Contents July 2001
News
CHD registers improve
follow-up but not outcomes
Campaign changes GPs'
approach to back pain
Personal View
New SIGN
angina guideline will promote best practice
Dr Charles Sears finds it invaluable to have current advice
on angina management set out succinctly in the guidance from SIGN
Editorial
Why accurate
history taking is essential in allergic rhinitis
Mr David Loke and Mr Timothy Woolford, Royal Hallamshire
Hospital, University of Sheffield
In Reply
Assessing
prostate size using DRE
Dr John Pillinger answers a reader's query on how best to
judge prostate size
Guideline Development
SIGN guideline
on stable angina could reduce CHD deaths
New SIGN guidance aims to increase awareness, among both
doctors and patients, of the importance of angina as a symptom of CHD, explains
Dr Charles Swainson
Beacon Awards
Problem
drug use service focuses on health promotion
Dr Jez Thompson describes his practice's harm reduction/health
promotion approach to the care of drug misusers, for which they were awarded
Beacon status
Linking Evidence to Practice
Managing
allergic rhinitis in primary care
Drs Samantha Walker and Aziz Sheikh discuss current recommendations
for the treatment of allergic rhinitis, highlighting important issues for general
practice
Electronic Patient Records
Access
to electronic medical records empowers patients
Dr Cecilia Pyper, Dr Justin Amery, Dr Marion Watson and
Claire Crook describe a pilot study giving patients secure, private access to
their online medical record
Patient Records
Patients
appreciate seeing their notes
Allowing patients to read their records while waiting to
see the GP gives them greater confidence in their dealings with the doctor,
explains Dr Brian Fisher
Audit
CHF audit
highlights the need to update practice guidelines
Dr Nigel Watson describes an audit of patients with heart
failure in his practice which led to improved investigation and monitoring of
the condition
Medico-legal Issues in Practice
Blowing
the whistle on colleagues who underperform
Doctors have a duty to act if they consider patients to
be at risk through the conduct, ill health or poor performance of a colleague,
explains Dr Gerard Panting
Electronic Communication
PRIMIS
will ensure effective use of practice computers
PRIMIS, a national training and support service, is designed
to help PCG/Ts take full advantage of their clinical computer systems, explains
Dr Nigel Watson
Key Organisations
Chartered
Society of Physiotherapy: guidelines programme
Judy Mead, Head of Clinical Effectiveness, Research and
Clinical Effectiveness Unit, CSP
eGuidelines
eGuidelines
update
Guidelines summaries, Guidelines in Practice and related
information online at www.eguidelines.co.uk
CLIP Database
Clinical Improvements
Online Database
The eGuidelines database of clinical improvement project
information and contacts at www.eguidelines.co.uk/clip
Your Problems Solved Audit
Our panel of
experts answer questions on audit
In the second of a new series of Q&As, Dr Mark Charny
answers some frequently asked questions on audit in general practice
Notes for authors
Writing for Guidelines
in Practice: instructions for authors
Authors are advised to follow these instructions carefully
to ensure that their article is processed smoothly and quickly
Out of Hours
Should you
feel sorry for TV doctors?
Dr Phil Hammond, GP and atheist presenter of BBC1's Heaven
and Earth Show