Zosia Kmietowicz

The General Medical Council has placed conditions on training in obstetrics and gynaecology at North Manchester General Hospital to deal with failures in standards, including not demonstrating a learning culture despite previous warnings.Training in obstetrics and gynaecology at the hospital, which is part of Manchester University NHS Foundation Trust, has been subject to enhanced monitoring since November 2022, and satisfactory progress has not been made, said the GMC.The conditions, put in place on 12 June, were designed to ensure that standards can be met …

Medical leaders have questioned the updated guideline from the National Institute for Health and Care Excellence (NICE) on myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome (ME/CFS) for downplaying the importance of activity and exercise in managing the condition.They say that the guideline understates the connection between mental and physical health, does not reflect how exercise therapy is used in practice, and fails to represent the positive discussions that leaders have had with patient groups.The guideline was finally published on 29 October,1 after NICE delayed its publication because three members of the committee overseeing its production resigned in August and royal colleges raised concerns about the recommendations and processes used in developing it.2NICE said that graded exercise therapy (GET) should no longer be used to treat ME/CFS but that exercise programmes could still …