https://www.longtermplan.nhs.uk/online-version/ https://www.england.nhs.uk/2019/09/nhs-to-review-making-statins-available-direct-from-pharmacists-as-part-of-long-term-plan-to-cut-heart-disease/ https://www.nice.org.uk/guidance/cg181/chapter/1-Recommendations#identifying-and-assessing-cardiovascular-disease-cvd-risk-2

The UK is no longer classed as measles-free : The last few years have seen a decline in children having the MMR vaccination. https://www.bmj.com/content/362/bmj.k3967 In 2018 there were 991 confirmed cases of measles in England and Wales, compared with 284 cases in 2017.  This means that the UK has lost it’s measles free status,  which had […]

This is what I said, sorry if it’s disjointed, no point repeating what anyone else has said. So   Royal Patrons – if RCGP ever asked for, must ensure that process includes a commitment to evidence based healthcare 2) China process: concerns this is being seen as a commercial enterprise ; my belief is that […]

  overall advice updated advice here – http://www.bad.org.uk/for-the-public/skin-cancer/sunscreen-fact-sheet debate about UV light, melanoma, and sunscreen https://www.bmj.com/bmj/section-pdf/186530?path=/bmj/337/7663/Head_to_Head.full.pdf background https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041476/ case control study http://cebp.aacrjournals.org/content/early/2010/05/21/1055-9965.EPI-09-1249.abstract review article https://onlinelibrary.wiley.com/doi/pdf/10.1111/bjd.16111 RCT follow up with subgroup analysis https://www.ncbi.nlm.nih.gov/pubmed/21135266 also some evidence re reducing risk of squamous cell carcinoma https://jamanetwork.com/journals/jamadermatology/fullarticle/479276 https://www.cochrane.org/CD011161/SKIN_sun-protection-including-sunscreens-prevent-basal-cell-carcinoma-and-cutaneous-squamous-cell early studies shown sunscreen increased melanoma use https://jamanetwork.com/journals/jamadermatology/article-abstract/478092 bias – in that […]

https://www.nhs.uk/using-the-nhs/help-with-health-costs/get-help-with-prescription-costs/ https://www.nhs.uk/using-the-nhs/help-with-health-costs/save-money-with-a-prescription-prepayment-certificate-ppc/ https://www.gov.uk/government/speeches/nhs-prescription-charges-from-april-2019

Things over the last few months How doctors are peddling pointless vitamin drips  a few things in the Telegraph but all behind a paywall, here  Tell Me Where It Hurts, a programme for Radio 4 about what does/doesn’t/should happen  in GP consultations, and why it’s so important

    https://qrisk.org/2017/index.php https://qintervention.org/index.php https://qrisk.org/three/index.php http://www.assign-score.com/estimate-the-risk/ https://www.nice.org.uk/guidance/cg181/resources/patient-decision-aid-pdf-243780159

study 329 https://www.sciencedirect.com/science/article/abs/pii/S0890856709603099   https://content.iospress.com/articles/international-journal-of-risk-and-safety-in-medicine/jrs426   http://www.consort-statement.org https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1852589/ COMPARE project http://compare-trials.org/faq

  NICE https://www.nice.org.uk/guidance/CG62 Auscultation of the fetal heart may confirm that the fetus is alive but is unlikely to have any predictive value and routine listening is therefore not recommended. However, when requested by the mother, auscultation of the fetal heart may provide reassurance. Routine Doppler ultrasound should not be used in low‑risk pregnancies. [2008] […]

RCGP Council 1) Transgender module on RCGP website – which has now been withdrawn – my concern is also that the evidence base is lacking for a markedly changed demographic – I felt there was lack of clarity in chair’s blog about the wider issues and governance of evidence in modules more widely. I do […]