Public health

Stop smoking intervention

This is a new guideline from NICE on stop smoking interventions. If you do nothing else, I would strongly encourage you to do the National Centre for Smoking Cessation and Training NCSCT e-learning module on offering very brief advice to smokers. It only takes 10 minutes and is excellent. NICE advises that we use the…
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Nice | Tobacco: harm-reduction approaches to smoking

This guideline will really change how we manage smoking cessation. Until now the emphasis has been on getting patients to stop smoking. This guideline recognizes the fact that although the nicotine is the addictive part of the cigarette, it is not the really harmful part. Many patients will be ready to try to stop smoking and…
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Smokeless tobacco cessation

This guideline lays out advice for dealing with patients using smokeless tobacco (eg chewed). Its use is particularly prevalent in people of South Asian origin. They may not be aware that the product they are using contains tobacco and hence constitutes a health risk. NICE advises using local names and possible a picture (like the…
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Preventing Type 2 diabetes

This is one of those guidelines that you look at, makes you want to cry, then wouldn’t normally bother to read. But it is actually packed full of really useful information and advice to give patients about diet and exercise. I will try to summarise the most useful bits, but it’s a long document… I…
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Meningitis – HPA advice

This publication from the HPA mostly summaries advice from the NICE guideline. Given it’s importance to us though, here’s a quick summary: Who should you give antibiotics to if you suspect meningitis? If they have a non-blanching rash If you suspect meningococcal septicaemia If transfer to hospital could be delayed (eg in rural areas). NB…
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Nice | Tuberculosis

This is quite a complex, meaty guideline, with lots of flow-charts. Remember to consider if a newly registering patient should be screened and remember BCG in neonates at risk, but otherwise I would suggest referring to the guideline if a specific situation arises. However, the main new things here are: At registration of a new…
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Skin cancer prevention

This new guidance really covers common sense stuff about sun-protection whilst also encouraging patients to balance that with the need for sun-exposure to get adequate Vit D     Louise HudmanI’m a freelance GP locum in Winchester & Southampton. NEW! – Use the NASGP CPD templates to record your reflections.
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