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Found 575 results
  1. Content Article
  2. Content Article
    What's new in the NICE shared decision making guideline? The three main areas of recommendations are: organisational practise related and recommendations on communication and documentation. On an organisational level, the 2021 NICE guideline on shared decision making asks organisations to consider the following: making a senior leader accountable for the leadership and embedding of shared decision making appointing a patient director to work with this senior leader. The guidance also states that for effective shared decision making, appointments or c
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    Chapters include: Bridging the gap between emotion and cognition Behavioural medicine Gastrointestinal diseases: psychosocial aspects Mental health and social work Respiratory disorders: psychosocial aspects Functioning, disability and health Geriatric psychiatry Cultural psychiatry.
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    Background In 2018, SIM was selected for national scaling and spread across the Academic Health Science Networks (AHSNs). The High Intensity Network (HIN) has been working with the three south London Secondary Mental Health Trusts: The South London and Maudsley NHS Foundation Trust, Oxleas NHS Foundation Trust and South West London and St George’s Mental Health NHS Trust, and the Metropolitan Police, London Ambulance Service, A&E, CCG commissioners, and the innovator and Network Director of the High Intensity Network. The model can be summarised as: A more integrated, infor
  8. Content Article
    The traditional approach towards health and disease was, until recent decades, the medical or biological model where a patient’s illness was treated solely by medical means.[1] However, research has challenged this approach and developed a more extensive model of health that incorporates psychological and social factors. This allows for better treatment, management and understanding of health and disease. The Biopsychosocial Model was proposed by Engel in 1977. It implies that biological, psychological and social factors all play a significant role in health and disease and may influence
  9. Content Article
    Needlestick injuries account for 17% of accidents to NHS staff and are the second most common cause of injury, behind moving and handling (nhsemployers.org). The major risk of needlestick injuries is that they can transmit infectious diseases to healthcare workers, especially blood-borne viruses. Many occupational exposure incidents could have been avoided by adopting precautions and by disposing of clinical waste appropriately (nhsemployers.org). Needlestick injuries are wounds caused by needles that accidentally puncture the skin (ccohs.ca). When penetrating the skin, this is called a p
  10. Event
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    This session presented by AfPP, aims to help attendees understand more about patient informed consent and shared decision-making. Learning outcomes: Understanding management, around issues of consent. Recognise the importance and relevance of the Montgomery legislation in the model of shared decision making. Gain insight around empowerment of the patient in informed consent. Be able to explore issues around extended roles in shared decision making. Register
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  15. News Article
    Labour has urged the NHS and Matt Hancock to pause their plan to share medical records from GPs to allow time for greater consultation on how the idea would work, saying that maintaining patients’ trust must be paramount. In a letter to the head of NHS Digital and the health secretary, the shadow public health minister, Alex Norris, said Labour backed the principle of improved data collaboration but shared the concerns of some doctors’ groups. The Royal College of General Practitioners warned NHS Digital a week ago that plans to pool medical pseudonymised records on to a database and
  16. News Article
    Patients who had longer consultations with their GP were less likely to subsequently self-refer themselves to hospital due to a worsening of their condition, a study has found. The study, which looked at factors associated with potentially missed acute deterioration, said this might be because GPs with more time to assess patients ‘are more likely to recognise deterioration and refer the patient for secondary care’. A longer consultation might also allow GPs more time to provide advice, such as telling the patient to contact the practice again if their condition worsens, the British
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    A group set-up following the Winterbourne View scandal is urging more people with learning disabilities to attend their annual health check-up. Healthwatch South Gloucestershire said regular health checks could prevent people from dying unnecessarily. It formed after BBC Panorama exposed abuse of patients at Winterbourne View hospital 10 years ago. Only about 36% of people with learning difficulties are believed to have an annual GP health check-up. The Local Democracy Reporting Service (LDRS). said the lack of regular, medical observations contributed to them having a life expe
  19. News Article
    Thousands of hospital patients were allowed to return to their care homes without a Covid test despite a direct plea to the government from major care providers not to allow the practice, the Observer has been told. As the crisis began to unfold in early March 2020, providers held an emergency meeting with department of health officials in which they urged the government not to force them to accept untested residents. However, weeks later, official advice remained that tests were not mandatory and thousands of residents are thought to have returned to their homes without a negative Covid
  20. Content Article
    On a ward round in 2005 I was about to send home a man who had been successfully treated for pneumonia with intravenous antibiotics. He asked me what was wrong with his left arm. When I looked he had an obvious infection around the intravenous cannula with signs of the infection spreading up the vein. He had been treated with intravenous antibiotics which had been changed to oral 3 days earlier. At that point the cannula should have been removed. It turned out that the infection was caused by MRSA and he required a further 2 weeks of intravenous antibiotics to eradicate the infection. I p
  21. News Article
    NHS staff at GP surgeries are facing unprecedented abuse and aggression from patients, while stressed doctors are increasingly suffering from mental illness, because of an appointments system “in meltdown”, family doctors’ leaders have revealed. The scale of the deep crisis in GP surgeries was revealed in an emergency summit of more than 60 NHS doctors, dentists and administrative staff in Salford, which the Guardian attended, triggered by a recent rise in verbal abuse. "Patients are short-tempered and not happy waiting for anything … They want letters. The latest one was a request t
  22. News Article
    Rising numbers of patients needing care and a shortage of GPs is threatening to overwhelm the system, doctors and patient groups are warning. It comes after the pandemic has caused severe disruption to GP practices for more than a year. Analysis of NHS England data by the Health Foundation found more than 28 million appointments were booked in March, among the highest recorded. Doctor's leaders say what they are being asked to achieve is "undoable". The analysis of NHS data in England carried out by the Health Foundation for the BBC also that that between 2019-20 and 2020-2
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