Andre Tomlin

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André Tomlin is an Information Scientist with 20 years experience working in evidence-based healthcare. He's worked in the NHS, for Oxford University and since 2002 as Managing Director of Minervation Ltd, a consultancy company who do clever digital stuff for charities, universities and the public sector. Most recently André has been the driving force behind the Mental Elf and the National Elf Service; an innovative digital platform that helps professionals keep up to date with simple, clear and engaging summaries of evidence-based research. André is a Trustee at the Centre for Mental Health and an Honorary Research Fellow at University College London Division of Psychiatry. He lives in Bristol, surrounded by dogs, elflings and lots of woodland!

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New DH atlas of variation includes prescriptions of anti-dementia drugs and admissions for child mental health disorders

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The second issue of the NHS Atlas of Variation in Healthcare has been published by the Department of Health as part of the QIPP (Quality, Innovation, Productivity and Prevention) programme. The aim of the Atlas is to reduce unwarranted variation in healthcare, increase value for money and improve quality of care. The idea behind this [read the full story…]

Public-service announcements about illegal drugs may be doing more harm than good

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Campaigns in the media that encourage people not to take illicit drugs are now commonplace in the US, but a systematic review of the effectiveness of these interventions has not been conducted until now. A team of researchers from Vancouver in Canada have carried out a systematic review and meta-analysis of 7 randomised controlled trials [read the full story…]

The side effects of lithium: new systematic review provides toxicity profile

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Lithium is a medicine that has been used for over 50 years to treat depression and bipolar disorder. It comes in two forms that are used clinically: lithium carbonate and lithium citrate. A certain level of the drug is needed in the blood stream for it to be effective, but if the level rises too [read the full story…]

Nearly 1 in 5 siblings of children with autism spectrum disorders will also have the condition

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Parents who have a child with autism are understandably often very keen to find out the risk of subsequent children also having the condition. Until now, research studies estimated the risk to be between 3-10%, but this evidence was regarded as quite unreliable. This cohort study conducted by researchers in California is the largest prospective [read the full story…]

Payment by results and personalisation may undermine each other, according to new report

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There is a risk that the new national NHS systems for payment by results are being developed in ways that will clash with the delivery of personalisation, according to a new discussion document published this week by the National Development Team for Inclusion. The report describes how, if the aims of both the payment by [read the full story…]

Antidepressants may be less effective in older patients with depression, according to new meta-analysis

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Following on from my post yesterday about screening tools for depression in later life, here is a new meta-analysis that explores the efficacy of antidepressants for the treatment of major depressive disorder (MDD) in patients aged ≥ 55 years. The researchers from the University of Modena and Reggio Emilia in Italy just searched PubMed for [read the full story…]

The Geriatric Depression Scale is the best screening tool for depression in older people in acute hospital settings

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Depression often occurs in later life and people in poor physical condition tend to be more susceptible than others. Older people in hospital who get depressed have poorer outcomes, so it’s important that we know how to detect depression and manage it in the acute setting. This systematic review conducted by researchers in Swansea set [read the full story…]

GP training and guidelines implementation improves depression care, but training alone does not help, according to new systematic review

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Healthcare providers are always on the look out for ways to improve the detection and diagnosis of depression in primary care. It’s a prevalent illness amongst Europeans with 6.9% of people suffering from it in any 12-month period. We know that 50-70% of depressed patients consult their GP during an episode, so improving systems for [read the full story…]

No evidence that exercise referral schemes can increase physical activity, fitness or health outcomes for those with a medical diagnosis

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We know that exercise helps people who are going through mental health difficulties, but how can we encourage people to become more active? Exercise referral schemes aim to identify inactive adults in the primary care setting. The GP or healthcare professional then refers the patient to a third-party service, with this service taking responsibility for [read the full story…]

Self-help interventions are effective treatments for social phobia and panic disorder, says new meta-analysis

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The demand for psychological therapies far outstrips the supply and in this ongoing period of austerity we surely need to produce some cost-effective alternatives. One method that patients can attempt pretty much on their own is self-help provided through books, CDs, DVDs and websites. This new systematic review claims to be the first to bring [read the full story…]