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Remote asthma consultations in primary care

In a speech on the future of healthcare delivered in July 2020, Matt Hancock, the secretary of state for health and social care, said that ‘Coronavirus has catalysed deep structural shifts in...

Management pathways for erectile dysfunction in primary care

Epidemiological evidence suggests that 8% of men in their 40s report moderate or complete ED and this increases to 40% of men in their 60s (McKinlay, 2000). Risk factors for developing ED are shown in...

Dermatology prescribing update: eczema

Emollients are first line therapy in eczema, this is evidence-based UK guidance (NICE, 2007; 2018; PCDS, 2019). Complete emollient therapy should always be advised, this is: ‘everything that goes on...

Understanding safety-netting in remote consulting

Safety-netting advice is given to patients to prepare them for the possibility that their symptoms and signs may worsen or not resolve as expected, and to help them identify those symptoms and signs...

Rollout of the COVID-19 vaccination programme

‘Practice Nursing provides nurses working in general practice with the tools to reach their full potential and deliver the best possible care to their patients. Our monthly journal informs and...

What a year it has been

‘What a year of extreme changes for providing health care and advice through face-to-face and non face-to-face consultations. The speed in which this was implemented and the ease at which GPNs and...

Management of bleeding in women on HRT

Post-menopausal bleeding is defined as unscheduled vaginal bleeding that occurs a year after the last natural menstrual period (SIGN, 2002), or any breakthrough bleeding on cyclical HRT, or...

Understanding skin infections in older adults

Hahnel et al (2017) investigated the prevalence of skin diseases in older nursing home residents while also exploring the possible associations of these with demographic and medical characteristics....

How to communicate effectively while wearing face masks

Communication can be defined as transaction and message creation. The process of communication occurs in the context consisting of physical space, cultural and social values, and psychological...

COVID-19 and its effect on the nursing team in primary care

April 2020 saw the development of two ‘hot hubs’ in Lewisham, at opposite ends of the borough, to which patients with a COVID-suspected diagnosis were referred. Our local primary care federation, One...

ACT NOW in diabetes and foot assessments: an essential service

There were 7545 major amputations in people living with diabetes in England across three years from 2015–2018 (Public Health England, 2019). There is also a postcode lottery for amputation rates with...

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