RCGP Council 22nd Nov 14

1) CQC. I think I said that the data dump by the CQC was mince and that I was very concerned about the lack of proven validity and the chosen targets which supposedly exemplify quality. I should have a column in the BMJ about this soon. 2) Obesity. I reiterated that GPs do not have […]

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response to GMC consultation

  Sent in tonight. I’m very concerned that it’s going backwards in terms of having a safer NHS, more transparent doctors acting professionally in the best interests of their patients. A blame and shame culture ultimately harms patients.   http://www.gmc-uk.org/concerns/fitness_to_practise_consultations.asp I’m very concerned about the proposed changes.   1) Taking action in all cases where […]

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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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