RCGP council 18/6/16 – what I said

GP Forward view. Many of the points are not evidence based – esp access, e.g. text message consultations – we may end up doing more with little benefit to patients and actually creating more work for ourselves. The ForwardView recommends touch typing and speed reading to release time to care – move upstream – needs […]

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Edinburgh in August

Come to Edinburgh! Not something a Glaswegian says very often, but…. My next (and last book about health) will be out around October: The State of Medicine – keeping the promise of the NHS. I’ve been doing a lot of reading, writing and thinking about why the NHS is in such a mess: how we […]

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Inside Health 29/3/16

HEALTH CHECKS the NHS Health Check programme is being implemented in the absence of direct randomised controlled trial evidence to guide it – Public Health England BJGP editorial http://bjgp.org/content/64/627/493 BMJ OPEN January 16 http://bmjopen.bmj.com/content/6/1/e008840.full BMJ review of public health policy http://www.bmj.com/content/343/bmj.d7310 Inter99 – A community based, individually tailored intervention programme with screening for risk of ischaemic […]

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Inside Health 21/3/16 sugar

    Mexico 1 year later http://www.bmj.com/content/352/bmj.h6704 2013 meta analysis http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-1072 20% tax modelling in UK http://www.bmj.com/content/347/bmj.f6189 the role of ‘signalling’ http://www.bmj.com/content/352/bmj.h6904 Mexico changes products http://www.euromonitor.com/soft-drinks-in-mexico/report head to head in BMJ including re Denmark http://www.bmj.com/content/351/bmj.h4047 background http://www.cedar.iph.cam.ac.uk/wp-content/uploads/2014/04/HoC-Health-follow-up-info-Feb-2015-financial-final.pdf St Helena http://www.sainthelena.gov.sh/wp-content/uploads/2013/01/Budget-Speech-2014-15-21-March-2014.pdf St Helena shows UK the way with fizzy drinks tax

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Asthma/ scarlet fever/measles Inside Health 15/3/16

ASTHMA Dutch study in question http://bjgp.org/content/66/644/e152 SIGN guidelines on asthma http://www.sign.ac.uk/pdf/pat141_CHILDREN.pdf In children with mild, intermittent wheeze and other respiratory symptoms which occur only with viral upper respiratory infections (colds), it is often reasonable to give no specific treatment and to plan a review of the child after an interval agreed with the parents/carers The […]

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Inside Health 8/3/16 vaginal seeding

Vaginal seeding BMJ article http://www.bmj.com/content/352/bmj.i227 suggestion that babies born as result of CS don’t have the same microbe make up http://www.cell.com/trends/molecular-medicine/abstract/S1471-4914(14)00216-0?_returnURL=http%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1471491414002160%3Fshowall%3Dtrue and hygeine hypothesis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110651/ http://www.ncbi.nlm.nih.gov/pubmed/?term=20566857 Other studies have linked different microbes to increased risks of some disorders (increased risk not diagnosis) http://www.jacionline.org/article/S0091-6749(14)01650-9/abstract Nature study http://www.readcube.com/articles/10.1038%2Fnm.4039   HEALTH CHECKS/ ONE YOU http://www.nhs.uk/Conditions/nhs-health-check/Pages/NHS-Health-Check.aspx

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does talc cause cancer? Inside Health 1/3/16

http://www.ncbi.nlm.nih.gov/pubmed/26689397 “Multiple studies of ovarian cancer and genital talc use have led only to consensus about possible carcinogenicity. Seeking greater clarity, we examined this association in 2041 cases with epithelial ovarian cancer and 2100 age-and-residence-matched controls. METHODS: We defined genital talc use as regular application to the genital/rectal area directly, on sanitary napkins, tampons, or […]

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RCGP council 26/2/16

Junior doctors review of morale: I suggested that the RCGP creates its own review of the evidence on moral and fatigue in junior doctors in particular and uses this as an independent reference and review when the AoMRC undertakes its’ review spoke to issue about post graduate learning and sponsorship of modules – these should […]

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