Volume 8 Issue 1 - 2014 http://ipcauk.org Sun, 21 Oct 2018 04:13:03 +0000 Joomla! - Open Source Content Management en-gb from the editor... http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/205-from-the-editor http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/205-from-the-editor

The winter rains, hurricanes and floods will hopefully have subsided by the time this issue reaches you. Spring was edging out the winter blues as I write this editorial. This will be an exciting year as it is the lead up to the general election and no doubt the politicians will pick up the NHS football to garner votes.


The Health and Social Care legislation has slowly become embedded, warts and all. Many CCGs have started some semblance of commissioning, the main focus of the restructuring, but are hampered by a very wieldy and bureaucratic tendering system. It is difficult to understand the need for such a process for services that have no more than one supplier or are innovations, which means divulging intellectual property to third parties. Furthermore, the bigger private sector organisations have an army of “Tendering Experts”, whose sole tasks are to get through the bidding process, which they do very successfully. Little surprise then that the assurances given to the SMEs, including CIC and Social Enterprises that this would be a level playing field ring a resounding hollow. They just do not have the resources of the larger companies. Whatever the hue of the next government the tendering process needs to be overhauled.


With obesity levels, in adults and children, rising and rising (we are following the USA trend of course), the awareness of the role of nutrition to our health is vital. Katey Halliday busts some of the myths (p.30). UK has one of the highest incidence of unwanted pregnancies in Europe. I find this hard to square given the myriad of methods of contraception available as neatly detailed by Anusha Dias (p.8).


Mackenzie brings us right up to date by addressing problems such as fractures, adrenal suppression, hyperglycaemia……. (p.19).


Enjoy this issue. Please let me have your suggestions and comments. By the time of the next issue the Football World Cup tournament will have concluded. As a football fan I shall be rooting for England, in the hope rather than the expectation that my gut feeling of their level of performance is wrong.


Professor Ram Dhillon


info@ipcauk.org (Editor Admin) Volume 8 Issue 1 - 2014 Fri, 16 May 2014 10:38:32 +0000
New developments in Contraception http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/202-new-developments-in-contraception http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/202-new-developments-in-contraception


Although we still do not have a ‘perfect contraceptive’, one which is safe, effective, and free from any side effects; a great deal has changed since Casonova first advised using half a lemon with the juice removed as a cervical cap in the 18th century. The launch of new contraceptives has increased choice and new, simplified recommendations on their use have increased the acceptability of all methods.

info@ipcauk.org (Editor Admin) Volume 8 Issue 1 - 2014 Fri, 16 May 2014 08:45:19 +0000
Managing the Risks of Glucocorticoid Therapy http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/203-managing-the-risks-of-glucocorticoid-therapy http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/203-managing-the-risks-of-glucocorticoid-therapy


At any time, 1% of the UK population is receiving oral glucocorticoids, and their use is increasing. Toxicity related to glucocorticoids is potentially fatal, and often missed during a clinically latent phase, during which a number of steps can be taken to minimise their risks.

info@ipcauk.org (Editor Admin) Volume 8 Issue 1 - 2014 Fri, 16 May 2014 09:07:52 +0000
Nutrition: busting the myths http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/204-nutrition-busting-the-myths http://ipcauk.org/index.php/clinical-focus-primary-care/cf-volume-8-n1/item/204-nutrition-busting-the-myths


Theories abound and a constant deluge of articles continue in an attempt to give people advice to better health. Many are based on fads. This article provides a summary of the scientifically proven evidence around nutrition, health and exercise for better health, based in fact not in myth.

info@ipcauk.org (Editor Admin) Volume 8 Issue 1 - 2014 Fri, 16 May 2014 09:14:19 +0000