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IBS Guide reduces primary care consultations by 60 percent

Available in the UK from RTFB Publishing, the What Should I do? Health Management Guide for Irritable Bowel Syndrome (IBS) developed and written by the National Primary Care Research and Development Centre, NPCRDC, in Manchester is proven to make a significant reduction in primary care consultations.

With the NHS at crisis point and a high rate of inappropriate attendances within the healthcare system, the NHS Plan 2000 now recommends that more patients follow a self-care plan. The easy-to-use Guide explains all aspects of Irritable Bowel Syndrome to help patients understand the various treatment options and actively manage their illness, in partnership with their doctor and other health professionals.

IBS affects between 10 and 65 percent of the population, causing agonising abdominal pain and side effects. Females are three times more likely than males to have IBS and it can start at any age. After back pain, IBS is the second most common cause of workplace absenteeism.

The What Should I do? IBS self-care guide is already used by a number of PCTs and is of proven effectiveness. In research, the guidebook resulted in a 60 percent reduction in primary care consultations and reduced the perceived severity of patients' symptoms. Costs per patient were reduced by £73, or 40 percent per year.

Health Secretary Patricia Hewitt comments, "A 30 percent reduction in admissions could mean people don't spend unnecessary time in healthcare facilities and save over £400 million a year for other services." Through the empowerment and education of patients, this is a realistic goal.

The healthcare guide is designed to offer support to patients through sharing the personal experiences of other sufferers, discussing methods of self help such as diet, exercise and complementary therapy, as well as medical treatments, coping plans and recent research.

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What Should I Do? book will help to cut unnecessary use of NHS services

The government is demanding major savings to be made across the NHS, without a reduction in the quality of service offered to patients. What should I do? is a unique 64-page self-care programme that empowers patients with the knowledge and resources to know when it would appropriate to use NHS services and when it would be more effective to manage the situation themselves.

Independent research into patient opinion concluded that patients felt more comfortable and relaxed knowing the right course of action for a particular ailment. What Should I do? gives patients a better understanding of self-care and ensures NHS services are used sensibly.

What should I do? has sold over three million copies in the UK. 36 different health authorities and health boards have purchased the booklet and well over 6,000 GP surgeries and pharmacies have used What should I do? material in their patient management initiatives.

An independent research study by the University of Southampton, examined the success of the booklet. The study found that 86% of those who were given the book, took the time to read it, and more than 40% said it had a dramatic impact on the way they manage minor illness.

Versions of the guide are available in seven other languages, (Hindi, Gujarati, Punjabi, Urdu, Cantonese, Somali and Vietnamese) ensuring communities where English is a second language are given the opportunity to understand when it is fitting to visit a healthcare professional.

To find out how What should I do? can support your region click here.

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Travel Health booklets featured in The Independent's Ten Best listing

The 'What should I do?' Travel Health Guide together with the accompanying French Health Phrase Book and Spanish Health Phrase Book were featured on page 36 of the The Independent national newspaper as one of the Ten Best First Aid for Travellers items that travellers should take on their holidays.

Featured as Number 1 out of the ten items, the booklets were the only health information material featured.

The Independent has become on of the UK's up and coming daily newspapers which has a readership of more than 260,000 people across the UK.

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Spanish Travel Health pack spotlighted by Living Spain magazine

The UK's biggest selling Spanish Property magazine Living Spain (May/June 2005 p38) described the 'What should I do?' Spanish Travel Health pack as "a pair of informative and really useful booklets that deal with health issues both from a practical point of view in terms of staying healthy in Spain but also from a language point of view".

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Australian research confirms popularity of What should I do? around the world

A research study involving more than 5,000 people in Sydney, Australia who received the Australian edition of 'What should I do? Do I go to the doctor?' showed that it was regarded as a valuable resource which would be kept for future reference. The study.headed by Dr Susan Whicker (National Program Manager - Quality Use of Medicines for the Royal Australian College of General Practitioners) and Dr Bolton (Director of Medical Services, Woolongong Hospital) recruited 5,803 patients from Balmain General Practice Casualty in Sydney and the HealthConnect Telephone Triage Services to evaluate an Australian edition of the 'What should I do?' booklet.

Key findings of the study showed the following:

  • 97.7 percent of respondents kept the booklet for future reference.

  • 37.8 percent of respondents said they managed the condition
    themselves as a result of the information in the booklet.

  • 43.5 percent of the Health Connect patients responded in
    the category: Useful for common problems. May avoid a trip to the doctor.

One of the major outcomes of the study suggests that the use of patient self-care information does impact on the decision that individuals make in regard to their health care influencing a move towards self management rather than increasing health care seeking behaviour from existing health services.

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What should I do? Guides receive praise from leading Women's magazine

One of the UK's leading mass circulation Women's magazines, My Weekly, which is read by more than 300,000 readers, has praised two of RTFB's 'What should I do?' publications in its 'You and Your Health' section of the magazine's August 4 2001 issue.

The booklets featured are the 'What should I do?' IBS Health Management Guide and the 'What should I do?' Crohn's Disease Health Management Guide which are described by My Weekly as being: "Absolutely brilliant, full of real people's symptoms, lots of helpful information, addresses, diets all written in a sympathetic style."

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New Welsh language minor illness guide
aims at half million Welsh speakers

Following the success of the 'What should I do? Do I go to the doctor?' minor illness guide throughout the UK, RTFB Publishing of Southampton has launched a Welsh language version of the popular health management booklet.

The new guide entitled 'Beth ddylwn I ei wneud? Ddylwn I fynd at y meddyg?' is written to help people recognise and appropriately self-treat more than 40 minor illnesses or conditions including: back pain, burns, colds and runny noses, diarrhoea, earache, fever, influenza, irritable bowel syndrome, sore throat, vomiting and wounds.

The new health management guide, which is the first of its kind aimed at Welsh speakers, will address approximately half a million people in Wales who use the Welsh language.

"The advent of the Welsh Assembly has stimulated a rise in both Welsh children and adults studying the Welsh language," explains Paul Buckley, RTFB Publishing's chairman. "The demand for Welsh language health education literature is set to rise dramatically in the coming years. There are areas of
Wales, notably in the Western and Northern regions (Gwynedd and Dyfed in particular) where the Welsh language remains strong and highly visible. The booklets are very popular with rural communities which face greater difficulties accessing primary care facilities."

The English language version of the booklet, 'What should I do? Do I go to the doctor?', is being used by more than 30 health authorities and health boards across the UK. Thousands of GP surgeries and pharmacies actively use the booklet and millions of UK people have benefited from the health advice in the booklet since its UK launch in 1995.

The 'What should I do?' programme also features a range of self-care healthcare leaflets written in eight ethnic community languages: Bengali, Gujarati, Hindi, Punjabi, Urdu, Cantonese, Somali and Vietnamese.

On-Line Shop What should I do? Do I go to the doctor?

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IBS pocket guide helps patients
to actively manage their condition

A new and innovative pocket guide to the effective self-management of Irritable Bowel Syndrome (IBS) is available for patients, GPs and consultants throughout the UK from RTFB Publishing of Southampton.

The 92-page 'What should I do?' IBS Health Management Guide provides patients with practical information about understanding the condition and the types of medical treatments that are available. Where there is positive or negative research evidence for a treatment, this is discussed in the guide.

  • The guide also enables patients to take part in their treatment decisions and encourages them to be proactive about their condition through diet, exercise, the use of complementary therapies and the use of appropriate 'over-the-counter' medicines.

  • The guide has a self-help checklist that allows patients to keep a record of the medication and alternative approaches that have been most helpful.

  • A food diary helps patients to review possible suspect foods that may trigger symptoms.

  • Importantly, for a condition that is isolating and embarrassing, the guide also offers support in the form of other people's experiences of the illness.

The 'What should I do?' IBS Health Management Guide has been researched and written by a team of health professionals at the National Primary Care Research and Development Centre (NPCRDC) and the Department of Gastroenterology, both based at the University of Manchester.

IBS is a very common digestive disorder that causes abdominal pain and changing bowel habits, with women more likely than men to suffer with IBS symptoms. It is believed to affect between 10% and 65% of the population, although the exact number of people is not known because there are many definitions of IBS. Between 5% to 10% of the population consult their GP each year about IBS symptoms.

"This user-friendly guide is the result of an extensive study into the common problem of IBS. Feedback from sufferers h
as been essential in developing a guide book that is practical, reassuring and offers sound self-management strategies for alleviating the everyday symptoms of this painful and embarrassing illness", comments Anne Kennedy, co-author of the IBS Health Management Guide.

"Although IBS is not a serious medical condition it does cause problems and disruption in people's lives in a way that can be hard to cope with. This guide aims to offer emotional support to sufferers as well as practical solutions. For many people it is important to know that they do not suffer alone".

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Phrase books help travellers talk to overseas
health professionals

RTFB Publishing has launched two 'What should I do?' Health Phrase Books to help travellers and holidaymakers to communicate confidently with overseas health professionals. The first two pocket-sized titles in the new 'What should I do?' Health Phrase Book series address the French and Spanish markets.

The easy-reference books are packed with many essential health-related words, phrases and phonetic pronunciations. They also feature diagrams showing major parts of the body with indications of what they are called in the local language. The books have been developed to help people obtain the most appropriate treatment by communicating their health problems more effectively.

RTFB has published the booklets in response to the fact that almost 50 percent of people suffer some kind of illness while travelling or holidaying in Europe. Although most of these illnesses are minor, more than 90 percent of these cases call for some form of treatment from a local pharmacist or health professional.


Even in popular destinations such as Spain there is evidence that some pharmacists fail to fully understand symptoms described in English. Although treatments often prove to be appropriate there have been a number of cases where inappropriate treatments have been potentially dangerous.

On-Line Shop French Health Phrase Book

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New Crohn's disease guide enables
patients to manage their health

A new and innovative pocket guide to the effective self-management of Crohn's disease is available for patients, GPs and consultants throughout the UK.

The 100 page 'What should I do?' Crohn's Disease Health Management Guide which includes a Personal Health Record Book, covers all key areas of interest to Crohn's disease patients.

Presented in a user-friendly format, the Guide provides a variety of information including:

The range of tests and treatment, surgery options, nutritional therapy, guidance on pregnancy and contraception
Advice about longer-term surveillance of the condition
Essential background information about what Crohn's disease actually is, its possible causes and how it affects patients

The Personal Health Record Book is a key part of the Guide which enables patients to monitor and record their self-management plan and test results in association with their hospital specialist.

The 'What should I do?' Crohn's Disease Health Management Guide has been researched and written by a team of health professionals at the National Primary Care Research and Development Centre (NPCRDC) and the Department of Gastroenterology, both based at the University of Manchester.

Crohn's disease is a serious inflammatory disease that can affect any part of the digestive tract from the mouth to the rectum but most commonly affects the small intestine. It affects between 30,000 to 50,000 people in the UK with 3,000 new cases diagnosed each year.

"Crohn's disease is a complex condition that can seriously affect the patient's lifestyle and quality of life. The Health Management Guide offers many people the opportunity to take part in treatment decisions for the first time, while enabling an effective self-management plan to be drawn-up between patients and their specialist", comments Anne Kennedy, co-author of the Guide.

" We know from our research with patients that they want immediate access to user-friendly, relevant information. When this is combined with an effective method of monitoring test results, diet and symptoms many patients feel empowered and able to cope better with their condition".

On-Line Shop Crohn's Disease Health Management Guide

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Rural communities research

A small remote rural community in the Australian outback has been part of a study to gauge the usefulness of the new Australian version of 'What should I do? Do I go to the doctor?'. The community of Eugowra in rural New South Wales was researched to check its thoughts on whether a self-care minor illness booklet would be of benefit to people who are a long way from medical professionals on a daily basis.

Perhaps not surprisingly there was a 100 percent recall of interviewees receiving the booklet. As many as 56 percent of the interviewees said they read the booklet thoroughly with the remaining 44 percent saying they glanced through it. No one put it to the side without reading it at all.

Interesting facts:
  • Everyone who received the booklet said they kept it for reference and everyone found it useful to some degree with 59 percent saying it was 'very useful'.

  • As many as 34 percent of those interviewed said that the booklet changed the way they dealt with an illness/problem or the way medical advice was sought.

  • The booklet encouraged 13 percent of people to treat themselves while 16 percent sought help from their pharmacist instead of the GP.

  • Almost 20 percent of interviewees said they had referred to the booklet at least twice for advise on an illness or medical program wit 13 percent saying they had consulted the booklet more than three times.

  • As many as 38 percent of those interviewed said they had already recommended the booklet to someone else in the community.

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Birmingham seeks to reduce 'Winter Pressures' in deprived areas

Birmingham Health Authority is using RTFB Publishing's 'What should I do? Do I go to the doctor?' booklet as a key element in its 'Winter Pressures' health education programme.

As many as 150,000 booklets were delivered prior to Christmas to residents in some of the most deprived areas of Birmingham's metropolis.

The 68-page booklet provides easy-to-read advice on as many as 40 of the most common minor illnesses or health conditions. The booklet features a custom designed 'Treat yourself to good health' outsert designed and produced by RTFB following Birmingham Health Authority's brief.

Birmingham Health Authority is seeking to reduce demand on primary care and Accident and Emergency services by providing a proven health education booklet. 'What should I do? Do I go to the doctor?' has been used by more than 36 different Health Authorities or Health Promotion Units throughout the UK.

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To order your copy of a What should I do? booklet
use one of the following methods:

On-line Shop

Phone: +44 (0) 23 8022 9041

Fax: +44 (0) 23 8022 7274

Email: info@whatshouldido.com

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