To sell a house

Capital gains tax can cast a shadow over selling your house, but there may be a silver lining to this particular cloud. We’ve recently come across several situations where a doctor originally bought a home to live in, moved away for work, rented it and subsequently sold it – often at a substantial profit. Will…
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Setting seismic career goals

There are a myriad of different ways to get the best from goal setting. In this fourth article in her goal setting series, Sonia Hutton-Taylor from Medical Forum brings together goal setting wisdom into a four-step goal setting exercise system. She suggests allocating a total of four hours as a minimum for this, ideally uninterrupted.…
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Podcast | IR35, endometriosis, airline pilots and the Birmingham LMC conference

In our latest podcast, Richard and Sara talk about a recent encounter with an airline pilot; Louise's latest review of the NICE endometriosis guidelines; a new article on the IR35 intermediaries legislation and also some recommendations for podcasts, the forthcoming Birmingham LMC sessional GP conference and a new survey on last minute cancellations. thanks Matthew…
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Latest endometriosis NG73 guidelines from NICE

This is a new guideline from NICE on managing endometriosis. I'll do a general summary of this as it is a new guideline. However I don't think it changes very much that we do. There is a good algorithm attached to the summary. Symptoms We should be suspecting endometriosis in women (even young women under…
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Podcast | The Best practice conference and eating disorders

It's been a busy week at the NASGP, having published our magazine last week, attended the Best Practice conference in Birmingham earlier in the week, and meeting lots of NASGP members and new GP locums and practice managers. And also, Louise Hudman has published a great review of the Nice eating disorders guidelines. So Sara…
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Eating Disorders

This is a new guideline from NICE on managing eating disorders. It is really targeted around anorexia nervosa and bulimia. Much of this is not new, but as we don't see patients with these disorders too often, I'll do a general summary, but concentrating on things I wasn't aware of. Presentation This is not an…
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Significant events and Swiss cheese

There is a scientific discipline called human factors and ergonomics (HF&E) which recognises the absolute certainty that human beings will make mistakes, and so seeks to design working systems and environments that work around our human nature to reduce the risk of error as far as possible. Many safety-critical industries like aviation have wholeheartedly adopted…
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Three good things

Holiday season. We are stuck in traffic at a standstill on the A303. Grey cloud and rain. Kids bickering in the back. “Daft Punk”, our holiday music, blaring from the speakers in defiance of it all. We will enjoy this holiday… Holiday season. We are stuck in traffic at a standstill on the A303. Grey cloud…
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Lost in translation

Medical Protection’s Dr Rachel Birch explores some of the risks involved in treating patients whose first language is not English. It is likely that we have all consulted with patients whose first language is not English. How often we do so will depend on the demographics of the practice population. There are potential risks, both…
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