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SystmOne is a centrally hosted clinical computer system developed by Horsforth-based The Phoenix Partnership (TPP). It is used by healthcare professionals in the UK predominantly in primary care. The system is being deployed as one of the accredited systems in the government's programme of modernising IT in the NHS.
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A cramp is a sudden, involuntary, painful skeletal muscle contraction [1] [2] or overshortening associated with electrical activity; [3] while generally temporary and non-damaging, they can cause significant pain and a paralysis-like immobility of the affected muscle.
The NHS App allows patients using the National Health Service in England to book appointments with their GP, order repeat prescriptions and access their GP record. Available since late 2018, the app was developed by NHS Digital and NHS England. [1] The health ministers Jeremy Hunt and Matt Hancock both stressed their support for the project.
In 2022 the ‘Citizen’s Access Programme’ – giving patients in England automatic access to their prospective GP records through the NHS app was supposed to have been implemented on 1 November, but was delayed, and generated resistance from GPs with concerns about extra workload and distress for patients.
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It most often occurs in the middle of the night [3] and lasts from seconds to minutes; [4] pain and aching lasting twenty minutes or longer would likely be diagnosed instead as levator ani syndrome. In a study published in 2007 involving 1809 patients, the attacks occurred in the daytime (33 percent) as well as at night (33 percent) and the ...
Muscle stiffness may also be present; if muscle weakness is not also present, and cramps are more severe, the stiffness may be categorized instead as cramp fasciculation syndrome. [3] Cramp fasciculation is a variant of BFS which presents with muscle pain and exercise intolerance. [2] [4]
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