A plan has been plotted with our excellent practice nurse.👩‍⚕️ Waist to height ratio will now be an integral part of our General Practice T2D #CVRM review. ✅ Obesity is an independent condition within the #CVRM syndrome that deserves independent attention. Let’s get to work. 💪

Vaccines work. Say it again, and again - www.bbc.com/news/article...

HPV vaccine stops 90% of cervical cancer cases

England began vaccinating teenage girls in 2008 and results show it is paying off.

bbc.com

@trishgreenhalgh.bsky.social Re-upping this excellent piece on complexity, values, research, medicine and humanity. Thank you Trish 🙏🏼 Hope you’ve had a good Xmas! onlinelibrary.wiley.com/doi/10.1111/...

Commentary: Without Values, Complexity is Reduced to Mathematics

This commentary on Sturmberg and Mercuri's paper ‘Every Problem is Embedded in a Greater Whole’ [1] argues that those authors have approached complexity from a largely mathematical perspective, drawi...

onlinelibrary.wiley.com

“Replacing the Carr-Hill formula with a needs-based formula is the best and most sustainable way to make general practice funding more equitable.” @becksfisher.bsky.social @nuffieldtrust.bsky.social @rcgp.bsky.social @drkatie.bsky.social @qmul.ac.uk

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. Our briefing, proposes replacing Carr-Hill with a modern, needs-based formula.

Our paper on the impact of living with multiple long-term conditions on everyday life: a qualitative evidence synthesis. The 'work' is not only around medications and healthcare use, it is also emotional & financial with lots of learning & adaptation bmcpublichealth.biomedcentral.com/articles/10....

100% agree. This is entirely possible.

Adam Gordon MBE@adamgordon1978.bsky.social · 2y ago

Chris Whitty highlights that geriatricians can’t prevent frailty. A systematic, concerted public health and policy effort is required #bgsconf

Presenting the latest Medscape Primary Care #Hack by @drkevinfernando.bsky.social and myself!🕺🏾💃 The use of incretin therapies for adults living with overweight & obesity We hope it helps & feedback welcome 😀 PDF medscape-uk.co/Hack-incretin Hack home page medscape-uk.co/Hacks

Hard agree! Primary Care CVRM review tries to stop Stage A and B heart failure in its tracks! We have to work smarter not harder 💪

Pradeep Natarajan@pnatarajanmd.bsky.social · 2y ago

We need to move toward new primary prevention paradigms in heart failure. #AHA24 @ahascience.bsky.social

Further sprinting towards intensive blood pressure lowering in TD2 👍🏻 Guess what the kidney outcomes look like… #BROAD RCT presented at #AHA24 and in NEJM 👇 www.nejm.org/doi/full/10....

Intensive Blood-Pressure Control in Patients with Type 2 Diabetes | NEJM

Effective targets for systolic blood-pressure control in patients with type 2 diabetes are unclear. We enrolled patients 50 years of age or older with type 2 diabetes, elevated systolic blood press...

nejm.org

We should do it much more! I actually like “BRAIN” even better. *Benefits *Risks *Alternatives? *Instinct (patient & doc) *Nothing (what if we do nothing) Lots more in here: #RealisticMedicine realisticmedicine.scot

Realistic Medicine – Shared decision making, reducing harm, waste and tackling unwarranted variation

Shared decision making, reducing harm, waste and tackling unwarranted variation

realisticmedicine.scot

Excellent insightful read - relationship based care and continuity of care informs the consult and in-turn the outcomes - I find them non negotiable components of successful management of LTCs in primary care. We need to protect them.

Dr Kate Womersley@katewomersley.com · 2y ago

Great piece in The Doctor @bmj.com on research by @trishgreenhalgh.bsky.social et al about whether quality suffers when GP working is ever more remote and fragmented. Traditional values still alive and well in primary care, but harder to realise them in the work.

@laurawi.bsky.social welcome to the Leicester legends!!!😀

SUMMIT Trial #AHA24 Tirzepatide for #HFpEF & obesity ❇️Double-blind placebo controlled RCT ❇️⬇️risk of a composite of CV☠️/worsening #heartfailure ❇️⬆️health status(KCCQ-CSS) in HFpEF & obesity www.nejm.org/doi/full/10.... #cardiosky @robmentz.bsky.social @carysbarton.bsky.social @poppybrooks.bsky.social

@TheLancet session at #AHA24 starting now! #obesity 🫀Malnutrition was a problem but now obesity is taking over worldwide with few exceptions 🫀Severe obesity has also ⤴️ 🫀BMI doesn’t reflect obesity as well as waist-to-height ratio 🫀⤴️ diabetes follows obesity

An absolute honour & career highlight to give The Ulster Medical Society SirThomas & Lady Dixon lecture. #CVRM thought process will be a cornerstone of General Practice Long Term Condition Mx,but primordial prevention is where the most strategical power lies to protect the nxt generation.