CT scans

COMARE report https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/343836/COMARE_16th_Report.pdf In recent years there has been an emerging use of CT to scan asymptomatic individuals. This issue was covered in the 12th COMARE report (COMARE, 2007), which determined that the benefits to the individual would not be the same as those for a symptomatic patient and that the practice of whole-body scanning […]

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BMJ columns

The weekly columns I write for the BMJ are – hurrah – all now open access (at least they should be, there are still glitches.)   recent columns include Dementiagate – how politicised pay prevents GPs from working for patients What use is mass flu vaccination ? Does the GMC deserve it’s current powers? Have we […]

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self monitoring for warfarin- inside health 21/10/14

    NICE recommendation on anticoagulant machines http://www.nice.org.uk/Guidance/DG14 Lancet systematic review on safety http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/fulltext NICE cost effectiveness report https://www.nice.org.uk/guidance/dg14/resources/dg14-selfmonitoring-coagulation-status-in-people-on-longterm-vitamin-k-antagonist-therapy-who-have-atrial-fibrillation-or-heart-valve-disease-pointofcare-coagulometers-the-coaguchek-xs-system-and-the2 Scotland about 1% of patients are using INR test strips http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_-_evidence_notes/evidence_note_50.aspx Scottish questions on warfarin self testing in parliament http://www.scottish.parliament.uk/S4_ChamberDesk/March_June_2014/WA20140321.pdf

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more complaints against better as one

Complaint to the ASA https://www.betterasone.co.uk/about-us/ this is not much better after previous complaint http://www.asa.org.uk/Rulings/Adjudications/2014/7/Better-asone-Ltd/SHP_ADJ_264546.aspx#.VD_wqfldU41 “Even if you have private medical insurance, you have to go through your GP to see a specialist and can experience frustration and delays” – where is the evidence of this “Our patients are diagnosed right first time privately, ” I […]

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Childhood infections – Inside Health 13/10/14

Old HPA poster http://www.bexton.info/res/pdf/illness.pdf up to date but less snappy PHE advice https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/353953/Guidance_on_infection_control_in_schools_11_Sept.pdf Welsh booklet http://www.walesonline.co.uk/incoming/article7916970.ece/binary/The%20sickness%20absence%20booklet%20distributed%20to%20parentsReports from Wales  http://www.walesonline.co.uk/news/health/sickness-guide-parents-provokes-fury-7917908 Attendance in secondary schools in Wales report – where medical conditions only make up a small portion of failed attendances http://www.estyn.gov.uk/english/docViewer/329401.8/attendance-in-secondary-schools-september-2014/?navmap=30,163, some school policies which manage to confuse the principle of self care (i.e. it’s okay […]

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Inside Health 7/10/14

NHSH interim evaluation medicine sick day rules   Kidney injury and ACE inhibitors http://www.plosone.org/article/info:doi/10.1371/journal.pone.0078465   http://www.nhshighland.scot.nhs.uk/Publications/Documents/Newsletters/Pharmacy/The%20Pink%20One%20No%20104%20June-July%202013.pdf

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Inside Health 30/9/14 – flu vaccination

Who the NHS says should have flu vaccination http://www.nhs.uk/Conditions/vaccinations/Pages/who-should-have-flu-vaccine.aspx http://www.sehd.scot.nhs.uk/cmo/CMO(2014)12.pdf Summary page of Cochrane and flu reviews http://www.thecochranelibrary.com/details/collection/978807/Influenza-evidence-from-Cochrane-Reviews.html Cochrane on flu vaccination and children http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004879.pub4/pdf http://www.ecdc.europa.eu/en/publications/publications/seasonal%20influenza%20vaccination%20of%20children%20and%20pregnant%20women.pdf Adults over age of 65 http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(11)70295-X/abstract http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004876.pub3/pdf people with asthma  http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000364.pub4/pdf http://www.cfp.ca/content/56/11/1137.full chronic bronchitis / COPD  http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002733.pub2/abstract http://www.hqontario.ca/en/mas/tech/pdfs/2012/rev_COPD_Vaccinations_March.pdf

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RCGP council 26th/Sept/14

I’m pleased that the minutes of previous council meetings are now being made available online (always a delay as have to be corrected for the previous time). The proposal that I made, that the RCGP should drop publishing Emma’s Diary was lost. I am very sad about this. I thought there was an opportunity to […]

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Inside Health ; conflicts of interest references

http://www.bmj.com/content/348/bmj.g110   https://www.rcplondon.ac.uk/press-releases/key-health-organisations-do-not-sign-responsibility-deal http://www.bmj.com/content/348/bmj.f7571 http://www.shef.ac.uk/polopoly_fs/1.294152!/file/alcstratpr.pdf http://www.sheffield.ac.uk/polopoly_fs/1.291621!/file/julyreport.pdf http://www.shef.ac.uk/polopoly_fs/1.291630!/file/Addendum.pdf http://www.bmj.com/content/348/bmj.g23 http://www.bmj.com/content/348/bmj.g134 https://www.shef.ac.uk/scharr/sections/ph/research/alpol/research/sapm http://www.ias.org.uk/uploads/pdf/News%20stories/iasreport-thomas-stockwell-april2013.pdf http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2012.301094?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed& http://www.ncbi.nlm.nih.gov/pubmed/22168350 http://www.shef.ac.uk/polopoly_fs/1.156503!/file/scotlandjan.pdf http://www.camh.ca/en/research/news_and_publications/reports_and_books/Documents/Canada%20-%20Minimum%20Pricing%20Report.pdf http://www.biomedcentral.com/1471-2458/12/483 http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2006.01715.x/abstract?systemMessage=Wiley+Online+Library+will+be+disrupted+9th+Aug+from+10-2+BST+for+essential+maintenance.+Pay+Per+View+will+be+unavailable+from+10-6+BST. http://www.theguardian.com/politics/2013/jul/14/lynton-crosby-tobacco-meeting-labour

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