Pre-exposure prophylaxis (PrEP) for HIV: effective but controversial

Despite continuing public information campaigns, there were 6095 new diagnoses of HIV in the UK in 2015. 75% of these new infections occurred in men, and men who have sex with men (MSM) were disproportionately affected, accounting for 56% of new infections.
Pre-exposure prophylaxis, or PrEP …

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A new digital service for men – without the latex glove

Men’s under-use of primary care services, not least general practice, is well known. Not only do men, especially younger men, consult less often than women, but they also take significantly longer to seek help when they have a health problem. Various solutions have been suggested …

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Is there a role for ‘teaching’ leadership and management?

There is more and more emphasis on doctors to develop their leadership and management skills, but how do we do this and when is the right time for it to be done?
We know that consultants are encouraged to attend management and leadership courses to help …

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‘Humanitarian crisis’ in the NHS?

The British Red Cross has said it has deployed staff to help in hospital and provided transport for discharged patients due to the current ‘humanitarian crisis’ in the NHS. 
The charity has said that it has supported the East Midlands Ambulance Service and is currently in …

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New Year’s resolutions?

Happy New Year, everyone!
As we embark on 2017, some sobering statistics have just emerged: four-fifths of middle-aged adults are putting themselves at risk of disease as busy lives and desk jobs make it increasingly hard to stay healthy, experts have said. Eighty-three per cent of …

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STPs: will they be deliverable?

As winter approaches, NHS managers in England will be even busier than usual. Handling the increased volume of emergency admissions to hospitals and juggling demands for beds will be as tough as ever. On top of that will be a raft of meetings discussing the …

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Burnout: have we been suffering in silence?

The desire to feel infallible has remained integral to a surgeon’s career for decades. The need to be calm under stress, to operate under the toughest of conditions, to deal with other people’s emotions has been part and parcel of the job. Most doctors can …

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Changing how we obtain consent: do we have the time?

The Royal College of Surgeons (RCS) has warned that NHS trusts risk facing a dramatic increase in the number of litigation pay-outs made if they do not make changes to the processes they use to gain consent from patients before surgery. The warning comes after …

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Cheer up, the future’s not what it was

With the release of the GMC report last week on doctors’ morale in the NHS, it was no surprise to find most doctors in agreement that things are pretty bad and the GMC agrees. We are warned by GMC Chair Professor Sir Terence Stephenson to ‘guard for …

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A year to the day

This week has been hectic…but fun and interesting. Not so a year ago when the last week in October was also busy but not pleasurable. I remember going from clinic to clinic, having a series of scans and biopsies to diagnose my throat cancer. 12 …

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