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Yet more guidelines? Yet more confusion

I'm pleased to see it's not just me who finds NICE guidelines painful (Copperfield: 'Following NICE is just too damn complicated').

The more guidelines that get published, the more confusion seems to be created. The latest NICE guideline on diabetes once again illustrates this and anyone trying to seriously follow the osteoporosis NICE guidance must be wondering whether it was really meant for day-to-day general practice.

Then there are the 'teaching grannies to suck eggs guidelines' such as those on diarrhoea and vomiting in under-fives and promoting physical activity in children and young adults. Do we really need a panel of highly educated, well-paid individuals to sit around for hours to discuss such basic medical topics?

Medicine is as much of an art as it is a science, and clinical judgment combined with the individuality of the patient should never be forgotten.

From Dr Paul Manjooran, Chester-le-Street, County Durham

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