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Discussion with Professor Mike Morgan about the NHS Long Term Plan

Bronwen Thompson, PCRS policy advisor, and Professor Mike Morgan, National Clinical Director for Respiratory Disease at NHS England (NHSE), discuss the respiratory long-term plan in the latest version of the Primary Care Respiratory Update (PCRU). Respiratory disease has just been included within the list of priority disease areas for the NHS long-term plan in England….
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Discussion with Professor Mike Morgan about the NHS Long Term Plan

Bronwen Thompson, PCRS policy advisor, and Professor Mike Morgan, National Clinical Director for Respiratory Disease at NHS England (NHSE), discuss the respiratory long-term plan in the latest version of the Primary Care Respiratory Update (PCRU). Respiratory disease has just been included within the list of priority disease areas for the NHS long-term plan in England….
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NICE bronchiectasis: antimicrobial prescribing guideline [NG117]

This guideline sets out an antimicrobial prescribing strategy for managing and preventing acute exacerbations of bronchiectasis (non-cystic fibrosis). It aims to optimise antibiotic use and reduce antibiotic resistance. Please note that PCRS has not been involved in the development of this resource and does not necessarily support its content.



NICE bronchiectasis: antimicrobial prescribing guideline [NG117]

This guideline sets out an antimicrobial prescribing strategy for managing and preventing acute exacerbations of bronchiectasis (non-cystic fibrosis). It aims to optimise antibiotic use and reduce antibiotic resistance. Please note that PCRS has not been involved in the development of this resource and does not necessarily support its content.



Breathlessness and cough assessment algorithms

Breathlessness is not only frightening and disabling for patients, but also a strong indicator for hospitalisation and premature death. Despite this, it is not included in any current general health assessment. As well as being a cardinal symptom in COPD, breathlessness can also indicate a number of other conditions. Therefore, a structured approach to diagnosing…
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The survival time of chocolates on hospital wards

On a lighter note, and just in time for the holidays, a unique study has been identified which sheds light on the survival of chocolates on hospital wards within the UK. It has been well established that, particularly around the holiday season, chocolate consumption proliferates, as gifts and end-of-year treats become more prevalent. Many questions…
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Chronic cough in Swiss bagpipe player

Case studies can reveal interesting considerations for both the diagnosis and management of seemingly common conditions. Chronic cough can be a symptom of many conditions: chronic bronchitis, asthma, allergy, bronchiectasis, postnasal drip or GORD. It can also be a side effect associated with prescribed medicines, such as ACE inhibitors. In some cases, a persistent cough…
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Christmas tree allergy: mould and pollen studies.

Allergists occasionally obtain reports of respiratory symptoms in patients during the Christmas season. These symptoms, including sneezing, wheezing and even skin rashes, may not be severe enough to warrant medical attention, but may be underreported. In this classic work, the authors systematically investigated some of the potential causes of Christmas tree allergies in patients who…
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The Christmas season as a risk factor for chronic obstructive pulmonary disease exacerbations

It had been previously observed that exacerbations for COPD increased in the wintertime, particularly during Christmas season, a period that is also characterised by an increased prevalence of viral infections. These observations were based on the fact that healthcare use by COPD patients peaks during the Christmas season. However, it was unclear whether this was…
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2019 Clinical Roadshow preview

Steve Holmes, Somerset GP, and Carol Stonham, Primary Care Respiratory Nurse, preview the 2019 PCRA Clinical Roadshow. Something old: don’t forget the basics. What is the clinical significance of your spirometry readings? Something new: keep up to date. 2019 sees the release of new guidance in asthma, COPD, antimicrobial prescribing and lung cancer diagnosis. Something…
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The Primary Care Respiratory Academy has been developed and is produced by Cogora, the publisher of Pulse, Nursing in Practice, Healthcare Leader, Management in Practice and The Pharmacist working in partnership with PCRS.

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