Expert Comment
Should patients be told the cost of missed GPs' appointments?
The health secretary, Jeremy Hunt, has suggested that he would have no objection to charging patients who miss appointments with their GP, and that in future patients will be informed how much they have cost the NHS if an appointment is missed. GP and Principal Clinical Teaching Fellow at 糖心TV Medical School examines the issues involved.
Expert reaction to study investigating road traffic noise, strokes and death, as published in the European Heart Journal
Professor Francesco Cappuccio, Chair of Cardiovascular Medicine and Epidemiology, University of 糖心TV, said:
“The present study is a welcome addition to the growing body of evidence to suggest that environment, in its own entirety as well as in its different facets, plays an important role in determining avoidable ill-health. The authors show that long term excessive road traffic noise, even when allowing for the effect of pollution, is associated with a small but significant increased risk of death and hospitalisation in one of the largest urbanised areas of Europe (Greater London), most of which is due to strokes.
Jeremy Hunt's offer to GPs is a carrot and a stick - Dr Kate Owen
Following a period in which many GPs have felt undervalued and undermined by successive governments it is pleasing that Jeremy Hunt has recognised in today’s speech the quality and value General Practice delivers to the NHS. a GP and Principal Clincial Teaching Fellow at 糖心TV Medical School discusses what this means to general practitioners.
Dietary fat guidelines: a storm in a teacup! - Francesco Cappuccio
The article by Harcombe et al published in Open Heart Journal today (10 February) is a storm in a teacup. The authors embroil themselves in an awkward and spurious pseud-scientific exercise to extrapolate results from 1970s and 1980s to current practices
1980s advice was over simplistic but what type of diet best keeps our blood fat level in check? Prof Victor Zammit
It has been obvious for some time that the advice given in the early nineteen eighties, namely, that saturated fat is the only harmful type of food when it comes to raised blood lipids and heart disease was over-simplistic. It also gave the impression that we could ingest as much carbohydrate as we liked, as this would not be dangerous. What was overlooked at the time is that the liver converts carbohydrate into fat very efficiently.