Inside Health 28/2/17

8 GLASSES OF WATER 8 glasses of water a day 1945, US Food and Nutrition Board recommended 2.5 litres water a day. Qualified this by saying that it’s mostly contained within foods water company advertised “Healthcare professionals should be encouraged to talk with patients about the calorific content of SSBs [sugar sweetened beverages] when discussing […]

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RCGP council meeting 25/2/16

RCGP sponsorship policy: The Trustee Board have decided to review this after concerns were brought my myself and others to Council about sponsorship of conference and education. I’m concerned that because the Trustee Board are also responsible for finances it will be difficult to disentangle the two responsibilities. While the Trustee Board are also responsible […]

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Inside Health 21/2/16

PTSD after heart attack  We found that a considerable proportion of patients with acute coronary syndromes develop elevated PTSD symptoms, and elevated intrusion symptoms in particular. Further, our results confirm and extend prior findings of an association between post-ACS PTSD symptoms and increased risk of recurrent MACE/ACM.anxiety as a risk factor for cardiovascular disease …The findings […]

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Inside Health 31/1/17

Hernia repair and outcomes  and in Bristol  original RCTs – note how many people didn’t take part overview from NZ    other papers of note [PDF]Systematic review of the clinical effectiveness and cost … – NICE https://www.nice.org.uk/…/assessment-report-laparoscopic-surgery-for-inguinal-hernia-r. http://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-37 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4188283/   http://jaoa.org/article.aspx?articleid=2094279 Procedures for managing individual funding requests http://basildonandbrentwoodccg.nhs.uk/about-us/board-meetings-papers/2014-archive/june-2014/729-item-04-1b-service-restriction-policy-for-board-approval-050614/file

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C diff – Inside Health 24/1/17

http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/415908   http://www.gov.scot/About/Performance/scotPerforms/partnerstories/NHSScotlandperformance/CDiff2 http://www.hps.scot.nhs.uk/haiic/sshaip/clostridiumdifficile.aspx#quarter https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/321891/Clostridium_difficile_management_and_treatment.pdf

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Individual funding requests – Inside Health 17/1/17

http://www.bmj.com/content/356/bmj.i6856   http://www.bmj.com/content/342/bmj.d3279?hwoasp=authn%3A1484558930%3A4130220%3A1366167283%3A0%3A0%3AhBoXX8On0w%2BLtDdaVnqpWA%3D%3D http://medicalethicist.net/documents/Bariatric%20surgery%20BMJ.pdfhttps://www.themdu.com/guidance-and-advice/latest-updates-and-advice/referral-management-centres-faqs http://www.cochrane.org/CD005471/EPOC_are-there-effective-methods-to-improve-the-process-of-referring-patients-to-specialised-care http://www.bmj.com/content/356/bmj.i6856 http://www.sehd.scot.nhs.uk/mels/CEL2011_27.pdf http://www.nospg.nhsscotland.com/wp-content/uploads/2014/02/37-09_Psychological_assessmwent_exceptional_aesthetic_referrals.pdf  

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Water births- Inside Health 10/1/17

First recorded water birth (unintentional) Michel Odent Lancet paper  case series of harm via water births  NICE Cochrane review  RCM Guidelines  Select committee health 2003  1999 audit of water birth  1992 Winterton, N, House of Commons Health Committee, Second Report – Maternity Services. 23 February 1992, ISBN 0 10 283092 4 CQC link via Which? single […]

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The State of Medicine – keeping the promise of the NHS

    Here’s the book Here’s a podcast from the BMJ  why the NHS is now Westminster’s chew toy and needs to be liberated from it (Independent) and how calling non evidence based medicine ‘innovation’ will simply waste NHS money and resources (Guardian) Times – GPs who sell their services online   I’m grateful for […]

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Book launch – 27th October

The State of Medicine – keeping the promise of the NHS I am furious, sad and scared for the state of the NHS…. The NHS is ‘the closest thing the UK has to a national religion’. No wonder: it has worked secular miracles. Before the NHS, sick children could not see a doctor before a […]

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