The online home for the primary care professionals managing patients with cardiovascular disease, diabetes and related diseases.

Tuesday, 05 May 2015
A meeting report from the British Society for Heart Failure (BSH) 17th Annual Autumn Meeting, held in London on 27-28 November 2014.
Category: Editorial
Thursday, 19 March 2015
Since the publication in 2008 of the first NICE guideline on the diagnosis and management of chronic kidney disease (CKD), there has been concern that creatinine-based estimated glomerular filtration rate (eGFR) may not accurately identify people at increased risk–particularly in elderly populations. The updated NICE guideline, issued in July 2014, includes some important changes that take into account recent research into the prognosis of CKD.  Of particular relevance for GPs are changes to the diagnostic criteria and classification of CKD, which are described in this article.
Category: Editorial
Saturday, 28 February 2015
Frailty is a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. This means the person is vulnerable to dramatic, sudden changes in health triggered by seemingly small events such as a minor infection or a change in medication.
Category: Editorial
Topics covered:
Saturday, 28 February 2015
Acommonly heard clinical expression is “He/she is very frail”. It provides a summary statement of an older person that implies concerns over vulnerability and prognosis. This is how we have conventionally considered frailty—as a descriptive label: ‘the frail elderly’. In this article, we will re-frame frailty in a potentially more helpful way. We will examine frailty from the perspective of an abnormal health state that behaves just like a long-term condition. This conceptualisation of frailty opens up new approaches to helping people who are frail.
Category: Editorial
Topics covered:
Saturday, 28 February 2015
The first section of this supplement made the case to consider frailty from the perspective of a long-term condition. This and the next section explore what this means in terms of applying some of the well-developed models for the care of longterm conditions to people who are living with frailty. First, we examine how the highly evidence-based model of supported self-management might be applied to frailty.
Category: Editorial
Topics covered:
Saturday, 28 February 2015
Supported self-management is feasible and desirable for people with mild frailty, but care and support planning is more appropriate for individuals with moderate frailty. This section considers how the primary healthcare team can apply a whole person and personalised approach to care and support planning.
Category: Editorial
Topics covered:
Saturday, 28 February 2015
Most nurses are involved in the care of the 1% of the population currently nearing the end of their lives: that is, people considered to be in their final year, months, weeks or days of life. The Gold Standards Framework (GSF) programmes can help provide a structured framework in this challenging area, leading to more proactive and consistent standards of care, and enabling more people to live well and die well where they choose.
Category: Editorial
Topics covered:
Saturday, 28 February 2015
Category: Back to Basics
Topics covered:
Saturday, 28 February 2015
Category: Back to Basics
Topics covered:
Friday, 20 February 2015
Over the next 10 years, an estimated 45,000 quality-adjusted life-years and £850m health and social care costs could be saved, if England saw a 5 mmHg reduction in the average population systolic blood pressure. In addition, substantial reductions in death and disability could be achieved if there was a step change in our approach to detection and treatment of hypertension. This is the rationale behind the Blood Pressure Action Plan that was published recently.
Category: Editorial

Article search and filter