Devon Tree Preservation Society

Primary Care in the NHS is drowning in a sea of paperwork.


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Guiding Guidelines

GPs are deluged with guidelines, almost all of which are produced by bodies having as their prime concern something other than the immediate well-being of the patient in the consulting room just now.

We need a Guideline Barrier Committee whose brief, analogously with that of the Formulary or District Therapeutics Committee, is to prevent bad guidelines being propagated.

A guideline can produce more expenditure than many drugs. BMJ Paper
Guidelines and expense

The committee should meet infrequently, and for short periods. Indeed, apart from its role as a limiter, like most committees it should be able to do most of its work without physical meetings.

The Scottish Intercollegiate Guidelines Network may however be on the right side.

BMJ article 855 Guidelines piled up in Cambridge

Licencing Guidelines

If you do produce a guideline, the best licence and copyright statement to use for it is this one: GNU Documentation Licence.
Any guideline and its accompanying instantiation in software that is under a more restrictive licence is probably best avoided, since users risk subordinating their own judgement and future knowledge to restrictions for which there is little justification.

A reference book: Guidance Notes for Clinical Guidelines. 1997. Clinical Audit Committee/BMA ISBN 07279 11570


"Give me today a report on one half of one sheet of paper". W Churchill 1944

"Send me a short e-mail". A Midgley 1997


Version October 2003, previous March, February 2002; April 2001, original September 1997 | Up: Main |