Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

CKS Updates - October 2018

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

The following topics were all reviewed:

The majority of reviewed topics have undergone reviews and minor restructures.

The most significant changes were to the Bell's palsy topic where have been changes to the recommendations on use of antiviral treatment in combination with corticosteroids and referral and the Polycystic ovary syndrome topic where recommendations on the diagnosis of polycystic ovary syndrome (PCOS) in adolescents have been updated in line with guidance issued by the International PCOS Network.

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 - October 2018

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of October 2018. This month there are two guidelines that impact upon primary care.

The Lyme disease guideline has been updated correcting the information relating to treatments for Lyme carditis in children aged 9 to 12 who are haemodynamically unstable.

The Decision-making and mental capacity guideline has been published. It covers decision-making in people 16 years and over who may lack capacity now or in the future. It aims to help health and social care practitioners support people to make their own decisions where they have the capacity to do so. It also helps practitioners to keep people who lack capacity at the centre of the decision-making process.

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

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CKS Updates - September 2018

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

The following topics were all reviewed:

The majority of reviewed topics have undergone reviews and minor restructures.

The most significant changes were to the Impetigo topic where the duration of topical treatment has been reduced to 5 days based on recommendations by Public Health England and the Pelvic inflammatory disease topic where the role of Mycoplasma genitalium and antibiotic treatment is now detailed.

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 - September 2018

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of September 2018. This month there are three guidelines that impact upon primary care.

The Chronic heart failure in adults guideline covers diagnosing and managing chronic heart failure in people aged 18 and over. It aims to improve diagnosis and treatment to increase the length and quality of life for people with heart failure.

The Preventing suicide in community and custodial settings guidelinecovers ways to reduce suicide and help people bereaved or affected by suicides. It aims to:

  • help local services work more effectively together to prevent suicide
  • identify and help people at risk
  • prevent suicide in places where it is currently more likely

The Pancreatitis guideline covers managing acute and chronic pancreatitis in children, young people and adults. It aims to improve quality of life by ensuring that people have the right treatment and follow-up, and get timely information and support after diagnosis.

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

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CKS Updates - August 2018

During August 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 reviewed topics have undergone reviews and minor restructures.

The most significant changes were to the Nappy rash topic where complications and prognosis sections have been added and the differential diagnosis section has been expanded. The Sinusitis topic has had sections added on prevalence, complications and antibiotic choice for acute sinusitis.

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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