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Opioid prescribing ‘a significant concern’ NHS inspector warns after finding nearly half of online health services still unsafe

Opioid prescribing ‘a significant concern’ NHS inspector warns after finding nearly half of online health services still unsafe

Lack of communication with GPs could see patients inappropriately prescribed powerful painkillers which are subject to abuse Opioid

Opioids caused 63,000 of drug deaths in the US in 2016

Opioids caused 63,000 of drug deaths in the US in 2016 ( Getty )

Almost half of online GP and health services are not providing safe care, the NHS care inspector has warned, as it raised “significant concerns” providers were handing out large volumes of strong opioid painkillers.

The Care Quality Commission (CQC), which inspects health services in England, flagged the concerns in a review of checks on online GP services over the past year.

Online providers can include those that offer video or questionnaire GP appointments or online prescription ordering through websites and apps.

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WHY EXPERTS ARE WALKING OUT ON A TOP MEDICAL RESEARCH UNIT

Professor Peter Gotzsche says evidence-based medicine is at enormous risk of manipulation by commercial parties

Professor Peter Gotzsche says evidence-based medicine is at enormous risk of manipulation by commercial parties( Reuters )

WHY EXPERTS ARE WALKING OUT ON A TOP MEDICAL RESEARCH UNIT

A Danish ‘maverick’ clinician has been thrown off the board of the institute he cofounded – but four of his colleagues have been quick to protest

The Cochrane Collaboration, a highly respected international medical research organisation that conducts systematic reviews and guides clinical practice, has been rocked by a scandal. Professor Peter Gotzsche, a founding member, was recently expelled from its board, following a narrow vote. Gotzsche was accused of bringing the organisation into disrepute, but four other experts on the board walked out in protest at the decision.

Gotzsche, a Danish clinician, is a big name in medical research. Among other things, he is the coauthor of several guidelines on the conduct and reporting of research, including CONSORT, PRISMA, STROBE and SPIRIT. And, until last week, Gotzsche led the Nordic Cochrane Centre in Copenhagen.

Some people regard him as a maverick – he isn’t shy of speaking out. Others see him as a principled man whose commitment to the doctrine of evidence-based practice is displayed in his criticisms of flawed research, particularly when this is due to vested interests. Integrity is the bottom line for Gotzsche.