Porter

Dr. Mark Porter is an NHS GP and award winning journalist. He spends half his week working as a GP partner in rural Gloucestershire, and the rest investigating and reporting on the latest developments in medicine.

Dr. Mark currently anchors BBC Radio 4’s flagship medical series Inside Health, is the medical correspondent at The Times, and is a columnist for Saga Magazine. He has been appointed MBE for services to healthcare, and recently received the Healthwatch-UK Award for his contribution to public understanding of evidence based medicine. Find out more about Dr. Mark or read some of his blog posts.

Important Information about Covid-19

What you need to know to help yourself and your loved ones

Covid-19

Article courtesy of The Times, 24th March 2020

Like most GP surgeries we have seen a dramatic increase in suspect cases of Covid-19 and we have lost a fifth of our team to quarantine.  It is crunch time. So here is a bulletin from the frontline with an update on what you need to know to help yourself – and the NHS

Everything is changing fast.  There is new guidance and protocols issued everyday so it is not surprising that people are confused, but please don’t call your GP surgery or NHS 111 without doing some homework first.  Most of the answers to the hundreds of calls and emails we are receiving are clearly laid out in the latest guidance (see below). If you don’t have access to this, or still have a concern, then we are open and there for you, but please do your own research so that we can concentrate on more pressing tasks.

The new UK-wide shielding initiative designed to protect 1.5million of the most vulnerable is (as I write) the biggest recent change in tactics.  In the next week if you are one of those affected you should receive a letter outlining what you need to do. In the meantime please do not call your GP or 111 to find out if you are likely to be included. Read the guidance on shielding (see below) and if in doubt follow the protocols while you are waiting for any letter to arrive.

Shielding is an extreme form of the cautious social distancing already advocated for groups deemed vulnerable, like the over-70’s and anyone eligible for an annual flu jab (healthy children aside).  The 1.5million most at risk includes those with some types of cancer (not all), transplant patients, those with severe asthma and people taking immunosuppressant medication for conditions like arthritis and inflammatory bowel disease.

Immunosuppressants in particular are causing widespread confusion.  Shielding doesn’t apply to them all. For example if you are taking oral steroids for bowel or joint problems, you do not need to shield unless you are on 20mg of prednisolone or more a day, or on a smaller dose alongside another immunosuppressant. There is similar confusion as to what constitutes severe asthma. Fortunately relevant patient groups, like Asthma UK have put up excellent summaries on their websites (see below).  Please visit them if you are unsure.

All GP surgeries remain open (other than those closed by infection or quarantine) but we are trying to avoid seeing anyone face-to-face.  Please do not turn up at your practice without an appointment. Every request to see a doctor or nurse will now be triaged to see if a video or telephone consultation will suffice.  We will still see people if required but, as of this week, your GP or nurse is likely to conduct the consultation in full protective equipment (mask, gloves, apron etc).

Another change is the setting up of dedicated “red zones” where GPs and nurses will care for people with confirmed or suspected Covid-19 infection.  These dedicated clinics are to look after infected people who are deteriorating or who develop other medical problems that require urgent attention – just because there is an epidemic doesn’t mean our patients stop having problems like blood clots, kidney stones, strokes and heart attacks.  We have taken over a dental surgery which will be staffed by volunteers from local practices working on a rota. This will leave our normal surgeries as clean “green zones”.

I have been deeply impressed by how our community has responded to Covid-19 and it is vital that we all continue to support friends, family and neighbours. However some people have not been taking social distancing seriously enough,  which is why a full lockdown is now in place. It is not about you – whether you are a fit and healthy 72-year old or a teenager who thinks they are invincible – it is about being a link in a chain of infection that could lead to hundreds, if not thousands, of extra cases.  Some of whom will die. Please heed the stay at home advice.

In the meantime stay safe and keep washing those hands.

Helping us help you

Please read the the relevant advice before contacting 111 or your GP with any concerns, so we can use our resources where they’re needed most.

NHS practice

Dr. Mark is a halftime NHS GP principal at Culverhay Surgery in Wotton-Under-Edge, Gloucestershire, a practice providing NHS services to 6000 patients.

Inside Health

Dr. Mark Porter demystifies health issues, separating fact from fiction and bringing clarity to conflicting health advice each week on Radio 4.

The Times

Mark has been the medical correspondent for The Times since 2009, where he analyses the latest health news in his award winning weekly column.

Saga Magazine

Saga readers set the agenda in Mark’s monthly column, which provides insight into the latest thinking on everything from itchy skin, to statins and high blood pressure.

Meetings & Conferences

Mark is an experienced chair, moderator and meetings facilitator, from small boards to international congresses.

He’s known for his informal, relaxed manner and gentle but incisive interviewing.

Dr. Mark’s Blog

Covid-19

Article courtesy of The Times, 24th March 2020 Like most GP surgeries we have seen a dramatic increase in suspect cases of Covid-19 and we have lost a fifth of our team to quarantine.  It is crunch time. So here is a bulletin from the frontline with an update on what...

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Opioids – 5 things everyone taking should know

Published courtesy of The Times where this article originally appeared in September 2019. Closing the stable door after the horse has bolted is an occupational hazard in medicine where the risks of an intervention may only become apparent many years later.  And the...

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A pragmatist’s guide to looking after your heart

You are only as old as your arteries. Much as we all like to look good on the outside, it’s the state of our circulation that will largely determine how long most of us live – and how enjoyable those extra years are.

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