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donderdag 3 augustus 2017

RCGP: It's important patients with diabetes are given appropriate treatment, regardless of costs, says RCGP

It's important patients with diabetes are given appropriate treatment, regardless of costs, says RCGP
She said: "A rise in prescriptions can indicate both better identification of diabetes at an earlier stage and more comprehensive treatment according to latest guidelines, but it is clear from these figures that more people are living with both type 1 and 2 diabetes long term - and this poses major challenges for the NHS.

"Diabetes is very serious and, when not treated, a potentially debilitating disease that can lead to other serious conditions for patients, such as cardiovascular disease and other long-term complications affecting the eyes, kidneys and nervous system - so it's important that all our patients with diabetes are given the most appropriate treatments for them, regardless of the cost.

"We also need to really push the prevention agenda and some simple lifestyle changes, including being more active and taking steps to lose weight can have real benefits in preventing or at least delaying the onset of type 2 diabetes. 
"GPs and our teams manage the vast majority of this care in the community, and we will always encourage our patients to make lifestyle changes that can positively impact on their health. But we are currently under intense resource pressures, and there is a limit to what we can realistically do within the constraints of the standard 10-minute consultation.

"The NHS Diabetes Prevention Programme is making positive strides, and it's encouraging to see this is being rolled out further. But we also need to see the pledges made in NHS England's GP Forward View for greater investment in general practice – including more GPs and members of the wider practice team – delivered as a matter of urgency so that we can give more time to all our patients, including those with diabetes."
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'Brain drain' of future GPs will be disastrous for patient care and the NHS, says RCGP
She said: "This is really concerning and very sad. We cannot – and must not – allow this 'brain drain' of future GPs to be lost to our profession and to future generations of patients.

"We are already having difficulties attracting medical students into GP training, but the prospect of losing new GPs so early in their careers will be disastrous for patient care and the NHS.

"Unfortunately, trainees are seeing at first hand the enormous pressures that today's GPs are facing. Yet if properly resourced, being a GP can be the best job in the world, with endless career opportunities.

"After a decade of under-investment, we urgently need to turn general practice around and make it the attractive career option that it once was.

"The GP Forward View launched by NHS England could be the lifeline that general practice needs - but our annual assessment of its progress shows that things are not moving as quickly as they could in certain areas.

"We urgently need a properly funded family doctor service - including thousands more doctors and members of the wider practice team - so that we can attract the numbers we need into GP training, and then make it worthwhile for our hugely bright and talented new GPs to stay in family medicine for the rest of their working lives."
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College statement on MRCGP assessment

"The purpose of the MRCGP assessment is to ensure GPs meet the highest standards to deliver safe patient care. We are confident that it is a robust assessment of a GP trainee's clinical knowledge and communication skills – both of which are essential in order to practise independently and safely as a GP in the UK.

"The College has always been transparent about and committed to addressing differential pass rates between candidates taking the MRCGP, based on all protected characteristics. We were the first medical royal college to identify differential pass rates between white and BME medical graduates; something that is consistently an issue for UK postgraduate assessments across medicine. 

"To address this we are working closely with organisations, including BAPIO and BIDA to support International Medical Graduate trainees, and working with the Academy of Medical Royal Colleges to produce relevant guidance for trainers and assessors. We have also continued to develop resources and educational events to support trainers and trainees in their AKT and CSA preparation, and in August 2016 we introduced an exceptional fifth attempt at either the AKT or CSA, on the basis of additional educational attainment.

"Small, annual variations for different cohorts of trainees taking both the AKT and CSA components of the MRCGP assessment for the first time are to be expected. More useful as a measure of progress are long term statistical trends, and the data the College has presented in our latest MRCGP Annual Report. This calculates fail rates according to Primary Medical Qualification and ethnicity over the period 2010-2016 and does show small but sustained improvement in differential pass rates of both the AKT and CSA between UK and International Medical Graduates since 2014.

"The College will continue to work closely with the GMC and we will be aligning our curriculum and assessments to their new 'Excellence by design' standards which have fairness as a guiding principle. We are also undertaking a 10-year review of the MRCGP to ensure that it continues to be a world class, robust and fair licensing assessment."


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