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Latest news - Thursday, 22 August 2019

Council services ravaged by decades of funding cuts, say MPs

£5 billion funding gap for local authorities, and growing; social care on verge of collapse

Start monitoring blood pressure from 40 onwards, say researchers

High blood pressure between 4th and 6th decades of life linked to subsequent brain shrinkage and higher volume of white matter lesions

Doctors tell parents too late that their child is near death, survey suggests

National guidelines needed on giving parents bad news, say researchers

Oral antibiotic use linked to heightened bowel cancer risk

But lower rectal cancer risk, suggesting differences in microbiome activity along the length of the bowel, say researchers

Teen smoking prevalence in England falls further to 16%

Latest NHS Digital figures show that proportion of 11 to 15-year olds who had ever smoked was 3% lower than in 2016

Blogs

Comedy politicians

When politics becomes show business, beware, warns Phil Hammond

If the NHS was a desert island…

What would you bring with you?

On The Pulse - July 2019

Current statin use associated with lower risk of biliary tract cancers

Exploring hunches

Some of the very best of primary care lies in deductive work

Views

Every government promises to solve the social care crisis. Maybe this one means it

There is a growing awareness of the human cost, not only on those who need care, but also on their families, writes Niall Dickson, Chief Executive of the NHS Confederation, as he looks at the new government and the social care crisis

The excluded middle: Is the 'new money' new or not?

The announcement of a £1.8bn cash injection for NHS capital infrastructure projects has generated lively debate. Ben Gershlick, Senior Economist at the Health Foundation, explores how new the new money is, and if it is enough

How GPs can address Babylon’s burning platform

GPs need to develop unified working and communication practices to make the shift from a corner shop model to one that can compete for the attention of those attracted to online providers such as Babylon, argues Paul Bensley, MD of GP communications solution provider X-on

DEBATE: How do we ensure patient safety and the responsible stewardship of antibiotics?

Watch experts discuss the challenges faced by clinicians in the fight against antimicrobial resistance

Learning

Asthma

Review the latest guidance changes with this comprehensive course covering the prevalence, pathophysiology, diagnosis, and treatment of this common respiratory disease, with reference to NICE and the recently updated SIGN guidance

Management of asthma in adults

Mrs FH feels her asthma is worsening despite recently starting a new inhaler. Her asthma had been well controlled with a salbutamol inhaler and also a beclometasone inhaler. She is wondering if there is any other treatment available for her to try

Asthma in children

A four-year-old boy has had a night time cough for the past six months which has not improved. He often coughs after running around in the park but does not wheeze. His ten-year-old brother was diagnosed with asthma recently

Drug and Therapeutics Update - 16th August

NICE final guidance recommends ribociclib with fulvestrant for advanced breast cancer through CDF; SMC accepts Glyxambi® for type 2 diabetes mellitus in adults for restricted use

Impetigo

A five-year-old boy has a two-day history of a crusted rash on his face. He is otherwise well and has been going to school as normal. He has one younger sibling

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