Performance

e-learning – Abdominal Aortic Aneurysm (AAA)

This is a new guideline from NICE on investigating and managing AAA. It was published in Mar 2020. The main things for us are being aware of who we should be encouraging screening for. Who should we be promoting screening to? Screening is offered to all men in the year they turn 65. Inform all…
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Reducing risk 
on busy days

When GPs are under time pressure, it may be easy to correct omissions such as missed referrals without stopping to consider how it happened and what can be done to prevent a similar incident in the future. Dr Rachel Birch, Medicolegal Consultant at Medical Protection, discusses this in more detail and provides practical advice on…
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e-learning – Tinnitus

This is a new guideline from NICE published in Mar 2020 on the management of tinnitus. I will summarise the advice below. There isn't much new in this for us, but I would highlight that they encourage us to explore a patient's mental health from their initial presentation. What advice and information can we give…
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e-learning | New treatments for hyperkalaemia

There have been two recent new guidelines from NICE on managing hyperkalaemia. The first deals with the snappily named sodium zirconium cyclosilicate. The second deals with patiromer. These are both oral drugs, binding potassium in the GI tract and, as they are not absorbed, it is then excreted. Who can have these drugs? Both drugs…
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Medicolegal risks for GP locums during Covid-19

Locum GPs may be asked to work in new ways in unfamiliar environments as a result of the Covid-19 crisis. Dr Rachel Birch, medicolegal consultant at Medical Protection, advises on medicolegal dilemmas they may face. It is no secret that General Practice would not survive without the expertise and availability of GP locums. In this…
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e-learning | Indoor air quality

This is a new guideline on improving the air quality in people's homes. It was published in Jan 20. The crux of this is that there is an increasing awareness that indoor air pollution (think cooking fumes, damp, sprays, fires etc) can be damaging to health. What do we have to do as GPs? Spot…
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Giving effective feedback to a GP colleague

Locum GPs are in a challenging yet rewarding position, in that they frequently review patients that have been seen by other GPs. However, many locum GPs may be concerned, if they were to come across a clinical error, what would be the most appropriate way to provide feedback to those GPs? Dr Rachel Birch, Medicolegal…
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e-learning | Thyroid Disease

This is a new guideline from NICE, published in Nov 19, on thyroid disease. Much of this guideline supports our current practice. There were a few new bits for me and I have listed these below, then summarised the guideline. The guideline covers both children and adults, but as we mainly deal with adults with…
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