Day: 5 November 2020

Vitamin D: Did a Prescribing Ban in Care Homes Contribute to Fatalities?

Smoked Salmon: A great source of Vitamin D. Order from Bleiker's Smokehouse in Yorkshire Key points Vitamin D, contrary to popular thought, is not a vitamin. It is an inflammation-regulating steroid hormone involved in many of the body’s essential processes.1 Leaked NHS internal guidance, issued in June 2020, states that “evidence supports a causal role in Vitamin D status and COVID-19 outcomes”, and urges clinicians to “monitor, report and treat”.2 Meanwhile, a NICE rapid evidence review also published in June, states “there is no evidence to support taking vitamin D supplements to specifically prevent or treat COVID‑19.” However, it does re-enforce its September 2018 advice that at-risk groups should take a 10µg supplement all year round.3 Rewind to March 2018: the ‘world’s biggest quango’ NHS England, released new guidance not to issue Vitamin D and many other commonly available over-the-counter (OTC) medicines on prescription, which was intended to save NHS costs by promoting patient self-care.4 Vulnerable elderly care home residents, many of whom lack mental capacity, are unable to obtain Vitamin D without a prescription, as Care and Quality Commission (CQC) regulations prevent tablets being given by care staff without GP Guidance.5 This logistical deadlock has not been resolved, and Vitamin D deficiency has long been known to be widespread in care homes.6 Over 19,000 care home residents in England ...

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The Betrayal of Britain Bob's cartoon in today's Telegraph, contrasting with his optimistic Brexit cartoon of February 1st Inevitable it may have become, but no less dreadful for that. Yesterday afternoon 516 elected representatives of the English people voted to put England back into lockdown, following the other home nations into this dreary stasis. The aim? To suppress temporarily and with no obvious strategic purpose a disease which over 99.7% of people survive. The excuses of March relied on by many at the time – that not enough was known about the virus to permit any alternative – were no longer available. Seven months down the track and ignorance is no longer a defence. We know far more about this virus – its virulence, who is vulnerable to it, how to treat it, how it responds (or doesn't) to restrictions, and what it does in places where restrictions are eschewed – to make properly informed decisions. Yet MPs were instead presented with already falsified, out-of-date models predicting imminent catastrophe. The working and assumptions for these dubious creations were only published just before the vote. Just 39 MPs voted against the lockdown. 34 were Tory rebels voting against the Government. Here is the Roll of Honour: Adam Afriyie, Steve Baker (teller), Peter Bone, Sir Graham Brady, Steve Brine, Sir Christopher Chope, Philip ...

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November 2020
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November 2020
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