Thursday, 28 August 2008

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Breaking News

Trimethoprim: as many as 30% of UTIs are resistant to the drug

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Exclusive: Advisers ignored as antibiotic goes OTCFree

28 Aug 08

The Government drug regulator plans to make a mainstream antibiotic available over the counter for the first time – despite fierce opposition from some of its own clinical advisers.

Lord Darzi: GP leaders are fighting the private sector to run new polyclinics

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LMC leaders spearhead GP bids to run Darzi polyclinicsFree

27 Aug 08

GP leaders are setting aside opposition to APMS and taking the private sector head on in bids to control Lord Darzi’s polyclinics.

Copperfield

The Copperfield blog

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Don't baulk at telling parents their children are fat

21 Aug 08

So GPs may have to break the news to parents that their children are fat and might be taken into care unless they do something about it. Bring it on, says Copperfield.

Henbane, the toxic herb recommended in error by Anthony Worral-Thompson

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TV chef's horror herb does have its uses

14 Aug 08

Copperfield is tickled by Anthony Worral -Thompson's potentially deadly recommendation to add henbane to your summer salad bowl. There are uses for the toxic herb though. Some positive, others less so.

More Copperfield

Ask the Expert

Dr Michael Devlin, MDU medico-legal adviser, answers a tricky question on medication reviews

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Do practice nurses have to do medication reviews if asked by GPs?

21 Aug 08

Our GPs want us to do medication reviews. We argue that it is not our role and there could be legal implications. Also we feel we are not suitably qualified to do so. Please advise.

Dr Michael Devlin, MDU medico-legal adviser, on how to handle patient harrassment

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A patient is harrassing me - how should I tackle the situation?

21 Aug 08

An ex patient keeps coming to reception desk and asking various suggestive questions – e.g. she wants to marry me. Practice staff have spoken to her several times and found out she has a serious mental health problem. How should I tackle...

More Ask the Expert responses

Clinical

What condition do each of these skin lesions have in common?

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What do these skin lesions have in common? Part 2

27 Aug 08

The four images below show seemingly diverse conditions which are cutaneous signs of one condition. A simple diagnosis of each is attached. A full explanation plus the linking factor will be revealed at the end of part 3.

What does this skin lesion have in common with the others?

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What do these skin lesions have in common? Part 1

25 Aug 08

These seemingly diverse conditions are all cutaneous signs of one condition. See the attached results for a simple diagnosis of each picture below. There are 12 images over three parts and a full description of each condition plus the link...

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Ten tips on obsessive compulsive disorder

25 Aug 08

Clinical psychologists Dr Victoria Bream Oldfield and Dr Fiona Challacombe advise on obsessive compulsive disorder

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Snapshot diagnosis - why has this man suddenly developed double vision?

22 Aug 08

Dr Mike Wyndham describes another intriguing case

More clinical

Phil Peverley

Peverley: If GPs are so evil and venal, how come we're so popular?

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If GPs are so evil, how come we're so popular?

13 Aug 08

If GPs are so at fault, ponders Phil, how come the public likes us so much better than MPs?

More Peverley

Blogs

The GP Apprentice is moving out into the big wide world of general practice

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Moving on up and moving out

26 Aug 08

Our GP registrar blogger leaves his training practice and moves on into the big wide and scary world of general practice.

Geoff suspects sinister forces have been unleashed to frustrate him in his final week as a locum

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Sinister forces may slow me down, but I'm still moving on

14 Aug 08

Geoff is convinced there are sinister forces at work to delay his every journey to the rural surgery he's practicing at. So he's thankful that it's his final stint as a locum before he joins the Great and Grand Society of GP partners.

More blogs

Comment & Analysis

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OTC drive is over the topFree

27 Aug 08

It beggars belief that just a month after GPs were hauled over the coals for excessive antibiotic prescribing, the medicines regulator is to make the antibiotic most linked to resistance OTC.

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Do GPs have a victim mentality?Free

27 Aug 08

Knee-jerk reactions to policy threaten the profession’s reputation and its relationship with patients, says primary care tsar Dr David Colin-Thome. Dr Robert Morley disagrees, arguing that challenging politically motivated, unjustified criticism...

More Comment & Analysis

Business, Legal & IT

Bob Senior clarifies the tricky process of claiming car expenses

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Claiming your car expenses

15 Aug 08

Many GPs are confused by the rules on motoring costs. Continuing our series on financial MOTs, accountant Bob Senior clarifies the situation

More business, legal & IT

Practical Commissioning

Focus on...patient engagement

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Focus on...patient engagement

29 Jul 08

An in-depth look at how PBC consortiums can truly engage with patients in order to achieve better results. We hear from one consortium which has appointed a lay board member, how you can use the web to engage patients and other ways of making...

Lord Darzi (right) at the launch of the NHS Next Stage Review

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Darzi special: what the Next Stage Review means for PBC

07 Aug 08

PBC promised more freedom and support; Darzi rules out direct budgets; GPs to bid for integrated care organisations; new innovation fund; best practice tariff; personal health budgets; business case approvals

More Practical Commissioning

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