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Radio 4 Inside Health – cancer drugs fund

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 […]

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Notes from RCGP council 18/9/15

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 […]

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Head lice – Inside Health 14/9/15

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 […]

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Surgical mortality rates

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      

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NICE and 10% statins/ NICE and 10% statin threshold – Inside Health 1/9/15

  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  

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Pharma in Practice

Free link to BMJ feature   280515_BMJ ICS Enquiry_response to Dr McCartney_final (3) Croydon CCG response 17 04 15 (2) NHS Croydon CCG Supplementary sheet (3)   Copy of spreadsheet pharma practice bmj july 22nd Portsmouth City Council, on behalf of Portsmouth Clinical Commissioning Group Corporate Information Governance Team Customer Community & Democratic Service Guildhall […]

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Inside Health 14/7/15

Sugar tax BMA report http://bma.org.uk/working-for-change/improving-and-protecting-health/food-for-thought big Lancet series on obesity http://www.thelancet.com/series/obesity-2015 evidence on smoking legislation Click to access dh_124959.pdf Click to access wp201313.pdf https://www.iser.essex.ac.uk/research/publications/522422 http://tobaccocontrol.bmj.com/content/early/2009/08/10/tc.2009.030627.abstract http://oem.bmj.com/content/early/2009/02/10/oem.2008.040311.abstract http://circ.ahajournals.org/content/117/9/1183.short http://content.onlinejacc.org/article.aspx?articleid=1140093 http://www.nejm.org/doi/full/10.1056/NEJMra1308383 evidence about minimum price for alcohol (discussed in a previous Inside Health) references for tonight’s Inside Health 19/3/13 drunk driving legislation and evidence https://www.nice.org.uk/guidance/ph50/resources/additional-publications2 UK responsibility […]

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Low carb diets

http://annals.org/article.aspx?articleid=1900694 – RCT of low carb (well 40gs, ) vs low fat (well, 30% calories) above. the important bit: people cut down calories in both groups, but didn’t match the diet at 12m compared with 3m   “high carb diet and lack obesity and diabetes: The low-carbohydrate diet was more effective for weight loss and cardiovascular risk […]

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Thermometers

Original paper http://bjgp.org/content/65/635/e366 NICE fever in children (under 5s) recommendations http://www.nice.org.uk/guidance/cg160/chapter/1-recommendations Gut instinct in clinicians http://www.bmj.com/content/345/bmj.e6144

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Knee arthroscopy – Inside Health 21/7/15

4271 Bupa Medical Poster Orthopaedic_v7 (2) NEJM sham surgery RCT http://www.nejm.org/doi/full/10.1056/NEJMoa013259 further trial with control group having maximum medical/physiotherapy http://www.nejm.org/doi/full/10.1056/NEJMoa0708333#t=articleBackground RCT physiotherapy vs surgery for moderate-severe arthritis of knee http://www.nejm.org/doi/full/10.1056/NEJMoa0708333 surgery vs physiotherapy for mild-moderate osteoarthritis or meniscal tear http://www.nejm.org/doi/full/10.1056/NEJMoa1301408#t=articleMethods Arthroscopic surgery for degenerative knee changes : real vs sham , www.nejm.org/doi/full/10.1056/NEJMoa1305189 Meniscal tears are […]

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