reply to Professor June Andrews

sent to LRB just now after this http://www.lrb.co.uk/v37/n06/letters Professor June Andrews says, of dementia that “The sooner someone sues a GP for failure to diagnose as early as possible, the better.” It is disturbing that Andrews, responding to Francis on the subject of dementia screening, is seemingly not aware of the evidence base. Screening is always […]

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PM programme 11/3/15

From about 10.30 http://www.bbc.co.uk/programmes/b05q508v#auto Tories and over 75s access http://www.theguardian.com/commentisfree/2015/apr/10/conservatives-plug-nhs-funding-gap and chemist access to cholesterol/glc screening https://www.conservatives.com/~/media/files/green%20papers/a%20healthier%20nation.ashx?dl=true Lib Dems and skype http://www.pulsetoday.co.uk/news/political-news/lib-dems-pledge-250m-investment-in-gp-skype-consultations/20009682.article Labour and private providers http://www.bbc.co.uk/news/health-32088860 and manifesto http://b.3cdn.net/labouruk/89012f856521e93a4d_phm6bflfq.pdf SNP http://www.snp.org/vision/healthier-scotland/health-and-wellbeing Life expectancy in Scotland http://news.scotland.gov.uk/News/Life-expectancy-in-Scotland-1160.aspx impact  of mental illness on mortality http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0019590

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Fair use – don’t blame patients

Patients and doctors need to be on the same side. I keep saying this, probably quite pointlessly, but it’s true; we are not each others’ enemy. If we become so, not only are we making the NHS a battleground, a horrible place for patients, and an unhappy place to work, but also an unsustainable organisation. […]

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Beds – Inside Health 25/3/15

Hospital inpatient care: almost 900 more admissions per day compared to previous year http://www.hscic.gov.uk/article/6053/Hospital-inpatient-care-almost-900-more-admissions-per-day-compared-to-previous-year New figures show that NHS hospitals in England dealt with 15.5 million3 admissions4 in 2013-14 – the equivalent of 42,400 per day. The figure is 870 more per day on average than in 2012-135, according to a report by the Health […]

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Frailty – Inside Health 24/3/15

Australian frailty intervention trial http://www.biomedcentral.com/1741-7015/11/65 other intervention trials for frailty of note http://www.nejm.org/doi/full/10.1056/NEJMoa020423#t=articleMethods http://www.sciencedirect.com/science/article/pii/S0003999306003510 http://www.nejm.org/doi/pdf/10.1056/NEJM199406233302501 systematic review from 2008 http://www.biomedcentral.com/1472-6963/8/278 and 2012 http://www.sciencedirect.com/science/article/pii/S2210833512000238   “Slow walking speed (less than 0.8m/s or taking more than 5 secs to walk 4m); the PRISMA 7 questionnaire and the timed-up-and-go test (with a cut off score of 10 secs) […]

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Lyrica vs pregabalin

NHS England advice http://www.england.nhs.uk/wp-content/uploads/2015/03/pregabalin-guidance.pdf http://www.england.nhs.uk/wp-content/uploads/2015/03/pregabalin-faqs.pdf Court judgement Jan 15 http://www.bailii.org/ew/cases/EWHC/Patents/2015/72.html approved judgement,  March 15 http://www.england.nhs.uk/wp-content/uploads/2015/03/Judgment.pdf “we therefore think it is important for you to understand that we believe the supply of generic pregabalin for use in treatment of pain, whist the pain patent remains in force in the UK, would be infringing Pfizer’s patent protection […]

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Sex education – Inside Health 10/3/16

http://www.theguardian.com/education/2015/feb/17/sex-education-mandatory-all-schools-mps-demand http://www.theguardian.com/education/2015/mar/09/sexual-consent-lessons-government-criticised-pshea-inadequate https://www.pshe-association.org.uk/news_detail.aspx?ID=1428 The two BMJ papers http://m.bmjopen.bmj.com/content/5/3/e007834.full http://m.bmjopen.bmj.com/content/5/3/e007837   noting In total, 23.9% of men compared with only 2.2% of women, cited pornography as a source (19.4% from internet-based pornography and 9.2% from pornographic magazines/films).Ons teenage pregnancy http://www.ons.gov.uk/ons/rel/vsob1/conception-statistics–england-and-wales/2012/sty-conception-rates.html Obesity and menarche http://www.ncbi.nlm.nih.gov/m/pubmed/22626490/?i=60&from=age%20menarche%20uk NHS advice on puberty http://www.nhs.uk/conditions/Puberty/Pages/Introduction.aspx   Guidance from PSHE ? https://www.pshe-association.org.uk/content.aspx?CategoryID=1161  

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