Screening programmes involve the systematic offer of testing for populations or groups of apparently healthy people to identify individuals who may be at future risk of a particular medical condition or disease, with the aim of offering intervention to reduce their risk. For many years, screening was practised without debate, and without evidence, but in the 1960s serious challenges were raised about many of the screening procedures then being practised. Benefits and harms of screening mus...

Two world-leading doctors reveal the true state of modern medicine and how doctors are letting their patients down. In Hippocrasy, rheumatologist and epidemiologist Rachelle Buchbinder and orthopaedic surgeon Ian Harris argue that the benefits of medical treatments are often wildly overstated and the harms understated. That overtreatment and overdiagnosis are rife. And the medical system is not fit for purpose: designed to deliver health care not health. This powerful exposé revea...

This is an accessible and practical guide to clinical governance in healthcare, designed to help practitioners and students deliver better care to patients.

Welcome to the world of sexed-up medicine, where patients have been turned into customers, and clinics and waiting rooms are jammed with healthy people, lured in to have their blood pressure taken and cholesterol, smear test, bowel or breast screening done. In the world of sexed-up medicine pharmaceutical companies gloss over research they don't like and charities often use dubious science and dodgy PR to 'raise awareness' of their disease, leaving a legacy of misinformation in their wake....

How do we know whether a particular drug, therapy or operation really works, and how well? How reliable is the evidence? Are clinical trials truly unbiased? And is current research focused on the real needs of patients? Such timely and pressing questions are raised and addressed in this probing enquiry into modern clinical research, with far-reaching implications for daily medical practice and patient care.Aimed at both patients and professionals, Testing Treatments builds a lively and tho...

With devastating logic and clarity, Dr Pandora Pound, Research Director at Safer Medicines Trust, comprehensively dismantles the case for animal research, bringing to an end the 150-year-old debate about its value once and for all. Focusing on the science rather than animal suffering – and including no distressing details – she provides a riveting account of how the practice became so well established, before proceeding to painstakingly reveal the futility and shockingly poor quality of mo...

First Prize in Public health in the 2017 BMA Medical Book AwardsPublic Health and Epidemiology at a Glance is a highly visual introduction to the key concepts and major themes of population health. With comprehensive coverage of all the core topics covered at medical school, it helps students understand the determinants of health and their study, from personal lifestyle choices and behaviour, to environmental, social and economic factors.This fully...

Pharmacovigilance is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problems.This introductory guide is designed to aid the rapid understanding of the key principles of pharmacovigilance. Packed full of examples illustrating drug safety issues it not only covers the processes involved, but the regulatory aspects and ethical and societal considerations of pharmacovigilance.Covering t...

Professional Practice in Paramedic, Emergency and Urgent Care explores a range of contemporary relevant topics fundamental to professional practice. Written for both pre- and post-registration paramedic students, it is also ideal for existing practitioners looking to develop their CPD skills as well as nursing and other health professionals working in emergency and urgent care settings.Each chapter includes examples, practical exercises and clinical scenarios, helpin...

The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system.There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need ...

The Textbook of Non-Medical Prescribing addresses all the key issues relevant to non-medical prescribing, bringing together essential knowledge, key issues, and skills in a single text.This accessible, engaging and comprehensive resource explores the history of non-medical prescribing; prescribing in context; ethical, legal and professional issues in relation to prescribing practice; factors influencing prescribing; effective consultations; essential pharmacology; the role...

**Almost everyone will need surgery in their lifetime, but in Africa nearly 95% of the population do not have affordable surgery and anaesthesia.More people die after surgery than from HIV, TB, and malaria combined.**In Africa, adults are twice as likely to die after surgery, and for children that number rockets to eleven. Mothers who need caesarean sections face the greatest risk: the mortality rate is fifty times higher than high-income countries. Most of these deaths do ...