Sinusitis treatment down to five days

This is a NICE guideline from a couple of months ago in the use of antibiotics in sinusitis. I must say that this has changed my practice significantly, so well worth a read, especially the background information. Main learning points: 1st line antibiotic is now penicillin. Length of treatment is five days. Only consider antibiotics…
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Fit to fly

Dr Rachel Birch, Medical Protection medicolegal adviser, presents two case scenarios, illustrating what locum GPs can do to support patients while minimising any potential risks. Case study – We want some sunshine! Mr G, a 68 year old patient, came with his wife to see Dr A in the middle of a busy on-call surgery.…
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Podcast – No es fácil: clinical electives in Cuba

Few things in Cuba are easy. Most countries faced with what Cuba has lived with for more than half a century would be failed states. Cuba keeps going, with hardship and sacrifice, but a shared vision. The reputation of Cuba’s health service – providing rich-country outcomes on a poor-country budget – attracts interest from politically…
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Sort your tax in time for Christmas

Before you spend all your savings on Christmas, do you know what tax you are going to have to pay in January? If you haven’t completed your return yet, you’re running out of time! If you’ve already completed your tax return, then you’ll know that you need to pay: The total 2016-17 liability – less…
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New childcare fund now 
open to GP locums

A whole new tax free childcare funding scheme was launched on 21st April 2017. Initially it was available for children under four, with other ages being added during the remainder of 2017. Under 6s were added from 24th November. The upper age of children included will eventually be 11, and 16 for disabled children (paid…
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Podcast | The Sessional GP Magazine December 2017

Richard and Sara run through the December edition of the Sessional GP Magazine 2017. In our 98th edition, Liz clarifies your tax schedule, Nigel has great news for locum parents; Judith's Cuban experience, Kelly's turning her experience to the benefit of others, Rachel gives some flying advice; Kate's helping you stay sane for Christmas, and Jodie…
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Podcast | Should GPs prescribe placebos?

Mrs Jones likes blue pills; they work better than those pink ones – even though they are the same drug. But she wouldn’t touch blue mashed potato. Wine buffs rate a wine higher if they believe it is expensive. Consumers are sure that a brand name product is superior to an identical generic, whether it…
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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 GP 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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