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  

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 […]

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 […]

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 […]

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