Performance

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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CPD | 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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CPD | Post-traumatic stress disorder (PTSD)

This is an updated guideline from NICE on Post-Traumatic Stress Disorder PTSD. The last guideline came out in 2005. I don't think this really changes our management much (i.e. watch and wait for 1 month and then refer for most patients), but I will summarise the symptoms we should be looking out for and also…
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Bronchial thermoplasty for severe asthma

This is a new guideline on bronchial thermoplasty from NICE on bronchial thermoplasty for severe asthma. NICE advise that it can be used. This procedure reduces the smooth muscle mass lining the airways, making them less able to constrict. It is done under sedation or under GA. A catheter is inserted into the lungs and…
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CPD | Contraception in the over 40s

This was an updated guideline from the FSRH on contraception in the over 40s. It came out in Nov 17, but as it is so useful, I thought it worth doing a summary. There were a few things that were new for me: If women over 50 are amenorrheic AND using a progesterone only method…
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iFuse for chronic sacroiliac pain

This is a new guideline from NICE advising that iFUSE can be used for treating chronic sacroiliac pain. The guideline was released in Oct 18. It is worth being aware of as we may have patients affected by this condition. The iFuse implant system involves placing implants over the sacroiliac joint. This aims to correct…
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CPD | Chronic Heart Failure in adults

This is an updated guideline on heart failure from NICE published in September 2018. Most of this is what we are currently doing. They have pulled several different guidelines together to make this more comprehensive. There are a few new things which I'll lay out, then I'll give a brief summary of management: Terminology They…
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Management of pancreatitis

This is a new guideline from NICE on pancreatitis from Sep 2018. Most of it is aimed at secondary care, but there are a few things that are useful for us which I've outlined below. Advice to give patients Recovery can take up to 3 x as long as the hospital stay (which can itself…
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