Does QOF reduce hospitalisation for people with severe mental illness?

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Andres Fonseca appraises a regression analysis looking at the quality and outcomes framework (QOF) and the impact it has on psychiatric admissions in people with severe mental illness.

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Mindfulness-based interventions in primary care: absent but successful

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Ioana Cristea appraises a meta-analysis on the effectiveness of mindfulness in primary care. She finds that the evidence is insufficient to draw any reliable conclusions about the actual effectiveness of mindfulness-based interventions in primary care settings.

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Computerised CBT for depression is no better than usual GP care: the REEACT trial

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Another debut blog today, this time from Suzanne Dash, who presents the results of the REEACT trial published last week in the BMJ. The study found limited uptake of computerised CBT by people with clinical depression and no benefit of free or commercially available cCBT packages over usual GP care.

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Collaboration, collaboration, collaboration

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Kirsten Lawson explores the benefits of working across professional and therapeutic boundaries, highlighted beautifully by the recent COINCIDE RCT of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease.

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Reducing the bureaucracy in general practice must be a national priority, says NHS Alliance

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Sarah McDonald reviews a new NHS Alliance report, which provides a snapshot of GP and Practice Manager views on the day-to-day work demands that exist outside of general practice consultations.

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To deliver quality primary care, GPs should analyse their clinical case-mix, says Health Education England

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This post looks at the Health Education England report, The future of primary care, which is about recruitment and training in primary care.

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Inter-professional working between general practice and social care

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Tanya Moore discusses a small study on inter-professional working between social care and general practice and finds evidence of misunderstanding.

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“No ‘one size fits all’ model for delivering primary care” says RAND Europe

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Summary of a report, produced by RAND Europe, exploring different models for delivering primary care, including collaboration, and how to manage change.

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Internet based interventions for depression: how can we increase acceptance?

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Raluca Lucacel summarises an RCT of Internet based interventions for depression, which finds that a brief informational video shown to people with depression before they receive their treatment, helps to increase their acceptance of the Internet based intervention.

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Screening for bipolar spectrum disorders (MDQ, BSDS and HCL-32)

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Elena Marcus appraises a recent meta-analysis of screening for bipolar spectrum disorders, which concludes that the MDQ and HCL-32 tools are supported by more evidence than the BSDS tool.

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