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Latest news - Monday, 17 June 2019

See your GP if you are breathless, patients urged

Millions may be missing out on vital COPD treatment, says the British Lung Foundation

Post discharge phone calls and home visits linked to near halving of readmissions

Simple aftercare measures associated with 41% drop in elderly patients needing to go back to hospital within 30 days

NHS trusts lop £400m off deficit, despite record levels of demand

But this performance level isn’t sustainable, and scale of difficulties they face is enormous, warn analysts

We need a different tack on talent management, say trust chiefs

More opportunities for leaders to work across different organisations and to learn from mistakes needed

Abortions in England/Wales for Northern Irish women rise by 22%

Figures illustrate ‘significant unmet need,’ says British Pregnancy Advisory Service

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?

On The Pulse - May 2019

Increased plasma copeptin independently associated non-alcoholic fatty liver disease

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

What do 'outstanding' trusts tell us about how to improve care?

Achieving a step-change in the quality of care across the NHS is ultimately going to require an organisation-wide approach to improvement, writes Bryan Jones, Improvement Fellow at the Health Foundation

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

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

Pelvic organ prolapse

A 60-year-old woman gives a three-year history of “something coming down” from her vagina. She has occasional stress incontinence of urine and finds the lump uncomfortable

Insomnia

A 69-year-old lady has had poor sleep since her husband died four years ago. She doesn’t get to sleep until one or two o’clock in the morning and then her sleep is very broken. She is desperate for some medication to help her sleep

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