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Inadequate neurology services undermine patient care in the UK

“Neurology for the masses” announced The BMJ’s then editor, Richard Smith, in 1999.1 Old stereotypes may associate neurology with rare syndromes and a fondness for diagnosis not treatment, he went on, but it is also a specialty of common illnesses such as epilepsy and Parkinson’s disease. He might also have mentioned that neurological symptoms include some of the commonest complaints such as headache and fatigue. Sixteen years on and despite a doubling of consultants, a damning parliamentary report,2 thrombolysis for stroke, and an awareness of increasing neurodegenerative disease only people living in select areas, or able to travel, will encounter a neurologist. The Neurological Alliance, a patients’ organisation in England, reports that 31% of patients had to see their primary care doctor five or more times, and 40% waited more than 12 months with symptoms before seeing one.3 The UK is the only developed nation with this problem. We have one neurologist per 90 000 people4; the European average is one per 15 000,5 and in the United States concern has been expressed that one per 19 000 isn’t enough.6  
feeds.bmj.com
about 4 years ago
Static.www.bmj
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New consultant contract will exclude “opt-out” for weekend working, says government

The BMA has set itself up for a six week battle with the government over reforms to consultants’ contracts, after the health secretary said that a new contract would be imposed on the profession if negotiations over seven day working with the union were not fruitful.  
feeds.bmj.com
about 4 years ago
Www.bmj
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How might 3D printing affect clinical practice?

If a picture is worth a thousand words, the value of a three-dimensional printout could be considerable. 3D printing is starting to disrupt the manufacturing industry, from jewellery to firearms, rapid prototyping to motor racing components. Inevitably, it has now reached healthcare.1 Last year Craig Gerrand, consultant orthopaedic surgeon at Newcastle upon Tyne Hospitals NHS Trust, used computed tomography guided 3D printing to develop a titanium pelvis for a patient with chondrosarcoma.2 And doctors at University of Michigan’s Mott Children’s Hospital have implanted 3D printed plastic splints into the trachea of neonates to rectify tracheobronchomalacia.3  
feeds.bmj.com
about 4 years ago
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Named consultant for hospital patients will end culture of “brief encounters,” says England’s health secretary

Hospital patients should each have a “whole stay doctor” assigned to them who would be accountable for their care throughout their stay and who made sure that they were handed over to a named GP after discharge, England’s health secretary, Jeremy Hunt, has said.  
feeds.bmj.com
about 4 years ago
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XylemDx Concept for Inkjet Printing Diagnostic Tests |

Cambridge Consultants, a company that has helped out many medical device manufacturers develop new healthcare products, is unveiling a new concept for prin  
medgadget.com
about 4 years ago
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Seven day NHS is possible only with more resources, say surgeons

Surgeons support the provision of a round the clock, consultant led service but have no confidence that it can be delivered within current staffing levels, shows a survey conducted by the Royal College of Surgeons of Edinburgh.  
feeds.bmj.com
about 4 years ago
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Maternity care shake-up in north Wales goes to consultation - BBC News

Controversial changes to withdraw consultant-led maternity care from one district hospital in north Wales will go to public consultation.  
bbc.co.uk
about 4 years ago
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Consultants will have seven day rotas by 2020, government says in response to open letter

Most consultants in England will have “genuinely seven day rotas” by the end of this parliament, the Department of Health has said in response to a junior doctor’s open letter.  
feeds.bmj.com
about 4 years ago
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North Wales maternity care review consultation launched - BBC News

A consultation about plans which could see consultant-led maternity care withdrawn from a district hospital in north Wales has begun.  
bbc.co.uk
about 4 years ago
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Cardiothoracic surgeon is dismissed from Cardiff hospital for gross misconduct

A consultant cardiothoracic surgeon at the University Hospital of Wales in Cardiff has been dismissed without notice for gross misconduct after a formal investigation and hearing into allegations of bullying hospital staff.  
feeds.bmj.com
about 4 years ago
Static.www.bmj
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What next for hospital doctors’ contracts?

As the UK government prepares to change the standard contracts for junior doctors and consultants, Abi Rimmer and Ingrid Torjesen ask what the profession can expect to happen next  
feeds.bmj.com
about 4 years ago
Static.www.bmj
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What next for hospital doctors’ contracts?

As the UK government prepares to change the standard contracts for junior doctors and consultants, Abi Rimmer and Ingrid Torjesen ask what the profession can expect to happen next  
feeds.bmj.com
about 4 years ago
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Obstetrician is cleared of misconduct over baby’s death after attempted forceps delivery outside operating theatre

A senior consultant obstetrician has been cleared of misconduct over her role in the delivery of a baby who died two days after an emergency caesarean.  
feeds.bmj.com
about 4 years ago
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What life is like for a consultant at weekends - BBC News

Day in the life of a consultant on call in Colchester at the weekend.  
bbc.co.uk
about 4 years ago
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1188

An introduction to pain pathways and mechanisms [Feb 2012]

Dr Danielle Reddi is a Pain Research Fellow and Speciality Registrar in Anaesthesia at University College London Hospital, London, NW1 2BU, Dr Natasha Curran is Consultant in Pain and Anaesthesia, UCLH and Dr Robert Stephens is Consultant in Anaesthesia, UCLH.  
ucl.ac.uk
about 4 years ago
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Consultants agree to contract talks over weekend working - BBC News

Negotiations over reforms to consultant contracts, including the end of a right to opt out of weekend work, have begun, the British Medical Association says.  
bbc.co.uk
about 4 years ago
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BMA agrees to re-enter talks over new consultant contract

The BMA has agreed to re-enter negotiations with NHS Employers on the consultant contract in England after the association’s Consultants Committee voted on the issue.  
feeds.bmj.com
about 4 years ago
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Surgeon fails in attempt to get patients’ inquest verdict changed

A consultant heart surgeon under investigation by the UK General Medical Council over allegations that he misrecorded data to make his surgical outcomes look better has failed in a High Court attempt to quash part of the verdict of an inquest into the deaths of three patients.  
feeds.bmj.com
about 4 years ago
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Sando-K (potassium bicarbonate, potassium chloride)

Medical information and health website. Health advice on diseases, conditions, examinations and treatments. Latest health news, answers to health questions and search for doctors, consultants, health charities, support groups, hospitals, birth units, and complementary therapists.  
netdoctor.co.uk
almost 4 years ago
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Leading female surgeon calls for cultural change in UK operating theatres

Jyoti Shah, a consultant urological surgeon, told the BBC the industry resembled an ‘old boys’ club’ that alienated women  
theguardian.com
almost 4 years ago