Podcasts about General practice

Host Dr Richard Fieldhouse sits down with Dr Kamilla Porter to explore the rich possibilities of the modern sessional workforce. Kamilla shares her experiences moving between over a dozen different practices, explaining how experiencing diverse operational styles gave her the insight to champion better conditions for part-time doctors. From launching the long-running Essex Sessional GP Conference to her recent appointment as a Training Programme Director, Kamilla demonstrates how tenacity, an open mind, and a supportive network can empower portfolio careerists to shape general practice on their own terms

Emma speaks with Dr Ruth Abrams, an organisational psychologist and associate professor at the University of Surrey School of Health Sciences , about her recent research published in the BJGP on the conditions in which women GPs thrive.Ruth discusses why women GPs experience disproportionate rates of stress and lower career progression. She talks about the medical gender pay gap and outlines five practical actions individual GP practices can take right now to foster a fairer, more flexible, and supportive environment.Ruth also highlights critical gaps in current research and explains why we need national, systemic policy changes to ensure workforce sustainability, rather than simply telling individuals to be more resilient.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksInvestigating the conditions in which women GPs thrive in General Practice: A realist review - Ruth's paper in the BJGPWorkplace Thriving - the website Ruth mentions in this conversationEasing parenting challenges in primary care workforce - an article by Ruth in the BMJ Hosted on Acast. See acast.com/privacy for more information.

Dr Laura Edwards, Joint CEO at Wessex LMCs, talks with Dr Francesca Dakin, Senior Researcher in Digital Health at Oxford University, about the positives and the downsides of the new fascination with online consultation and digital access.

Send me a derm question or story through text or voicemail!Learn how rostrolateral nasal alar arteriopathy is diagnosed, why it can be mistaken for other conditions, and the treatment options available to help improve quality of life. I also discusses setting realistic owner expectations and the importance of recognizing uncommon dermatologic diseases in veterinary medicine.Whether you're a veterinarian, veterinary technician, or veterinary student, this episode provides practical clinical insights you can apply to future cases. Watch The Episode: https://www.youtube.com/@thedermvet3932Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/Follow Me: https://www.instagram.com/thedermvet/Fleischman DA, Mauldin EA, Lowe A, Cain CL, Bradley CW. Clinical and histopathological features of rostrolateral nasal alar arteriopathy of German shepherd dogs. Vet Dermatol. 2023;34:441–451. https://doi.org/10.1111/vde.13173Timestamps00:00 Intro01:32 Itch Inquiry:  Topicals for General Practice 06:20 German Shepherd with Chronic Nasal Bleeding09:29 Diagnosis: Rostrolateral Nasal Alar Arteriopathy12:02 Treatment Options & Owner Expectations14:44 Outro

Today, we're speaking to Andrew McClarey, who works as a GP and Education co-ordinator Lead for General Practice in the Scottish Centre for Simulation and Clinical Human Factors. Title of paper: “Quick wins” vs “eating the frog”: Exploring general practitioners' prioritisation dilemmasAvailable at: https://doi.org/10.3399/BJGP.2025.0628Link to tactical decision making games: https://archive.johs.org.uk/article/doi/10.54531/svvw4195This is the first study to look at the factors which experienced GPs consider when prioritising their acute workload. Several themes have emerged which highlight the importance of prioritisation training in General Practice. These themes could be used to teach prioritisation decision making to GP registrars or in the creation of continuing professional development resources for experienced GPs.TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:00.400 - 00:00:56.560Hi 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. Andrew McClary.Andrew is a GP partner and he also works as Education Coordinator, Lead for General Practice in the Scottish Centre for Simulation and Clinical Human Factors. We're here today to discuss the paper that he's recently published in the bjjp.And the paper is titled Quick Wins versus Eating the Frog, Exploring general practitioners Prioritization dilemmas. So, hi, Andrew, it's really nice to meet you.And this paper really stood out to us, I think, because prioritisation is something that gps do every day, but it's not really something that we discuss explicitly. I'm just interested in what made you do this work and made you interested in studying it.Speaker B00:00:57.200 - 00:02:00.600It's interesting, I think, that for me, I finished my GP training just after the pandemic and therefore I did a lot of my training during the COVID pandemic. And around then the face of general practice, like most things in life, changed completely overnight.We moved on to telephone consulting and being encouraged to have empty waiting rooms.And I think around the same time we realized that we probably couldn't continue doing what we had been doing, which was being everything to everyone, which brought us on to prioritizing our workload. We have to decide who needs seen, who does not, and when are they seen. And that was a real gap for me in the training that I was provided.And I found myself going into working as a fully qualified GP without really an awareness of how to prioritise in a, in a sensible way. And I think that's where this interest was born out of.Speaker A00:02:00.760 - 00:02:42.050And before we get into what you found, it's probably worth saying a little bit about how you approach the study. So this was a qualitative interview study involving gps from a range of practices and career stages.And what you did was you really explored how they prioritized work during the course of a typical surgery.And then I guess through those interviews you looked at sort of the strategies and influences and trade offs that shaped those decisions in everyday general practice. But one of the things I found really interesting was that prioritization wasn't just about clinical urgency.And I wonder if you could talk through some of the other factors that GPs are weighing up quickly, I suppose, when they're deciding what to tackle first.Speaker B00:02:42.690 - 00:06:17.800Absolutely.It was very interesting, the themes that emerged from the data and also actually how much agreement There was amongst the gps in the focus groups, as we're not traditionally a group of people who agree about very much. So one thing that GP is particularly interested in, there's five main themes. One is about the system awareness.So we're aware about our own surgeries and where the pressure points are.For example, we're low on particular acute slots today, or there's a certain type of patient that is coming in more frequently at the moment, so we're aware of that. But it's not just having that awareness, it's also being able to adjust how we consult based on the pressures that the system are under.For example, if there are a lot of children or fevers coming in, we want to see them all face to face. We ask the admin team, just bring them all in face to face and we'll see them that way, rather than setting everything up over the phone.So it's not just an awareness of the system, but actually adjusting ourselves to that demand. Another one is the time management. What's the most efficient use of my time?How am I going to get out on time this evening for nursery pickup or whatever else I have to do in the evening? But it's not just our time, it's also the system's time.So what I mean by that is, I know if I try and refer to a hospital service in the afternoon, they'll probably be at capacity. If I do that in the morning, I am much more or first thing, except an afternoon surgery.I'm much more likely to have my patient accepted and managed in a way that I think is most appropriate for them. Also, third theme, familiarity with our patients.We are more familiar with our patients and therefore we don't have to go trawl through their histories. We know, right? I know that patient, I know what that's about. I spoke to them about it last week. Let's just phone them first and move on.That's an easy thing for me to do. Then relationships.Fourth theme, relationships with patients, in that we develop a trusting relationship, particularly if you've been working in a practice for a long period of time.For example, we might be able to have a conversation on the phone saying, well, are you as bad as you were the last time, for example, when you went to hospital with your copd? Is it as bad as that? Well, no, no, Doctor, not as bad as that. And you know these patients and you trust them to tell you the story like it is.But we also not only prioritise relationships with our patients, but also with other staff members.For example, if you're interrupted during a duty doctor session and it's the practice nurse who is needing help with something, that person is there in front of you. They're a valued member of your team and you want to be able to provide input for them in a timely way.And I guess that takes us back to system awareness. We know that that nurse has also got lots of patients to see, and if there's a delay in that, then the whole system is suffering from it.And then lastly, fifth is this idea of personal preferences. Some of us like doing hard things first, so that's eating the frog.Some of us like the quick wins and the endorphin release, of actually seeing all of the columns or all of the slots in the IT system changing a different color, we get a bit of a rush from that. There's no right or wrong answer with this, but actually a lot of it does come down to that.But it's also about looking after ourselves, but also balancing that against good patient care and what needs to be done first from a clinical urgency perspective.Speaker A00:06:18.360 - 00:06:45.170And the title of the paper is Quick Wins versus Eating the Frog.And I find that really interesting because from my own clinical practice, sometimes I feel like I'm telling myself off if I'm only taking off the easy tasks, because I know then at the end of the day I'm going to have all the long referral letters, the things that I've really been putting off. And I think, gosh, why did I leave it to this point, really?But I wonder if you can explain what that means a bit more generally, and why it captured something important about GP decision making.Speaker B00:06:45.570 - 00:08:12.210I think ultimately, for me, it's about when we are at the trainee stage. We are actually honest about how we approach prioritizing our workload. And I think ultimately that comes down to personality.Some of us like doing the more difficult things first, and then we feel that we've got the wind at our back and we're able to go on about our afternoon knowing that the most difficult thing in that list is done. In fact, the quote goes, eat a live frog first thing in the morning and nothing worse will happen you for the rest of the day.And I think that's probably paraphrasing a little bit, but I think that's the thing. If the worst thing is out of the way, the afternoon suddenly seems much better versus actually some of us need that endorphin release.And the highs, I guess, of actually seeing, feeling that we're going through our afternoon at a Good rate. And we are managing things well and some of us like that.But I think ultimately, if we can have that conversation at the trainee stage to say, look, you're either a frog eater or you're a quick winner and you have to decide which you are. And maybe actually you're at the point in your career where you have the opportunity to actually try these out.Say, right, we'll do the hardest thing first, how does that feel? Versus, you know, take off a few easy things, how does...

What does it take for general practice to lead system transformation rather than simply respond to it? In this episode, Ben Gowland is joined by Dr Sunaina Khanna and Dr Imran Zaman to discuss how they have built a unified leadership model that is helping shape neighbourhood health across one of England's largest Integrated Care Systems. Starting with a collaborative response to winter pressures, they explain how GP leaders came together to create the GP Partnership Board, giving general practice a stronger voice in system decision-making while developing services at scale. They share the practical lessons they've learnt about building trust, securing buy-in from practices, working alongside community providers, and creating leadership that is focused on delivery rather than representation alone. The conversation also explores how general practice can prepare for the future NHS landscape, why working at scale matters, and the importance of demonstrating value through action. Whether you're a GP Partner, PCN Clinical Director, practice manager or system leader, this episode offers valuable insights into building collaboration, influencing change and strengthening the role of general practice within neighbourhood health. Introduction (00:09) How winter pressures sparked a new model of GP collaboration (01:26) Using population health to redesign services at scale (03:20) Building multidisciplinary teams around neighbourhood health (05:59) Why Birmingham & Solihull created the GP Partnership Board (08:25) Winning practice buy-in through delivery, not persuasion (11:39) Balancing uncertainty with opportunity in the changing NHS (13:10) Evolving towards a 24/7 general practice leadership model (16:22) Making general practice easier for the system to work with (17:33) Building stronger partnerships across community services (19:30) Why every area needs a unified GP leadership voice (22:19) Practical advice for creating collaboration at scale (25:30) Learning by doing and proving what works (28:30) Final reflections (29:36) Contact Sunaina directly via email here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Today's law students are entering a profession being reshaped by AI, making technology literacy more important than ever. What does it mean to build a legal career and professional identity in this rapidly evolving landscape? Dennis Kennedy's students have been exploring that very question in one of his most recent classes, and he joins Tom to share what they've learned. Together, they examine the realities facing today's law students and new associates, discuss why technological fluency is becoming an essential legal skill, and highlight the opportunities young lawyers have to emerge as technology leaders within their firms and the broader profession. As always, stay tuned for the parting shots—that one tip, website, or observation you can use the second the podcast ends. Have a technology question for Dennis and Tom? Call their Tech Question Hotline at 720-441-6820 for answers to your most burning tech questions. Show Notes: AI Ethics Rules are hitting the books. Florida: Rule of General Practice and Administration 2.515, New York: Part 161 Red Team Prompts – Using AI as an adversary to check your legal work. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today, we're speaking to Dr Tom Purchase, a GP and Health and Care Research Wales NIHR doctoral fellow.Title of paper: Co-generating ideas for safer paediatric care in general practice with parents and stakeholdersAvailable at: https://doi.org/10.3399/BJGP.2025.0690Research has highlighted the important role parents play in in paediatric patient safety, for example, through mitigating safety incidents in general practice, yet their perspectives have rarely shaped system-level improvements. This study co-generated and prioritised ideas for change with parents and key stakeholders, identifying feasible and impactful strategies to improve paediatric safety in primary care. These strategies centred around practice communication, accessing care records and results, and fostering a culture of shared learning and development. Parents are willing and able to contribute meaningfully to safety improvement efforts, and their insights align with national patient safety priorities. Clinicians and policy makers can use these findings to strengthen collaboration with families, tailor safety interventions to local needs, and embed parent voices into the design of safer care systems.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 - 00:00:49.500Hello and welcome today to BJGP Interviews. I'm Nada Khan and I'm one of the Associate editors of the Journal. Thanks for listening again to this podcast.In today's episode, we're talking to Dr. Tom Purchase. Tom is a GP and a health and Care Research Wales NIHR Doctoral Fellow.We're here today to talk about the paper he's just published in the bjgp and the paper is titled Co Generating Ideas for Safer Pediatric Care in General Practice with Parents and Stakeholders.So, hi, Tom, it's really great to meet you and to talk about your work, but before we talk about the study itself, I'm interested to know what first got you interested in pediatric patient safety in general practice.Speaker B00:00:50.060 - 00:02:26.850Thanks. It's born, I think, out of an extension of the work that we've been doing within the patient safety team within Cardiff University.So a lot of what we do is looking at incident reports, safety incident reports, and trying to pick out what are the, you know, high level key learning points and takeaway messages from those.And then within the team, we started to think about, as well as the types of incidents and the types of harms that are occurring within pediatric incidents. For example, how are parents involved?And it was a bit of a novel approach to what we normally do, trying to have that extra aspect within the incidents and figuring out how parents were either helping to contribute or to mitigate against the incidents, not just looking at the incidents themselves. So that was the starting point, really.And then once we'd started digging into that data and identifying that, actually the majority of the time, which is in one of the papers that was published last year in BJGP, 77% of the reports we were looking at specifically around general practice showed that parents were taking these mitigatory actions that, you know, positive actions that were able to prevent harm or further harm from occurring to their child, for example, chasing results or chasing referrals or importantly, being able to speak up. And then that highlighted, I think, the importance of parents being able to have a voice and advocating on behalf of their child.And that really sparked, I think, the interest, and therefore this part of the.Speaker A00:02:26.850 - 00:02:46.490Project, and I think that's a really interesting thing about this paper, is that it focuses on parents and parents not just as observers of care, but as active contributors to safety. And I wonder what your thoughts are about why that's an important shift in how we think about these things.I think you've touched on it a bit, but yeah, I'm interested to know a bit more about that.Speaker B00:02:46.810 - 00:03:55.980I think it is a really important aspect of care, but also particularly safety, which maybe is untapped in terms of parents as a resource as to how we can keep children safe.We know that children on the whole are more, maybe not more vulnerable, but certainly are a vulnerable group when it comes to patient care in general and patient safety.And that's because they're so heavily reliant on others to speak on their behalf, to make sure somebody else is looking out for their healthcare needs. And therefore they are probably playing a part within the world of patient safety.And there are good studies from hospital relating to incident reports that show that parents are capable of picking up issues early on. They're able to detect issues that maybe other parts or people within the system aren't detecting.And as I mentioned, our paper from last year specifically looking at general practice showed that parents are able to prevent harms from reaching their children. So they're playing a substantial part already.And from a systems perspective, that is mainly parents figuring out workarounds within a system that really isn't, I don't think, designed to support them as well as it could be.Speaker A00:03:56.460 - 00:04:33.810And I guess that's kind of the crux of what you were doing here.So I guess before we get into findings, just, you know, a quick word about the methods because you worked here with groups of parents to develop ideas for improving pediatric patient safety in, in general practice, in primary care, and then you explored those ideas with a wider group of stakeholders and that included clinicians, managers and policymakers, and then brought them all together to co generate ideas for safer care. And it was really interesting because the parents generated 16 different ideas for improving safety.And were there any that particularly surprised you and jumped out at you?Speaker B00:04:34.450 - 00:05:33.980I don't think necessarily any were too surprising on the basis that we. I don't think I really had any thoughts going into it as to what they might say.But I guess what did surprise me more was that some of the ideas that we then took forward to the stakeholder group kind of highlighted some disparities or some clear disagreements between the parents who were accessing our services and the people who work within the services. And how we viewed, I suppose, viewed what's actually happening, that kind of work is imagined and how we think things are going and the work is done.I guess what the parents were trying to do to come up with the idea is to bridge that gap unknowingly. I suppose maybe what's surprising is that none of them, I didn't think any of the ideas were necessarily too resource intensive.You know, I think what was quite reassuring is that lots of what the parents were saying were actually relatively simple things that we might be able to enact or at least adopt or adapt, you know, to our own environments.Speaker A00:05:34.540 - 00:05:47.730And a lot of the ideas seem to center, I think, around communication, access to records and test results, and actually just helping parents to speak up. And why do you think those themes emerge so strongly?Speaker B00:05:48.450 - 00:07:24.990I think that comes back to maybe that difference between how we like to think the system's functioning and how parents think the system's functioning as healthcare professionals and parents.Because we know from a thematic analysis we did, which is also going to be published in bjgp, from these discussions we've had with the parents, that a lot of them said they felt the need to fight in order to be heard.So although within, say, pediatrics and GP training programmes and CBDs and everything we have to do for revalidation, taking ideas, concerns, expectations, collateral histories, making sure we're really considering that the holistic approach is all considered clinically, what you're then getting, I suppose, from the parents is that maybe we're not doing it as well as we could be.And one parent within the workshop said, I know as a parent you are expected to advocate for your child, but what it surprises me is how regularly you have to do it and sometimes it feels like a full time job.And I think that one really struck a chord in terms of really emphasizing how much extra effort and how much work parents are feeling they need to put in. And I think that also implies that the system isn't making it as easy as possible for them to be able to do the right thing.So I can't necessarily explain unfortunately why they feel that those areas needed to be targeted.I guess it's because there are barriers that we are not tackling correctly in order to help parents to speak up more efficiently and certainly to be listened to.Speaker A00:07:26.840 - 00:07:35.160And one of the stakeholder priorities was this idea of a designated parent advocate. Can you tell us a bit more about that idea and why it resonated?Speaker B00:07:35.640 - 00:09:21.810Yeah, sure.I really liked that one and I thought it was an interesting one because again, it...

This week Emma speaks to GP Dr Emma Watts, a dispensing doctor based in Surrey and the chair of the RCGP's Rural Forum, about the distinct challenges facing rural general practice. Emma discusses how urban-centric policies, mounting financial constraints, and operational pressures are driving rural practice closures. She also highlights hidden health inequalities in rural areas, such as homelessness, and explains why the government's proposed framework for a neighbourhood NHS fails to consider the reality facing remote, rural, and dispensing practices. And she explains the Rural Minds Project, an innovative training programme using virtual reality headsets to support mental health in UK farming communities. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. Useful linksRCGP Rural ForumRural Minds ProjectTalking General Practice episode with Dr Richard West from the Dispensing Doctors' AssociationDispensing Doctors' Association Hosted on Acast. See acast.com/privacy for more information.

Contact us and share your opinionAndy flies solo to dive into what is arguably the most critical and headline-grabbing issue in general practice right now. Following the imposed contract in April, collective action is already underway—but the conversation has rapidly shifted. We are now seeing serious high-level discussions, BMA ballots, and even parliamentary motions exploring a "Plan B": a move toward a means-tested, subscription-based private GP model reminiscent of NHS dentistry.Andy breaks down how we got here, the shifting appetite for private work among GPs, and what this means for the future of the profession and patient access.⏱️ Timeline & Episode Markers00:00 – Welcome & Intro: Andy solo update.01:15 – The Backstory: The imposed April contract and why the profession rejected it.03:00 – Collective Action So Far: Data Sharing Agreements (DSAs) and medicine optimisation software.04:45 – The Rise of "Plan B": The LMC Conference vote and the GPDF funding resolutions.07:20 – The Upcoming BMA Plan B Ballot: What a "subscription-based" GP service could look like.09:40 – Parliamentary Traction: The Early Day Motion (EDM) and the DHSC's response.11:15 – Data Check: Just how many GPs are looking to scale up private work? (The Wesleyan Poll).13:30 – Andy's Reflections: How the BMA using private care as a bargaining chip marks a massive generational shift.

In this HealthCert GP Update, Dr Simone Gonzo guides you through how to recognise, investigate, and manage vitamin B12 deficiency in primary care, including how to interpret borderline results, when to use MMA and homocysteine testing, and how to avoid common diagnostic pitfalls — providing a clear, practical overview tailored for busy GPs. What you will learn Many patients with vitamin B12 deficiency don't present with “classic" symptoms. Instead, they come in with fatigue, cognitive change, neuropathy, mood symptoms, or vague complaints that can easily be overlooked in everyday practice. In this HealthCert GP Update webinar, Dr Simone Gonzo guides you through: Common causes of B12 deficiency, including pernicious anaemia, medications, malabsorption, and dietary factors When neurological symptoms should raise concern Oral vs intramuscular replacement strategies Monitoring and long-term management New Medicare item changes relevant to B12 testing  This webinar builds naturally on our previous iron deficiency session and will help GPs approach another commonly missed but clinically significant nutritional deficiency with greater confidence. Watch the webinar here.  Next steps in your learning journey

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

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

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.

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

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.

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

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 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

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

In today's episode, I sit down with the incredible Dr. Sofya Kats, a Milwaukee-based general dentist whose practice takes a whole-patient approach to health. From infants to older adults, she focuses on airway, sleep, growth, and function — because the mouth is more than teeth; it's the gateway to lifelong health. This conversation has been months in the making, and it was so worth the wait. Dr. Sofya and I explore how early oral function, feeding, and nasal breathing shape a child's development — and how airway issues continue to affect adults who may not even realize they're struggling. Whether you're a parent, a patient searching for answers, or a provider wanting to better understand the dental–airway connection, this episode is full of clarity, insight, and direction. How Dr. Sofya's son led her into airway-focused dentistry Early signs of airway issues in infants and children Why breastfeeding challenges play a major role in growth and development Key symptoms of sleep-disordered breathing in kids and adults What an airway-focused dental exam actually includes Treatment options: therapy, releases, expansion, referrals Dr. Sofya's top advice for both parents and adults seeking answers   Dr. Sofya Kats is local to Milwaukee, WI. She grew up in Bayside and attended Nicolet HS, UW-Milwaukee and Marquette University School of Dentistry. She received her DDS degree in 2007 and then completed a two year General Practice residency program in Brooklyn, NY at NY Methodist Hospital. Dr. Kats is passionate about the artistry of her profession.  She helps patients understand the link between beauty and health and restores smiles with an airway focused-approach.  Outside of the office, she enjoys volunteering her time to treat patients both locally, nationally and internationally, and she has participated in many mission trips.   Dr Kats is the proud Mom of two sons and her free time is dedicated to her family and friends. Dr. Kats is a member of: Greater Milwaukee Dental Association Wisconsin Dental Association American Dental Association The Forum Study Club (oldest Dental Study Club in the United States) American Academy of Physiological Medicine & Dentistry American Academy of Dental Sleep Medicine Member  American Laser Study Club Dental Online Training  Mommy Dentist in Business: Official Member Connect with Dr. Sofya Kats Website: https://www.riverwalkdentistry.com/team/sofya-kats-dds Facebook: https://www.facebook.com/katsdentistry/ Instagram: https://www.instagram.com/sofyakatsdds/?hl=en About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/meghna_dassani/  Youtube: https://www.youtube.com/@meghna-dassani