Palliative Care Commission

Big news for #PalliativeCare #Hospice #PrimaryCare #EoL providers and future users in UK

palliativecarecommission.uk

'Increases in privatisation generally corresponded with worse quality of care, with no studies included in the review finding unequivocally positive effects on health outcomes.'
Nothing new here but govt still keen to increase use of private sector despite all the evidence that it doesn't help pts

A fairer way to fund general practice: Learning from LLR and Frimley ICSs webinar on Wednesday 15 January

Join our Primary Care Network's webinar on 15 January to gain a comprehensive overview of efforts to reform the GP funding model and the potential benefits of a more equitable approach.

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What's in store for health and care for 2025?

Kick off the new year at our free online lunchtime event, where our expert panel will provide insight into how the new government is delivering on its priorities for health and care.

Register your free place now. www.kingsfund.org.uk/events/whats...

I've just been updating my #palliativecare starter pack(s). This is the link to the second of two packs: go.bsky.app/E8o273Y You can find pack links in people's profile. Hope this is helpful. #hpm #hapc

Here is the link to the first. Together there are nearly 250 #palliativecare people to follow if you are interested. @ctsinclair.bsky.social also has starter pack(s) too! #hpm #hapc go.bsky.app/582Y1Av

Deep End workforce planning: ‘…for proper team based care, NOT task substitution’
Starfield’s : cost-effective primary care requires the 4 CS of 1st Contact +Continuity +Co-ordinated+ Comprehensive team care ( with Family Practitioner/ GP allocation matched to need/per capita).
#GPandPrimaryCare

Yesterday I visted Staploe Medical Centre in #Soham to hear GPs’ concerns about rising employer NI contributions and the strain on primary care. Grateful for their hard work—our practices need proper support to keep delivering vital services. #EastCambs #PrimaryCare #NHS

What a pleasure being tweeted by Louise Brady. #Nursing #rcn #Stn #primarycare

UK risks ‘sleepwalking’ into a waste of doctors’ skills, GMC Chief Executive warns A GMC Website page that might be of interest to you.

In England and Wales, the number of locally employed doctors grew by 75% between 2019 and 2023.

Doctors on the specialist register grew by 13% & GP register grew by 9%.

Training bottlenecks are being created, limiting opportunities for our doctors. www.gmc-uk.org/news/news-ar...

2024 GMC “ Without action we will sleepwalk into a situation where lost legions of doctors are overlooked and undervalued”

If Drs strikes and GP collective action can’t stop the sleepwalking though what can?

www.gmc-uk.org/-/media/docu...

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Happy Thanksgiving to those celebrating in USA!🦃🍂

Sharing a fun fact I learned from @empoisonpharmd.bsky.social (thnx!):

The potatoes on your plate today contain ~38 μg/kg of diazepam. Plants have benzo receptors too!
Explains the carb-coma after a baked🥔feast!😴

#medsky #pharmsky #nursesky #GPsky

GPs can’t work productively over lots of practices esp when newly qualified and needing lots of mentoring. It’s unsafe and will increase core GP workload.

Funding is insufficient and PCNs/ practices cannot afford top up.

Back to the drawing board…

I qualified in 1998 and we regularly had young adults on the medical take with meningitis (including the sickest and scariest patient I ever looked after when I was an SHO on call)
Now on the medical take we very,very rarely see this disease

Finally out. Asthma Guidelines NG245

Move over SABA ➡️ AIR & MART now main treatments

www.nice.org.uk/guidance/ng245

#PharmSky

And we keep growing - on the 3rd Starter Pack! #PsychSky. Welcome to all interested.

Our very own little starter pack: members and associated organisations across the four research consortia that make up PHI UK. Please let us know if we've left you off.

go.bsky.app/NmvpFtZ

Starter pack for #heartfailure - far from complete so flag up others i can add
#bsh #medsky #cardiosky
@poppybrooks.bsky.social @carysbarton.bsky.social

Apologies if you have seen this before - I am continuing to share starter packs in case you are one of the millions of new arrivals to BlueSky so you feel welcome

California Sets 15% Target for Primary Care Spending Over Next Decade - KFF Health News The state Office of Health Care Affordability has set a goal for insurers to direct 15% of their spending to primary care by 2034, part of a push to expand preventive care services. Health plans say i...

California Sets 15% Target for Primary Care Spending Over Next Decade kffhealthnews.org/news/article... via @kffhealthnews.bsky.social

Bananas🍌

I paid 35p for mine, but happy to accept £3m & I’ll throw in the wall & the house it’s attached to

#TeamGP OOH today.

Patient who I saw as a child with their parent, now with children of their own, wanting to see me because they have great memories of care provided.

The concept of family doctor is a powerful one for patients. This continuity of care is better for us in General Practice too.

Comparison of Oral Ibuprofen at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial - PubMed Oral ibuprofen administered at doses of 400, 600, and 800 mg has similar analgesic efficacy for short-term pain relief in adult patients presenting to the ED with acute pain.

“Oral ibuprofen administered at doses of 400, 600, and 800 mg has similar analgesic efficacy for short-term pain relief in adult patients presenting to the ED with acute pain.”

👉 pubmed.ncbi.nlm.nih.gov/31383385/

#medsky #pharmsky #EMsky #GPsky #nursesky 2/2

Vaginal Estrogen Therapy Use and Survival in Breast Cancer This cohort study compares the mortality risk associated with vaginal estrogen therapy vs no hormone replacement therapy in 2 cohorts of patients with breast cancer in Scotland and Wales.

Study in #JAMAOnc from Scotland/Wales of nearly 50k #breastcancer patients suggests vaginal estrogen use *NOT* associated w increase risk of breast cancer-specific mortality.

More reassuring data 👍

jamanetwork.com/journals/jam...

I've updated the #hapc #palliativecare starter packs so now there are two. Do let me know if you want to be added (but check you aren't there first please!). Lots of great people to follow here. go.bsky.app/E8o273Y

For those interested in all the unseen work done by GP practices, I recommend keeping an eye out for The Hidden Workload Study who are looking at this….

www.gppact.org/the-hidden-w...

(10) Metaresearch and open science (2) by @floriannaudet.bsky.social

(9) Metaresearch and open science by @floriannaudet.bsky.social

Few #MetaSci #STS and Science of Science Starter Packs here 👇 🧵

(1) Science of Science Starter Pack 1 by @shahanmemon.bsky.social