post

Flu warning may put the NHS at risk?

Hospitals have been urged to brace themselves this winter season, as other countries have struggled to cope with an outbreak of flu. Some hospitals in Australia have had to close their doors to patients as they have struggled to cope.

The NHS will have to do a great deal of work over the next 2 months to ensure everything is in place to deal with the winter ahead.

GP services will be put under pressure trying to cope with the high demand of flu vaccinations, while hospitals will have to find extra beds.

The reality is that extra funding is needed to help with the existing pressures. It would help to free up extra bed capacity in hospitals, help to recruit more doctors, nurses and care home staff during winter pressures.

post

My Son is my Twin!

It’s been almost 20 years since Dolly the Sheep shocked the world and sparked moral debate regards cloning, but this week has been ablaze with new research findings sparking all kinds of new fanciful concepts like “parenting your non-identical twin” etc.
Earlier this year scientists in China reported they have created human embryos without the use of sperm. They took stem cells and tricked them into becoming a precursor of sperm called primordial germ cells and following this they then tricked them into becoming the next phase in sperm development called spermatids by exposing them to ordinary testicular cells and testosterone. They managed to successfully fertilise mice eggs with this artificial sperm – thus removing the need for male sperm – opening all kinds of doors for male infertility or for the fantasists – a world a without the need for men.
Earlier this week scientists from the University of Bath reported they have evidence that one day we could create babies without the need for eggs. They created mice pseudo-embryos by manipulation of unfertilised eggs and then successfully created real embryos by injecting them with sperm. They argue that pseudo-embryos are much like ordinary cells in many of their properties and their research suggests that it may be possible to achieve fertilisation of cells other than eggs one day. Now our fantasists are dreaming up a world without women.
It just got more exciting for those of you who love this stuff, as a group in China just yesterday reported they have successfully created 30 Human Embryo Clones.
All of this means there is hope on the horizon for couples with fertility problems, with the possibility of all kinds of magical combinations available, especially for same sex couples wanting to have a biological child of their own.
The question now is who will take that first step into the ethical mind storm and bring a cloned human into the world. Dolly the sheep was named after Dolly Parton, as the cloned cell was from a sheep’s udder in reference to the singer’s famous bust. What will the first human be called?

post

Farmer’s Tan

As a nation we love to talk about the weather and in my experience we do so often. It can be a way of starting a conversation with a stranger or a way of breaking an uncomfortable silence with a friend, family member or loved one.
We can’t even escape it if we pick up a newspaper or switch on the television and radio to listen to the news. It can unite us and it can divide us. In fact, so significant is the impact that the weather is having on people that it is no wonder it features regularly as a topical item for discussion.
In relation to healthcare, most professionals dread the winter months, as during this period our elderly and most vulnerable are at the greatest risk from the extremes of the weather.
Primary and secondary care nearly buckles under the weight of unprecedented demand year after year and each winter takes longer and longer to recover from.
Indeed, many who work in healthcare are already bracing themselves for this year’s winter onslaught.
There is already panic spreading into every boardroom of every Hospital and CCG across England, as the sudden realisation dawns upon us that all of the winter pressure wards are still open from last year, so where will we put our patients?
But it isn’t just the cold that we need to concern ourselves with. This year has seen severe snow, lots of rain, flooding and not enough sunshine.
The lack of sunshine becomes even more problematic, especially if we consider sunshine in relation to Vitamin D. Small amounts of Vitamin D can be obtained from food such as oily fish, eggs and fortified cereals, but mostly it is synthesized by the body through exposure to sunshine.
Vitamin D deficiency can lead to bone and muscle problems – yet another impact of the unpredictable weather patterns here in England.
The question therefore is, “should everybody in England be on Vitamin D supplements at certain times of the year?” Previous advice suggested this should be the case, particularly for pregnant women, people who are not exposed to the sun regularly and ethnic minority groups with dark skin.
New guidelines from Public Health England extend this advice to cover everybody in the UK during autumn and winter months.
The advice from Public Health England is supported by research carried out by the University of Manchester and Salford Royal Hospitals.
In a study of white children aged 12-15 it was found that 16% of those involved had lower than required levels of Vitamin D in their blood by the end of the summer period. This study focused on one season of the year and when it was extended to cover all four seasons, the study concluded that 75% of those involved failed to reach the level it should be by the end of winter.
As such, future studies are now underway focusing on people aged 65-84. The impact of poor muscle and bone health will be another significant health concern and financial headache for the NHS in the future, especially with an ageing population.
If 1 in 5 of the population will not get the necessary Vitamin D from the sun that is required to prevent bone disease, then action must be taken.
Regardless of how impractical or undesirable it is, the only course of action is to consider supplementation for all. At first glance, this may seem like yet another thing for GPs to do in their already busy day. But, if Vitamin D was prescribed to all during autumn and winter then these recommendations have the potential to alleviate some pressure on services, at the very least by avoiding the need to refer patients for screening for Vitamin D deficiency.

post

CPD Events

As a Locum it can often be difficult to get those essential elements completed for your Annual Appraisal.

BLS needs to be updated annually. Safeguarding needs to be updated every 3 years.

You also need 2 SEA discussions per year.

If you’re not in a regular surgery you often get overlooked when it comes to in-house training and meetings.

That’s why we offer to organise Free CPD events for our members.

If you have any requests then drop us an e-mail on cpd@dealdirectlocums.com with your requirements and we will try to facilitate these.

Thanks to those who attended our last BLS and AED course in November held in Manchester – We believe the Krusty Crème Donuts went down a treat!