Physician associates are as good as GPs in treating same day patients but cost less, study finds

Click for article

Click for article

Physician associates could be a solution to overburdened general practices, researchers have said, after they found that outcomes in patients seen by these health professionals were similar to those in patients seen by GPs and that they cost less to practices.

The researchers looked at the medical records of 2086 patients presenting for same day appointments at 12 general practices in England over four weeks in 2011 and 2012 (two weeks in winter and two weeks in summer) who were seen by a physician associate or GP. Physician associates have previously been known as physician assistants.

Learning at Work Week: 18-25th May 2015

The Library and Knowledge Service is taking part in Learning at Work week next month, with a variety of free training available!

  • All through May at lunchtime you can request training on basic computer skills from Amanda Gardner, our E-Resources Librarian
  • You can learn how to register for an NHS Athens account and how to perform basic searches with Carole Keeling, our Outreach Librarian
  • You can learn how to use social media such as Facebook, LinkedIn, Twitter and others with Steve Collman, our Community Outreach Librarian, on 15th and 18th May, 12-1pm.

Why not ask us for more information in any of these and other areas? Call 01625 661362 or email ecn-tr.stafflibrary@nhs.net today and find out what you could learn!

DSCF0486

Fresh pair of eyes may speed up cancer diagnosis

Researchers have found that symptoms of bowel cancer tended to be identified slightly more quickly when patients consulted an unknown doctor rather than their usual GP.

Click for article

Click for article

The study, published in the British Journal of General Practice, included data for 2000 to 2009 from the General Practice Research Database. The study included around 18 500 patients with breast, bowel, or lung cancer whose relevant cancer symptoms or signs were identified up to 12 months before the eventual diagnosis.

Endovascular therapy reduces disability from stroke, studies confirm

Click for article

Click for article

Endovascular therapy using minimally invasive procedures to remove blood clots from occluded brain vessels within the first few hours of ischaemic stroke significantly reduces disability when compared with medical therapy, two studies published in the New England Journal of Medicine have shown.

GPs want longer consultations, BMA survey finds

Click image for article

Click image for article

GPs want more time to treat their patients, a survey of the profession has found.

The survey of GPs’ work, carried out by IMC Unlimited on behalf of the BMA, received 15 560 responses from GPs across the United Kingdom. The BMA has described it as one of the largest recent tests of the profession’s opinion.

It found that less than a 10th of GPs (8%) thought that the standard 10 minute consultation in general practice was adequate. Around two thirds (68%) of respondents thought that it would be better to provide longer consultations of greater quality

Being underweight in middle age is associated with raised dementia risk, large study finds

People who are underweight in middle age are at increased risk of developing dementia, while increasing weight and obesity offer protection against the condition, a large cohort study has found.

Click image for article

Click image for article

A number of previous studies have looked at the association between weight and dementia, and most have found that the risk of dementia increased among adults who are overweight or obese, although some studies have found the opposite. Most of these studies have been small, which led the present researchers to conduct a much larger analysis of the link.

Financial incentives help people change health behaviours, review shows

Click for article

Click for article

Personal financial incentives help people to change health behaviours, but these effects are lost within three months of the payments stopping, says a study of the overall effect of payments across various health related behaviours.

Researchers analysed 34 studies including 10 585 adults that assessed the effect of financial incentives on a range of health behaviours, including smoking cessation and healthier eating, measured for at least six months from baseline.

UK death rates in children’s heart surgery have almost halved over past decade

More children survived for at least 30 days after heart surgery at the end of the past decade than at the start, an analysis has found. The death rate fell from 4.3% to 2.6% of cases.

Click for article

Click for article

The findings have prompted the researchers to call for a shift away from scrutinising short term survival to looking at the longer term effects of heart surgery in children, such as measures of ill health and the effect on functional capacity.

Physical therapy is as effective as surgery for lumbar spinal stenosis, study finds

Click for article

Click for article

Surgical decompression treatment for lumbar spinal stenosis is no better than physical therapy in improving symptoms and function, a randomised controlled trial has shown.

The study was published in the Annals of Internal Medicine, and showed that both groups of patients began to show improvement at 10 weeks and continued to improve through 26 weeks.

Risk of developing diabetes increases with time spent watching TV, study shows

Every hour a day spent watching television increases the risk of developing diabetes by 3.4%, the findings of a diabetes prevention programme have shown.

Click for article

Click for article

The study, reported in Diabetologia, followed up 3232 people aged at least 25 who were overweight. They were randomised to lifestyle intervention with a healthy diet that aimed to achieve a 7% weight loss and at least 150 minutes of moderate intensity activity each week or to treatment with metformin, to see whether these strategies prevented or delayed type 2 diabetes when compared with placebo

NHS England releases new framework to assure CCGs

The new Clinical Commissioning Group (CCG) assurance framework for 2015/16 was published last Thursday.

Click image for article

Click image for article

The new framework describes the assurance process which supports CCGs to commission safe, high quality and cost effective services for patients. It includes a strengthened focus on a CCG’s performance in delivering improvements for patients, as well as assessment of its capability to deliver core and additional delegated responsibilities.