Publications by authors named "L Hocking"

Background: Women's sexual and reproductive health needs are complex and vary across the life course. They are met by a range of providers, professionals and venues. Provision is not well integrated, with inequalities in access.

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Aims: This study aims to evaluate the cost effectiveness of genetic and genomic testing strategies for the diagnosis of rare developmental disorders in NHS Scotland.

Methods: Six genetic and genomic testing strategies were evaluated using a decision tree model. First-line, second-line and last-resort trio genome sequencing (GS), and second-line and last-resort trio exome sequencing (ES) were compared with standard genetic testing.

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Background: General practices are facing challenges such as rising patient demand and difficulties recruiting and retaining general practitioners. Greater use of digital technology has been advocated as a way of mitigating some of these challenges and improving patient access. This includes Digital First Primary Care, when a patient's first contact with primary care is through a digital route, either through a laptop or smartphone.

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Article Synopsis
  • Research shows transportation infrastructure can affect mental and physical health, but studies often overlook mental health, especially differences among population groups during various development stages.
  • WISH2 is a 10-year study focused on the high-speed rail development in the UK, examining the mental health impacts through longitudinal surveys, interviews, and community input.
  • The results aim to inform strategies that mitigate negative mental health effects and enhance positive well-being impacts from large infrastructure projects.
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Article Synopsis
  • A new scoring system for the UK's Clinical Impact Awards was created to better assess clinical excellence among senior doctors and dentists, based on expert consensus from a three-round online Delphi process.
  • The Delphi panel, consisting of 45 experts, agreed on principles for the new scoring system, which uses a 0-10 scale to evaluate performance.
  • A shadow scoring exercise indicated that the new system might be more reliable than the existing one, providing better differentiation at higher performance levels, highlighting the need for evidence-based spending in clinical awards.
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