Caldicott eview of care data UK differences – BMJ ICO anonymisation/pseudoanonymisation Data sharing rules broken    identifiable data http://www.pulsetoday.co.uk/your-practice/practice-topics/it/revealed-independent-experts-overseeing-caredata-have-approved-31-releases-of-identifiable-patient-data-since-april/20005572.fullarticle Pharmacy FU Dean street clinic note the NHS is fined more for an accident, the commercial sector fined less for a deliberate profit making sale of data    

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 […]

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 […]

paper in the BMJ, co-authored by members of the RCGP overdiagnosis group free link 

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 […]

    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 Click to access HoC-Health-follow-up-info-Feb-2015-financial-final.pdf St Helena Click to access Budget-Speech-2014-15-21-March-2014.pdf https://sthelenaonline.org/2014/03/28/st-helena-shows-uk-the-way-with-fizzy-drinks-tax/

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

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 […]

E CIGARETTES smoking stats Click to access smok-eng-2014-rep.pdf lancet review http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(15)00521-4/fulltext Nicotine replacement therapy http://www.ncbi.nlm.nih.gov/pubmed/23152200, NNT about 15 http://www.aafp.org/afp/2015/0701/od1.html comparative QALYS for smoking cessation Click to access OS_SmokingCessation(1).pdf cystine http://www.nejm.org/doi/full/10.1056/NEJMoa1407764 MHRA details Click to access con616843.pdf owned by BAT http://www.newsjs.com/url.php?p=http://www.theguardian.com/society/2016/jan/04/british-american-tobacco-e-cigarette-wins-uk-medicine-licence cochrane on EC http://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-or-reduce-the-amount-they-smoke-and-are-they-safe-to-use-for-this-purpose current stats (inc e cig use) http://www.smokinginengland.info safety http://jpubhealth.oxfordjournals.org/content/early/2014/08/09/pubmed.fdu055.short http://ehp.niehs.nih.gov/15-10185/