GP articles from January 2007

GP archives from January 2007

DoH plans a funding cut to limit GP profits.(Department of Health)
January 26, 2007... NHS Employers' negotiators say they will underpay for new work or cut pay for existing work to limit the proportion of income practices take as profit. But GP leaders could take legal action if profits are restricted to a proportion of...

Exclusive: Hewitt is 'poor', but Germans have it worse, says GP survey.(Patricia Hewitt)(a survey of general practitioners)(Brief article)
January 26, 2007... Patricia Hewitt is one of the least popular health secretaries in Europe, according to GP's latest European Barometer poll. A total of 87 per cent of UK GPs described her performance as 'poor' or 'very poor'. This was worse than her...

Statins halve deaths among COPD patients.(chronic obstructive pulmonary disease)(Brief article)
January 26, 2007... Statin treatment can almost halve the death rate among COPD patients, Norwegian research has shown. It is likely that undiagnosed ischaemic heart disease (IHD) in COPD patients is improved by statin use, explaining a higher survival rate...

Antifungal discovery.(Brief article)
January 26, 2007... A breakthrough by Korean scientists could enable complicated antifungal treatments to be developed. The basis of the treatments would be a technique to create specially configured tertiary alcohols, which are found in a variety of...

Stem cell hope for diabetes treatment.(Brief article)
January 26, 2007... Stem cells that pass from mother to child in the womb may lead to a novel treatment for type-1 diabetes, according to US research. People with type-1 diabetes were found to have around twice as many cells with a maternal origin than...

Daily selenium doses may boost HIV therapy.(human immunodeficiency virus)(Brief article)
January 26, 2007... Taking daily selenium supplements could be a cheap and simple adjunct to therapy in patients with HIV, suggests US research. The mineral has been found to suppress the progression of HIV-1 viral load and improve CD4 counts. For the...

Clinical Review this week.
January 26, 2007... Dermatology Dr Vishal Madan, specialist registrar, and Dr John Lear, consultant dermatologist at The Dermatology Centre, Hope Hospital, Salford and Central Manchester and Children's Hospitals NHS Trust, Manchester, review the diagnosis,...

Research Brief: Binge drinking key to alcohol problems.(Survey)(Brief article)
January 26, 2007... Most alcohol-related problems are caused by excessive drinking and not alcoholism, say US researchers. Data from 4,761 adults from New Mexico who completed a telephone survey about health-related risk behaviours and outcomes was analysed for...

Research Brief: BP drug aids muscular dystrophy.(losartan)(Brief article)
January 26, 2007... The BP drug losartan (Cozaar) could help treat muscular dystrophy, according to US research. Mice engineered to develop Duchenne muscular dystrophy (DMD) were treated for nine months with losartan. The muscles of treated DMD mice, untreated...

Research Brief: Brain damage makes quitting smoking easier.(Brief article)
January 26, 2007... Smokers with damage to the insula region of the brain are able to quit immediately, suggest US research findings. The findings suggests this brain region is key for nicotine addiction. The study involved 69 smokers who had suffered brain...

Research Brief: Raynaud's treatment goes with a bang.(use of nitroglycerine gels)(Brief article)
January 26, 2007... A gel made from nitroglycerine could offer relief to sufferers of Raynaud's disease, say US researchers. The gel, which is for application to the hands and feet, works by widening the blood vessels allowing an increased blood flow to the...

Exclusive: GP post-op checks not compulsory.(Brief article)
January 26, 2007... DoH primary care czar Dr David Colin-Thome has defended his proposal for GPs to carry out post-operative checks, saying some GPs are presented with these problems anyway. The proposal is being considered as part of his follow-up report to...

Basis for prescribing statins must change.(Brief article)
January 26, 2007... Statin prescribing should not be based only on clinical targets specified in the quality framework, a leading cardiovascular GP has claimed. Instead, focus should be placed on prescribing statins at evidence-based dosages, recommended...

Suffolk PCT set to force a switch from PMS to GMS.(primary care trusts)(Brief article)
January 26, 2007... All PMS GPs in Suffolk are set to have their contracts renegotiated, following a meeting with the PCT, according to Suffolk LMC. The DoH had told PCTs to consider axing PMS contracts where they were not comparable in cost to GMS (GP, 17...

Flu campaign extended.(Brief article)
January 26, 2007... GPs may continue to offer seasonal flu vaccination to patients in January, according to the DoH. A letter, by Dr David Salisbury, DoH director of immunisation, has been sent out to all GPs in England providing an update on the seasonal...

Exclusive: 75% of GPs condemn government as 'poor'.
January 26, 2007... Almost three quarters of UK GPs believe the government is doing a poor or very poor job, according to GP's European Barometer. Asked which political party they felt closest to, 44 per cent chose the Conservatives. Labour was ranked third...

SSRIs double fracture risk in elderly.(selective serotonin reuptake inhibitors)
January 26, 2007... GPs should be alert to an increased risk of bone fracture among older patients taking SSRIs, suggest Canadian research findings. The study of over 5,000 people older than 50 years showed that those taking SSRIs had double the risk of...

Diabetes commissioning tool kit.(primary care trusts to use a tool developed by Primary Care Diabetes Society)(Brief article)
January 26, 2007... A scheme piloting a commissioning tool for diabetes has been launched. Six PCTs are expected to trial the tool kit, which was developed by the Primary Care Diabetes Society and other organisations. Several PCTs have already used the tool...

Medical training website opened by DoH.(United Kingdom' Department of Health)(Brief article)
January 26, 2007... The online application service for medical training posts opened this month, slightly ahead of schedule, the DoH has announced. The site supports recruitment into the new specialty training structure under Modernising Medical Careers....

Medical breakthrough poll results.(Brief article)
January 26, 2007... Clean water and sewage disposal have been voted the top medical breakthroughs since 1840 in a poll by the BMJ. More than 11,000 votes were cast, with 1,795 backing sanitation. Antibiotics were second with 1,642 votes, and anaesthesia came...

GP returner schemes successful.(Royal College of General Practitioners and General Practitioners Committee calls for reinstatement general practitioners)(Brief article)
January 26, 2007... The GPC and RCGP have called for the reinstatement of training programmes to bring experienced GPs back to work. Returner schemes brought 550 GPs back to work between 2002 and 2006, but have virtually disappeared since the DoH cut funding for...

GPs needed for Cambodian volunteer work.(general practitioners)
January 26, 2007... GPs are being sought as volunteers by charity ActionAid to help a poor village in Cambodia build a community centre for children, women and people living with HIV and AIDS. The building will act as a school, surgery and a refuge. The project...

Tories want outcomes to set GP pay.(general practitioners, Conservative Party )
January 26, 2007... GPs' pay will be increasingly dependent on patient surveys, clinical outcomes and even patient experiences of secondary care if the Conservative Party gains power. Launching a renewed health policy this week, Tory leader David Cameron...

Private providers fail on continuity of care.(health service privatization trends and forecast)(Brief article)
January 26, 2007... Private provision of GP services is already adversely affecting continuity of care, and the picture is set to worsen, according to a report from Keep our NHS Public. 'Patchwork Privatisation of Our Health Service', compiled by the...

Patients to offer GP feedback on new DoH website.(United Kingdom' Department of Health, general pracitioner)(Brief article)
January 26, 2007... Patients in England may be able to post blog-style feedback about GP services on a DoH-run website this year. GP leaders have warned that the site will have to be carefully monitored to ensure slanderous comments are not allowed. The...

Food Allergy and Intolerance Week.(survey of food allergy sufferers on treatment by health care professionals )(Brief article)
January 26, 2007... Food allergy sufferers feel that their symptoms are treated dismissively by health care professionals according to a survey by the charity Allergy UK. It surveyed 5,200 people with adverse food problems and published the results to mark Food...

GPC calls for a pounds 1,500 electronic records DES.(General Practitioners Committee, directed enhanced service)
January 26, 2007... GP leaders want a directed enhanced service (DES) scheme for the national care record scheme in England, worth pounds 1,500 for 2008/9. The DES would compensate practices for the time it takes to talk patients through the implications of...

GPs must diagnose and treat problem gambling.(general practitioners, gambling addiction regulation)(Brief article)
January 26, 2007... GPs should view gambling as a recognised addiction and provide patients with gambling therapy, according to the BMA. UK legislation, due in September will increase gambling facilities and may result in a rise in problem gambling,...

Music to the ears.(general practitioner recommends orchestras to have their own GP)(Brief article)
January 26, 2007... Stage fright, hearing loss and burn out - life as an orchestral musician might not always be harmonious. GP Dr Jonathan White, who practises in Wolverhampton and is an amateur organist who works with the City of Birmingham Symphony Orchestra,...

'End treatment delay for psoriasis'.(patient group asks general practitioners to provide quick treatment)
January 26, 2007... Patients with severe psoriasis face unacceptable delays in treatment, according to a patient group campaigning for PCTs and GPs to prioritise these patients. The Skin Care Campaign (SCC) has sent a letter to all primary care...

Behind the headlines: Could chicken eggs cure cancer?(transgenic chickens used to treat cancer)
January 26, 2007... Transgenic hens appear to have a major role in the production of future life-saving drugs. Rachel Liddle reports. What is the story? Chickens have been genetically modified to lay eggs containing life-saving drugs, according to media...

Will PBC destabilise local hospitals?(general practitioners signs up with practice based commissioning scheme)
January 26, 2007... GPs may want to consider the effects of setting up new services under PBC. Edward Davies looks at the debate. The DoH's pending announcement on practice-based commissioning (PBC) figures is expected to say that almost all, if not all GPs...

Opinion: From the brim to the dregs.(Column)
January 26, 2007... Drinking the cup of degradation to its bitterest dregs is a favourite hobby of mine, and such vices are (usually) only available in the fleshpots of the city. But my roots run deep, as visceral and atavistic as the peat; the savage heart...

Opinion: The day I defeated the toenail.(surgical procedures of nail removal)(Brief article)
January 26, 2007... A new practice. They had seemed to want me despite my stringent working conditions. These total one only - I don't do toenails. That's it. Simple, succinct, unassuming even. Think of the great number of things which, by implication, I do...

Editorial: Hewitt in danger of facing a reality check.(Patricia Hewitt)(Editorial)(Brief article)
January 26, 2007... Patricia Hewitt is almost the most unpopular health minister in Europe - she is just pipped to the title by her German counterpoint who has faced doctors' strikes - according to our exclusive Eurobarometer survey of GPs. The poll was...

Opinion: How to rescue the NHS.(National Health Service)(Column)
January 26, 2007... The NHS is close to meltdown, yet the government is stubbornly ploughing on with its reforms, oblivious to the damage it is causing. Logic and professional opinion count for nothing: the government is sleepwalking into destroying the NHS. The...

Clinical: Journals Watch - Causes for carpal tunnel syndrome.
January 26, 2007... Too busy to read the journals? Let Dr Elisabeth Croton guide you through the latest research. Risk factors for carpal tunnel syndrome Br J Gen Pract 2007; 57: 36-9 I have seen three cases of carpal tunnel syndrome this week, all...

Clinical: Websites covering actinic keratosis.(www.dermatology.co.uk/sun/sundamage/ article/article.asp?ArticleID=1379)(www.agd.org/library/2006/july/gd/Huber_DART%20179.pdf)(www.emedicine.com/derm/topic9.htm)(http://skincancer.dermis.net/ content/e04typesof/e157/e158/index_eng.html)(www.aafp.org/afp/20000715/357.html)
January 26, 2007... A pick of the best websites on actinic keratoses. TREATMENT OF ACTINIC KERATOSES It is hard to find a site that deals with the treatment of actinic keratoses alone, but this site does the job. Topical therapies, physical therapies...

Clinical: Topical management for actinic keratoses.(Disease/Disorder overview)
January 26, 2007... Contributed by Dr Vishal Madan, specialist registrar and Dr John Lear, consultant dermatologist at The Dermatology Centre, Hope Hospital, Salford and Central Manchester and Children's Hospitals NHS Trust, Manchester. 1. EPIDEMIOLOGY AND...

Clinical: How to identify and manage bronchiectasis.(Disease/Disorder overview)
January 26, 2007... Dr Peter Davies discusses the symptoms and treatment of bronchiectasis. Bronchiectasis can be an illness in itself, or it may be a part of another condition such as cystic fibrosis (CF). It can be diagnosed either by pathology, or by...

Clinical: Case Study - Severe chest pains may have rare cause.
January 26, 2007... A patient with excruciating chest pain became an emergency. Dr Keith Barnard explains. I knew Mr Jackson from when he had an MI about three years ago, but had not seen him since. I was called to see him at the end of a Monday morning...

Registrar: Medico-Legal - Act if a colleague causes concern.
January 26, 2007... Do not ignore addiction or health problems if they affect a doctor's performance, says Dr Anahita Kirkpatrick. While it remains unusual for a doctor's health to put a patient in danger, each year the Medical Defence Union (MDU) advises a...

Registrar: MRCGP Exam Update - AF and anticoagulation.(Atrial Fibrillation)
January 26, 2007... Current situation - The prevalence of AF doubles with each advancing decade from the age of 50 years. - AF is an independent risk factor for developing a stroke; its presence increases the risk five-fold. The most important...

Registrar: Pictorial Case Study.(Brief article)
January 26, 2007... THE CASE A 19-year-old woman presented because of the recent onset of breakthrough bleeding. She has been taking the same oral contraceptive Pill for two years, she has not forgotten any pills or had diarrhoea or vomiting. She has been...

Registrar: A guide to ophthalmology.(Ophthalmology in Primary Care)(Brief article)(Book review)
January 26, 2007... BOOK - Ophthalmology in Primary Care; Dr Amar Alwitry, ISBN 9780850843040. Price pounds 24.95 GPs do not need to know the complexities of ophthalmology, but do need to learn to treat ophthalmology patients in the context of a busy...

Registrar: A registrar survival guide ... surviving heartsink patients.(Brief article)
January 26, 2007... - Don't reinvent the wheel Every practice has them: the frequent attenders, the somatisers and the just plain frustrating. When a doctor joins the practice, open season begins among them. The chance of a new listening ear becomes too...

Registrar: Jargon Buster - Information prescriptions.(Brief article)
January 26, 2007... What are they? Information prescriptions will direct people to relevant, personal sources of information about services and treatments they need at key points in their care journey, for example, at diagnosis, for care planning or on discharge...

MedEconomics: GP Finance - How to ... cut admissions using PBC data.(practice based commissioning)
January 26, 2007... Redesigning services under PBC is helped by PCTs providing individual patient data on issues such as admissions. Jennifer Taylor reports. High-quality patient data is crucially important for identifying ways in which GPs commissioning...

MedEconomics: Win a multi-functional printer.(competitions)
January 26, 2007... Enter the GP competition to win a Brother all-in-one office machine. GP has three Brother MFC-8860DN printer, copier and fax machines - worth pounds 449 each(i) - to give away. Save time and money for your practice with a Brother...

MedEconomics: Opportunities for returner GPs.
January 26, 2007... GPs considering career breaks or a return must plan carefully, say Dr Rebecca Viney and Dr Victoria Weeks. The past five years have seen a steady increase in the number of women qualifying as doctors and this is mirrored by the increase...

MedEconomics: Online access helps patients with self-care.
January 26, 2007... Online records help patients to help themselves, says Dr Andrew Johnson. As a GP I have always believed that it is better to push primary care forward rather than wait for somebody to drag it back. With that in mind our practice...

MedEconomics: Developing software to earn more points.
January 26, 2007... Dr Arun Aggarwal's software shows which quality areas are most worth targeting. I am a job-sharing GP, working three quarters of the time, in a market town. I have been involved in audit and quality issues for 12 years including running...

MedEconomics: Intensive clinics can boost points.
January 26, 2007... A new approach to disease management helped one practice gain 125 quality points. Lucie Benson reports. For 2005/6, Dr Ganesan Iyer's practice in south west London increased its quality score by 124.47 points to 435.37. So notable...

MedEconomics: Primary Care in Europe - Lessons learnt from a European trip.
January 26, 2007... Returning home from Europe, Dr Gerald Michael reflects upon the good and bad of UK practice. Having interviewed GPs throughout Europe, I have returned to the UK feeling more positive about UK general practice than before. We British...

MedEconomics: Claiming tax and partnership disagreements.
January 26, 2007... WORKPLACE BULLYING One of our receptionists has complained to a partner about being bullied by the practice manager. She said she is considering resigning and claiming constructive dismissal. What should we do to resolve the situation?...

GP Life: The reluctant trekker.
January 26, 2007... Dr Gwen Lewis surprised herself by enjoying an arduous trek across the Andes. I was so excited at going to Argentina and Chile that I did not pay much attention to the activities being planned. White-water rafting I had done before,...

GP Life: Online photo albums - www.flickr.com.(services)(Brief article)
January 26, 2007... Photo albums are big, heavy and cumbersome - unless, of course, they are online like the easy-to-use Flickr site. Life before the digital age was so simple. You went on holiday, to a wedding or just a pleasant walk in the country, took...

GP Life: Could genealogy be better than sudoku?(tips on searching family trees)
January 26, 2007... Yes, it's a compelling brain exercise, says Dr Dan Rushen. Exercising the brain regularly is one way of reducing the chances of spending all of your NHS pension on boosting the profits of the local nursing home. I do sudoku and...

My perfect weekend: Brighton.(travel)
January 26, 2007... 'Brighton? But it's rowdy and druggy and there are a lot of weirdos.' Our friend's reaction to our much anticipated short break was not what my wife and I wanted to hear. The day we arrived, the grey sea was whipped to a creamy foam and...

GP gadget: Recordable DVD player.(general practitioners, Sony RDR-HXD860)(Product/service evaluation)(Brief article)
January 26, 2007... Model: Sony RDR-HXD860; Cost: pounds 400; Available: Sony stores, John Lewis. For the next few months, the television channels are bursting with excellent films. Unfortunately, the surgeries are also bursting with seasonal sniffles and...

Plain tales from the surgery.(humor)(Brief article)
January 26, 2007... COLOURFUL LANGUAGE My dictated letter to the hospital consultant was meant to end: 'Please would you follow this up? Yours sincerely'. However, a momentary lapse in concentration in our secretary resulted in a small alteration...

Independent Nurse: NMC standards for prescribing CPD delayed until at least April.(Nursing and Midwifery Council )(Brief article)
January 26, 2007... Nurse prescribers feel 'isolated' and unsupported after delays have hit NMC guidance on continuing professional development (CPD) and PCTs are slashing training budgets. A year after the NMC issued training standards on prescribing for...

Independent Nurse: DoH 'unable' to address unlicensed Mantoux test.(United Kingdom's Department of Health regulation)(Brief article)
January 26, 2007... Nurses may not ever be able to prescribe Mantoux tests without a doctor's signature after the DoH has admitted it is unable to change the situation. Last March NICE issued new guidance on diagnosing and treating TB in response to its...

Independent Nurse: Statin switch may raise mortality.(Brief article)
January 26, 2007... An audit of patients in Stoke-on-Trent has indicated that switching patients from high dose branded statins to generics may increase the risk of death. In a letter to the Lancet, cardiologists from City General Hospital said that in...

Independent Nurse: DoH tool to predict hospital admissions.(United Kingdom Department of Health)(Brief article)
January 26, 2007... The DoH has introduced a predictive tool to identify all patients with long-term conditions at risk of unplanned hospital admissions. The Combined Predictive Model is based on the Kings Fund tool 'Patients At Risk of Re-hospitalisation'...

Independent Nurse: Charities advise on commissioning care.(online health care information service launched)(Brief article)
January 26, 2007... Three leading patient charities have launched a website tool to help PCTs and practice-based commissioners commission the services wanted by patients with long-term conditions. The 'Commissioning Toolkit for Long-term Conditions' has...

Independent Nurse: IT - RCN publishes online guides.(Royal College of Nursing, nursing and patient information sharing guidelines)(Brief article)
January 26, 2007... The RCN has published two online guides on patient confidentiality and e-information including electronic patient records (EPRs). The 'competency framework for information sharing in nursing practice' sets core standards for sharing patient...

Independent Nurse: Smoking - Deprived areas have more success.(Brief article)
January 26, 2007... Deprived areas have had more success in encouraging people to quit smoking than more affluent areas according to the Healthcare Commission. In a national report, the watchdog said deprived PCTs were reporting the most innovative practices,...

Independent Nurse: Workload - Amicus/CPHVA asks members to get in contact.(Community Practitioners' and Health Visitors' Association)(Amicus Trade Union)(Brief article)
January 26, 2007... Amicus/CPHVA is asking members to get in contact if they believe the demands of NHS managers are affecting their health and ability to do their job. The move follows the case of a health visitor awarded pounds 64,000 after suffering a...

Independent Nurse: Patient Care - British Psychological Society research.(Brief article)
January 26, 2007... Nurses who lack empathy cause patients to suffer fear, confusion, depression and decreased motivation to comply with treatment according to research from the British Psychological Society. Nurses interviewed believed empathy was 'personality'...

Independent Nurse: Child Protection - Northern Ireland health department announces reform.(Brief article)
January 26, 2007... Northern Ireland's health department has announced a wide-ranging reform of child protection services including single assessment framework, agreed regional thresholds for access, strengthening community child protection teams and improved...

Independent Nurse: Unions angered by attempts to 'blackmail' nurses on pay.(Brief article)
January 26, 2007... Nursing unions are adamant they will not be blackmailed by the DoH into accepting below inflation pay rises in return for security of pensions for nurses moving out of NHS organisations to work for other providers. A draft DoH workforce...

Independent Nurse: Journals Watch - Anti-hypertensive drugs ranked in terms of diabetes risk.(Brief article)
January 26, 2007... A review of 22 clinical trials covering over 143,000 patients found ARB and ACE inhibitors are least likely to be associated with incident diabetes. ACE inhibitors had half the risk of diuretics. (The Lancet 2007;369:201-7).

Independent Nurse: Journals Watch - Aspirin minimises adult asthma.(medical research)(Brief article)
January 26, 2007... Low dose aspirin daily can lower the risk of adult-onset asthma, suggests US research. The study followed 22,071 male doctors, aged 40-84, for 4.9 years. Among those who took aspirin, 113 new cases of asthma were diagnosed, compared with 145...

Independent Nurse: Journals Watch - Skin thermometers reduce diabetic ulcer risk.(Brief article)
January 26, 2007... A study assigned 173 patients with a history of diabetic foot ulceration to treatment with skin thermometers, structured foot examinations or standard care. Follow-up over 15 months found 8.5 per cent of patients using thermometers developed...

Independent Nurse: Journals Watch - A positive treatment for SAD.(seasonal affective disorder treated with phototherapy)(Brief article)
January 26, 2007... Almost 100 patients with seasonal affective disorder (SAD) were treated with either a stimulator emitting negatively charged oxygen particles during the final hours of sleep or light simulation techniques. A US study found 48 per cent of the...

Independent Nurse: Vital Statistics - Heart disease.(Brief article)
January 26, 2007... 35.9% fall in premature death from CHD since 1996 28% reduction in premature heart death inequalities across the UK 258 extra consultant cardiologists in post since September 2005 Source: 'Shaping the Future' Coronary Heart Disease...

Independent Nurse: N Ireland produces prescribing guide.(Northern Ireland)(Brief article)
January 26, 2007... Northern Ireland has produced guidance for implementing independent nurse prescribing from the full formulary. The guide, for health professionals and employers, provides advice on who is liable for prescribing mistakes as well as how to...

Independent Nurse: 1 in 10 practice nurses receive no appraisal.(Brief article)
January 26, 2007... A quarter of practice nurses do not feel arrangements are in place to meet their CPD requirements, according to a report from the National Audit Office (NAO). The NAO found that almost all GP respondents had received an annual appraisal,...

Independent Nurse: The 'Queen's Nurse' is back.(Queens Nursing Institute to give 'Queen's Nurse' distinction to primary care nurses)(Brief article)
January 26, 2007... The Queens Nursing Institute (QNI) has decided to reinstate the title 'Queen's Nurse' as a distinction for nurses working in primary care and the community. Nurses will have to apply for the title and provide supporting evidence...

Independent Nurse: World Outbreak Information - Week beginning 22 Jan.(Brief article)
January 26, 2007... IRAN Approximately 100 suspected cases of Crimean Congo haemorrhagic fever were reported in 2006. It is transmitted by tick bites or exposure to the blood and secretions of infected individuals. KENYA The WHO has reported an...

Independent Nurse: Europe now a risk area for tick disease.(tick-born encephalitis outbreak in Europe)(Brief article)
January 26, 2007... Travel health nurses are unaware that tick born encephalitis is becoming endemic in mainland Europe and are not providing the correct advice to travellers, according to a survey. The survey of 107 nurses by the Tick Alert campaign found...

Independent Nurse: Care homes and councils fail elderly.(nursing homes)(Brief article)
January 26, 2007... One third of care homes fail standards on managing medication safely, according to a report from the Commission for Social Care Inspection. Its annual report also found councils are continuing to tighten eligibility criteria for free...

Independent Nurse: News focus - Postgraduate training under threat.
January 26, 2007... The DoH is considering leaving postgraduate training to market forces. Judy Sands looks at the potential effects. A leaked DoH workforce planning strategy for 2008/11, published this month in a management journal, predicted a massive...