Exercise special. I am addicted to parkrun.  I’ve written about it here in the BMJ and you can find out more here . The SPARKLE studies are here and here. The parkrun community are warm and welcoming and new runners/joggers/walkers are always welcome. Links to research I was talking about today NHS guidelines (which I think are too […]

: Whistleblowing policy I raised concerns that this should be enshrined in college policy and clear to all members. : ‘Be the best you’ meeting proposal for membership to increase resilience – it sounds like a Martin Lukes column. Resilience comes from strong systems and the best doctors will fail without that. Continuity of care […]

in Spectator 

PFI http://www.telegraph.co.uk/news/nhs/11748960/The-PFI-hospitals-costing-NHS-2bn-every-year.html Transitional costs to HSCA 2012 https://fullfact.org/factchecks/health_and_social_care_act_costs_benefits-29070 Nottingham ISTC buyback http://www.pulsetoday.co.uk/news/commissioning-news/nhs-england-paid-42m-to-buy-independent-treatment-centre-from-private-provider/20004316.fullarticle dementia screening https://www.gov.uk/government/news/recommendation-against-national-dementia-screening healthchecks http://eprints.lse.ac.uk/63456/ private sector http://www.nhs.uk/conditions/breast-implants/pages/pip-introduction.aspx Cancer drugs fund https://www.england.nhs.uk/2015/01/12/cancer-drug-budget/ 7 day GP working  over use low value rx – e.g. arthroscopy part time spiritual healer     Epping Breast Unit is one of the largest breast cancer research facilities north of […]

Almost two-thirds of women who attempt a natural delivery after having a c-section are successful http://www.bjog.org/details/news/5536911/Almost_two-thirds_of_women_who_attempt_a_natural_delivery_after_having_a_c-secti.html NICE on Caesarian section http://www.nice.org.uk/guidance/cg132/resources/guidance-caesarean-section-pdf CSection risks compared to vaginal birth risks http://www.nice.org.uk/guidance/cg132/chapter/Appendix-C-Planned-CS-compared-with-planned-vaginal-birth European stats – http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.13284/pdf UK stats  http://www.bmj.com/content/341/bmj.c5065 History of Caesarians https://www.nlm.nih.gov/exhibition/cesarean/part2.html UK historical rates http://www.birthchoiceuk.com/Professionals/BirthChoiceUKFrame.htm?http://www.birthchoiceuk.com/Professionals/CSHistory.htm Parliamentary briefing and from 2002 Click to access pn184.pdf from NCT    […]

National Audit office report England Click to access cdf-sum-fin-pos.pdf http://www.costellomedical.com/wp-content/uploads/2014/03/COSTELLO_Medical_Poster_PHP431.pdfhttp://www.bmj.com/content/347/bmj.f5941 v informative by James Rafferty James Raftery: NICE and value based pricing—is this the end? James Raftery: NICE proposes alternative for value based pricing Scotland http://www.scottish.parliament.uk/GettingInvolved/Petitions/PE01407 Click to access PE1407_A_Scottish_Medicines_Consortium_12.01.12.pdf Click to access PE1407_F_Scottish_Government_20.01.12.pdf Wales http://www.bbc.co.uk/news/uk-wales-politics-29903416 http://www.wales.nhs.uk/governance-emanual/individual-patient-funding-requests Click to access 140429ipfr-report-en.pdf Northern Ireland http://www.bbc.co.uk/news/uk-northern-ireland-32955458 http://www.northernireland.gov.uk/news-dhssps-170215-greater-access-to […]

Council 18/sept. 15 I spoke to The media pressure being heaped upon GPs and the attitudes of the CQC/NICE/Department of Health being less than helpful. New GPs may be put off training because of the ongoing unpleasant press. Was there a need to engage these organisations and challenge the culture of trial by press release […]

Physical treatments Bug busting kit vs pesticides trial -BMJ open which finds it works better than pesticides, and does pilot study but previous Lancet study saying it’s not as good  Non – pesticide treatments Dimethicone  – evidence here, here, open label study here,  RCT here, here, vs premetharin, and liquid gel proof of concept trial Systematic review […]

Lancet on reliability of small numbers http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61491-9/fulltext ‘Blue book’ http://www.scts.org/professionals/audit_outcomes/cardiac.aspx ProPublica surgical scorecard      

  NICE statin guidelines  http://www.bcs.com/pages/news_full.asp?NewsID=19792270 http://qintervention.org/index.php   Meningitis B vaccination   http://www.nhs.uk/Conditions/vaccinations/Pages/meningitis-B-vaccine.aspx http://www.nhs.uk/Conditions/vaccinations/Pages/when-to-get-your-child-vaccinated.aspx https://www.gov.uk/government/publications/menb-vaccine-and-paracetamol