Podcasts about General practice

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Lots going on in this new episode! Three new pieces of research and an interview with Dr Anna Martinez, consultant paediatric dermatologist at GOSH, talking about a skin fragility condition many of us may not have heard of before - epidermolysis bullosa - in conjunction with DEBRA, the leading charity for EB awareness and research. In research, we look at two papers published this week in finerenone. Does it have a role in CKD management in patients without diabetes, and if so, how good is it?Second, retatruide - the latest injectable weight loss medication making a splash across the headlines - could it be used as monotherapy for recent onset type 2 diabetes?ResourcesNB Medical Epidermolysis bullosa free online educational moduleDEBRANEJM Finerenone for CKDLancet Finerenone MALancet Retatrutide for early T2DMwww.nbmedical.com/podcast

Recognizing that osteoarthritis (OA) isn't just a disease of “old dogs” is transforming how veterinary professionals care for their canine patients. Yet, in the fast pace of clinical practice, performing a full orthopedic exam on every patient isn't always feasible. This episode of the VetFolio Voice podcast offers practical strategies to help you screen patients and identify those who would benefit most from a more thorough orthopedic evaluation. Learn how to communicate with clients on detecting early-onset OA, when to escalate to diagnostics, and how to tailor multimodal, long-term management strategies using a combination of NSAIDs, surgery and newer options—because every dog deserves to move comfortably at every stage of life.

Today, we're speaking to Dr Clare Macdonald, an Academic Clinical Lecturer in General Practice based at the University of Birmingham.Title of paper: Complex social needs and maternal postnatal care: what can primary care do?Available at: https://doi.org/10.3399/BJGP.2026.0069Throughout the discussion we use the terms ‘woman' and ‘women', but we know that not all those who give birth will identify as women and intend this to mean all those who give birth.TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:00.480 - 00:00:51.740Hello and welcome to BJ GP Interviews. I'm Nada Khan and I'm one of the Associate Editors of the Journal. Thanks for listening to this podcast today.In today's episode, we're speaking to Dr. Claire MacDonald. Claire is an academic clinical lecturer in general practice, and she's based at the University of Birmingham.We're here today to talk about the editorial she's just published in the May issue of the bjgp, and it's titled Complex Social Needs and Maternal Postnatal Care. What Can Primary Care Do?So, hi, Clare, it's lovely to meet you and to talk about this brilliant editorial, but before we get into the editorial itself, I wonder if you can just talk us through what you actually mean by complex social needs in the context of postnatal care.Speaker B00:00:51.980 - 00:02:21.290Yeah.So I think when we talk about social complexity in the postnatal population, we're talking about women who have multiple factors that might be influencing how they can access care or influencing the clinical and social risks that they have. So for most people, the time after they've had a baby results in some social change.Even in the most straightforward, most brilliantly supported, most physically well person, there are big social changes. And that is a period of a complex time to navigate and finding your way and your identity as a family with a new baby and so on.When we talk about complex social needs, we're talking about women who face other aspects of adversity.So it might be that they have housing instability, it might be that they have experienced domestic abuse or they continue to experience domestic abuse, that they have a history of safeguarding issues, safeguarding for themselves or safeguarding concern, concerns about other children or other family members.And when we see women who have overlapping social risk factors that produces this kind of network of complexity that puts them at compounded additional risk and they need additional help in navigating their health needs in that time.Speaker A00:02:21.450 - 00:02:47.310And I wonder why you felt that this was an important issue to highlight right now. So is there anything in particular that makes you think that this is the right time to sort of look into this?I know that there's a complex picture in terms of sort of maternal care, and if we look at things like the cost of living crisis, which is compounding a lot of the pressures that people are facing. But talk me through what your impetus was in thinking about this as a now issue.Speaker B00:02:48.110 - 00:05:26.470Yeah, that's right.So maternity services are really high profile in the news a lot at the moment, but from a secondary care perspective, and quite rightly, there's a spotlight on the poor care that some women and their families and their babies receive from secondary care. And there are, you know, huge pieces of work being done to improve that, to improve outcomes and to improve people's experiences.But that focus tends to be on intrapartum care.So the care that people receive in hospital around the time of birth, sometimes there's a little bit of focus on antenatal care as well and reducing risk during pregnancy, there's a lot less focus on what looks like the less exciting time of preconception care and then postnatal care. So after women get discharged from maternity services, we know that they're often left feeling a little bit isolated in the healthcare context.Some qualitative research that we've done in the past, looking at women's experiences of postnatal care, women told us that they were surprised about they'd had so many appointments during pregnancy and then so much healthcare retention in the first few days after birth, and then they were just surprised. No, you know, they had a baby and no one was really interested in their health anymore. And that genuinely came as a surprise to them.We know that maternal mortality in the uk, which, thankfully, in absolute numbers, is. Is quite small, but it's certainly higher than it could be and maybe should be, particularly compared to other kind of similar European countries.And there are actually more maternal deaths postnatally, so in the sort of later postnatal period, six weeks to a year after birth, than there are in that sort of antenatal, intrapartum and early postnatal period. And all of the political drive tends to be about reducing maternal mortality in its traditional definition of being up to six weeks after birth.But as GPs, where we can really have an impact is in those late maternal deaths.And of course, very few of us, thankfully, will be involved in the care of a woman who dies in that period, because they are small in absolute numbers. But there are all the women who do not die, but have those risk factors and have that complexity.And the longer they live with those sort of adverse health conditions and adverse social conditions, that is dramatically reducing their quality life course health. And we can really step in, in that postnatal period to look at how we can influence that.Speaker A00:05:26.870 - 00:05:49.080Yeah, and you've mentioned about the kind of care that women get in during their pregnancy. And sometimes, I'm sure for some women, the postnatal period can feel already pretty fragmented for those reasons.But how do you think that that fragmentation can become amplified for women with complex social needs? Do you have any thoughts about that?Speaker B00:05:50.280 - 00:08:25.320Absolutely. So a Lot of people will know how to contact their gp, right?I think if you ask people, most people have probably got that number saved in their phone or they know where their GP practice is.But after you have a baby, women are then given all these kind of new healthcare professionals who are interested and involved and it's impossible to know how that all fits together.So the midwife will typically follow women up for that kind of, you know, 10 to 14 days postnatally, usually just at the time the midwife is giving you the final sign off appointment. Within a day or two, you have an appointment with the health visitor, which again is somebody new, and then you might have a follow up.For example, if a woman's had a third degree tear or is having some additional hospital follow up because of hypertension or gestational diabetes, then the hospital are involved and then they come back to the GP.And I often feel like, for us as GPs, women, as soon as they're pregnant, they can generally self refer to the midwife and they get kind of lifted out of the primary care system to an extent.We might not see them through their whole pregnancy, then they have a baby, we might or might not get a discharge summary that gives us some details about the birth and then we invite them for their postnatal consultation and in that time, you know, they've had an entire pregnancy, a huge life changing event, and then we get to see them for this one appointment. And it's so complicated.Often for women who are not sure where they're going to get their next meal from, how can they be giving any kind of cognitive time to figuring out if the midwife told the health visitor and if the health visitor told the GP and if they're worried that their bleeding's gone on for a bit too long, do they try and phone the woman who came on Thursday or the woman who came on Monday, or do they come back to their gp?We're asking a lot and we also place a lot of burden on women to retell their story because information transfer is not always timely, it's not always sufficiently detailed.And again, for women who are living in more precarious social situations, that burden then of having to, you know, they're juggling and the, you know, the mental load of everything they're trying to figure out. And then we're asking them, can you remember if your blood pressure was high during your pregnancy?Whereas we should know that we should have that information from those other services. So that fragmentation in services really means that the burden is unduly placed on women to kind of patch that up.And we need to find a better way of dealing with that.Speaker A00:08:25.640 - 00:08:38.260One of the things I think that comes through really strongly is that some of the women with the greatest needs often face the biggest barriers, care. And what kind of barriers are we talking about here that these women are facing?Speaker B00:08:38.980 - 00:10:06.270The Embrace report, which is well, well worth a look at at least their infographics, I think for every gp, it's just a...

In today’s VETgirl online veterinary continuing education podcast, Dr. Ernie Ward discusses integrating CT scanners into general practice. Dr. Ward explains how this move closes the gap between suspicion and certainty, transforming diagnostics. He covers implementation, financial impact, and how in-house CT improves patient outcomes, enhances team satisfaction, and builds client trust.Sponsored By: Antech

Contact us and share your opinionIn this episode…GP Collective Action Month 2 - Medication Optimisation SoftwareA “hyper focus” on GP access at the expense of frailty management is discussed at the Public Accounts Committee at WestminsterGPCE Committee funding at risk as GPDF debate motion to cease funding in favour of an alternative  way to secure a “Plan B” dentistry like model for General PracticeBoost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

In this episode of the Business of Healthcare podcast, Tara is joined by pharmacy leader and self-described "serial integrator" Michael Lennox for a passionate conversation about the relationship between community pharmacy and general practice, and why working together is essential for the future of healthcare.     Michael shares how two decades in healthcare leadership shaped his belief that seamless, connected care is healthcare's real superpower. Together, they explore why integration still feels frustratingly out of reach, despite years of reforms, new structures, and ambitious NHS plans.     The conversation covers the tension between independent contractor models and integrated care, the 'Cinderella syndrome' community pharmacy often experiences, and why both pharmacy and general practice are often fighting the same battles without realising it.     Michael & Tara also discuss: Why conferences can create a 'bungee effect' of motivation How to keep momentum alive after inspiration fades Rapid Action Teams and solving problems quickly at a local level The importance of celebrating frontline success stories Why optimism still matters in healthcare leadership     This is an honest, energetic and hopeful conversation about collaboration, leadership and building better systems from the ground up.     Learn more about the conference being held on 21 and 22 June 2026 here.     Email Michael here or find Michael on LinkedIn here.

This episode covers infectious mononucleosis.Notes: https://zerotofinals.com/paediatrics/infectiousdisease/infectiousmononucleosis/Questions: https://members.zerotofinals.com/Books: https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

The Association of Salaried Medical Specialists believes fewer people are receiving care than we're being told. Its new report —which looks at seven districts between 2023 and 2025— shows about 20% of GP specialist referrals are being declined. Executive Director Sarah Dalton told Mike Hosking it's down to staff shortages across the public and private sectors. She says it shows Health New Zealand isn't managing unmet need, and criticises the fact our targets-focused system doesn't provide targets for the workforce. LISTEN ABOVE See omnystudio.com/listener for privacy information.

In this episode of the General Practice Podcast, Ben is joined by Dr Sian Stanley, GP Partner, PCN Clinical Director and Health System Transformation Leader to explore how general practice can play a central role in reshaping urgent and community care. Sian shares the story behind a GP-led urgent treatment centre collaborative in West Essex, bringing together primary care, community services, the acute trust and wider system partners to redesign patient flow and reinvest savings back into local services. This is a fascinating discussion about practical system leadership, collaboration, and the future role of general practice in NHS transformation. Introduction (0:09) Tell us about your roles (0:23) Tell us about the urgent treatment centre and why it's unusual for primary care to lead it (1:38) How does the funding and profit-sharing work within the collaborative? (3:27) Is the hospital involved in the collaborative? (4:42) How does making "left shift" tangible help bring practices on board? (6:15) Is it difficult balancing system leadership with representing practices? (7:16) How do you reassure practices and keep them engaged? (7:50) What is the relationship with the acute trust and how has it developed? (10:04) What impact has the loss of ICB funding had on these roles? (11:28) How do you see the provider collaborative developing? (12:23) Is there nervousness about acute trusts becoming too powerful in community care? (13:47) How do you stop general practice becoming an extension of the acute trust? (15:01) How are you tackling the "substitution effect" around hospital admissions? (17:55) Are you starting to see shared savings models work in practice? (21:14) How did you build influence and get a voice at the table? (23:48) Closing reflections (26:24) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. More new research to discuss for the world of general practice.First, which antibiotic is actually best for managing uncomplicated UTI - is UK guidance offering the best choice to women?Second, are you using the Kidney Failure Risk Equation in your patients with CKD? New research on how your risk of death may be much more important than your risk of end-stage renal disease.Finally, does empathy work in telephone consultations, and can it improve important hard outcomes such as symptom control?ReferencesLancet Abx for UTIBJGP Kidney Failure Risk Equation, Death and ESRDKidneyfailurerisk.co.ukBJGP Empathy and the telephoneCARE measurewww.nbmedical.com/podcast

In a special Transforming Primary Care podcast episode released during Mental Health Awareness Week, a panel of clinicians led by Dr James Gossow, Deputy Medical Director, Systems Improvement and Professional Standards, NHS England - North East and Yorkshire, discusses the work that is currently underway across the region which is having a positive impact on patients needing to access mental health services. This includes the three 24/7 neighbourhood mental health centres, new innovations in Hartlepool and a pilot in Sheffield supporting patients with neurodiversity. For more information about the 24/7 neighbourhood mental health centres visit: https://www.england.nhs.uk/mental-health/24-7-neighbourhood-mental-health-centres/ A full transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/transforming-primary-care-podcast-mental-health-and-the-role-of-general-practice/ Please get in touch if you have any questions regarding this episode - england.ney.pctransformation@nhs.net

Are our patient consent rules making it harder to train the next generation of doctors? An article in The Conversation argues that the strict requirement for patients to content to the involvement of junior doctors in their care is hindering medical training. Author and Associate Professor of Primary Health Care and General Practice at Otago University, Dr Ben Gray says it's limiting hands-on learning, especially in critical situations. He told Kerre Woodham the interpretation of the rules has narrowed over time, and doesn't include situations where patients are unconscious or distressed. Gray says it means students potentially won't have the chance to learn about those patients and how to treat them, if they can't get consent. LISTEN ABOVE See omnystudio.com/listener for privacy information.

What should Dr. Ian McWhinney's legacy be? Join CFP Editor Dr. Nick Pimlott and Associate Editor Dr. David Ponka in a wide-ranging conversation with Dr. Iona Heath about her essay “Continuity of care should be Dr. Ian McWhinney's lasting legacy”. This layered essay is a contemporary reflection on Ian McWhinney's third principle that the family physician sees every contact with his patients as an opportunity for prevention or health education. For 35 years Dr. Iona Heath practiced comprehensive family medicine in Kentish Town in London, UK. Dr. Heath is a past President of the Royal College of General Practitioners in the United Kingdom. Her essays on the nature and the state of general practice have been published in the British Medical Journal, the British Journal of General Practice, Clinical Medicine, and Canadian Family Physician and elsewhere. The essay and the books discussed in the podcast can be found at the following links: https://www.cfp.ca/content/cfp/72/4/230.full.pdf; https://canongate.co.uk/books/2244-a-fortunate-man-the-story-of-a-country-doctor; https://www.penguinrandomhouse.ca/books/395860/the-spirit-level-new-edition-by-richard-wilkinsonkate-pickett/9780241954294). Hosted on Acast. See acast.com/privacy for more information.

The long-term vision is that you walk into a clinic, hit record at the beginning of the day - you walk out at the end of the day, and you never put your hands in a computer. You just did medicine, and everything went into the right place.'Sound too good to be true? Maybe. But it's closer than you think.If you've already adopted a veterinary AI scribe, you'll know it's transformed your day. But scribes are just the gateway drug. The really interesting question is what your scribe connects to next - and the answer, for a growing number of vets, is the brain of the clinic itself: your practice management software.This conversation brings together Dr Caleb Frankel, ER vet and founder of Instinct - the PIMS used by many of the world's largest specialty and emergency hospitals, and now built out for general practice too, and Rohan Relan, founder of Scribble Vet. Earlier this year, Instinct acquired Scribble - and what they're building together is a glimpse of where veterinary software could be heading.You'll  hear:Why up to 80% of your veterinary work day is swallowed by a keyboard What "beyond scribing" looks like - from infographics, to embedded drug references that update in real time as you talk, to anaesthesia records that fill themselves in from across the room.The "easy to verify, hard to generate" principle - why the best AI tools in clinic don't try to replace you, they let you stay in the loop without doing the grunt work.What it means when your scribe and your PIMS talk to each other.Why an "open API" matters more than you think when individual vets can magically build for their own tools.The tech patient safety layer that can catch your mistakes before you make themWhere this all goes next - and why both guests believe we're still only seeing the beginning of what AI in clinical practice can do.We recorded this as a video with screen sharing, so if you want to follow along and see what these tools actually look like in action, watch it on Spotify.For our clinical content, show notes, and our full back catalogue, head to ⁠thevetvault.com⁠. While you're there, check out our subscriber-only clinical podcast, our newsletter, and come and hang out with us in real life at ⁠Vets On Tour.Topics and TimestampsWhy Instinct Acquired Scribble 2:08Beyond Scribes: The Bigger Vision 7:48Demo: Scribble + Instinct Integration 10:06Plums Drug Reference Integration 11:30Mid-Roll: Events & Announcements 14:49Pushing Notes to Instinct 16:27Scribble Features: Translations, Care Cards & More 19:29Record Review & AI Verifiability 21:28Instinct PIMS Overview 24:17Instinct Expands to General Practice 24:51Instinct Features: Estimates, Safety Warnings & Clinical Tools 32:03Embedded Scribble: Voice-Controlled Anesthesia Records 38:07AI Safety: Human in the Loop 38:46APIs, MCP Servers & Vibe Coding for Vets 45:02Open vs Closed PIMS Philosophy 50:39

Today, we're speaking to Catharina Savelkoul, a DPhil student in Health Economics based at the Nuffield Department of Primary Care Health Sciences at the University of Oxford.Title of paper: Factors Influencing UK Medical Students' Choice of General Practice: A Systematic ReviewAvailable at: https://doi.org/10.3399/BJGP.2025.0226The UK faces a projected shortage of approximately 15,000 GPs by 2036/37, with a declining proportion of UK medical graduates pursuing general practice. Previous research has identified various contributing factors but lacked a contemporary synthesis within a coherent theoretical framework. This systematic review examines factors influencing UK medical students' career decisions, finding three critical influences: curricula that inadequately represents general practice, a persistent negative hidden curriculum, and the impact of clinical placement quality. Our revised Bland-Meurer model incorporates these findings, providing a comprehensive framework to improve GP recruitment. This systematic review identifies the factors that shape UK medical students' intentions toward general practice.TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:01.120 - 00:00:59.530Hi and welcome to BJJP Interviews. I'm Nada Khan, one of the associate editors of the bjjp. Thanks for listening to this podcast today.In today's episode, we're speaking to Katharina Savalcool. Katharina is a DPHIL student in Health Economics based at the Nuffield Department of Primary Care Health Sciences at the University of Oxford.We're here today to talk about the paper she's recently published in the BJJP titled Factors Influencing UK Medical Students Choice of General A Systematic Review. So, hi Katharine, it's lovely to meet you and to talk about your work.This is a super interesting area to study because we know that there is a push to increase the number of GPs in practice and I guess that does really start from medical school and people's intentions there. But just to start off, could you talk us through why you decided to do this work and what were you aiming to look at here?Speaker B00:01:00.050 - 00:03:17.090Yeah, of course.So the goal of this piece of research, of the systematic review was to synthesize the empirical evidence on the factors that influence medical students, GP, career intention. Because we know that the general practice is what makes the NHS functions.It handles over 300 million consultations annually, manages the long term, most long term conditions, issues over a billion prescriptions per year. And we also know that healthcare systems with a strong, with strong primary care achieve like, better population health in general.But at the same time, right now the projected shortages for the UK are approximately 15,000 GPs by 2036, which is of course a large number and shows like a workforce crisis. And then if we look at the policy response to this, they've been like quite ambitious but also largely unsuccessful.So for instance, Health Education England mandated that 50% of all new medical graduates should enter general practice. And this target has never been met. The same goes for the NHS long term workforce plan to increase GP training places by 50% to 6,000 places in 2031.And the interesting part about this is that the policy responses are all about setting this goal. Right?It's about, you know, we're shifting, we're shifting care to the community, we're expanding training places, more medical students should become a gp. But that's all. Yeah, setting like these, these, these strategies, but at the end it almost seems like the, we're achieving the reverse.So that, that kind of brought me to the question of if we want to, you know, make sure that we have a healthy primary care workforce, that the general practice avoids this large crisis in the future, then maybe Instead of setting these ambitious goals, we should look into the question of what draws medical students to the general practice and also what are some of the reasons why they might not become a gp?And I think if we zoom into those factors at medical school, during medical education, you get a lot more interesting insights that can actually inform more effective policy. I think that's the kind of. That was the reason I conducted this systematic review.Speaker A00:03:17.970 - 00:03:42.850That's a great summary of what's been going on with GP recruitment in the past little while in terms of policy and the push to increase the number of gps. And this was, as you mentioned, a systematic review that followed pretty conventional review processes.But I wonder if you could tell us a bit about this bland mirror model. It's a framework used in terms of organizing the results and how this informed how you structured the results.Speaker B00:03:43.990 - 00:04:47.410Yeah, I think it's for this specific research question, looking into factors that influence decision making.I decided to look up different theoretical frameworks in order to understand this, because decision making at the end of the days is, of course, something that's influenced by many things at the same time.This model specifically, which was, I think first published in 1995, helped a lot with like, systematically categorizing the findings because it identified three principal domains. One is the student characteristics, such as, like, personal values, maybe personality traits. The second one is the specialty characteristics.So what is the. What are the professional opportunities? And the third one is, like, the influences during medical school.And I think if those are the three kind of domains we saw in this across these, like, 30 years of research, and I think it was the most useful way to kind of theorize these factors.Speaker A00:04:48.210 - 00:05:01.970Great.So I guess just talk us through what you found, and I suppose it might be helpful to just talk through the different aspects of that model you've just described. So what were the sort of student characteristics that you found in the literature that influenced and informed specialty choice?Speaker B00:05:02.640 - 00:06:37.050Yeah, so I think the findings from this came from different types of studies.I think the largest ones were the ones that used a data set called UK met, which kind of has the data on all UK medical students in such demographic variables, but also more information about their educational performance in medical school.And I think these studies showed us like, the kind of the social, demographic, individual characteristics that are associated with a higher likelihood of pursuing a career in a general practice. And then there's these smaller studies which kind of like looked at personal preferences and personality traits.And I think that that's another really interesting question. Right. Because about this, like, specialty choice and Kind of individual preferences, personality traits.A lot of international research is talking about altruism or do people who enjoy social contact more, are they more likely to become gps?And I think this type of research is quite undeveloped in terms of the UK literature, but it was still interesting to look at it and compare it to different studies. And I think for the demographic factors we saw specifically that female students were more likely to choose gender practice graduates on entry.So age was another one we saw. Yeah, so there's like these different kind of demographic factors or personality traits that seem to predispose you to career in a general practice.Speaker A00:06:37.290 - 00:06:51.930And what about the characteristics of the specialty itself or working in general practice specifically that drew some medical students to think about it. So these are potentially medical students looking at gps and thinking, oh, I want that lifestyle or I don't or I want that work. Really? Yeah.Speaker B00:06:52.150 - 00:07:48.350On this question, first of all, a lot has changed recently.So I think work life balance was something that was mentioned in like the earlier studies, but right now it has changed so much that that's almost like not something we can, yeah, we can use anymore.But another interesting one, and I think one that we should really take seriously, is that a lot of one of the things that draws students to the general practice is the like, long term patient relationships. So continuity of care.And of course right now with the landscape changing and specifically like the prioritization of access over continuity of care, it might be important to kind of, you know, reconsider those changes in light of the fact that a lot of medical students decide on a career in a general practice because of this like continuity of care aspect that's so unique to primary care. So I think that's another really important one.Speaker A00:07:48.990 - 00:08:13.560Yeah, I can definitely relate to that.I think one of the reasons I figured out that general practice was for me was that when I was working in A E, I would flag all the patients I'd seen and clarked in and then wanted to know what happened in their...

This episode covers childhood vaccines.Notes: https://zerotofinals.com/paediatrics/infectiousdisease/vaccinations/Questions: https://members.zerotofinals.com/Books: https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

In this HealthCert GP Update, Dr Simone Gonzo guides you through the management of iron deficiency in general practice, covering diagnosis, treatment, and iron infusions (including procedural steps and billing) — providing a clear, practical overview tailored for busy GPs. What you will learn Iron deficiency is a very common presentation in general practice, yet it is often underdiagnosed, undertreated, or managed inconsistently. From vague fatigue to complex comorbidities, getting the diagnosis and management right can significantly change patient outcomes. In this HealthCert GP Update webinar, Dr Simone Gonzo guides you through: A real-world approach to diagnosing and managing iron deficiency in primary care Key clinical indicators and interpret iron studies with confidence Evidence-based management strategies tailored to different patient groups When and how to initiate iron infusions safely in general practice Billing requirements and documentation for iron infusion procedures  Watch the webinar here to translate evolving evidence into clear, day-to-day clinical decisions you can apply immediately. Next steps in your learning journey

It is estimated that there are almost 3.5 million people living with cancer in the UK and on average someone is diagnosed with cancer at least every 75 seconds (UK). In this podcast Dr Thomas Round talks to Professor Willie Hamilton, a Professor of Primary Care Cancer Research about the updates to cancer detection in primary care. They reflect on why primary care is so important in this area, the changing epidemiology in cancer and cancer in younger people including the increase in colorectal cancer. They discuss the changes in cancer screening e.g. cervical cancer (introduction of home screening) and bowel cancer (age reduction and Faecal immunochemical test (FIT) thresholds), Positive Predictive Value (PPV), symptomatic presentations, difficult to diagnose cancers and atypical presentations. They also offer top tips for everyday practice and signpost to useful resources. References Best4: Screening for oesophageal health problems NHS Galleri Trail: Detecting cancer early Jess's Rule: Three strikes and we rethink ERICA Study. Prof. Willie Hamilton Save T, Neal R D, Round T. A multi-cancer early detection (MCED) test: clinical update for GPs. British Journal of General Practice 2024; 74 (745): 380-382.  Wiering B, Mounce LTA, Price SJ, et al. The impact of morbidity burden on cancer diagnosis; a retrospective cohort study in England. Cancer Epidemiol. 2026 Feb 27;102:103027.  Further readingRCGP eLearning courses on: Behaviour change and cancer prevention Bloating and Other Abdominal Symptoms: Could it be Ovarian Cancer? Breast Cancer Screening - The Essentials Cancer detection in primary care Colorectal Cancer Early diagnosis of cancer in young adults Lung Cancer Pancreatic Cancer: Early Diagnosis in General Practice Primary cancer care toolkit Prostate Cancer: Early Diagnosis in General Practice Cancer care | One Day Essentials | REWIND (available until 26.05.26) RCGP Podcast FeedbackYour feedback plays a crucial role in helping us improve the CPD products and services we offer. We would be grateful if you could please complete our short RCGP Podcast Survey, which will take no more than 5 minutes to complete.

Professionalism and appropriate boundaries are foundational to safe, effective general practice. Maintaining clear boundaries protects patients, supports clinical objectivity, and safeguards practitioners from ethical and legal risk. GP supervisors play a critical role in modelling these behaviours and explicitly teaching registrars how to navigate complex, real-world situations.This podcast discusses the responsibilities of a GP under the code of conduct for medical practitioners in Australia. It examines case scenarios and looks at what the regulator expects of a registered medical practitioner.Good medical practice - a code of conduct for doctors in AustraliaMaking a mandatory notificationAvant e-learningChildren's care and separated parents - AvantEmail communication with patients - AvantResponding to a request to access medical records - AvantScenario App

Professionalism is a core element of the 'complete GP'.In this podcast we use scenario-based approach to develop supervisor skills in teaching what can not be found in the textbooks.ResourcesGPSA Guide: Teaching Professionalism in General PracticeGPSA Scenario AppMedical Code of ConductWebinar Slides

Emma speaks to Professor Greg Irving, an academic GP and the national specialty lead for general practice at the National Institute for Health and Care Research (NIHR).In this conversation, Greg discusses the essential role of research in general practice and how it is being embedded into the government's 10-year plan as the NHS shifts focus from hospitals to the community. He explains the various ways the NIHR supports and funds research in primary care, highlighting opportunities for practices to get involved—from light-touch studies to more complex commercial research.Greg also addresses common concerns about the workload associated with research and highlights how it can improve quality of care, boost job satisfaction for the practice team, and help tackle health inequalities and offers practical advice for practices wanting to get involved.And Emma and Greg also discuss the shift toward neighbourhood working and how general practice is uniquely placed to lead research into complex challenges like multiple long-term conditions.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksNIHR School for Primary Care ResearchNIHR Regional Research Delivery Network (RRDN) Practices can access commercial study opportunities via the National Contract Value Review (NCVR)Funding and infrastructure opportunities that are available, such as the NIHR Capital Infrastructure NIHR primary care strategy and research programme Hosted on Acast. See acast.com/privacy for more information.

Originally from Galway, Dr. Brian was a Maths and Chemistry teacher before returning to the University of Limerick to study Medicine. He graduated with honours in 2011 and went on to complete his General Medical training in University Hospital Galway. ​He completed his GP training on the Western GP training scheme and has a special interest medical education.Dr. Brian teaches undergraduate medical students during their GP placement from the Royal College of Surgeons where he is an Honorary Lecturer. Dr Brian is a postgraduate GP trainer with the Irish College of General Practitioners.​ Dr. Brian enjoys all aspects of General Practice but has a special interest in chronic disease management and men's health.He is a regular contributor to Ireland AM and Newstalk. 

Pete Swenson, CEO, Dr. Alan Law, Chief Clinical Officer, Specialty & Dr. Christopher Steele, Chief Clinical Officer, General Practice share Park Dental Partners story. Key takeaways include: timeline: from two dentists to NASDAQ doctor ownership & governance long-term strategy  Make sure to watch the video podcast version of this episode. Where we visit several Park Dental practices and sit down for an interview in their resource group office.  To learn more visit https://parkdentalpartners.com/

Soon, medical students at Trinity College will be assessed not only on clinical competence, but also on their capacity for empathy and compassionate care.But how do you define and evaluate such human qualities in a clinical setting?Joining Seán to discuss is Dr Brendan O'Shea, Kildare GP and Assistant Adjunct Professor in General Practice at Trinity College.

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new pieces of research that affect us in general practice. First: What interim anti-coagulation would you give your patient with suspected VTE? One common option has 5 times the rate of major bleeding.Second: How much muscle mass do people lose with weight loss on GLP1s? Is this different from lifestyle-based interventions, and is there anything patients can do about it?Third: Why don't we use clinical decision support tools for cancer? This research looks at the barriers and then I over-share my own thoughts on the subject...ReferencesNEJM Apixaban or rivaroxaban bleeding risk with acute VTEDiabetes, Obesity & Metabolism Lean mass loss with incretin therapies vs lifestyle interventionsBJGP: Why don't we use clinical decision toolswww.nbmedical.com/podcast

Send Us A Question!When emergencies walk through the door, every second, and every decision, counts. In this special Vetfolio episode, Dr. Crocker is joined by Dr. Cassi to break down practical, real-world strategies for managing emergencies in general practice.Episodes release bi-weekly on Thursdays at 9am EST and are available on all podcast platforms including a video version on YouTube!Have a question or inquiry for the podcast? Email questionswithcrocker@gmail.com, text us from the link above, or message on social media platforms.

In veterinary general practice, emergencies rarely schedule themselves, arriving instead as chaotic disruptions that demand instant, life-or-death decisions. What should you manage in general practice—and when is it time to refer? In this episode of the VetFolio Voice podcast, Dr. Cassi and Dr. Tannetje Crocker walk through real emergency cases, sharing a clear, practical framework to help you make confident, timely decisions for urgent patients in your GP setting. Listen now to sharpen your emergency triage skills!

In this week's episode, Ben is joined by Dr Sarah Coope, former GP, mediator and CEO of Wild Monday, to explore one of the most challenging aspects of working in general practice - conflict. Sarah shares why conflict is both inevitable and, when handled well, a positive force within teams, particularly in high-pressure environments like general practice and PCNs. The conversation explores why unresolved conflict is so common, how workload and system complexity contribute, and why avoiding difficult conversations can often make things worse. The episode also highlights the emotional toll of conflict, the importance of psychological and emotional safety, and why one-to-one conversations are often more effective than large group discussions. Finally, Sarah discusses the support available for leaders, including coaching, peer networks and structured development programmes. Introduction (0:07) Why conflict is common in general practice (1:15) The impact of pressure, workload and system complexity (2:27) Avoiding conflict and why it can be harmful (4:02) The emotional toll of conflict (5:14) Handling personal conflict and strong emotions (8:50) Expressing how situations feel (11:00) One-to-one vs group conversations (12:36) Structuring the conversation: HiFIVE model (13:50) Challenging assumptions and narratives (15:05) The final part.. (20:06) Summarising the HIGH5 framework (22:43) Supporting leaders with conflict (23:03) Visit the Wild Monday website here. Access the HiFive model here.  The Shapes Academy Toolkit can be found here. Access the How To Lead Without Rescuing webinar here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

There are concerns poor planning has contributed to the tsunami of demand on kidney disease treatment. Hospitals across New Zealand are struggling to keep up with life-saving dialysis treatment. Health New Zealand told 1News there's been a lack of funding in some parts of the country. General Practice NZ Chair Bryan Betty told Mike Hosking this problem was predicted 15 years ago, but no one planned ahead. He says it's driven primarily by a surge in diabetes, and if it's not addressed it will undermine the health system going forward. LISTEN ABOVE See omnystudio.com/listener for privacy information.

My brother, Dr Max Draper was in a dark place six or seven years ago. Physically and mentally he was as low as you can go. At his nadir he felt like he didn't want to be here anymore.Remembering that time is painful for me and everyone else who loves Max. But there's a huge tale of hope that sprung from that low and it's in his rise back to health that Max charts in his book Testosterone Decoded. Max, then a GP in the North East of England had his health and T levels battered by a triple header of testicular cancer, meningitis and chronic stress. For a long time he didn't twig about the testosterone. When he did start testosterone replacement therapy his rise from the deepest doldrums was remarkably swift. In this story then there's a beacon of optimism for other men brought to their knees because of hormonal imbalance. I'm biased but I think Max's book is a brilliant breakdown of what testosterone is, what it gives men, what healthy levels should be and the options to get heathy again. There's also a frank look at TRT's downsides, including fertility issues and how potentially to mitigate those. It's a book that has enough science to educate medical practitioners and health professionals. But it is written in a simple and punchy way that won't lose the lay man. I'm proud of my bro for battling back from bleak ill health, for having the wherewithal to pivot careers, from General Practice into TRT specialist, whilst being a top dad to three young children. Kudos to his wife, Dr Katy Draper for her part in supporting this transformation too. I hope you enjoy the chat and I'd really appreciate you considering to buy this book. It might help you or a man you know: https://hammersmithbooks.co.uk/product/testosterone-decoded/Go well and keep moving,Teddy*************************Chief Sponsor: Bang & Olufsen Cheltenham: https://stores.bang-olufsen.com/en/united-kingdom/cheltenham/unit-15-the-courtyard-montpellier-streetInfo on Sponsor Offerings: For 15% off Herring Shoes enter the code SPORTANDLIFE at checkout at - https://www.herringshoes.co.ukFor 30% off Cytoplan supplements for your first purchase at https://www.cytoplan.co.uk and a 10% discount ongoing: Check out the intro to the podcast.For a 10% discount with GHS Cheltenham Clinics' Health Checks - https://ghsclinics.health, contact me: teddy@drapermedia.co.uk

Contact us and share your opinionRegister for PCN Plus while you can: https://bit.ly/PCNPLUS26Join Andy and Gandhi of eGPlearning as they explain what the new Neighbourhood Health Framework and Fit for Future plans mean for General Practice live.Neighbourhood Health Framework guidance: https://www.gov.uk/government/publica...Fit for the Future - towards population healthcare: https://www.gov.uk/government/publica...GPAD update on clinically urgent appointment mapping:    • GPAD clinically urgent GP appointment data...  Medium Term planning framework:    • NHS Medium Term Planning Framework guide  Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Today we're spilling the tea on Imposter Syndrome, or Imposter feelings, with someone whose work we think so many of you are going to connect with instantly.Dr Lee David is a GP, CBT therapist and author with over 20 years of experience supporting people with their mental health. She is the founder of 10 Minute CBT, bringing brief, practical mental health tools into real-life settings. Lee is known for making psychological ideas genuinely accessible, warm, and sometimes even a little bit funny when that's what's needed.Lee works with health professionals through NHS Practitioner Health, speaks at national events, offers one-to-one therapy for adults, and hosts her own podcast The Choice Space.In this episode we explore why so many women experience imposter syndrome and how it often overlaps with people pleasing and perfectionism.We also talk about:• Whether imposter syndrome is more common in women• Why people pleasing can be damaging but can also have a positive spin if dealt with correctly • How these traits show up for late diagnosed autistic and neurodivergent women• Practical CBT tools for those moments when the “I'm a fraud” thought appears• What Dr Lee wishes every woman truly understood about self-worthWe also chat about going to the hygienist, how are your gums? And as always, stay until the end for some beautiful inspiration to carry you through the week.If you've ever doubted yourself, felt like you had to prove your worth, or wondered why success can still feel uncomfortable, this conversation will resonate deeply. Dr Lee David:Website: www.thechoicespace.co.ukPodcast: The Choice Space with Dr Lee DavidInstagram: @dr.lee.david. @thechoicespaceBooks: • Managing Anxiety Disorders in Primary Care. Lee David. Scion Publishing Ltd. 2020• Using CBT in General Practice. The 10 Minute CBT Handbook. Lee David. Scion Publishing. 2013• 10 Minutes to better Mental Health. A Step by Step Guide for Teens Using CBT and Mindfulness. Lee David. Jessica Kingsley Publishing. 2022• Boosting Your Mental Wellbeing. 10 minute steps for stressed healthcare professionals using CBT and mindfulness. Lee David. Scion Publishing. 2023• 10 Minutes to Beat Anxiety and Panic. A Step by Step Guide for teens Using CBT and Mindfulness. Lee David. Jessica Kingsley Publishing. 2025• 10 Minutes to Boost Your Mood. A Step by Step Guide for Teens Using CBT and Mindfulness. Lee David. Jessica Kingsley Publishing. 2025 ☕ SUBSCRIBE for honest chats on women's health, feminist issues, sisterhood & smashing the patriarchy, one cuppa at a time.

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Three new research papers to help us along our way in general practice this month.First, how long do modern hip replacements last? How does this new data change our conversation with patients?Second, it's thought GLP1 agonists could have a role in addiction management, but so far, research has failed to show a definitive benefit. Could new data from the US on veterans with type 2 diabetes show a different picture? Finally, what analgesia would you recommend for a child in pain? This new paper compared ibuprofen with or without paracetamol or hydromorphone - yes, an extremely potent long-acting opioid for kids. Good idea? We find out.ReferencesLancet Hip replacement longevityLancet THR EditorialBMJ GLP1ra and addictionBJP editorialJAMA Analgesia and Child  www.nbmedical.com/podcast

Contact us and share your opinionImmediately after our interview with BMS GPC Chair Dr Katie Bramall-Stainer about the GP Contract for 26-27, we recorded our thoughts about the chat. We cover what we learned about the contract, what collective active for GPs could look like this time around, and what the “end game” might be for General Practice and DoH. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Despite being at the backbone of our health system, primary care in Aotearoa is facing unprecedented struggles.That's according to a recent study looking at six wealthy countries healthcare systems, including New Zealand's. An Increasing shortage of GP's, with the marjority of the workforce planning to retire in the next 10 years, an ageing population of patients, along with outdated and disconnected degital systems hampering the streamline transfer of patients between health organisations is putting unprecedented strain on the system, increasing wait times, and worsining outcomes. To discuss their study and dig into their solutions I spoke to one of the study's researchers, Professor Felicity Goodyear-Smith from the Department of General Practice and Primary Healthcare.

This week on the Wednesday Wire... For our weekly catchup w/ the Green Party, Manny spoke with MP Ricardo Menéndez March about the war in Iran and Pay equity. We then spoke to Professor Felicity Goodyear-Smith from the Department of General Practice and Primary Healthcare, about the crisis in primary care and what can be done to support GP's. And after that, we'll share with you part of a series of interviews we did with festival organisers looking to understand why so many were struggling at this current time and how the government overlooked these grassroots local event organisers.

If you're a woman in your 50s or 60s who has been doing all the right things, eating well, moving your body, managing stress, and yet you still find yourself wondering if there is more you could be doing to protect your health for the long run, this episode is for you. In this conversation on Pleasure in the Pause, host Gabriella Espinosa sits down with Dr. Noor Al-Humaidhi, a board-certified family physician, menopause specialist, and founder of Lifestyles by Noor, to build what Gabriella calls the Midlife Vitality Blueprint. This is not about living longer. This is about living stronger, with vitality, confidence, and energy for the next 20, 30, even 40 years. Because midlife is not the beginning of decline. It is the beginning of design.Dr Noor Al-Humaidhi is a Board Certified Family Physician and Menopause Society Certified Practitioner.  She is affectionately known as Dr Noor in the community. She grew up in Kuwait before attending medical school in Dublin, Ireland. She then moved to the UK where she trained in General Practice and started her career. She moved to the Seacoast 7 years ago to be nearer to family and restarted her family practice career after overcoming the hurdles of Board certification here in the US. After her own experience with perimenopause coupled with her difficulty accessing care she founded Lifestyles by Noor. Lifestyles is a midlife wellness destination practice. Her aim is to arm clients with the data that they need to maximize their health span. She has a particular focus on women in perimenopause and menopause who are having difficulty accessing appropriate care to manage their symptoms. Her goal is to educate, empower and help clients feel their best. Highlights from our discussion include:Why lifting heavy weights (40, 50, 60 pounds and beyond) is the single most important lifestyle intervention.The essential labs that most doctors don't run.How to advocate for hormone therapy after age 60.The metabolic syndrome of menopause.Why DEXA scans should start at age 35, not 60.CONNECT WITH Dr. Noor:Website Personal | PracticeInstagramResources:Estrogen Matters by Avrum Bluming and Carol TavrisThe Menopause SocietyLet's Talk MenopauseQuest Diagnostics or LabCorp for labsCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella!  Go to https://www.gabriellaespinosa.com/ to book a call.Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

What happens when the system meant to protect the public fails? In this compelling episode of See You In Court, hosts Robin Frazer Clark and Lester Tate sit down with veteran Georgia trial lawyer and mediator Nick Moraitakis to discuss one of the most sobering chapters in Atlanta's legal history. From an unwritten drug arrest quota to a tragic police raid that ended in the death of an innocent woman, Nick walks us through how civil litigation uncovered planted evidence, false affidavits, and systemic misconduct. Nick's career spans decades in Georgia courtrooms. After beginning as a defense lawyer representing corporations and insurance companies, he transitioned to representing individuals and families harmed by negligence, medical malpractice, trucking accidents, product liability, and other wrongful acts. He has tried dozens of cases to verdict, served in the Georgia General Assembly, and now devotes his practice fully to mediation. His perspective is grounded in experience on both sides of the courtroom. In this conversation, we explore: • The real-world consequences of unchecked power • How civil lawsuits expose facts that might otherwise remain hidden • The role of courageous lawyers in protecting constitutional rights • Why the civil justice system remains essential to accountability Nick's Awards: -American College of Trial Lawyers, Fellow -American Board of Trial Advocates, Advocate -Best Lawyers in America®, Listed (2007 – present) -Tradition of Excellence Award, General Practice and Trial Section, State Bar of Georgia) -State Bar Chair of Advisory Committee on Legislation  This episode is a powerful reminder that civil justice is not abstract. It is personal. It is practical. And at times, it is the only path to the truth. Watch the full episode on YouTube: https://youtu.be/RTqwiQj2kjA Listen on Podbean: https://seeyouincourt.podbean.com/e/righting-wrongs-with-nick-moraitakis Learn more about the podcast: https://seeyouincourtpodcast.org/   Other Links: Rick Moraitakis Lester Tate Robin Frazer Clark To learn more about the Georgia Civil Justice Foundation, visit fairplay.org

Send a textGrief touches every consulting room. In this episode we gently unpick how to support people after loss, using the RCGP framework “A Compassionate Bereavement Response”. Practical language you can use tomorrow, how to recognise prolonged grief disorder (including in children) and when to refer. The overlap with PTSD, and realistic ways we can look after ourselves as clinicians.Then we change gear for an update on NICE's 2024 guideline covering bacterial meningitis and meningococcal disease: the red flag combination that demands 999, when prehospital antibiotics are (and aren't) advised, the easy to miss early signs, and robust safety netting. Press play for compassionate care, sharper suspicions, and help to make the right clinical decisions when under pressure. Useful linksGriefGood Grief Festival (free events, YouTube Channel and curated resources)RCGP framework “A Compassionate Bereavement Response”Bacterial meningitis and meningococcal diseaseMeningitis Now We are currently looking for 4 new clinicians to join the Red Whale team to help us create and curate our educational content. For more information, on the Join Us section of our website. https://www.redwhale.co.uk/join-usSend us your feedback podcast@redwhale.co.uk or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

How did telehealth reshape GP training in Australia? This study found it disrupted in-consultation learning, reduced feedback, and limited clinical exposure—highlighting the need for telehealth-specific training. #MedEd #Telehealth #GPTraining Read the accompanying article here: https://doi.org/10.1111/medu.70061Digital Object Identifier (DOI)

This episode covers plagiocephaly and brachycephaly.Written notes can be found at https://zerotofinals.com/paediatrics/neurology/plagiocephaly/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.Three new pieces of research to talk about in today's podcast. First, in the NEJM - could patients stop anti-coagulation after ablation for AF? Conventional practice says no. Does this paper change that?Second, in JAMA - can spinal manipulation, or clinician-guided self-management, or both help with low back pain? This paper is a good crack.Finally, in the BJGP - what do our patients think about advance care planning? Should we be talking about this more, and, if so, in whom and how?ReferencesNEJM Anti-coags after ablation in AFNEJM EditorialJAMA Low back painBJGP Advance care planningwww.nbmedical.com/podcast

Contact us and share your opinionIn this episode we discuss the recent visit by BMA GPC Chair Katie Bramal-Stainer to a Derbyshire-Lincolnshire-Nottinghamshire LMC event. What were some of the questions in the room and what did we learn about contract timelines, content and the future of collective action for General Practice? We also discuss news stories covering some sudden and disruptive changes to GP Trainee assessment software, the shortage of yet another common drug (Aspirin!), and additional funding for cancer screening in areas of high deprivation.And… opportunities to join Gandhi and Andy at two upcoming eGPlearning events…GP5T11 Online GP Trainer Conference https://events.ringcentral.com/events/gp5t-11/registration PCNPlus26 Conference in Nottingham or online https://www.thcprimarycare.co.uk/pcnplus2026 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

In this episode, host Alyssa Watson, DVM, is joined by Kate Boatright, VMD, to discuss her recent Clinician's Brief article, “Top 5 Tips for Managing Emergencies in General Practice.” These critical “surprises” can really throw a day off. Dr. Boatright shares her practical approach to handling emergency cases, even when you've got a smaller team and a fuller schedule.Resource:https://www.cliniciansbrief.com/article/veterinary-emergencies-top-tipsContact:podcast@instinct.vetWhere To Find Us:Website: CliniciansBrief.com/PodcastsYouTube: Youtube.com/@clinicians_briefFacebook: Facebook.com/CliniciansBriefLinkedIn: LinkedIn.com/showcase/CliniciansBrief/Instagram: @Clinicians.BriefX: @CliniciansBriefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist

Contact us and share your opinionJoin Andy and Gandhi of eGPlearning as they review the latest guidance on vaccinations and immunisations for 2026 and moreService specification: General practice seasonal vaccination services – COVID-19 and influenza vaccination enhanced services19/1/26https://www.england.nhs.uk/publicatio... Letter…For the first time, we have combined the COVID-19 and adult influenza service specifications into 1 documentpractices can still sign up to deliver only the adult influenza vaccination servicestreamlined and further aligned the COVID-19 and adult influenza vaccination requirementsSee bullet points in letter…PRactice individualy, not just as part of PCNNo housebound covid vacs fee (was £10)ThoughtsWelcome change to be able to sign up individually - less hassle = more uptakeCost effective to combineMain Doc… Can look at sectionsSign up process and datesCOVID 19 Vaccine - centrally provided by commissioner - via FDPGovernment's current vaccination strategy is ‘a failure' and must be replaced, say MPshttps://www.pulsetoday.co.uk/news/cli... Cocodamol shortage:https://primarycare.lancashireandsout...WavelengthNew 10-year plan contracts should not be created without GP approval, says BMABoost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

What are the career opportunities in general practice and is it a good place for newly registered nurses to start out?In this episode of the Nursing Standard podcast, Betsi Cadwaladr University Health Board lead primary care nurse Frances Baverstock challenges some common misconceptions about working in general practice, and outlines the opportunities and challenges for nurses in this sector at all stages of their careers.Ms Baverstock is joined by nursing student Ben Jones, who describes how his placement in primary care sparked a passion for general practice nursing.Follow the Nursing Standard podcast on Apple Podcasts, Spotify, Acast or wherever you get your podcasts.For more episodes of the Nursing Standard podcast, visit rcni.com/podcast Hosted on Acast. See acast.com/privacy for more information.

Dry January often raises big questions: how much alcohol is actually safe, and do you need to stop drinking altogether to protect your health? In this episode, world-leading alcohol expert Professor David Nutt explains why alcohol ranks as one of the most harmful drugs to society, how even “normal” drinking can affect your health, and what the science really says about cutting back without giving it up completely. David, a neuropsychopharmacologist and former UK government drug adviser, explains why alcohol was ranked the most harmful drug overall in a landmark comparison of 20 drugs, how harm rises sharply as drinking increases, and unpacks common beliefs like red wine being “good for you”. The conversation also covers the social benefits of alcohol and why the goal isn't necessarily to stop drinking, but to drink with awareness. If you drink at all - whether it's a glass most nights or more on weekends - this episode helps you understand where the real risks begin, and how to make alcohol work for you, not against you. And for listeners using dry January as a reset, David shares practical, science-based advice on how to cut down safely and sustainably. If you're pausing and reflecting this dry January, what might change when you start drinking again? And which habits are worth leaving behind for good? Unwrap the truth about your food

Contact us and share your opinionJoin Andy and Gandhi as they cover the impact of local and national events in General Practice as we kick off 2026Join Andy and Gandhi for the first update of 2026 in General PracticeWelcome to 2026Waiting for Neighbourhood Guidance???GP suspended after blocking out appointments to collect children???https://www.pulsetoday.co.uk/news/reg... 5m suspensionSpecific facts available if you want to explore thisLinks to public record of the hearingMany suggest sanction is excessiveWe will discuss the issues around itLong hoursLack of flexibilityCulture of not being able to admit or address pressuresTo pick up kids - pressure, child care, culture…Calls to end GP-issued fit notes after 40,000 per day issued in 2025https://www.pulsetoday.co.uk/news/cli... Some 40,000 people were signed off with fit notes each working day last yearCentre for Social Justice (CSJ) estimated 11 million fit notes were issued in 2025 – the majority by GPs. The CSJ recommended fit note responsibility be moved away from ‘overstretched' GPs and into a new Work and Health Service and ‘embed employment and occupational health support at the point of sign-off'. See boxThey also said the total includes fit notes signed off as ‘may be fit for work' as well as ‘not fit for work'.This is despite the Government introducing legislation in 2022 which expanded fit note certification to other professionals such as nurses, physiotherapists, and occupational therapists. Last year, Government-commissioned research found limited take up of healthcare professionals other than GPs writing fit notes since the 2022 reforms.ThoughtsDifficult to treat, maintain relationship, trust whilst enforcing a need to return to work?Move to online consultations removing direct engagement with patients and losing opportunities to support back to work - something thats good for patientsTalk of removing this responsibility from GP s for some timeUsed to be that 3-6m sickness DWP service assessed - this was Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Contact us and share your opinionIts prediction time for General Practice in 2026!We review our review previous predictions from our New Year's episode 2020 to present, and whether they came true, are available in our last video. And make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscape.Will there be an imposed contract on general practice in April?Find out what we are expecting!As ever we are looking forward to tech enhancing your primary care and learning in 2026!Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Contact us and share your opinionA BONUS episode to welcome you to 2026!Will there be an imposed contract on general practice in April 2026?!Gandhi and I make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscapeOur review of previous predictions from our New Year's episode 2020 to present, and whether they came true, are available in our last video. This is the last segment of that video – published separately for those who just want to get down to what we think is coming up this year.As ever we are looking forward to tech enhancing your primary care and learning in 2026!Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse