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London Journal of Primary Care

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https://www.readbyqxmd.com/read/29081840/scarlet-fever-a-guide-for-general-practitioners
#1
REVIEW
S Basetti, J Hodgson, T M Rawson, A Majeed
There has been an increase in the incidence of scarlet fever with most cases presenting in General Practice and Emergency Departments. Cases present with a distinctive macro-papular rash, usually in children. This article aims to increase awareness of scarlet fever by highlighting key symptoms and stating potential complications if untreated. In patients who have the typical symptoms, a prescription of a suitable antibiotic such as phenoxymethylpenicillin (Penicillin V) should be made immediately to reduce the risk of complications and the spread of infection...
September 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/29081839/absent-monofilament-sensation-in-a-type-2-diabetic-feet
#2
Julia Cheong, K Alexiadou, Senan Devendra
Neuropathy is a common complication which can affect up to 90% of patients with diabetes mellitus. Asymptomatic neuropathy is a common presentation. We present a case that emphasises the importance of foot screening in people with diabetes. It also highlights that patient education is key to prevent development of foot ulceration which can lead to amputations. In addition, pharmacological therapy (as per NICE guidance) can be offered for pain relief. Patients with diabetic neuropathy are at high risk of falling and sustaining fractures...
September 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/29081838/emergency-department-attendances-and-gp-patient-satisfaction
#3
Keith Hurst, Deirdre Kelley-Patterson, Andy Knapton
BACKGROUND: Despite invaluable national data, reasons for the relentless rise in England's emergency department (ED) attendances remain elusive. SETTING: All EDs and general practices in England. QUESTION: Are rising ED attendances related to general practice patient satisfaction, i.e. if patients are unable to get a convenient appointment with their general practitioner (GP), then do they attend their local ED for diagnosis, treatment and care instead? METHOD: GP patient satisfaction and ED attendance data were extracted from national data warehouses and organised into two groups: (i) England clinical commissioning group (CCG) areas and (ii) a London CCG subset...
September 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/29081837/new-ways-of-working-delivering-better-care-for-people-with-long-term-conditions
#4
Victoria Tzortziou Brown, Irem Patel, Nicola Thomas, James Tomlinson, Rachel Roberts, Hugh Rayner, Neil Ashman, Sally Hull
BACKGROUND: The cost-effectiveness of the traditional outpatient model for specialist care provision is increasingly being questioned in view of the changing patient needs, workforce challenges and technological advances. SETTING: This report summarises two RCGP London events showcasing new ways of delivering care for long-term conditions. QUESTIONS: What are the alternative approaches to the traditional outpatient model and do they have common themes? What are the challenges and opportunities of these new models of care? METHODS: Presentation of examples of new ways of long-term condition care delivery and round-table facilitative discussion and reflection on the challenges and solutions around service re-design and implementation, the commissioning and funding of new models of care, the facilitation of system-wide learning and the collection of data for evaluation...
September 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/29081836/introduction-to-ljpc-issue-9-5
#5
EDITORIAL
Paul Thomas
No abstract text is available yet for this article.
September 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28811840/francis-bacon-and-his-invisible-rooms-human-emotions-so-felt-but-not-so-easily-seen
#6
Francesco Carelli
No abstract text is available yet for this article.
July 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28811839/three-ways-for-art-to-stimulate-the-mind
#7
Michael Drucquer
The relevance of the arts to medical practice is not always immediately apparent. Here, three examples are given from literature, visual arts and music which demonstrate links not normally found in medical texts.
July 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28811838/ethical-religion-in-primary-care
#8
Malcolm Torry
Religion is increasingly significant in UK society, and is highly significant for many patients and primary care practitioners. An important task for the practitioner is to ensure that the place of religion in the patient/practitioner relationship is treated with the same ethical seriousness as every other aspect of that relationship. The article finds the 'four principles of biomedical ethics' to be applicable, and recent GMC guidelines to be consistent with the four principles. The article applies the four principles to the particular case of practitioners wearing religious symbolism...
July 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28811837/an-interview-with-samuel-shem-author-of-the-house-of-god
#9
Claire Brash
Dr Stephen Bergman, Professor of medical humanities at New York University, writes under the name Samuel Shem. He is an acclaimed author of several novels, plays and textbooks, and his work has been translated into several languages -'The House of God' his first novel has sold over 3 million copies. His work exposes the potential moral challenges of the medical workplace and the connection between values, good relationships and healing. In 2015 he visited the UK for medical humanities academic tour which included keynote talks at the RCGP 2015 Annual Conference and at the Royal Society of Medicine...
July 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28811836/introduction-to-ljpc-issue-9-4-july-august-2017
#10
EDITORIAL
Paul Thomas
No abstract text is available yet for this article.
July 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28539978/brueghel-his-art-and-his-syndrome
#11
Francesco Carelli
No abstract text is available yet for this article.
May 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28539977/human-immunodeficiency-virus-and-type-2-diabetes
#12
P Avari, S Devendra
The prevalence of diabetes is higher amongst individuals infected with HIV. The major contributor to hyperglycaemia is thought to be iatrogenic, with protease inhibitors being most commonly associated to insulin resistance. This article is to update general practitioners on the diagnosis and management of diabetes in HIV-infected patients. Specific considerations are highlighted including interactions of particular diabetic drugs with antiretroviral therapy (ART). We articulate why the use of Hemoglobin A1c (HbA1c) testing is not recommended as a diagnostic tool...
May 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28539976/a-review-of-specialist-palliative-care-provision-and-access-across-london-mapping-the-capital
#13
Sarah Cox, Fliss E M Murtagh, Adrian Tookman, Andrew Gage, Nigel Sykes, Maureen McGinn, Meeta Kathoria, Hilary Wilderspin, Liz Chart
Palliative care provision varies by diagnosis, geography, and setting. The Minimum Data-set provides high-level data on provision, but comprehensive comparative information about specialist palliative care (SPC) provision is lacking. The London Cancer Alliance - now RM Partners' Accountable Cancer Network - palliative care group (West/South London) and PallE8 (North/East London), with Marie Curie, sought to address this gap. The aim was to provide comparative data on SPC provision across London to support commissioners and providers to assess provision, identify gaps, and reduce inequity...
May 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28539975/does-attending-general-practice-prior-to-the-emergency-department-change-patient-outcomes-a-descriptive-observational-study-of-one-central-london-general-practice
#14
S Morton, R Hames, I Kelso, A Newth, S Gnani
BACKGROUND: The challenge of keeping Emergency Department (ED) attendances down continues and timely access to general practice (GP) is often portrayed as a potential solution. SETTING: One London general practice (registered population = 4900). QUESTION: Does seeing a GP before attending the ED affect the outcome of a patient's ED care? METHODS: Routine clinical data were extracted using SystmOne primary care computer system for all registered patients with an ED attendance between 1 October 2014 and 31 September 2015...
May 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28539974/evaluating-integrated-models-of-care
#15
EDITORIAL
Paul Thomas
No abstract text is available yet for this article.
May 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28356924/whole-system-quality-local-benchmarking-to-improve-workforce-planning
#16
Deirdre Kelley-Patterson, Andy Knapton, Keith Hurst
No abstract text is available yet for this article.
March 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28356923/the-guy-s-and-st-thomas-s-nhs-foundation-trust-home-service-an-overview-of-a-new-service
#17
Geraldine A Lee, Karen Titchener
Hospital in the home is a relatively new concept within the UK healthcare system. The Guy's and St Thomas's NHS Foundation Trust (GSTT) @home service 'Bringing hospital care to your home' was commissioned by Lambeth and Southwark CCG in 2014 to provide acute care in the patients' place of residence by facilitating rapid discharge from hospital. The service is designed for 260-280 referrals each month from local hospitals, London Ambulance Service, GPs, district nurses and palliative care services. The GSTT@home provides intensive care for a short episode through multidisciplinary team work with the aim of returning the patient to their prior health status following an acute episode of ill health...
March 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28356922/new-care-models-revisited
#18
EDITORIAL
Paul Thomas
No abstract text is available yet for this article.
March 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28356921/henri-de-toulouse-lautrec-s-talent-and-troubles-were-larger-than-life
#19
Francesco Carelli
No abstract text is available yet for this article.
January 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28356920/general-practice-nursing-who-is-cherishing-this-workforce
#20
Alison E While, Carol Webley-Brown
The remodelling of the NHS requires a strong general practice nurse (GPN) workforce within general practice. The challenges facing general practice nursing are set within the current policy context and recent available evidence and illustrated by drawing upon the experience of a current GPN working in London. It is argued that there is a need to support the professional development of GPNs and nurture the next generation of potential GPNs if the current shortage of GPNs is to be addressed.
January 2017: London Journal of Primary Care
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