Monthly Archives: September 2014

Seven day access – policy goes in the wrong direction – again!

Politicians just don’t get it. They are (and have been for years) obsessed with increasing access to GPs. And of course it sounds good for elections. But it’s not what the population needs. Increasing access comes at the expense of continuity of care. You can’t see your own doctor and expect him or her to …read more

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Why has the Welsh government approved Sativa for multiple sclerosis and not NICE in England?

Sativa is a nasal spray based on a cannabis extract which is used for painful muscle cramps in multiple sclerosis. There doesn’t seem much doubt that it works, and in its most recent draft guidance on MS, NICE has based it’s decision on cost effectiveness grounds – the benefit came out at £49,300 per QALY …read more

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Medication errors in primary care in the developing world

Global spending on pharmaceuticals is roughly a $1 trillion, dominated by the US, Japan and major EU economies. Yet emerging markets and the developing world still account for around a third of expenditure. That’s a lot of medicines and it’s growing. With this substantial use of medications comes a significant risk of harm, compounded by …read more

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Asking the right questions

One of the great things about Twitter is that you get to read other peoples’ takes on things. Matthew Hankins, for example, posts people’s interpretations of p-values (under the hashtag #stillnotsignificant), which are more entertaining than you might think. A few weeks ago he posted the conclusion from a paper which read: “we were quite …read more

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Lesbian, gay and bisexual men and women in England report poorer health and worse experiences of healthcare in the NHS

Our analysis of 27,000 responses to the national GP Patient Survey finds gay, lesbian and bisexual people are more likely to report communication problems and have less trust in their GP…

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mH2 – the future of mental healthcare

Mental healthcare is often described as the Cinderella of medicine – overlooked, disparaged, and generally neglected. In the UK, mental healthcare is the single biggest item on the NHS budget (£12.16bn in 2010/11), but in practice this means that only about 11% of the overall spend is allocated to deal with 23% of the disease …read more

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Care plans and care planning: a rare event?

Have you seen a care plan recently? Despite a massive effort, we didn’t see many in our national evaluation of care plans and care planning. Our new paper reports the findings of this work, summarised here.

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