FAQ for people in North London – which says this is an ‘independent’ study see the evidence available for the app  ; “Our approach enables the reliable use of red-flags which leads to a high recall of 100% (all cases needing A&E will receive that outcome), at the cost of precision (some cases falsely receive […]

1) COI and relationship council to trustee board I asked that published literature makes clear that Trustee Board (who are reviewing sponsorship guidance) must report to Council. 2) 5YFW evidence based nonsense On discussion of the 5 year forward view, I was most concerned that: there 5 Year Forward View seems to be still regarded […]

http://www.nejm.org/doi/full/10.1056/NEJMoa1615664#t=articleDiscussion

study in the news long term studies – JAMA paper  and NEJM and uptodate Cochrane on HRT   also discussed Rephill study

Aspirin and here   CRP point of care testing https://www.nice.org.uk/guidance/cg191/chapter/1-Recommendations based on trial published BMJ http://bmjopenrespres.bmj.com/content/2/1/e000086 and (3) the evidence from systematic reviews and other studies suggests little, if any, benefit is achieved from the prescription of antibiotics, except in elderly patients at high risk of pneumonia. 2005 – said CRP not good enough test – […]

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 […]

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 […]

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 […]

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 https://www.northkirkleesccg.nhs.uk/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

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 Click to access Clostridium_difficile_management_and_treatment.pdf