In a major Pulse analysis, the October issue of Pulse looks at how UK general practice compares with systems across the world. All countries are struggling with recruitment and workload. But the UK is struggling the most.

October Pulse

The October issue of Pulse looks at a variety of elements of the profession, from workload to recruitment to pay to consultation lengths and asked whether the UK is truly in the merde.

In the clinical section, GP and dementia expert Dr Peter Bagshawe explains key issues in the management of patients presenting with dementia in primary care. We also have a new series, ‘Once in a Lifetime’, that looks at rare cases GPs might encounter a handful of times in the career. We kick this off with achalasia. We also advice on treatment of pregnant women with epilepsy.

Nabi tackles a hot topic of the day, sexual harassment and abuse, and argues that such behaviour happens in general practice.

Software outages have been a constant concern for GPs, and this month we offer practical advice on what to do when computer systems go down.

And finally, our Working Life feature heads to the races, following a GP who indulges her passion for horse racing by providing medical assistance at Newcastle racecourse.