Blowing our TRoMbone

The UK feasibility randomised trial Testing Radical prostatectomy in men with prostate cancer and oligoMetastases to the bone (TRoMbone) has opened at Oxford University Hospitals (Freddie Hamdy), University College London Hospitals (John Kelly) and Royal Surrey County Hospital (Chris Eden). Men <75 with newly-diagnosed prostate …

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Caring for eating disorders in males: a marathon not a sprint

Eating disorder diagnoses in boys and men are on the increase. Some estimates are that 1 in 4 adults with an eating disorder is male. It can no longer be considered a ‘rare or unusual diagnosis’ and good treatments are available, as is self-help, via …

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Will European doctors leave the NHS because of Brexit?

The majority of European doctors working in the UK are considering leaving the country because of Brexit, a survey by the General Medical Council (GMC) has found. Thousands could leave in the next two years, plunging the NHS into a fresh staffing crisis.
The doctors’ disciplinary …

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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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