The coronavirus pandemic has presented a new set of challenges for the frontline National
Health Service staff. It is not only the long working hours but also the uncertainty and …

Background. Uncontrolled hyperglycaemia before and during hospitalisation is a risk factor
for adverse outcomes in people with diabetes and SARS-CoV-2 infection. Insulin often at …

In 2022, a 63 year old woman was referred for assessment of a six month history of gastro-
oesophageal reflux symptoms and dysphagia. Upper gastrointestinal (GI) endoscopy was …

The 'hospital at night'concept was developed at a joint conference of the London Deanery
and Clinical Staff in 2002, as an issue for education and service provision. At the start of the …

Our quality improvement project was designed to enable delivery of high-quality board
rounds across the hospital with a view to improving patient flow. We designed a Patient …

The aim of our study was to review how COVID‐19 infection affects glycaemic control. We
retrospectively reviewed case notes of 55 patients and found no episodes of uncontrolled …

Introduction Healthcare performance and quality of care have been shown to improve when
clinicians actively participate in leadership roles. However, the training for junior doctors in …

A 42 year-old Caribbean woman with, known type 2 diabetes, was admitted with worsening
fatigue, arthritis and rashes. She was diagnosed with multisystem systemic lupus …

The NHS is currently in the midst of a global health crisis that requires rapid action from its
staff and systems. The Royal College of Physicians' chief registrars, in their role as middle …

Background: Tertiary adrenal insufficiency (TAI) is a complication of long-term exogenous
steroid use which results in suppression of the hypothalamic-pituitary-adrenal (HPA) axis …