If a placebo is recommended by NICE, and patients have to buy it, why not any thing less than 2 pints of beer and a packet of 20 fags?

I understand some trusts are still providing honey for wounds. If a comprehensive, free at the point of delivery, cradle to grave without reference to means health service is providing honey for one condition, why not for another? This is of course nonsense, and we simply need to be honest about rationing. Sugar paste is as good as honey for all medical conditions, and far cheaper. If a placebo is recommended by NICE, and patients have to buy it, why not any thing less than 2 pints of beer and a packet of 20 fags?

See the source image

The Lancashire Telegraph reported a nationally reported news item 23rd August: Treat coughs with honey not antibiotics, doctors and patients told.

Honey and over-the-counter remedies should be the go-to treatment for coughs rather than antibiotics, health officials have said.

Doctors will be told not to offer the drugs in most cases and to instead encourage patients to use self-care products, under new draft guidance from Public Health England (PHE) and the National Institute of Health and Care Excellence (Nice).

The advice is part of a growing effort by to tackle the problem of antibiotic resistance.

In most cases, acute coughs are caused by a cold or flu virus, or bronchitis, and will last for around three weeks, according to the guidance.

Antibiotics make little difference to symptoms and can have side-effects, it warns.

Patients are instead advised to try honey or cough medicines containing pelargonium, guaifenesin or dextromethorphan, which have been shown to have some benefit for cough symptoms, before contacting their doctor.

Antibiotics may be necessary treat coughs in patients with pre-existing conditions such as lung disease, immunosuppression or cystic fibrosis, or those at risk of further complications, the guidance states.

Dr Tessa Lewis, GP and chairwoman of the antimicrobial prescribing guidelines group, said: “If someone has a runny nose, sore throat and cough, we would expect the cough to settle over two to three weeks and antibiotics are not needed.

“People can check their symptoms on NHS Choices or NHS Direct Wales or ask their pharmacist for advice.

“If the cough is getting worse rather than better, or the person feels very unwell or breathless, then they would need to contact their GP.”

As many as one in five GP prescriptions for antibiotics may be inappropriate, according to research published by PHE earlier this year, and the body has warned that overuse of the drugs is threatening their long-term effectiveness.

Dr Susan Hopkins, from PHE, said: “Antibiotic resistance is a huge problem and we need to take action now to reduce antibiotic use.

“Taking antibiotics when you don’t need them puts you and your family at risk of developing infections which in turn cannot be easily treated.

“These new guidelines will support GPs to reduce antibiotic prescriptions and we encourage patients to take their GPs advice about self-care.”

A consultation on the draft guidance will close on September 20.

If a placebo is recommended by NICE, and patients have to buy it, why not any thing less than 2 pints of beer and a packet of 20 fags?

Interesting suggestion low cost for high volume treatments to be excluded… GPs will take no notice as their job is to put their patient “at the centre of their concern”.

Cough medicine is a waste of money: NHS recommends Honey … The Mirror

Honey for burnsNHS

Pouring granulated sugar on wounds ‘can heal them faster …

Why do some cavity wounds treated with honey or sugar

See the source image

 

This entry was posted in A Personal View, General Practitioners, Good News, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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