Nalmfelene http://www.uptodate.com/contents/pharmacotherapy-for-alcohol-use-disorder/abstract/60-62 Click to access nalmefene_Selincro_FINAL_September_2013_website.pdf COIs in researchers http://www.bmj.com/content/348/bmj.g2017/rr/692223 http://www.europeanneuropsychopharmacology.com/article/S0924-977X(13)00075-8/abstract NICE guidance http://www.nice.org.uk/guidance/ta325 http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/002583/WC500140326.pdf         Statins and diabetes http://www.bmj.com/content/348/bmj.g3244 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61183-1/abstract http://www.cancerresearchuk.org/cancer-info/cancerstats/keyfacts/teenage-and-young-adult-cancer/   Cancer diagnosis in primary care Click to access CDS-evaluation-report-Executive-summary.pdf   Click to access c478823affb31a36bb141d494008f175.pdf   GP access in primary care http://www.rcgp.org.uk/news/2014/february/34m-patients-will-fail-to-get-appointment-with-a-gp-in-2014.aspx http://www.nuffieldtrust.org.uk/blog/wicked-problem-access-telephone-solution http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61058-8/abstract?rss=yes http://www.nuffieldtrust.org.uk/talks/slideshows/jon-nicoll-induced-demand-and-use-emergency-care   http://www.bmj.com/content/349/bmj.g7228

http://www.plactest.com/healthcare/ -PLA2 testing is well-studied and published in peer-reviewed scientific literature and is recognized in the guidelines of the American Heart Association and the American Stroke Association7,8 About 10% to 20% of persons with coronary heart disease (CHD) have no identifiable risk factor,1 and 35% of CHD deaths occur in patients who have total serum […]

Closes on 16/1/15   http://www.parliament.uk/business/committees/committees-a-z/commons-select/public-administration-select-committee/inquiries/parliament-2010/nhs-complaints-and-clinical-failure/commons-written-submission-form/   1.       The effectiveness of the NHS’s current approach to investigating and addressing untoward medical incidents.   Currently there is a blame culture, a culture of fear, and a culture of litigation in clinical practice. This is partially driven by the way the NHS has chosen to investigate clinical incidents […]

doctors not leading by example BMJ column on this http://www.bmj.com/content/349/bmj.g6464notes on what food chains are on NHS premises http://www.telegraph.co.uk/health/healthnews/11006903/NHS-hospital-cafes-are-helping-to-fuel-the-obesity-crisis.html RCP audit of workplaces Click to access organisational-audit-of-implementation-of-nice-public-health-guidance-for-the-workplace-full-report_0_0.pdf advice to stop smoking from doctors http://www.ncbi.nlm.nih.gov/pmc/articles/PMC28587/ http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000165.pub4/abstract smoking vs non smoking doctor advice http://www.sciencedirect.com/science/article/pii/S0738399108003935 overweight vs non overweight doctors advice http://onlinelibrary.wiley.com/doi/10.1038/oby.2011.402/abstract http://www.sciencedirect.com/science/article/pii/S0091743513001503

are all available online here 

Here is my response to PHE consultation on Healthchecks. It has to be submitted by the 19th Dec.     Overall comments The tone of the document is disappointing. The Healthchecks programme has been mandated for some time, in the ‘absence of direct randomised controlled trials to guide it’ – in the words of PHE.  […]

New book. I feel frustrated by the care provided to many people at the end of life. For something that’s inevitable we seem fairly poor at many things – especially enough accurate information and support around choices at the end of life. This is the book in 14 tweets. 1)We are all going to die; […]

1) CQC. I think I said that the data dump by the CQC was mince and that I was very concerned about the lack of proven validity and the chosen targets which supposedly exemplify quality. I should have a column in the BMJ about this soon. 2) Obesity. I reiterated that GPs do not have […]

  Sent in tonight. I’m very concerned that it’s going backwards in terms of having a safer NHS, more transparent doctors acting professionally in the best interests of their patients. A blame and shame culture ultimately harms patients.   http://www.gmc-uk.org/concerns/fitness_to_practise_consultations.asp I’m very concerned about the proposed changes.   1) Taking action in all cases where […]

COMARE report Click to access COMARE_16th_Report.pdf In recent years there has been an emerging use of CT to scan asymptomatic individuals. This issue was covered in the 12th COMARE report (COMARE, 2007), which determined that the benefits to the individual would not be the same as those for a symptomatic patient and that the practice […]