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People travelling abroad may no longer be able to obtain health information from practice nurses, a letter in the British Medical Journal suggests. A London GP says under new contract arrangements, nurses in a health promotion clinic were able to advise travellers about potential risks abroad, such as food poisoning, malaria, and the possible risk of HIV infection. But the GP's local family health services authority has said this sort of advice no longer counts as health promotion, and the £4.50 a patient for health promotion services is no longer payable. The nurses will not now have time to discuss these issues properly, says the GP. We would probably need to prevent only one case of AIDS in 10.000 patients seen, to be cost effective,' he adds.
People travelling abroad may no longer be able to obtain health information from practice nurses, a letter in the British Medical Journal suggests. A London GP says under new contract arrangements, nurses in a health promotion clinic were able to advise travellers about potential risks abroad, such as food poisoning, malaria, and the possible risk of HIV infection. But the GP's local family health services authority has said this sort of advice no longer counts as health promotion, and the £4.50 a patient for health promotion services is no longer payable. The nurses will not now have time to discuss these issues properly, says the GP. We would probably need to prevent only one case of AIDS in 10.000 patients seen, to be cost effective,' he adds.
