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Latest news - Thursday, 20 June 2019

'We cannot go on like this' warns NHS Confederation

CQC finds high confidence and trust in hospital staff – but overall lack of progress in inpatient experience

Vitamin D supplements do not confer cardiovascular protection

Supplementation not associated with reduced risks of CVD events or all-cause mortality in meta-analysis

Teen vaping steady in England as it doubles in Canada

We must monitor closely the ‘rapidly evolving’ vaping market and nicotine salt-based products

Many women whose waters break early can safely continue pregnancy

Offer women with PPROM option of continuing pregnancy to 37 weeks if no sign of infection or complication

Doctors welcome drop in Scotland’s alcohol consumption

Alcohol sales in Scotland at lowest ever recorded levels, following MUP implementation in May 2018

Blogs

Good work – good health

The benefits of an enabling and positive atmosphere on health

ASCO 2019

Targeted treatment takeover, drugging the ‘undruggable’, obesity and blood tests

The view from Hammond’s limo

When it comes to poverty in the UK - what do you see?

Embalmed food

What is it about carbs that makes people so angry?

Views

Collaborate, keep control and carry on

In a challenging healthcare environment, Long-Term Partnerships and collaboration might just be the key to helping GPs deliver effective and sustainable primary care services – without relinquishing control, argues Chris Barker.

NHS brain drain is down to punitive pension tax changes

The UK’s National Health Service pension scheme is fast becoming ludicrous, writes NHS Confederation chief executive, Niall Dickson

Targeted therapies – the next step forward for cancer treatment?

Molecular pathologist Prof Gareth Williams discusses the advantages of targeted therapies over chemotherapy and how to determine which targeted therapy to use

The Integrator: Cancer and STPs — 'If you work it out, let me know'

HSJ National Cancer Forum – Expert briefing: Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning.

Learning

Assessment and management of urinary incontinence in women

Two case histories covering the classification and management options for women with incontinence who present to primary care

Female incontinence

A 67-year-old lady comes to see you as she is troubled with leaking of urine. Her bladder control became poor after the birth of her third child. She now wears pads every day and sometimes does not get to the toilet in time

Drug and Therapeutics Update – 14th June

NICE recommends ocrelizumab for primary progressive multiple sclerosis in final guidance; SMC accepts nivolumab in combination with ipilimumab for advanced renal cell carcinoma

Bartholin’s cysts and abscesses

Mrs FY goes to see her GP one day with worsening pain and a swelling on the side of her vulva. She is now finding it very hard to even sit down. She is also complaining of some mild vaginal discharge

Pelvic organ prolapse

A summary of the risk factors and management options for this very common condition

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