Contents March 2001
News
DoH issues guideline
on psychological therapies
In Reply
Assessing
competence to refuse treament is not easy
GP Dr Mark Wood argues that deciding whether a patient is
competent to refuse treatment is far from straightforward
Editorial
PIN group
gives patients input into NICE guidance
Neil Betteridge, chair of the Patients in NICE group, and
Head of Public Policy and Campaigning, Arthritis Care
Personal View
NSF must not
prevent GPs taking a holistic approach
Dr David Archer suggests that compliance with the NSF on
CHD should not stop GPs treating patients as individuals
Guideline Development
BSG guidelines
should improve management of patients with IBS
Dr Ajeya Shetty and Dr Alastair Forbes explain how new guidance
from the BSG should speed up the diagnosis of IBS and reduce unnecessary procedures
Linking Evidence to Practice
Trials
support the use of ACE inhibitors in chronic heart failure
Dr Andrew Clark explains why ACE inhibitors should be prescribed
for all patients with evidence of left ventricular systolic dysfunction unless
contraindicated
NEW SERIES: Beacon Awards
Beacon
practice's COPD management strategy is adopted by PCG
In the first of a new series, Dr Ian Eccleston and Kay Holt
describe how their approach to implementing the BTS guidelines has been taken
up by their PCG
Locality Initiative
Shared
care guideline reduces referrals for children with croup
Drs Jack Beattie and James Paton explain how a local, joint
guideline recommending early treatment with corticosteroids significantly improved
outcomes in croup
Guideline Implementation
Primary
care guidelines aim to simplify obesity management
GP Dr Ian Campbell explains why he and other primary healthcare
professionals decided to produce concise guidance on tackling obesity
Electronic Communication
Using information
technology in the modern NHS
In the third article in this series, Dr Nigel Watson argues
that you cannot afford to ignore information technology in the light of new
electronic initiatives in the NHS
Medico-legal Issues in Practice
What
healthcare professionals need to know about PGDs
In the third article in this series, Dr Gerard Panting,
of the MPS, discusses medico-legal issues around the drawing up and implementation
of patient group directions
Key Organisations
The
King's Fund
Dr Stephen Gillam, Director of Primary Care, and Andrew
Bell, Head of Public Affairs, King's Fund
eGuidelines
eGuidelines
update
Guidelines summaries and Guidelines in Practice online at
http://www.eguidelines.co.uk
CLIP Database
Clinical Improvements
Online Database: a new initiative
A new eGuidelines initiative supporting local clinical practice
Questions & Answers
Your problems
solved
Our editorial board answer your questions on the NICE guidance
on zanamivir and inclusion of targets in guidelines
Out of Hours
Guidelines
to the future
Dr Phil Hammond, GP, lecturer and presenter of BBC2's Trust
Me, I'm a Doctor