I’m pleased that the minutes of previous council meetings are now being made available online (always a delay as have to be corrected for the previous time). The proposal that I made, that the RCGP should drop publishing Emma’s Diary was lost. I am very sad about this. I thought there was an opportunity to […]

This hugely important trial- PARAMEDIC2- has come in for hostile criticism from some bioethicists. The only ethical problem I have with this trial is that it wasn’t done years ago. I’ve written about it for the Telegraph, and as a column in the BMJ. There wasn’t room to go through each point by point the […]

http://www.bmj.com/content/348/bmj.g110   https://www.rcplondon.ac.uk/press-releases/key-health-organisations-do-not-sign-responsibility-deal http://www.bmj.com/content/348/bmj.f7571 http://www.shef.ac.uk/polopoly_fs/1.294152!/file/alcstratpr.pdf http://www.sheffield.ac.uk/polopoly_fs/1.291621!/file/julyreport.pdf http://www.shef.ac.uk/polopoly_fs/1.291630!/file/Addendum.pdf http://www.bmj.com/content/348/bmj.g23 http://www.bmj.com/content/348/bmj.g134 https://www.shef.ac.uk/scharr/sections/ph/research/alpol/research/sapm http://www.ias.org.uk/uploads/pdf/News%20stories/iasreport-thomas-stockwell-april2013.pdf http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2012.301094?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed& http://www.ncbi.nlm.nih.gov/pubmed/22168350 http://www.shef.ac.uk/polopoly_fs/1.156503!/file/scotlandjan.pdf http://www.camh.ca/en/research/news_and_publications/reports_and_books/Documents/Canada%20-%20Minimum%20Pricing%20Report.pdf http://www.biomedcentral.com/1471-2458/12/483 http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2006.01715.x/abstract?systemMessage=Wiley+Online+Library+will+be+disrupted+9th+Aug+from+10-2+BST+for+essential+maintenance.+Pay+Per+View+will+be+unavailable+from+10-6+BST. http://www.theguardian.com/politics/2013/jul/14/lynton-crosby-tobacco-meeting-labour

10 H0710 9 Ltr – Sub Amend 1 Unfav Op – 15 03 13 (2) 10 H0710 9 Ltr – Sub Amend 2 Unfav Opinion – 29 05 14 Just obtained 14/8/14 Essentially the Research Ethics Committee has declined to approve an amendment the age extension trial in February 2013, and again in May 2014. […]

Smallpox http://www.bbc.co.uk/history/historic_figures/jenner_edward.shtml http://www.jennermuseum.com/vaccination.html excellent article http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1200696/ Dr Semmelwies http://qualitysafety.bmj.com/content/13/3/233.full Marshall and Warren http://aje.oxfordjournals.org/content/early/2012/03/16/aje.kwr412.full great timeline http://en.wikipedia.org/wiki/Timeline_of_peptic_ulcer_disease_and_Helicobacter_pylori Pellagra http://www.jameslindlibrary.org/illustrating/articles/joseph-goldbergers-research-on-the-prevention-of-pellagra  

Paracetamol and back pain http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60805-9/fulltext NSAIDs versus placebo for back pain http://www.ncbi.nlm.nih.gov/pubmed?cmd=Search&term=Spine%5BJour%5D+AND+33%5BVolume%5D+AND+1766%5Bpage%5D   Emergency contraception EMA http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2014/07/news_detail_002145.jsp&mid=WC0b01ac058004d5c1 MHRA http://www.mhra.gov.uk/NewsCentre/Whatsnew/CON437753 Letter to GPs https://www.cas.dh.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=102202

statins, again, http://www.nice.org.uk/guidance/CG181/chapter/1-Recommendations https://www.nice.org.uk/News/Article/wider-use-of-statins-could-cut-deaths-from-heart-disease – with claim that ” the new recommendations would not create an additional workload for GPs” which is nonsense and will create the patient paradox – again – more time and resource to well people, and less resources to ill people.   and here’s qriskhttp://www.qrisk.org

http://www.rcgp.org.uk/clinical/clinical-resources/~/media/Files/CIRC/Cancer/Improving%20Cancer%20Diagnosis%20-%20A%20Toolkit%20for%20General%20Practice%20(2).ashx   “Most patients were referred within one month of first presentation (68%); 40% were referred at or following the initial consultation”   http://www.ncin.org.uk/publications/data_briefings/gp_referral_rates “It is important to emphasise that there is no “right” or “wrong” level of referral. At present, work is being undertaken to understand the reasons for this variation.”   http://www.cancerresearchuk.org/cancer-info/spotcancerearly/naedi/beclearoncancer/lung/informationforgps/information-for-gps “approximately […]

Free link to BMJ column here 

Free link here http://bmj.com/cgi/content/full/bmj.g4180?ijkey=vWtsMd2L3jHzkhR&keytype=ref