This article looks back on the early days of general practice and emergency medicine. Knowing something about medicine's past and history helps debunk the myth of the Good Old Days.

The post History: learning from the bad old days first appeared on Pavilion Health Today.

The Additional Roles Reimbursement Scheme (ARRS) should allow primary care practices to recruit staff according to their populations’ priority without having to navigate pointless bureaucratic red tape.

The post ARRS: Bureaucracy and red tape are undermining a promising development first appeared on Pavilion Health Today.

A key tenet of safe hormone replacement therapy (HRT) prescribing is ensuring that women with an intact uterus receive progesterone to protect the endometrium from the risk of hyperplasia and carcinoma.

The post A practice-based survey of HRT prescribing – is endometrial protection in place? first appeared on Pavilion Health Today.

The NHS currently functions as predominantly an emergency service, and the elective element of secondary care seems permanently broken.

The post Has the NHS become purely an emergency service? first appeared on Pavilion Health Today.

Studies support the widely held belief that early detection and treatment of cancer improves outcomes in terms of cure or prolonged survival. This is a retrospective survey of recent cancer diagnoses in a primary care setting analysing patient pathways to diagnosis.

The post A practice-based survey of new cancer diagnoses: are referrals being made promptly? first appeared on Pavilion Health Today.

With the UK in the grip of another wave of Covid-19 added to the usual demands of the winter, Dr Edin Lakasing asks if the default government strategy of resorting to lockdown after a spike in cases is working.

The post The limits of lockdown and lasting impact on health inequality first appeared on Pavilion Health Today.

Electroconvulsive therapy (ECT) is a well-established treatment for several psychiatric conditions but can easily slip under the radar when considering treatment options. This article and case study discusses the role of ECT in affective disorders of the older patient.

The post Electroconvulsive therapy in bipolar affective disorder first appeared on Pavilion Health Today.

Although three-quarters of patients wish to die at home, only a quarter actually do so. A more concerted effort in primary care can increase the chances of a terminally ill patient fulfilling this wish. Liaison between the primary healthcare team, patient, relatives and carers, outside agencies and secondary care is essential to the success of domiciliary palliative care. The common symptoms such as pain, nausea, vomiting, constipation and breathlessness can usually be managed with medication at home.

The post Palliative care in primary care first appeared on Pavilion Health Today.