HPV – links Lancet study https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00918-9/fulltext Overview of cervical screening in the UK https://bjgp.org/content/72/721/364 Modelling age and HPV vaccination effectivenesshttps://www.acpjournals.org/doi/10.7326/ANNALS-25-03192?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedand https://onlinelibrary.wiley.com/doi/10.1002/ijc.31094and https://www.tandfonline.com/doi/full/10.1080/21645515.2023.2239085#abstract UK Health Security Agency briefing from 2018https://ukhsa.blog.gov.uk/2018/06/18/ten-years-on-since-the-start-of-the-hpv-vaccine-programme-what-impact-is-it-having/ and BMJ on state of play in 2011 https://www.bmj.com/content/343/bmj.d7694 Public health Scotland info from 2024 https://publichealthscotland.scot/news/2024/january/no-cervical-cancer-cases-detected-in-vaccinated-women-following-hpv-immunisation/ WHO guidancehttps://www.who.int/teams/immunization-vaccines-and-biologicals/diseases/human-papillomavirus-vaccines-(HPV) Bonde J, Hammer A. Discontinuation of cervical cancer […]

Background – https://www.bmj.com/content/bmj/379/bmj.o2931.full.pdf BMJ trial https://www.bmj.com/content/387/bmj-2024-079525 systematic review with comparators https://pubmed.ncbi.nlm.nih.gov/38016166/ BNF https://bnf.nice.org.uk/drugs/fezolinetant/ NICE https://www.nice.org.uk/guidance/gid-ta11058/documents/674#:~:text=The%20committee%20acknowledged%20that%20this,menopause%20when%20HRT%20is%20unsuitable. CBT https://journals.lww.com/menopausejournal/abstract/2014/06000/cognitive_behavior_therapy_for_menopausal_symptoms.8.aspx https://kclpure.kcl.ac.uk/portal/en/publications/cognitive-behavior-therapy-for-menopausal-symptoms-hot-flushes-an/?utm_source=chatgpt.com

Nature Medicine paper https://www.nature.com/articles/s41591-026-04297-7 Gender Bias – well referenced paper https://link.springer.com/article/10.1186/s12911-025-03118-0 LLMs as medical assistants https://www.nature.com/articles/s41591-025-04074-y Chat GPT for Healthcare https://openai.com/index/openai-for-healthcare/ CHat GPT Health in structured test of triage recommendations – Feb 26 https://www.nature.com/articles/s41591-026-04297-7 Evaluation of ChatGPT-generated medical responses: A systematic review and meta-analysis 2024https://www.sciencedirect.com/science/article/pii/S1532046424000388 Evaluating the Reliability of ChatGPT for Health-Related Questions: A Systematic […]

Notes from council. Again I don’t repeat what others have said. what I did speak on : 1) Neighbourhood health scheme – NHS England really – but the issue here is that it’s creating a ‘shadow’ system of general practice and is likely to eventually shift resources away from holistic primary care. This is a […]

sunshine – links My bottom line: it’s all about being honest about uncertainty lack of vitamin D  but lack of evidence that taking vitamin D gives benefits  systematic review 2023 vitamin D supplementation appears to decrease the risk of ACM (especially convincing in the fair- and good-quality RCTs) Our findings suggest that vitamin D supplementation […]

As ever, I can only report what I say, and I try not to repeat what others have. Council members have 2mins only to speak on subjects. I do have problems with this; it’s not a good quality control measure. Additionally, council members are giving up their free time to attempt to help the college […]

Notes and references Echinacea – one systematic review concluding possibly tiny benefit https://pubmed.ncbi.nlm.nih.gov/31126553/ and older Cochrane review similar https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000530.pub3/full but studies were overall variable, selectively reported, poorly completed and not clinically significant theoretical reasons as to why *might* work https://www.sciencedirect.com/science/article/pii/S2589936821000396 “Our review presents evidence that echinacea might have a preventative effect on the incidence of upper respiratory tract infections but whether […]

Please note that I stating only what I said: there is no point repeating what other people have said already in the meeting if those points have been accepted.

refs: https://www.sciencedirect.com/science/article/pii/S1078143924004873?via%3Dihub#bib0010 https://www.nejm.org/doi/pdf/10.1056/NEJMoa0810084?articleTools=true https://www.mdpi.com/2072-6694/15/3/821 https://www.scopus.com/record/display.uri?eid=2-s2.0-63249118690&origin=inward&txGid=9d08c30d3e08674c597c157ba9b7ba74 https://pmc.ncbi.nlm.nih.gov/articles/PMC7513694/#S21 https://www.bmj.com/content/381/bmj-2022-071082 https://www.sciencedirect.com/science/article/pii/S2949820124000511#bib2

on antibiotics. Inside Health off air just now so not at all unfaithful https://www.journalofinfection.com/article/S0163-4453(22)00004-4/fulltext https://www.bmj.com/content/340/bmj.c2096 https://www.thelancet.com/series/antibiotic-resistance https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01076-6/fulltext https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02724-0/fulltext#seccestitle200 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01030-4/abstract https://www.sciencedirect.com/science/article/pii/S1473309913703189 social norm feedback https://www.ncbi.nlm.nih.gov/books/NBK513277 https://academic.oup.com/cid/article/33/Supplement_3/S193/302042