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GeneralPractitioners

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Chest and neck pain in a 22 year old woman

A 22 year old woman was referred to the emergency department by her general practitioner owing to severe chest pain that was now radiating to her neck. The pain has been worsening over the past 24 hours. It first started when she was eating fish at a seafood restaurant. What does the lateral soft …  
feeds.bmj.com
over 3 years ago
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Risk and Change: Useful in an Emergency? #WILTW

A past president of the Royal College of General Practitioners and the Chief Transformation Officer of NHS England briefly debated change on twitter this week:  
rolobotrambles.com
over 3 years ago
Static.www.bmj
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1

GPs demand to know what constitutes core services

GP leaders have instructed the BMA’s General Practitioners Committee to negotiate with the UK government to clearly define the services that should be delivered in the core GP contract, on the basis that the safety of patients “can no longer be guaranteed” given the current levels of demand and funding.  
feeds.bmj.com
over 3 years ago
Static.www.bmj
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Seven days in medicine: 25-31 May

The total number of antibiotics prescribed by general practitioners in England fell 7.3% in one year—down from 37 million items in 2014-15 to 34.3 million in 2015-16, data from NHS Improvement showed. This significantly exceeds the 1% reduction target set by the national patient safety team with Public Health England and NHS England. GPs also managed to cut broad spectrum antibiotic prescribing by 16%, beating the 10% reduction target set for the NHS (full BMJ story at doi:10.1136/bmj.i3002).  
feeds.bmj.com
over 3 years ago
Static.www.bmj
0
1

Seven days in medicine: 25-31 May

The total number of antibiotics prescribed by general practitioners in England fell 7.3% in one year—down from 37 million items in 2014-15 to 34.3 million in 2015-16, data from NHS Improvement showed. This significantly exceeds the 1% reduction target set by the national patient safety team with Public Health England and NHS England. GPs also managed to cut broad spectrum antibiotic prescribing by 16%, beating the 10% reduction target set for the NHS (full BMJ story at doi:10.1136/bmj.i3002).  
feeds.bmj.com
over 3 years ago
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9

Occupational asthma

A 22 year old man thought he might have hay fever. Several months later his general practitioner diagnosed asthma. It later emerged that his symptoms were associated with his work in a bakery, and he was referred to an occupational lung disease specialist who diagnosed occupational asthma.  
feeds.bmj.com
over 3 years ago
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9

Seven days in medicine: 1-7 June 2016

New guidance from NHS England and the Royal College of General Practitioners is urging GPs to review prescriptions for patients with learning disabilities or autism and to make sure that psychotropic drugs are continued only when the person poses a severe risk to themselves or others and all other alternatives have been exhausted. A review published last year found that between 30 000 and 35 000 people in the United Kingdom with learning disabilities or autism were taking an antidepressant or an antipsychotic despite not having the conditions for which the drugs are indicated. (See full BMJ story doi:10.1136/bmj.i3137)  
feeds.bmj.com
over 3 years ago
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10

Seven days in medicine: 1-7 June 2016

New guidance from NHS England and the Royal College of General Practitioners is urging GPs to review prescriptions for patients with learning disabilities or autism and to make sure that psychotropic drugs are continued only when the person poses a severe risk to themselves or others and all other alternatives have been exhausted. A review published last year found that between 30 000 and 35 000 people in the United Kingdom with learning disabilities or autism were taking an antidepressant or an antipsychotic despite not having the conditions for which the drugs are indicated. (See full BMJ story doi:10.1136/bmj.i3137)  
feeds.bmj.com
over 3 years ago
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10

Assessment of cardiovascular risk in primary care

A 41 year old white man presented to his general practitioner for a routine blood pressure check. He was asymptomatic and had an initial reading of 154/115 mm Hg. Subsequent ambulatory blood pressure monitoring (ABPM) showed that the average daytime reading was 137/89 mm Hg.  
feeds.bmj.com
over 3 years ago
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10

Assessment of cardiovascular risk in primary care

A 41 year old white man presented to his general practitioner for a routine blood pressure check. He was asymptomatic and had an initial reading of 154/115 mm Hg. Subsequent ambulatory blood pressure monitoring (ABPM) showed that the average daytime reading was 137/89 mm Hg.  
feeds.bmj.com
over 3 years ago