Insufficient evidence for the efficacy of primary school-based behavioural interventions for reducing caries

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This new Cochrane review looked at school-based interventions aimed at changing behaviour related to toothbrushing habits and the frequency of consumption of cariogenic food and drink in children between the ages of 4 and 12 years. The Cochrane Oral Health Group’s Trials Register, and Cochrane Central Register of Controlled Trials (CENTRAL) ,Medline, Embase, CINAHL, PsycINFO, [read the full story…]

“Inactivity costs the NHS an estimated £1.06 billion…” according to report

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Introduction This guidance has been prepared for commissioners and all staff providing lifestyle advice in primary care, including community health and allied health professionals, such as physiotherapists. It aims to raise awareness of the issues caused by inactivity, not just for individuals, but for the health service and economy as a whole, and provides a [read the full story…]

Supporting early diagnosis in primary care

Imaging

Introduction This good practice guide is a collaborative effort between the Royal College of Radiologists, the Royal College of General Practitioners, and the Society and College of Radiographers. It has been developed to improve imaging services in the early stages of illness, particularly in primary care, by building strong partnerships between diagnostic imaging departments and [read the full story…]

Commissioning a good child health service

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Introduction When a child becomes ill, the first clinician they meet is most likely to be their GP. This report is the result of a collaboration between the Royal College of General Practitioners, the Royal College of Paediatrics and Child Health, the Royal College of Nursing, and the Department of Health to identify how to [read the full story…]

Mindfulness shows promise as treatment for health anxiety

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Most of us care about our health (something we elves encourage) but for up to 5% of people, worrying about health has become a significant problem in itself. Severe health anxiety, or hypochondriasis, is said to exist when someone holds a strong fear of having a serious disease, despite all medical assurances to the contrary. [read the full story…]

What helps and hinders effective commissioning? Experiences from primary care

Improvement

Introduction In England, from April 2013, there will be significant changes to the NHS, particularly with the introduction of 211 clinical commissioning groups (CCGs). These GP-led organisations will take on the responsibility of funding, planning, and obtaining health services for their local areas. It is essential that best practice is applied so that efficient decisions [read the full story…]

Teaching GPs about depression and suicide can help reduce the risk of suicide in depressed older adults, says new RCT

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A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always feasible. This new cluster randomised [read the full story…]

New RCT reports a promising primary care solution to diagnosing and managing postnatal depression

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Postnatal (or postpartum) depression is moderate to severe depression that affects women just after they have given birth. It’s a relatively common illness, affecting 7-15% of childbearing women. Suffering from depression in the first few weeks of motherhood can have a significant impact, not just on the health of the mother, but also on her [read the full story…]

Escitalopram provides cost-effective remission from depression, according to new meta-analysis

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I really enjoyed the discussion in the Guardian over the weekend about poor quality trials and pharmaceutical industry techniques that overhype their drugs in an attempt to shift units. Ben Goldacre’s new Bad Pharma book is well worth a read. New reviews about antidepressants come thick and fast and it’s often hard to know what [read the full story…]

More research needed to help patients with multimorbidities

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Comorbidities are common in mental health and the relationship between physical and mental health conditions appears to be bidirectional. Having a chronic physical condition like diabetes can increase your risk of depression (by as much as 3 times). Having an enduring mental health problem such as psychosis can take 15-20 years off your life. In [read the full story…]