TO F.O.B OR NOT TO F.O.B…. THAT IS THE QUESTION by Dr Ishani Patel
Education and CPD

TO F.O.B OR NOT TO F.O.B…. THAT IS THE QUESTION by Dr Ishani Patel


The use of FOBT (guaiac method) has been recommended in the NICE guidelines NG12 Suspected cancer: recognition and referral published in June earlier this year. Offer testing for occult blood in faeces to assess for colorectal cancer in adults without rectal bleeding who: are aged 50 and over with unexplained abdominal pain or weight loss, … Continue reading

New suspected cancer referral guidelines by Dr Ishani Patel
Education and CPD

New suspected cancer referral guidelines by Dr Ishani Patel


It has been 10 years (NICE CG27) since the cancer referral guidelines were updated. GPs will now be advised to refer a far greater number of patients for urgent cancer investigations, in particularly, lung, upper gastrointestinal and colorectal tumour groups and there is much emphasis on ‘straight-to-test’ and direct and rapid access to diagnostics. The … Continue reading

Cancer as a long-term condition by Dr Ishani Patel
Clinical / Education and CPD

Cancer as a long-term condition by Dr Ishani Patel


The latest evidence suggests that 1 in 2 people will get cancer and 50% of adult cancer patients who were diagnosed in 2010-2011 in England and Wales are predicted to survive 10 or more years. Therefore these increased diagnoses and longer survival rates show us that long term management is becoming more significant. The proportion … Continue reading

NICE antibiotic guidelines ignore locum GPs
Clinical / Education and CPD

NICE antibiotic guidelines ignore locum GPs


   by  estherase  The Armageddon of antibiotic resistance is upon us.  Leading antimicrobial expert David Cameron has warned of a world of ‘medical dark ages’ unless action is taken. ‘Action’ always means action against GPs.  GPs don’t mind; we’re used to people taking a shot at us.  Anyway, we’re pretty up for it now the GMC … Continue reading

Polycystic ovaries can be a conundrum as patients can vary across a spectrum in their presentation. Here are some top tips!
Clinical / Education and CPD

Polycystic ovaries can be a conundrum as patients can vary across a spectrum in their presentation. Here are some top tips!


1. PCOS presentation varies across the life span. Hyperandrogenic features are often most prominent among adolescents, while fertility issues are most prominent among women in their 20s and 30s. Metabolic challenges most notable after this. The propensity to weight gain and psychological challenges affect all ages, and metabolic features can occur early, especially among those … Continue reading

Empowering patients to lose weight using apps by Ishani Patel
Education and CPD

Empowering patients to lose weight using apps by Ishani Patel


Happy New Year to our GP Locum community! Typically, this is the time where patients (doctors and staff too!) are motivated to get fit or lose weight. We see patients struggling with obesity, hypertension, diabetes, arthritis and those who have survived cancer hoping to reduce their risk of recurrence. Most of these patients are looking … Continue reading

Education and CPD / Mindfulness and burnout

‘Work smarter not harder’ by Dr Ishani Patel


On behalf of Network Locum, Dr Ishani Patel writes a series of Case Studies and articles for fellow GPs.   ‘Work smarter not harder’   I heard this phrase the other day from two sources – a fitness instructor and the assistant practice manager. It got me thinking about how efficient we all are and what can … Continue reading