Archive | CPD

CPR Explained

The new resuscitation guidelines emphasise the importance of good quality CPR with minimal “hands-off” time.  With complex ALS algorithms, and having to remember how many cycles you should go through before adrenaline etc… it’s easy to think that the chest compressions are the easy bit.

However the compressions are the most evidence-based component of resuscitation, so it makes sense to ensure that it’s being done well.  This video, taken from the sparky website, goes through these “basic” skills with a practical approach.

Note that this video was filmed before the latest guidelines were published, but there are few relevant differences that I can notice.

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New Resuscitation Guidelines published

New guidelines for resuscitation have been launched today by the International Liaison Committee on Resuscitation (ILCOR).  These represent collaborative work between the resuscitation councils of different regions, including Europe and America.

The content of these guidelines has been kept under wraps for several months, however an important message being sent out is that the new guidance will be phased in according to local resources… therefore hesitation to implement CPR because of confusion between guidelines is to be avoided.

The new guidelines are available from today at the ILCOR website.  The UK Resuscitation Council has also updated its website.

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Diploma in Remote and Offshore Medicine

The Royal College of Surgeons Edinburgh have just released details the new Diploma in Remote and Offshore Medicine.

Aimed at all healthcare providers working in remote and offshore locations, the diploma is based around online CPD modules, along with an eLogbook and access to feedback from tutors.

Modules include topics such as dive medicine, aviation, occupational health, trauma and medical emergencies.   There are further optional modules in expedition & wilderness medicine, tactical medicine and relief/disaster response.

Full details can be found at the Diploma’s website.

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Being a new mother in rural England

Another report from the Commission for Rural Communities has been published, this time focussing on the challenges of providing and accessing maternity services in rural areas [link no longer available].

Recent health policy has focussed on patient choice.  However, as the report states: “Delivering these choices in rural areas, presents particular challenges. With less availability and variety of provision in rural localities, choice can often only be exercised by women who are able to draw on their own resources, particularly in relation to capacity to access information and transport. It is therefore unclear whether ‘choice’ in maternity services actually helps to address inequalities but may instead serve to aggravate them.”

RuralGP was alerted to this item via the Institute of Rural Health Newsflash, a regular compilation of rural health items which is sent to IRH Associates.
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Being a young carer in rural England

“In the UK there are 175,000 children under the age of 18 who are informal (unpaid) family carers. There are also 230,000 young adult carers aged 18-24, Rural young carers face particular barriers in accessing and receiving services and support, compounded by distance, lack of adequate public transport, isolation, stigma and lack of privacy”.

This report from the Commission for Rural Communities highlights the challenges and barriers for young carers, that are particular to living in a rural area.

RuralGP was alerted to this item via the Institute of Rural Health Newsflash, a regular compilation of rural health items which is sent to IRH Associates.
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RCGP Pandemic Forum

The Royal College of General Practitioners is hosting a forum in Leeds on Thursday 18 March to discuss a wide range of issues relating to the recent threat of pandemic flu. The RCGP is keen to have input from all primary care professionals who were affected by the decisions made to counter it in order to learn from experiences and contribute to future pandemic planning.

The RCGP Pandemic Forum will provide a platform to candidly discuss all aspects of the 2009 swine flu pandemic. Within a structured environment, it will analyse the pandemic strategy and how it worked in theory and reality.

This is an ideal chance to contribute towards future planning and decision making, based on personal experiences of those involved and insights from colleagues across the spectrum of healthcare provision and policy (both from the UK and overseas).

The Forum will be of interest to anyone involved in primary care including GPs, PCT Medical Directors, PCT Managers, Practice Managers and Practice Nurses.  Full details can be found on this PDF or via the RCGP

To register your attendance, visit or download an application form. RCGP Members can attend for £99 / Non-RCGP Members: £149.

Please direct all enquiries to our Forum organiser, Terri Myers – / 020 7344 3065.

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Pharmaceutical Needs Assessments (PNAs)

Your chance to reply to the consultation…

The consultation document for “Pharmacy in England: building on strengths – delivering the future – Draft regulations under the Health Act 2009” was published in early December.  After consultation in late 2008, two clauses were added to the Health Bill 2009 (now the Health Act 2009).  These required Primary Care Trusts to develop and publish pharmaceutical needs assessments (PNAs), and then to use PNAs as the basis for determining market entry to NHS pharmaceutical services provision

In July 2009, a regulatory Advisory Group drawn from interested parties (including the Dispensing Doctors Association) was set up to translate these proposals into reality.  The Department of Health is now seeking comment on the first set of draft regulations regarding PNAs.

These regulations will come into force in 3 months despite the consultation ending in just over 8weeks. Primary Care Trusts, however, will not be required to produce their first PNA until February 2011.  The current market entry system( set out in the NHS (Pharmaceutical Services) Regulations 2005 as amended and accompanying guidance) will remain in force until the regulations in the Health Act are brought in. This is planned to take place from April 2011.

The DDA will of course be responding.  Rural dispensing GPs and dispensing patients may however wish to put their own point of view to the consultation.  Responses should be sent by 28 February 2010 to

Consultation documents

Download Consultation document, draft regulations and guidance (PDF, 228K)
Download Consultation response form (RTF, 137K)
Download Draft regulations (PDF, 84K)
Download Draft information for Primary Care Trusts (PDF, 384K)
Download Impact Assessment (PDF, 2065K)

Thanks to Aidan Egleston of the DDA for this article.

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PBSG what?

There seems to be two types of Scottish GP at the moment, those who are doing Practice Based Small Group Learning and those who are likely to be soon.  The initiative, supported by NES (NHS Education for Scotland) involves small groups of GPs, Registrars and Practice Nurses getting together to do some scenario-based learning, on topics as diverse as “Family Physician Stress” to “Chronic Kidney Disease” to “ADHD”.

The idea was brought across from McMaster University, where our Canadian GP colleagues have been using this style of learning for some time.  They’ve developed a vast range of scenario-based modules, and from humble beginnings, there are now waves of Scottish GPs signing up to be involved.  Importantly, more and more of the Canadian-written modules are being “tartanised”, so that acetaminophen reads paracetamol, and the dynamics of Scottish/UK general practice are more accurately portrayed in the cases for discussion.

I recently attended Facilitator Training for the PBSGL programme, and came away enthused and keen to promote the idea to others. There has been a particularly strong appetite for PBSGL in the North Scotland, and consequently several groups of rural practitioners have set up virtual groups. These been held by using teleconference, Skype and other online services, with varied degrees of success.  Of course, half the fun of taking part in PBSGL is meeting colleagues face-to-face: this is best done by physical meetings but for some rural practitioners this isn’t possible.  For these situations, there is huge potential to enable rural practitioners to link up (including via occasional physical meetings too), to allow collaborative practice and reduce the professional isolation that so often faces colleages in these areas.

If you work in Scotland and are keen to find out more, have a look at the PBSGL website or contact  There is likely to be a group near you, and if not, you may wish to set up your own group after a bit of facilitator training (which I can vouch is interesting, fun and not intimidating).  If you’re elsewhere in the UK – watch this space, as it may well be coming your direction sometime in the future

Finally, if you’re interested in taking part in virtual meetings – for which you’ll need a microphone & speakers (preferably as a headset) plus webcam – please get in touch with us here at RuralGP Blog so that we can keep you updated with progress.

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