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📢 Your Monday briefing for UK doctors. Start your week informed with an overview of news to support your clinical practice.
🆕 Guidance to know
NICE has updated four technology appraisals for type 2 diabetes and has withdrawn guidance on four further medicines as part of its first test of a new approach to keeping all guidance aligned. In addition, around 1,000 people with HER2-low advanced breast cancer can now be offered Enhertu following NICE’s recommendation for routine NHS use.
💊 Clinical news
People with cancer will benefit from stronger national leadership to improve diagnosis, treatment and care, as the reformed National Cancer Board meets for the first time today. It will scrutinise progress against more than 100 commitments in the National Cancer Plan – including early diagnosis, treatment and quality of life – identifying which areas are falling behind and advising ministers on where further action is needed to ensure every patient receives the best possible care.
💡 Practice point
An expansion of the Pharmacy First Scheme means that, from autumn, patients can receive quicker, more convenient treatment for migraines, acne, scabies, ear infections and rhinitis at hundreds of pharmacies in England without seeing their GP first, but there are fears this will undermine GPs.
🔬 Research in practice
A new Cochrane review led by the University of Exeter has found that personalised programmes designed to reduce falls in older people may make no difference to how often people fall or the risk of falling, compared with offering falls advice or education.
📌 On the radar
The Government has set out immediate steps to strengthen patient safety and safeguarding following the Thirlwall Inquiry, surrounding the crimes committed by former neonatal nurse Lucy Letby at the Countess of Chester Hospital. Urgent work will begin on neonatal ‘cot cams’ to improve safety and reassure parents of babies in hospital. Action also includes tougher accountability for NHS managers, stronger inspections and safeguarding reforms.
🗣️ Alerts
A National Patient Safety Alert has been issued to reduce risks associated with patient hoists. Healthcare providers, care homes, and community care services have been urged to strengthen safety checks and maintenance procedures following the Medicines and Healthcare products Regulatory Agency (MHRA) publishing a new National Patient Safety Alert (NatPSA).
