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CAMHS won't see you now

Failed encounter [9N4] of the Read code kind

Flexible careers cash plea

The GPC has demanded the Government reinstate open-ended funding for the flexible career scheme to prevent deaneries freezing applications

Negotiators warned that hundreds of young GPs would be affected if nothing was done to fund the new applicants.

New advice over asthma

Patients using salmeterol or formoterol should always be prescribed an inhaled corticosteroid, the MHRA has warned. It also recommends close monitoring during the first three months of treatment and states that patients with acutely deteriorating asthma should not be initiated on either drug.

The advice comes after the final results from the Salmeterol Multi-Centre Asthma Research Trial (SMART) found patients who didn't use inhaled corticosteroids with salmeterol had higher incidence of asthma-related adverse events.

Health inequality alert

Introducing new providers into general practice could worsen health inequalities and reduce the quality of care for those with co-morbidity, leading GP academics warn in a paper for the BMJ.

'Hiving off' different conditions to separate providers could damage the 'integrity' of practice-based provision, warned Professor Martin Marshall from the National Primary Care Research and Development Centre and Oxford GP Dr Tim Wilson.

Divided over flu vaccine

GPs are divided over whether flu vaccination should be extended to all people aged 50-64, according to research from the Health Protection Agency.

A survey of 215 practices found 51 per cent of GPs supported lowering the vaccination age and 49 per cent disagreed. The 51 PCTs who responded to the survey were also evenly divided over the issue, according to an early online paper in Vaccine.

Training gold standard

The GMC and the Postgraduate Medical Education and Training Board have set down a series of principles of good medical education and training.

The document for undergraduate students, doctors and educational providers closely defines all parts of medical training, including stringent measures for the design of courses, assessment of outcomes and means for feedback.

NI structures cut back

NHS administration in Northern Ireland is to be radically scaled back.

Planned changes include one strategic health authority to replace the four health and social services boards, and seven local commissioning bodies replacing the 15 local health and social care groups.

Charge for complaints?

The Healthcare Commission is considering charging NHS bodies for the cost of handling complaints they refer to it. Dealing with problems that should be solved locally is putting a number of other activities under financial pressure, minutes from a recent board meeting of the commission state.

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