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Latest news - Wednesday, 17 July 2019

Most GPs say work appraisal helps them improve patient care

Performance review also boosts personal development, survey responses show

Workforce issues threaten continued expansion of liaison psychiatry services

Every major A&E now runs service to treat people in mental health crisis and hospitals ahead of target on 24/7 provision, finds report

Brief nurse-led educational support plus alginates can wean patients off PPIs

And avoid potential long-term health risks and mounting prescription costs, say researchers

Further advanced breast cancer drug combo available on CDF

NICE gives provisional thumbs up to ribociclib plus fulvestrant for advanced disease

Drug-related deaths in Scotland soar by 27%

Highest number ever recorded and more than double the figure in 2008

Blogs

Communication issues

Why being able to talk to colleagues is just as vital as talking to our patients

Unhealthy ambition

When health, wellbeing and environment are forgotten in the race to the top

On The Pulse - June 2019

Best surgical interventions for women with stress urinary incontinence outlined

Good work – good health

The benefits of an enabling and positive atmosphere on health

Views

Primary care networks: lifeboats launched on stormy seas

Primary care networks have now gone live. Yet despite their potential to improve primary care, how they’ll develop, and what changes patients can expect to notice remains unclear.

Forget Brexit, it’s all about TRexit

As TRUS procedures are being replaced by transperineal biopsies, advance nurse practitioner Jonah Rusere explains why the switch is good news for prostate cancer patients and how urology nurses can make a difference to prostate cancer pathways

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

Diagnostic equipment 'woefully poor' after capital raids – ex-cancer boss

Repeated raids on NHS capital budgets have left hospitals with 'woefully poor' diagnostic equipment, according to the previous national cancer director, speaking at HSJ’s inaugural cancer forum.

Learning

Familial breast cancer

A 42-year-old lady tells you that her mother, aged 76, has recently been diagnosed with breast cancer. Her sister died from metastatic breast cancer aged 48 years and her maternal aunt was diagnosed with breast cancer last year, age 58

Mammography

A 50-year-old lady is very keen to have her first mammogram. She has read a lot of online articles about the benefits of screening mammography and she is very worried that she may have to wait nearly three years until she is called for screening

Miscarriage

This course reviews the classification, aetiology, assessment, management and follow-up of miscarriage

Drug and Therapeutics Update - 12th July

ELISA tests for therapeutic monitoring of TNF-alpha inhibitors not recommended by NICE for routine adoption in rheumatoid arthritis; SMC accepts palbocicli for advanced or metastatic breast cancer; MHRA issues drug alert for Phenobarbital Sodium 30mg/ml Injection

Lung cancer

A overview of the third most common cancer in the UK, covering epidemiology, presentation, investigation, staging, management and prognosis

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