Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

NICE Guidance - July 2018

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of July 2018. This month there is one guideline that impacts upon primary care.

The Rheumatoid arthritis in adults guideline has been published, it updates and replaces existing guidance. It covers diagnosing and managing rheumatoid arthritis. It aims to improve quality of life by ensuring that people with rheumatoid arthritis have the right treatment to slow the progression of their condition and control their symptoms. People should also have rapid access to specialist care if their condition suddenly worsens.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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CKS Updates - June 2018

During June 2018 Clinical Knowledge Summaries were published or updated in the following areas.

New topics were published for:

The following topics were all reviewed:

The majority of topics have undergone reviews and minor restructures.

The most significant changes were to the Fungal skin infection - foot topic which has had complications and differential diagnosis nodes added. Management recommendations have been updated in line with the current literature and the Prescribing Information section has been updated and expanded.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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NICE Guidance - June 2018

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of June 2018. This month there is one guideline and one technology appraisal that impact upon primary care.

The Dementia guideline has been published. It replaces a previous guideline from 2006 and covers diagnosing and managing dementia (including Alzheimer's disease). It aims to improve care by making recommendations on training staff and helping carers to support people living with dementia.

The Donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's disease technology appraisal has been updated with the recommendations in section 1.3 replaced by the guideline above.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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CKS Updates - May 2018

During May 2018 Clinical Knowledge Summaries were updated in the following areas.

The following topics were all reviewed:

The majority of topics have undergone reviews and minor restructures.

The most significant changes are to the Fungal skin infection - scalp and Smoking cessation topics. The Fungal skin infection - scalp topic has had complications and prognosis nodes added to the background information section and a differential diagnosis node has been added to the diagnosis section. The Smoking cessation topic has had information added on very brief advice on smoking cessation for adults and pregnant women and recommendations regarding e-cigarettes have been added.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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CKS Updates - April 2018

During April 2018 Clinical Knowledge Summaries were updated in the following areas.

The following topics were all reviewed:

The majority of topics have undergone reviews and minor restructures.

The most significant changes are to the Balanitis and Fungal nail infection topics which have had the management recommendations updated in line with current literature and also the Parkinson's disease topic which has been updated in line with NICE guidance with several sections updated and expanded.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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