Printed from: https://archive.cmf.org.uk/advocacy/clinical-practice/gp-issues/?index=10
Brian comes to see you in your Monday morning surgery. His wife Carol has colorectal cancer with hepatic metastases. All other treatments have failed, but her oncologist has recommended a monoclonal antibody therapy that costs over £10,000. Although the National Institute of Health and Clinical Excellence (NICE) is unable to...
The call to love our neighbour is a broad one, and encompasses use of information – whether to comfort, guide or advise. Knowledge is indeed power, and the facts we know as doctors – both in terms of therapeutic processes and specific patient stories – demands good stewardship. An Old Testament...
I have worked for 25 years as an NHS GP in the north west of England. Care for the vulnerable is the main purpose of my job, and the direct or indirect professional concern for most of us each day. Aspects of vulnerability are also the main ethical issues we...
The rising costs of health and social care are an ever present but rarely acknowledged background to the end-of-life debate raging at the moment, and with the General Election expected on 6 May, the debate about social care funding has become particularly heated. Eighteen charities including Carers UK, Age Concern and...
Hours spent inside by children playing computer games or watching television are thought to be contributing to the resurgence of rickets in the UK. Associated with poverty in Victorian Britain and malnutrition in developing countries, rickets is caused by chronic vitamin D deficiency, resulting in abnormal growth and 'bow legs'....
Following personal experiences the author, a physiotherapist, became interested in negative behaviours in the NHS. She discusses published examples with illustrate national data. Seeing these behaviours as broader than 'bullying', she conducted research into workplace incivility and aggression as well, and recorded that all these had a negative impact on...
