e-Learning | Lower urinary tract infection (UTI)

NICE released new guidelines in Oct 18 on antimicrobial prescribing in lower urinary tract infection (UTI). Public Health England (PHE) has guidelines on the diagnosis and management of UTI, which were update shortly afterwards. There is separate advice on antibiotic prescribing in pyelonephritis, but this doesn't change practice. The PHE guideline especially is really useful.…
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Get strong, stay strong

Most people appreciate that being active is important for our health and wellbeing. Many are also aware that to really get the health benefits from cardiovascular exercise we need to be getting our heart rate and respiratory rate up to a moderate or vigorous intensity for at least 150 or 75 minutes a week respectively.…
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Systems to 
improve continuity of care

Following on from her previous article Dis-continuity; putting care into context, Dr Sara Chambers explores the idea that sometimes continuity of care is deployed to paper over the cracks where 'continuity of management' and 'information' is lacking or even absent, and why the locum's perspective needs to be part of a future solution. None of…
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Podcast | I’m a GeriGP

NASGP member Eva Kalmus describes how she became co-chair of the new GeriGP group of the British Geriatrics Society (BGS), and why being a portfolio GP has never been boring. When I did my GP training, about half of the GP trainees undertook a self-made rotation of approved jobs, followed by a year in general…
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e-Learning | Renal and ureteric kidney stones

This is a new guideline from NICE on managing renal and ureteric stones, published in Jan 19. I'll give a summary of what is new, then do a more detailed summary below. What is new in this guideline? Investigations should be done within 24 hrs of presentation... (I'll just stop for a little laugh here...).…
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State-backed indemnity – 
what it means for sessional GPs

There's still some uncertainty about the new state-backed indemnity scheme for England and Wales, and Rachel Birch from the MPS has the answers. What is state-backed indemnity? The state-backed scheme will provide GPs with indemnity for clinical negligence claims, arising from work undertaken under NHS-contracted primary medical services. This will be a similar arrangement to…
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Confused by Type-2 Self-Assessment forms?

With the deadline for completion of Type 2 certificates by the end of February, we thought we’d cover some of the questions we’ve been asked recently. Why do we have to fill in a form? The intention of the certificate is to check that the right tier rate has been applied and to provide a…
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Podcast | The Sessional GP magazine February 2019

Richard reviews the latest edition of The Sessional GP. In this 105th edition, Sara concludes her article on a fresh pair of eyes; Judith would rather we didn't eat each other; Rachel has some news on medical indemnity; Liz answers your Type-2 queries; Eva and Nicky have both explored specialties outside of primary care that…
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Dis-continuity; putting 
care into context

Much is made of continuity of care, but little time is spent examining its weaknesses and exploring the alternatives. In the first of a two-part series, Dr Sara Chambers helps put continuity into context. I was recently asked a question by an eminent GP and academic researcher: “How often does a “fresh pair of eyes”…
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