Uncategorized

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”…
Read more

Bisphosphonates, raloxifene and teriparatide for treating osteoporosis

This summary is based on 3 recent NICE guidelines: Bisphosphonates in people for primary or secondary prevention. Raloxifene for primary prevention. Basically it isn't advised. Raloxifene and teriparatide for secondary prevention. The advice hasn't changed. Previous guidance was rather complicated in that different bisphosphonates could be used at different levels of risk. This has all…
Read more

Eating Disorders

This is a new guideline from NICE on managing eating disorders. It is really targeted around anorexia nervosa and bulimia. Much of this is not new, but as we don't see patients with these disorders too often, I'll do a general summary, but concentrating on things I wasn't aware of. Presentation This is not an…
Read more

The Sessional GP February 2017 Podcast

Short roundup of February's edition of The Sessional GP. You can access the magazine at www.nasgp.org.uk/magazine. NASGPWe’re the independent not-for-profit support organisation run by and for any GP in the UK working as a locum or salaried GP. Please support our work by joining us as a full member, from only £11 per month, and includes…
Read more

On the scent of cancer

Ever since dogs found hunter-gatherers’ campsites a good place to scavenge and decided to adopt humans, we have created roles for them: hunting, protecting property, mountain rescue, companionship, and as ‘assistance dogs’. No doubt dogs have been helping people with poor vision for millennia, but it was a German doctor looking after soldiers blinded by…
Read more

Summer 2015 Budget Update

By the time this is published, much will have been written about the planned Budget changes – but here is a brief summary of some of the parts that will affect sessional GPs most. Pension tax relief changes for high earners There will be further restrictions on tax relief on pension contributions, starting when net…
Read more

BCSH | Vitamin B12 and folate deficiency

This is a new guideline from the BCSH. It is quite a chunky guideline and it covers a lot of detail. I will give a few 'top learning points' then a more detailed summary beneath. At the end I have attached some algorithms, which are really helpful in knowing how to investigate / manage people. Top…
Read more

The day I saved a regiment

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent ac tortor sed odio pellentesque condimentum. In eu vehicula est. Integer vitae purus justo. Proin mi purus, interdum nec eros ac, varius iaculis metus. Donec eget erat at nisl pharetra facilisis id sed augue. Aliquam porttitor elit nec nibh interdum mattis. Interdum et malesuada fames ac…
Read more

Happy Christmas Two Loo!

We've asked for ours to arrive in avocado green All here at the NASGP would like to wish all our members past and present a very Merry Christmas and a Happy New Year. As is now tradition, we've dispensed with Christmas cards and instead purchased something a little more practical from one of our favourite…
Read more