Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

CKS Updates - June 2017

During June 2017 Clinical Knowledge Summaries were updated in the following areas.

The following topics were all reviewed:

The topics have undergone reviews and minor restructures. The most significant change is to the Adverse drug reactions topic which clarifies the recommendations for adverse drug reactions (ADRs) reporting in children. Previously it was recommended that all suspected reactions were reported but feedback suggested that this advice was impractical and deterred reporting and as such it is now recommended that reporting should occur in the same way as for adults.

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 2017

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of June 2017. This month there are two guidelines that impact upon primary care.

The Head injury clinical guideline has been updated to cross-reference other NICE guidelines and an outdated research recommendation was deleted. The guideline covers the assessment and early management of head injury in children, young people and adults.

The Spondyloarthritis in over 16s guideline has been updated to clarify the advice on what imaging should be done. The guideline covers diagnosing and managing spondyloarthritis that is suspected or confirmed in adults who are 16 years or older.

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 2017

During May 2017 Clinical Knowledge Summaries were updated in the following areas.

The following topics were all reviewed:

The topics have undergone minor restructures. The most significant change is to the Parvovirus B19 infection topic which has ben renamed from slapped cheek syndrome, it has all had significant restructuring in the Scenarios.

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 - May 2017

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of May 2017. This month there are two guidelines that impact upon primary care.

The Type 2 diabetes in adults guideline covers the care and management of type 2 diabetes in adults (aged 18 and over). It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels and identifying and managing long-term complications. It has been updated to include sodium–glucose cotransporter 2 (SGLT-2) inhibitors in the section on drug treatment and the algorithm for blood glucose lowering therapy has been also updated to include these treatment options.

The Eating disorders: recognition and treatment guideline covers the assessment, treatment, monitoring and inpatient care for children, young people and adults with eating disorders. It aims to improve the care people receive by detailing the most effective treatments for anorexia nervosa, binge eating disorder and bulimia nervosa. The guideline includes recommendations on identifying eating disorders.

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

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CKS Updates - April 2017

During April 2017 Clinical Knowledge Summaries were updated for the following topics:

The following topics were all reviewed:

The topics have undergone minor restructures. The most significant change is that the recommendations on primary care management and referral for Dyspepsia, including the management of severe oesophagitis, have been updated in line with the National Institute for Health and Care Excellence (NICE) clinical guideline and the lower age limit has been changed from 16 to 18 years.

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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