Identifying a problem is acceptable only if there’s an effective solution
{"title":"Identifying frailty in primary care.","authors":"William Hamilton, Jack Round","doi":"10.1136/bmj.j4478","DOIUrl":"https://doi.org/10.1136/bmj.j4478","url":null,"abstract":"Identifying a problem is acceptable only if there’s an effective solution","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4478"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The High Court in London has made a group litigation order potentially allowing 400 or more victims of the scandal involving contaminated blood products in the 1970s and 1980s to come together to sue the UK government for damages. Many people with haemophilia were infected with HIV and hepatitis C after receiving blood clotting products factor 8 and factor 9, …
{"title":"Victims of blood contamination win right to sue government.","authors":"Clare Dyer","doi":"10.1136/bmj.j4504","DOIUrl":"https://doi.org/10.1136/bmj.j4504","url":null,"abstract":"The High Court in London has made a group litigation order potentially allowing 400 or more victims of the scandal involving contaminated blood products in the 1970s and 1980s to come together to sue the UK government for damages.\u0000\u0000Many people with haemophilia were infected with HIV and hepatitis C after receiving blood clotting products factor 8 and factor 9, …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4504"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Negative headlines about general practice ignored many recent achievements made despite capacity problems, reports Abi Rimmer
{"title":"Support, don't punish, struggling practices, say GP leaders.","authors":"Abi Rimmer","doi":"10.1136/bmj.j4463","DOIUrl":"https://doi.org/10.1136/bmj.j4463","url":null,"abstract":"Negative headlines about general practice ignored many recent achievements made despite capacity problems, reports Abi Rimmer","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4463"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominique Faget/AFP/Getty Images Can graphic design save your life? This is the question posed in a new exhibition at the Wellcome Collection in London, which features an array of images showing …
{"title":"Lifesaving graphic design.","authors":"Anne Gulland","doi":"10.1136/bmj.j4432","DOIUrl":"https://doi.org/10.1136/bmj.j4432","url":null,"abstract":"Dominique Faget/AFP/Getty Images\u0000\u0000Can graphic design save your life? This is the question posed in a new exhibition at the Wellcome Collection in London, which features an array of images showing …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4432"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4432","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shailen Sutaria, Peter Roderick, Allyson M Pollock
Current reforms to health and social care services, and radical redesign of the local government finance system, may signal the end of the NHS and local government in England as we know them, argue Shailen Sutaria, Peter Roderick, and Allyson M Pollock
{"title":"Are radical changes to health and social care paving the way for fewer services and new user charges?","authors":"Shailen Sutaria, Peter Roderick, Allyson M Pollock","doi":"10.1136/bmj.j4279","DOIUrl":"https://doi.org/10.1136/bmj.j4279","url":null,"abstract":"Current reforms to health and social care services, and radical redesign of the local government finance system, may signal the end of the NHS and local government in England as we know them, argue Shailen Sutaria, Peter Roderick, and Allyson M Pollock","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4279"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
England’s incentives that pay GPs for performance have not delivered better care for people with long term conditions, a systematic review of evidence has found.1 The study said that there was “no convincing evidence” that the Quality and Outcomes Framework (QOF) influenced integration or coordination of care, self care or patients’ experiences, or improved any other outcomes for these patients. Rather, QOF may have “negative effects,” the reviewers said, and abolishing it may allow practices “to prioritise other activities which could lead to better care.” But they warned that GPs would need to be assured of a stable income if the scheme were scrapped, to protect care of patients and practices’ recruitment. Reacting to the study’s findings, Richard Vautrey, chair of the BMA’s …
{"title":"\"No convincing evidence\" that QOF improves care of patients with long term illness.","authors":"Matthew Limb","doi":"10.1136/bmj.j4493","DOIUrl":"https://doi.org/10.1136/bmj.j4493","url":null,"abstract":"England’s incentives that pay GPs for performance have not delivered better care for people with long term conditions, a systematic review of evidence has found.1\u0000\u0000The study said that there was “no convincing evidence” that the Quality and Outcomes Framework (QOF) influenced integration or coordination of care, self care or patients’ experiences, or improved any other outcomes for these patients. Rather, QOF may have “negative effects,” the reviewers said, and abolishing it may allow practices “to prioritise other activities which could lead to better care.”\u0000\u0000But they warned that GPs would need to be assured of a stable income if the scheme were scrapped, to protect care of patients and practices’ recruitment.\u0000\u0000Reacting to the study’s findings, Richard Vautrey, chair of the BMA’s …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4493"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Doctors warn that hospitals are “reaching breaking point” in response to a report that seeks to provide a better understanding of NHS bed capacity in England, writes Jennifer Richardson
{"title":"What's really happening with hospital bed numbers?","authors":"Jennifer Richardson","doi":"10.1136/bmj.j4439","DOIUrl":"https://doi.org/10.1136/bmj.j4439","url":null,"abstract":"Doctors warn that hospitals are “reaching breaking point” in response to a report that seeks to provide a better understanding of NHS bed capacity in England, writes Jennifer Richardson","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4439"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4439","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Labour party has called on the government to commit to a £500m (€565m; $675m) bailout fund for the NHS this winter to reduce waiting lists for treatment. In a keynote speech to the Labour Party’s annual conference in Brighton on Tuesday 26 September, the shadow health secretary, Jonathan Ashworth, emphasised that ministers must not repeat the mistakes of last year that led to lengthening waiting lists during Theresa May’s first winter as prime minister. A Labour analysis of official NHS figures1 shows that if the NHS suffered a similar collapse in performance this winter an additional 10 000 people would be waiting more than four hours for emergency treatment each day, with hundreds of operations cancelled and waiting lists growing. The party wants …
{"title":"Labour calls for £500m winter bailout fund to ease NHS pressure.","authors":"Gareth Iacobucci","doi":"10.1136/bmj.j4466","DOIUrl":"https://doi.org/10.1136/bmj.j4466","url":null,"abstract":"The Labour party has called on the government to commit to a £500m (€565m; $675m) bailout fund for the NHS this winter to reduce waiting lists for treatment.\u0000\u0000In a keynote speech to the Labour Party’s annual conference in Brighton on Tuesday 26 September, the shadow health secretary, Jonathan Ashworth, emphasised that ministers must not repeat the mistakes of last year that led to lengthening waiting lists during Theresa May’s first winter as prime minister.\u0000\u0000A Labour analysis of official NHS figures1 shows that if the NHS suffered a similar collapse in performance this winter an additional 10 000 people would be waiting more than four hours for emergency treatment each day, with hundreds of operations cancelled and waiting lists growing.\u0000\u0000The party wants …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4466"},"PeriodicalIF":105.7,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4466","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35452802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journalists had fun with conflicting information on the safety of vaping, writes Nigel Hawkes, but behind the reporting were some interesting new data
{"title":"The mixed messages that led to an e-cigarette shambles.","authors":"Nigel Hawkes","doi":"10.1136/bmj.j4460","DOIUrl":"https://doi.org/10.1136/bmj.j4460","url":null,"abstract":"Journalists had fun with conflicting information on the safety of vaping, writes Nigel Hawkes, but behind the reporting were some interesting new data","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4460"},"PeriodicalIF":105.7,"publicationDate":"2017-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35446066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to approach your first OSCE.","authors":"Sunila Prasad, Kristen Davies","doi":"10.1136/sbmj.j2229","DOIUrl":"https://doi.org/10.1136/sbmj.j2229","url":null,"abstract":"Tips for the uninitiated","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j2229"},"PeriodicalIF":105.7,"publicationDate":"2017-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37210083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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