The Week in UK Guidance

The journals

BJGP Open: Trends in long COVID and post-viral fatigue in children in primary care in England.

Population-based dynamic cohort study of 7.4 million children in England found long COVID consultation rates peaked at 140.3 per 100,000 child-years in 2022, with rates highest among older children, girls, and those from less deprived areas.

BJGP Open: 'We don't need to check it, but we do check it': a qualitative study of the views of primary care healthcare professionals on blood test monitoring in three long-term conditions.

Qualitative study of 21 UK primary care professionals identified significant variation in blood test monitoring for type 2 diabetes, hypertension and chronic kidney disease, with drivers including IT barriers, funding constraints, and inconsistent clinical guidance.

The Lancet: Conversational diagnostic artificial intelligence in ambulatory primary care: a prospective feasibility study.

Prospective single-centre feasibility study of 114 patients using the AMIE conversational AI system found zero safety stops were required during 98 completed appointments, with clinical evaluators rating conversations as favourable in 87 to 100 per cent of cases.

BMC Primary Care: Reclassification of office blood pressure categories according to the 2024 European Society of Cardiology guidelines and its implications for clinical practice in primary care: a cross-sectional study.

Cross-sectional analysis of 882 primary care patients in Turkey showed that 2024 ESC guidelines reclassify blood pressure categories substantially, placing 53.4 per cent of all participants in the elevated blood pressure category compared to 29.5 per cent classified as hypertensive under 2018 criteria.

BMC Primary Care: Bridging the gap in Long COVID care: identifying core competencies for primary care curriculum development and evaluation.

Mixed-methods Delphi study established a consensus framework of core competencies for primary care clinicians managing Long COVID, addressing a stated gap in training where 62 per cent of clinicians report difficulty diagnosing and managing Long COVID.

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