June 1999
        News
        RCOG launches guidelines on male and female sterilisation
        Evidence-based approach improves GP menorrhagia management
        Editorial
        Getting to grips with clinical governance
        Dr Richard Baker, Director of the Clinical Governance Research & Development Unit, Dept of General Practice & Primary Health Care, University of Leicester
        Personal View
        Sterilisation guidelines emphasise patient choice
        New RCOG guidelines on sterilisation stress the need to give patients full and accurate information, says Dr Sam Rowlands
        Personal View
        Guidance needed in areas that guidelines ignore
        Dr Elizabeth Davies argues that the current evidence-based approach may not be the only way forward
        Letters
        National audit results keenly awaited
        Guidelines in Practice welcomes letters; if would you like to share your views with other readers, please write in
        Guideline Development
        Updating national guidelines for referral of breast problems
        Professor Robert Mansel, Dr Nader Khonji and Mr Dayalan Clarke explain how the revised guidelines aim to allow fast-tracking of patients with suspected cancer
        Guideline Implementation
        Hall Report proposes radical changes in child health surveillance
        Dr Greg Dilliway looks at the implications and possible consequences for parents and professionals of the recommendations in the latest Hall Report
        Audit
        Practice audit identifies shortfalls in epilepsy management
        Dr Nigel Watson explains how the results of an audit convinced all the GPs in his practice of the need to improve epilepsy care
        Guideline Appraisal
        Assessing the quality of national guidelines
        Françoise Cluzeau explains how the Health Care Evaluation Unit at St George's Hospital Medical School appraise national clinical guidelines
        Tips on Guideline Use
        Is this guideline right for your patients?
        Dr Mark Charny suggests a checklist for assessing whether a guideline is relevant and sound, in the fifth article in this series
        Questions & Answers
        Your problems solved
        Our editorial board answer your questions on how to ensure that your practice computer is secure and writing legal reports
        Out of Hours
        Meanwhile, back in the surgery
        Dr Phil Hammond, GP, lecturer and presenter of BBC2's Trust Me, I'm a Doctor