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Steve Turner


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About Steve Turner

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  • First name
  • Last name
  • Country
    United Kingdom

About me

  • About me
    Steve Turner is a nurse prescriber, Managing Director of Care Right Now CIC, Head of Medicines & Prescribing at medicinegov.org , an Associate Lecturer at Plymouth University, Information Governance Lead for CareMeds Ltd and for a group of Community Pharmacies.
    Digital profile: https://linktr.ee/stevemedgov
  • Organisation
    Care Right Now CIC
  • Role
    Managing Director

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3,174 profile views
  1. Article Comment
    My experience, which echoes that of many others, indicates that the National Guardian Office us a very bad idea. #FTSU Guardians operate under a conflict of interest as they report to the employer. Also the National Guardian office is impossible to engage with, unless you agree with them. This means the initiative has potential to do harm as well as good. The #FTSU Guardians in some organisations can be helpful. I know some #FTSU Guardians who are genuine & who work for organisations that listen & want to change. Unfortunately other organisations use the Guardians to maintain the
  2. Content Article
    In this session, James McCormack discusses the approach taken by the Patient Experience Evidence Research (PEER) group to resolve issues with clinical practice guidelines. He highlights three key areas: Shared decision making Effective guideline development The benefits of simplicity
  3. Content Article
    The Global Drug Policy Index measures how drug policies align with many of the key UN recommendations on how to design and implement drug policies in accordance with the United Nations principles of health, human rights, and development. The Index is composed of 75 indicators that run across five dimensions: The absence of extreme sentencing and responses to drugs, such as the death penalty The proportionality of criminal justice responses to drugs Funding, availability, and coverage of harm reduction interventions Availability of international controlled substan
  4. Content Article Comment
    Excellent poster. Good to see scientific rigour applied to this safety critical topic. In my view, this provides and important and stark contrast to the pseudo-science and waffle produced by the National Guardian Office.
  5. Content Article Comment
    In my blog there is broken link to the Turn Up The Volume! web page. This is no longer updated, (as I am retiring soon) , however some of the materials may be helpful. Here's the link: https://www.carerightnow.co.uk/turn-up-the-volume-resources-2/
  6. Article Comment
    Is this a signal that the old system of GPs acting as gatekeepers needs changing? Ref: https://bjgp.org/content/69/682/e294
  7. Community Post
    That would be good. I wonder how common experiences of bouncing, delayed or lost referrals are are. There is so much learning to be had. Including simple changes that can be made right now to improve communication and the safety of referral processes. Thank you.
  8. Community Post
    I have a family member who had a similar experience to the one you describe Helen. This involved an urgent tertiary referral that would have been bounced back to the patient had they not kept their own notes. As he had the notes my relative was able to show copies of all the letters, scans, EEGs and reports that indicated the referral was potentially life saving. In his case I believe his GP would have intervened, however the GP did not have all the notes and was missing a key echo-cardiogram, that showed definitively an urgent intervention was needed. My recommendation to
  9. Article Comment
    A worrying story. Really frustrating that it is behind a paywall. Many areas of concern here that need open discussion in order to lead to learning. It's not just the number of investigations that matters, it's the quality of the investigations, and the way they are conducted. This problem is an opportunity if it is brought fully into the open, looked at from all angles and (most importantly ) patients, relatives and carers are fully involved.
  10. Content Article
    Overprescribing can happen when: a better alternative is available but not given the medicine is appropriate for a condition but not the individual patient a condition changes and the medicine is no longer appropriate the patient no longer needs the medicine but continues to be prescribed it. This independent review was guided by a short life working group (SLWG), which brought together senior stakeholders from across the healthcare system, together with patient and third sector representation. It looked at reducing inappropriate prescribing, with a particular f
  11. Content Article Comment
    A really helpful article picking up on the key points. In my recent experience of providing remote 'patient led medicines reviews' I'd also add that this isn't just about Doctors, remote consultations (where appropriate) open up many new possibilities for new ways of working by all clinicians. I use them for my developing work as a Care Navigatior . I'm pleased to see the “remote by default” message challenged. This was such a bad thing to say and harks back to the old way of thinking that technology is the answer to healthcare problems, when it's just a tool. A Secretary of State
  12. Content Article
    'To support all prescribers in prescribing safely and effectively, a single prescribing competency framework was originally published by the National Prescribing Centre/National Institute for Health and Care Excellence (NICE) in 2012. NICE and Health Education England approached the Royal Pharmaceutical Society (RPS) to manage the update of the framework on behalf of all the prescribing professions in the UK. A Competency Framework for all Prescribers was first published by the RPS in July 2016. Going forward, the RPS will continue to maintain and publish this framework in collabora
  13. Content Article Comment
    A good article. I agree in principle too with 'raising concerns in the right way', however my experience, and that of many others, is that this isn't always possible. We need more CEOs like David Carter, and we need to expose CEOs who victimise those who raise genuine concerns.
  14. Content Article
    "Several concerns have been raised about the risk of overdose and death from oral morphine sulphate solution over the past few years, but they have gone unheard." In light of coroners reports of deaths related to abuse, or accidental overuse of Oramorph or oral morphine sulphate solution. the author argues for increased regulation. Commenting: "In the absence of any action from ministers, it seems that healthcare professionals are going to have to take the care of vulnerable patients into their own hands." My reflections on this are: Is this a signal for increased regulation or