Seven days in medicine: 28 September to 4 October 2016BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5366 (Published 06 October 2016) Cite this as: BMJ 2016;355:i5366
CCGs must engage with public on “tough decisions”
Clinical commissioning groups in England must engage with the public, clinicians, and politicians as early as possible when taking potentially controversial decisions such as closing local services, new guidance has advised. Commissioners should also ensure that “tough decisions” about funding, prioritisation, and possible closures are safe, cost effective, and backed by robust evidence, said the report from NHS Clinical Commissioners, the CCG membership body. (Full story doi:10.1136/bmj.i5297)
CBT reduces visits to GPs by frequent attenders
Patients who visit their GP frequently over the long term—at least 30 times over two years—found cognitive behavioural therapy acceptable, and it more than halved the frequency of their visits, showed a feasibility study in five general practices in the East Midlands. Just under a fifth of the 462 patients invited to take part in the study agreed to the treatment, and 32 underwent CBT for a median of three months. The number of contacts fell from a median of eight in three months at baseline to three in three months after a year (doi:10.1136/bmj.i5350).
College counters “aggressive marketing” on cosmetic surgery
The Royal College of Surgeons has urged patients to “think carefully before …