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Greta, I would appreciate a reference for the "Wilson and Junger criteria 1968". Kevin Kevin MAGUIRE MSc BSc BA CPsychol MCIEH, Senior Lecturer, Division of Criminology, Public Health and Policy Studies, School of Social Sciences, Nottingham Trent University, Burton Street, Nottingham, NG1 4BU. UK. Telephone ++ 44 (0) 115 848 5540 ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Greta Thornbory Sent: 22 January 2007 23:15 To: [log in to unmask] Subject: [OCC-HEALTH] Sending results to GP's Hi Mark, Glenn et al. An interesting discussion and I have to admit I am on Mark's side here and agree wholeheartedly with all he has said. I would also remind folks of what I said (and stand by) in a similar email query back in Aug last year: One place to look is on www.ebandolier.com <http://www.ebandolier.com/> for evidence based stuff in their health living zone. The other thing to consider is the Wilson & Junger criteria 1968 which is the accepted criteria for screening and includes that : * 1. the disease should be a serious health problem * 2. there should be a suitable test or examination * 3. the test should be acceptable to the population being screened * 4. there should be an accepted treatment for the disease 5. facilities for diagnosis and treatment should be available * 6. the cost of the tests and treatment should be economically balanced in relation to possible expenditure on medical care as a whole Generally it is the facilities for treatment that are overlooked i.e. what do you do with the results? And how right I am - this was not considered in the Health promotion activity being discussed or the question would not have been asked. Health promotion is NOT about screening procedures either. Yes of course lots of people are happy with what you are all doing - it is known as the 'Hawthorn effect'. Tones (1990) defines health promotion as 'all measures deliberately designed to promote health and handle disease'. So you can do a lot to promote health without actually doing any screening tests which MAY and DO cause- terrible problems. Nursing is about empowering people to take responsibility for their own health by being able to make informed choices. If they then choose to ignore professional advice that is their choice - just like thousands of smoking overweight nurses ignore their own advice. Cheers, Greta Greta Thornbory Consultant, Occupational Health & Education Consultant Editor, OH Journal www.gtenterprises-uk.com Tel: 01235 770156 Mob: 07778 518 027 ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/ This email is intended solely for the addressee. It may contain private and confidential information. If you are not the intended addressee, please take no action based on it nor show a copy to anyone. In this case, please reply to this email to highlight the error. Opinions and information in this email that do not relate to the official business of Nottingham Trent University shall be understood as neither given nor endorsed by the University. Nottingham Trent University has taken steps to ensure that this email and any attachments are virus-free, but we do advise that the recipient should check that the email and its attachments are actually virus free. This is in keeping with good computing practice. ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/