Safety-netting advice documentation out-of-hours: a retrospective cohort from 2013 to 2020.

Background: Providing safety-netting advice (SNA) in out-of-hours primary care is a recognised standard of safe care but it is not known how frequently this occurs in practice.

Aim: Assess the frequency and type of SNA documented in out-of-hours primary care and explore factors associated with its presence.

Design And Setting: Retrospective cohort using the Birmingham Out-of-hours General Practice Research Database.

Pain experiences during intrauterine device procedures: a thematic analysis of tweets.

Introduction: In June 2021, high-profile testimonials in the media about pain during intrauterine device (IUD) procedures in the UK prompted significant discussion across platforms including Twitter (subsequently renamed X). We examined a sample of Twitter postings (tweets) to gain insight into public perspectives and experiences.

Methods: We harvested tweets posted or retweeted on 21-22 June 2021 which contained the search terms coil, intrauterine system, IUD or intrauterine.

Striving for affordable medicine: Lessons in price negotiation learned from the United Kingdom.

In August 2022, the Centers for Medicare & Medicaid Services were granted unprecedented power to negotiate the price of some pharmaceuticals covered under Medicare Part D of the Inflation Reduction Act. Price negotiation was previously banned by Medicare Part D legislation but is not a new idea globally. For decades, nations like the United Kingdom have price set or negotiated the cost of medicine with manufacturers, fine-tuning their methodologies, with mixed success.

Current definitions of advanced multimorbidity: a protocol for a scoping review.

Introduction: People living with and dying from multimorbidity are increasing in number, and ensuring quality care for this population is one of the major challenges facing healthcare providers. People with multimorbidity often have a high burden of palliative and end-of-life care needs, though they do not always access specialist palliative care services. A key reason for this is that they are often not identified as being in the last stages of their life by current healthcare providers and systems.

Association between household composition and severe COVID-19 outcomes in older people by ethnicity: an observational cohort study using the OpenSAFELY platform.

Background: Ethnic differences in the risk of severe COVID-19 may be linked to household composition. We quantified the association between household composition and risk of severe COVID-19 by ethnicity for older individuals.

Methods: With the approval of NHS England, we analysed ethnic differences in the association between household composition and severe COVID-19 in people aged 67 or over in England.

Implementing collaborative care for major depression in a cancer center: An observational study using mixed-methods.

Objectives: To describe the implementation of a collaborative care (CC) screening and treatment program for major depression in people with cancer, found to be effective in clinical trials, into routine outpatient care of a cancer center.

Method: A mixed-methods observational study guided by the RE-AIM implementation framework using quantitative and qualitative data collected over five years.

Results: Program set-up took three years and required more involvement of CC experts than anticipated.

Paramedic performance when managing patients experiencing mental health issues - Exploring paramedics' Presentation of Self.

Introduction: Mental health is a growing global concern with a significant rise in patients calling emergency services to respond to their needs. Paramedics in the UK are increasingly being asked to respond to this increase in demand.

Aim: This study explores how paramedics perform in practice when managing patients experiencing mental health issues.

Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision.

Background: Before 2012, UK GPs were paid only to offer cessation advice to smokers and only to those with smoking-related disease, a minority of all smokers. From 2012, GPs are now paid to offer all smokers referral for behavioural support and medication to assist cessation at least once every 2 years.

Aim: To quantify the impact of this new recommendation and payment on indicators of smoking cessation activity.