Mental health – taking a more integrated approach

2019-02-08T15:10:14+00:00 February 11th, 2019|

I must admit I am new to this blogging thing, so please forgive me if I don’t quite adhere to blogging etiquette! I’m a GP in Surrey Downs and clinical lead for the mental health workstream for Surrey Heartlands, and wanted the opportunity to tell people about an important new model for mental health [...]

Exploding the myths of primary care

2019-02-04T08:33:17+00:00 February 4th, 2019|

A GP named A J Cronin blessed us in the 1960s and early 1970s with Dr Finlay’s Casebook, a grainy black and white televised account of family doctors in the Scottish Highlands of the 1920s. Gouty old Doctor Cameron could not suppress either the charm or the good humour of the suave young Finlay, [...]

The importance of Making Every Contact Count

2019-01-29T08:56:32+00:00 January 29th, 2019|

Making Every Contact Count (MECC) is an approach to behaviour change that many will be familiar with. The idea is simple – it uses day-to-day conversations to promote positive and healthy lifestyle behaviour change by encouraging people to talk about and refect upon the impact of risky lifestyle behaviours. Surrey Heartlands launched its MECC [...]

The Wider Determinants of Health: Is this a new thing?

2019-01-21T12:25:32+00:00 January 21st, 2019|

Prevention of avoidable illness is rightly an important focus in the NHS Long Term Plan, which was launched this month. As demand for NHS services continues to grow exponentially, improving the prevention of avoidable illnesses has the potential to yield significant savings. The NHS in England spends more than £15.5 billion per annum treating illness [...]

Reflecting on the new NHS Long-term Plan

2019-01-14T10:17:57+00:00 January 14th, 2019|

It is tempting to see strategic plans as radical calls to arms but generally they are not. A long sea voyage in uncertain waters is a more apt metaphor. The great merit of the new NHS Long Term Plan is that it is presented as a journey – one that does not underplay the [...]

Could diet and exercise within routine NHS care end Type Two diabetes?

2019-01-04T15:54:13+00:00 January 7th, 2019|

By Tracey Fossaluzza, Diabetes Programme Manager, Surrey Heartlands What if there was a way to benefit the millions of people living with Type Two diabetes and help them live well for longer? Recently NHS England announced that it will be rolling out a pilot Type Two diabetes remission programme, inspired by the success of [...]

New Year’s resolutions

2018-12-31T09:19:16+00:00 December 31st, 2018|

It’s a truism that New Year’s resolutions are set up to fail, although intriguingly there is some research to suggest that they are still more likely to succeed than commitments made at other times of year (but perhaps that’s just the way Old Father Time, The Easter Bunny and other seasonal icons carved up [...]

Taking a view on the health impact of loneliness

2018-12-31T09:14:50+00:00 December 24th, 2018|

The last three years have seen an increasing focus on the health impact of loneliness, with even that normally unsensational journal The Economist highlighting “heart attacks, strokes, cancers, eating disorders, drug abuse, sleep deprivation, depression, alcoholism and anxiety” as some of its associated morbidities in a recent article. So it seems fitting in Christmas [...]

Outpatients: The Future

2019-01-24T08:27:54+00:00 December 10th, 2018|

Dr Mark Hamilton, Surrey Heartlands Academy Clinical Director On any one day, NHS-related journeys account for 5% of road traffic in England; a quarter of doctors say 10-20% of their new patients didn’t need to have attended an outpatient clinic; and 28% of doctors say 10-20% of their follow up patients could have been [...]