Dr Stephen Fowler, GP Partner
'Healthcare professional regulators, including the GMC, have already committed to take into account factors relevant to the environment in which the professional is working, including relevant information about resources, guidelines or protocols in place at the time'
Pity the GMC doesn't choose to take this approach all of the time - the NHS is constantly under strain.
Whilst we all know that this not a 'score' that experienced clinicians need to help inform their decisions, we can't crow too much about this research until we have the otucomes data to go with it.
No it hasn't, in fact the very opposite is starting to look like it might be true. The results of a large study published in early December in BMJ Open showed that higher levels of LDL were associated with better outcomes.
Strangely enough it wasn't widely reported in the press....
Whilst this approach might be useful it is the system that is broken and causing our stress/burnout, not some inherent weakness with doctors.
The answer is not to concetrate just on making us more resilient, but to fix the broken healthcare system.
What about the 'European Cardiovascular Disease Statistics (2017' that show an inverse relationship between CVD morbidity and mortality - ie: France for example has the highest cholestrol levels, the highest saturated fat intake and the lowest incidence of Cardiovascular disease.
Couple this with emerging evidence that statins may increase the risk of Type 2 Diabetes adn perhaps we should all think a little more carefully before recomending them to the masses.
Perhaps the drug companies want to divert theirt attention to manufacturacting statins and PSK-9 inhihibitors instead....
Announces end to long waits to see your GP and then in the same breath announces 20 new hospital upgrades - the two don't marry up.
More of the same for the NHS and primary care it would seem...
Doesn't say what the false negative rate was.
The list of tasks they can perform seems very similiar to the list of things I learn't to do at medical school.
A newly qualified house officer also gets paid considerably less than a new PA, but of course also has to do unpleasant things like overnight/OOH wrok too.
Why don;t they just train more doctors?
Given that there is absolutely no evidence at all of benefit to either patients or doctors the whole appraisal and revalidation system should be scrapped.
We are the most over regulated doctors in Europe (if not the world) and we also have one of the lowest GP:patient ratios - maybe the two are linked...
Teaching granny to suck eggs come to mind....
There may well be some positives in here, but at the end of the day it does nothing to address one of the main factors behind GP recrutiment - SALARY - I realise no-one likes to talk about this but it's the elephant in the room - a 20% pay cut over the ;ast 10yrs must have an effect. Coupled with that this new contract will do nothing to address our workload, although it might help with some of the year on year increase.
No reduction in day to day workload, no pay rise - is it any surprise that GPs are leaving early and new recruits don't want to join in?
And this is news why? I seemed to remember something called the 'inverse care law' which has existed for decades and which succesive governments have done nothing to address - in fact Mr Hancock's obsession with digital media and apps will only make it worse.
Is this what Public Health and the government are supposed to do?
What is needed is a coherent, evidence based strategy on diet from PHE and the government. There is plenty of evidence now that T2DM can be completely reversed with the correct dietary advice (and that isn't low fat). This would save many, many millions of pounds on prescribing (and bariatric surgery), but would of course invole the government taking a much firmer stance with the food industry.
T2DM/metabolic syndrome is a lifestyle problem and should be treated with lifestyle measures. However we cannot really blmae the patients when they have been given the wrong dietary advice for over 30yrs now and in lots of cases continue to be advised incorrectly, despite evidence to the contrary.
And PHE and the government have a responsibility to make sure the right dietary advice is given to the population eg. fogert the fear of fat, which has no evidence whatsoever to back it up and start [romiting much lower CHO diets, which do.
I suggest you revist some basic medical science - insulin drives obesity, not fat (and there is plenty of evdience for this).
Carbs (be they starchy or refined) drive insulin production.
I only hope that PHE starts to take notice of the mounting evidence prsented by 'the low carbers' and actually does something positive to halt the obesity epidemic
Or NHSE could pull their fingers out and sort out the supply problem - surely if pharmacies can source the correct vaccine then why can't primary care?
We certainly do need to look at the bigger picture - mainly the incorrect cietary advice that's been dished out by government (and us) for over 30 yrs now. Dietary fat is not the issue, there's absolutely no evidence to support low fat,calorie restricted diets. The problem is INSULIN and the carbohydrate (refined or otherwise) that drives its secretion.
There is also no evidence that exercise (aka moving more) leads to weight loss. Exercise is good for all sorts of reasons, but unfortunately losing weight isn't one of them.
A low carb, ketogenic diet is the correct advice to give and in my view government and PHE need to get on board with the mouinting levels of evidence which support this approach.
Presumably they are sending letters to every vet and farmer in the land too....