Clinical

Amended classification of disease published [JCGP 1963, 6, 204].

Joint committee with RCP on "The place of the general practitioner in the hospital"

Practice organisation report on "The GP team and community hospitals"

Joint Board of Censors and Education policy paper on "Hospital posts recognised for the MRCGP examination"

Working party on Community Hospitals

Evidence to the House of Commons Social Sciences Committee enquiry into Medical Education with special reference to the numbers of doctors and their career structures

Working party to consider evidence to Government Inquiry into Human Fertilisation and Embryology [Warnock Committee]

Liaison group established with the Association of General Practitioners Hospitals [see 1983]

Publication of "Alcohol - A Balanced View" (report from General Practice 24)

Clinical and Research Division formed

Palliative orTerminal Care working party

Care of the Elderly working party

Publication of "AIDS and HIV in General Practice" as part of the CASE education programme

Diabetes Facilitator [a part time GP and practice nurse appointed to Northern Area Health Authority] sponsored by Eli Lilly

Clinical and research division paper on the law on infectious disease control

Clinical and research division paper on diagnostic codes

Clinical information folders published on depression, hormone replacement therapy, how to produce a practice formulary, minor surgery, multiple sclerosis and motor neurone disease, rheumatoid arthritis, and terminal care.

Clinical and research division paper on haemoglobinopathy

Coronary Prevention Group workshop

Report of working party into HIV research

Report of Drug Misuse Working Party

Publication of "Community Hospitals - Preparing for the Future" [Occasional Paper 43]

Publication of "Practice Formulary 1988-1990" by the Northern Ireland Faculty

RCGP/Cancer Research Macmillan Fund Palliative Care facilitators project

Near Patient Testing Working Party

HIV/Aids  working party set up to develop clinical information book for general practitioners [see 2001]

Asthma in Practice published [Clinical Series]

Hormone Replace Therapy  published [Clinical Series]

Core Content of General Practice Working Party under chairmanship of Nigel Stott outlined the role of the general practitioner as the primary medical generalist and the core clinical content of general practice. It reported April 1995

Study Day on HIV/AIDS. This was a study day for primary care professionals involved in the HIV infection. Participants included genito-urinary physicians, pharmacists, senior nursing personnel as well general practitioners.

Publication of Motor Neurone Disease by David Oliver [Clinical Series]

Publication of Incontinence by Jacqueline Jolleys [Clinical Series]

Publication of The Management of Back Pain in General Practice by Martin Barker [Clinical Series]

Clinical Guidelines for the Management for Acute Back Pain published with contributions by RCGP, Chartered Society of Physiotherapy, Osteopathic Association of Great Britain, British Chiropractic Association, National Back Pain Association

Quality Improvement Group Conference "Methods for Supporting Effective Clinical Practice" - Regents College

Publication of Osteoporosis - Prevention and Management in Primary Care by Colin Waine (Clinical Series)

Clinical Practice Evaluation Programme [CPEP]

RCGP/Royal College of Radiologists Working Party on Follow-up of Cancer Patients

Launch of Intercollegiate working party for enhancing voluntary confidential HIV Testing in Pregnancy Report “Reducing Mother to Child HIV Infection in the United Kingdom”

Virtual groups  set up to discuss sports and exercise medicine ( first meeting 12 Nov 1998), complementary medicine, genetics, coronary heart disease.

Launch of Update in Neurology Course joint RCGP/University of Bath/British Brain and Spine Foundation - included CD Rom, workbook and clinical meetings

"Clinical Guidelines for Type 2 Diabetes - Prevention and Management of of Foot Problems"Written in Association with the British Diabetic Association, The Royal College of Physicians and the Royal College of Nursing

HIV Working Party

5th National Conference "Are We Drowning or Riding the Waves? The Treatment of Drug Users in Primary Care"

Rural; Health Inequalities and Health Information Technology working groups become standing groups of Council

HIV Working Party- Renamed Sex, Drugs and HIV Task Group

Inaugural meeting of genetics group [virtual]

RCGP Certificate Course Management of Drug Misuse in Primary Care launched (later substance misuse)

Joint guidelines with the Department of Health on  the Appointment of General Practitioners with Special Interests in Undertaking Procedures: ENT

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: primary care coronary heart disease lead

Joint guidelines with the Department of Health and British Geriatric Society on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Care of Older People

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Respiratory Medicine

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Palliative Care

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Mental Health

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Headaches

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Emergency and Unscheduled Care

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Sexual Health

Joint guidelines with the Department of Health and British Geriatric Society on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Care of Older People

8^th National Conference in the Management of Drug Users in Primary Care “Primary Care Management of Drug Users: Which Way Forward?”

Joint guidelines with the Department of Health on the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Diabetes

Conference with RSM and London Deanery "Clinical Update: Diabetes"

"Clinicians, services and commissioning in chronic disease management in the NHS - the need for coordinated management programmes" - report of joint working party of RCGP, RCP London and NHS Alliance. Chaired by Dr David Black

RCGP Curriculum Statement 12 Care of People with Cancer & Palliative Care [updated Jan 2006] by Dr Arthur Hibble, Dr Iain Cromarty, Dr Steve Lazar, Dr Simon Downs, Dr Sue Cross, Dr Amada Platts, Dr Keri Thomas, Dr John Ellershaw

Publication of Primary Care Orthopaedics

 Re-establishment of Mental Health Task Group

Guidance for working with cocaine and crack users in primary care [RCGP Drug and Alcohol Misuse Training Programme, RCGP Sex, Drugs and HIV Task GRoup, SMMGP]

RSM/RCGP Clinical Update: Epilepsy in Adults Conference

RCGP Curriculum Statement 11 Sexual Health [updated Jan 2006] by Phillipa Matthews and Steve Field

RCGP Curriculum Statement 10.2 Men's Health [updated Feb 2006] by Robbie Porter and Adam Fraser

Publication of  "Delivering Quality Diabetes Care in General Practice" edited by Roger Gadsby

Curriculum Statement 6 Genetics in Primary Care[updated Jan 2006] developed by the RCGP in partnership with The NHS National Genetics Education and Development Centre.

“Sexually transmitted Infections in Primary Care” report by Sex Drugs and HIV Task Group/British Association for Sexual health and HIV

Responce to Healthcare Commission report on COPD

The RCGP welcomes this report from the Healthcare Commission. The College agrees that there needs to be a step change in NHS policy and GPs and practice nurses have a central role in driving up standards. The report highlights improvements in diagnosis and care made through the Quality and Outcomes Framework by primary care.

RCGP Chairman Professor Mayur Lakhani said: “Until now COPD has been the Cinderella of chronic diseases. As a practising GP I know how much patients with COPD can suffer and there is a clear need for better services for patients.

“I am confident that care is already improving. Patients can expect more monitoring and treatment from their GP and practice nurses but  more investment and improved access are needed for pulmonary rehabilitation.

“A step change in NHS policy is needed and we therefore welcome the announcement from the Secretary of State to establish a National Service Framework in this area. Frontline clinicians like GPs and practice nurses have a pivotal role in driving up standards and it is essential that they are engaged in developing the framework.”

RCGP comment on ‘NICE and British Hypertension Society guideline to tackle hypertension in England and Wales

’“The Royal College of General Practitioners (RCGP) welcomes this guidance from NICE on the management of hypertension. “The NICE guidance has been amended to take into account important data from recent trials.  This will help end the uncertainty about best practice. “Hypertension is a common but treatable disorder - these guidelines will support GPs to provide appropriate, modern evidence-based treatments for patients. “Selecting the drug of choice is complex and these guidelines will help tailor treatment to the patient's needs. “This is good news and we would urge GPs to discuss and implement the guidelines”.

Professor Mayur Lakhani, Chairman of the RCGP said: "I am sorry to hear of the experience of some patients who have received an inaccurate diagnosis of Parkinson's disease. This can be a difficult diagnosis to make - in secondary care as well as primary care.

“We would welcome discussion about improving the diagnosis and management of Parkinson’s disease in the community.

“We agree that more needs to be done and GPs are determined to improve care for patients with Parkinson's disease. 

“GPs are faced with a lack of specialist support and services which will make implementation of these guidelines very difficult – there are long out-patient waiting lists.

“A holistic approach is essential - GPs are in a unique position to improve recognition due to the frequency with which they see their patients. Many patients have multiple co-morbidity and the GP’s role is critical to the diagnosis and management of the condition and co-ordination of care.

“We are therefore disappointed that these guidelines take such a negative view of the role of GPs in the diagnosis and management of Parkinson’s Disease. This will not be welcomed by patients, some of whom already face fragmentation of care.

 “Collaboration with specialists is important and GPs and consultants must work together to improve care. With improved support, dedicated training, and development of roles such as GPwSI, GPs can play a bigger role in improving standards of care for patients with Parkinson’s disease. “

 Quick reference guide -Routine postnatal care of women and their babies (NICE clinical guideline 37)Developed by the National Collaborating Centre for Primary Care

Leaflet: ‘Important Information for General Practitioners and the Primary Care Team’ high risk pregnancy in women with type 1 and type 2 Diabetes.  Published jointly by RCGP, CEMACH (Confidential Enquiry into Maternal and Child Health)

RCGP endorse obesity toolkit “Lightening the Load”  produced by the National Heart Forum in association with the Faculty of Public Health and Department of Health

RCGP Health Inequalities Standing Group (HISG) and the Health Inequalities Unit (HIU) at the Department of Health to produce guidleines for GP's on their unique role  in tackling health inequalities.

12^th National Conference:Management of Drug Users in Primary care  "Getting it Right in Practice: Colalboration not Competition"

Clinical Champions 2008-2010:

Mental Health: Dr Carolyn Chew-Graham; Palliative and End of Life Care: Prof. Keri Thomas  

Prescribing: Prof. David Millson; Urgent and Emergency Care: Dr Agnelo Fernandes

Ageing and Elderly People's Health and Wellbeing: Dr Louise Robinson

Headache: Dr David Kernick

Musculoskeletal Medicine (Osteoporosis): Dr Graham Davenport

Musculoskeletal Medicine (Osteoarthritis): Dr Mark Porcheret

Respiratory Disease: Dr Kevin Gruffyd-Jones

Dr Karl Grindulis