We bring you the latest news from the healthcare about the health care in the United Kingdom.

vrijdag 23 maart 2018

RCGP: No 'one size fits all' solution to managing lower back pain, says College

No 'one size fits all' solution to managing lower back pain, says College

She said: "Lower back pain causes misery for a huge and growing number of patients right across the UK – it is something that GPs see in our consultation rooms on a daily basis, and what is clear is that one size does not fit all in terms of managing the pain.

"It's important that any treatment plan is developed in conversation with the patient, tailored to their needs, taking into account the many different factors that might be impacting on their health. GPs will also be mindful of clinical guidelines, such as NICE guidelines in England, which currently advocate an approach that combines physical, psychological and pharmacological treatments.

"We know that being active and working is good for our patients' health, so GPs and our teams will readily advocate lifestyle changes to patients that can help ease their pain and keep them in work, but for some patients, particularly in more serious cases, there is a limit to how realistic a significant amount of exercise is.

"For these patients whilst not a cure, drug-therapy can provide a great deal of relief and should not be dismissed entirely - the most effective approach, as with any medication, is that it should be prescribed at the lowest possible dose for the shortest possible time. It is also the case that access to psychological treatments, such as talking therapies, which we know can be beneficial for patients suffering from lower back pain, is patchy across the country.

"It's clear from this study that much more needs to be done worldwide, to dispel myths around the best ways to treat back pain – rest, for example, is one of the worst approaches, yet this advice is commonplace in many countries.

"This is a really interesting and important study that should give healthcare professionals across the world a lot of food for thought, but also poses helpful challenge to those producing clinical guidelines – and it's important that the findings are taken seriously and into consideration as guidelines are developed and updated."

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Lessons must be learnt by online GP service providers to ensure patient safety, says RCGP

"It's absolutely right that the Care Quality Commission holds organisations that provide online primary care services to the same high standards as any other healthcare provider, to ensure that they are delivering safe, high-quality, and compassionate care for patients – and it's reassuring to see that a greater proportion are providing safe care than last year.

"But it's very concerning to see that even now, 43% of online consultation providers have been deemed unsafe in some respect. New services will inevitably experience some teething problems, but when our patients' health is at risk urgent, swift action must be taken to comprehensively address these before the service is rolled out further.

"The inappropriate prescribing of antibiotics, for example, poses risks to individual patients but also is of great concern to the wider public - and the failure to collect and share a patient's data with their NHS GP could certainly have a detrimental effect on their future care.

"As a College we recognise the potential of online consultations to complement traditional GP services, and it's good to see some innovative schemes emerging, which are highlighted in this report – but all new technology should only be implemented on a wider scale if it is safe, effective, and leads to better outcomes for our patients, GPs, and the wider NHS.

"It is now essential that lessons are learnt from this report to ensure patients are not put at risk and that they receive the high-quality care they need and deserve.

"The College is currently developing guidance for patients, GPs and commissioners who are considering alternatives to face-to-face consultations, to encourage them to only do so after careful consideration of all potential risks and benefits."

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A healthy lifestyle doesn't need to be boring, says RCGP

Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, has responded to a study by Cancer Research UK, which found that more than 135,000 cases of cancer a year in the UK could be prevented through lifestyle changes.

She said: "Living healthier lifestyles is the obvious route to better health outcomes for patients – and as GPs, who want our patients to live as long and healthy lives as possible, we will always encourage our patients not to smoke, to only drink alcohol in moderation, to be mindful of their diet and where possible to be more active.

"GPs and our teams are not killjoys but the links between unhealthy lifestyle habits and many serious health conditions, including cancer, cannot be ignored.

"We appreciate that asking patients to make lifestyle changes might seem easier said than done, but one message to get across is that living healthily does not need to be boring. Exercise, for example, can be incorporated into normal daily routines and can be made great fun and a valuable social experience - likewise, there are exciting, affordable ways to enjoy healthier meals, that incorporate more fruit and vegetables, which can allow patients to reserve unhealthier foods as an occasional treat.

"However, it can't all be down to healthcare professionals to get these messages across. We need a society-wide approach with schools, workplaces, local authorities, and public health bodies all playing a part. We also need to ensure that high-quality, cost-effective services that can help people change their lifestyle habits, such as smoking cessation programmes, provision of green spaces, and a free supply of fresh drinking water in public places, are available to those who need them.

"Finally, this study highlights that the third biggest preventable cause of cancer is overexposure to UV radiation. Whilst we want patients to be exercising and getting outdoors as much as possible, we would encourage any patients planning to spend time in direct sunlight to do so responsibly and use adequate protection, such as wearing sun block and a wide-brimmed hat – and we certainly would discourage patients from ever using sunbeds.

"Cancer is an enduring priority for the College and we have worked with partners, including CR-UK, to develop resources for healthcare professionals to support them in the early identification of cancer – and to have often sensitive conversations with patients about lifestyle."

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