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International Primary Care Association

Clinical Focus Volume 3 N2

IPCA Admin

IPCA Admin

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All doctors are accountable for the clinical care they provide, first to their employers or those they contract to provide services for, second to the GMC and third through the courts. GP's with a Special Interest are no different. No matter where potential criticisms arise from, the key issue will be the standard of care provided which may also involve the systems in place to deliver that care.


It comes as no surprise that the British public have a drinking problem. Yet, as health care professionals we remain incredibly poor at identifying and treating these individuals. With only small changes to our practice we could significantly reduce alcohol related deaths.


Urinary incontinence (UI) is a major clinical problem. It has a great social, economical and psychological impact. With the new pharmacotherapy to treat UI, targeted life style changes and conservative measures, many patients could be treated at the primary health services reducing the workload on the specialist referral centres. Primary care practitioners armed with evidenced based knowledge of new treatments and recently validated old treatments could realistically achieve this goal.


Xerostomia is a relatively common condition. It is associated with salivary gland hypofunction, which can be due to local or systemic disease, trauma or as a side-effect of many drug therapies. Complaints of dry mouth should not be dismissed as an expected consequence of ageing. The condition is distressing and impairs the quality of life. Although it may not be possible to remove the cause, a variety of palliative measures are available to alleviate the patient's discomfort and improve oral function.


Sickle cell disease (SCD) is one of the commonest genetic disorders in the world with approximately 12 500 individuals currently ffected in the UK.

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