BMJ huddle – what we discussed 14/05/12
False
BMJ
BMJ huddle – what we discussed 14/05/12
Discuss what's in the BMJ and on bmj.com
1. GPs are failing to discuss dying and end of life wishes with patients. Similarly, patients are not discussing this with their own families. Findings from the D
0
Cat:BMJForum:BMJ
Cat:BMJForum:BMJDiscussion:1cbe5fa1-27cd-415a-b8b7-3f48171d5446
|
BMJ huddle – what we discussed 14/05/12
posted at 14/5/2012 10:22 AM BST
on bmj.com
|
|
*Moderator*
Posts: 1492
First: 7/4/2011 Last: 18/6/2013 |
1. GPs are failing to discuss dying and end of life wishes with patients. Similarly, patients are not discussing this with their own families. Findings from the Dying Matters Coalition;
2. According to Diabetes UK – fewer than half of diabetics are receiving basic minimum care recommended by NICE. Only 4% under all their annual checks, with 85% missing their blood glucose targets.
3. Funding allocated to Clinical Commissioning Groups could be based on the age of the local population, rather than levels of deprivation, according to Andrew Lansley. |
|
|
Re: BMJ huddle – what we discussed 14/05/12
posted at 14/5/2012 2:34 PM BST
on bmj.com
|
Posts: 1213
First: 19/4/2010 Last: 14/6/2013 |
Discussing end of life care - we're all terrible about this. We in secondary care tend to assume that it's done in primary care. Not sure if the opposite is also true? Not a great suprise about the diabetics. Change diabetes for asthma, and it'll be the same statistics, I don't doubt. I have no useful input to 3; I'm Scottish (sort of). |
|
|
Re: BMJ huddle – what we discussed 14/05/12
posted at 14/5/2012 2:53 PM BST
on bmj.com
|
Posts: 1336
First: 13/4/2010 Last: 16/6/2013 |
1. Not true in my experience but then I can onl;y account for what goes on in my practice. 2. Again not true in my expereince but again I can only account for what goes on in my practice (2 GPs with a special interest in diabetes, three practice nurses with diplomas in diabetes and 100% achievemnet in diabetic QOF indicators) 3. Like DundeeChest, no useful input as I'm Scottish but, in general, Mr Lansley strikes me as what we in Scotland would call a doughball. |
|
|
Re: BMJ huddle – what we discussed 14/05/12
posted at 14/5/2012 2:58 PM BST
on bmj.com
|
Posts: 3059
First: 27/3/2012 Last: 13/6/2013 |
In Response to BMJ huddle – what we discussed 14/05/12: 1. GPs are failing to discuss dying and end of life wishes with patients. Similarly, patients are not discussing this with their own families. Findings from the Dying Matters Coalition; 2. According to Diabetes UK – fewer than half of diabetics are receiving basic minimum care recommended by NICE. Only 4% under all their annual checks, with 85% missing their blood glucose targets. 3. Funding allocated to Clinical Commissioning Groups could be based on the age of the local population, rather than levels of deprivation, according to Andrew Lansley. Posted by mbillingsley A very important practical post Dr. Matthews! Many thanks! |
|
|
Re: BMJ huddle – what we discussed 14/05/12
posted at 14/5/2012 5:52 PM BST
on bmj.com
|
|
Posts: 1336
First: 13/4/2010 Last: 16/6/2013 |
Matthew - we need to talk to our whole society about death because, frankly, current attitudes towards it are unhealthy. Having been there myself, bereavement can, in the long-term, be a life-affirming experience which for me has left me in a better place. Having seen death at first hand both professionally and personally it holds no fear for me at all. I don't want to die too young (I'm in my late 40s now but anytime after 70 would be fine) and I don't want to die in a way which involved prolonged suffering or my loved ones. Rather I wish to die in a manner and at a place and time of my choosing, with the full understanding and acceptance of my family and friends. But otherwise I am quite content that I will die one day and that's it. There is nothing else. My random arrangement of atoms will simply dissipate their way bck into the Universe where they have always been and always will be - 10 billion years old and still going strong. Now that really is an incredible thought. It was Steve Jobs who said in 2005 "Remembering that I'll be dead soon is the most important tool I've ever encountered to help me make the big choices in life. Because almost everything - all external expectations, all pride, all fear of embarrassment or failure - these things just fall away in the face of death, leaving only what is truly important. Remembering that you are going to die is the best way I know to avoid the trap of thinking you have something to lose. You are already naked. There is no reason not to follow your heart." |
