Podcasts about General practice

Contact us and share your opinionJoin Andy and Gandhi for some significant updates in General Practice and moreBoost 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/EMIScourseDigital Disruption with Geoff Nielson Discover how technology is reshaping our lives and livelihoods.Listen on: Apple Podcasts Spotify Higher Listenings: Joy for EducatorsA new podcast from Top Hat delivering ideas, relief, and joy to the future of teaching.Listen on: Apple Podcasts Spotify

In episode 76 of the Medical Nursing Podcast, we're chatting all about something that honestly baffled me when I was working in general practice (and in my very early referral nursing days), and that's chylothorax. As far as I was concerned back in 2015, before I lived and breathed medicine, a chylothorax would have been just another patient needing a thoracocentesis.  I didn't understand what was causing the disease or its impact on the patient. And aside from them being a respiratory patient and needing monitoring, I had NO idea what nursing actions I could take to make things better - I didn't really know how to help.  But when I started learning what a chylothorax was, why it happens, and what we can do to help these patients? That's when I stopped feeling out of my depth, and realised that I CAN make decisions as a vet nurse, and my actions WILL help my patients. So in this episode, I want to share the three essential things you NEED to know about chylothorax - and more importantly, how to turn that knowledge into nursing care that really helps your patient. So next time you're handed a patient with chylothorax, you'll know exactly what to watch out for and exactly how to help them. --- Resources mentioned in this episode:

Emma speaks to Dr Caroline Taylor, chair of the National Association of Primary Care and a GP in Calderdale, West Yorkshire.The NAPC has been at the forefront of developing the neighbourhood approach to health and Caroline is a big advocate for this model. In this conversation, Caroline explains exactly what a neighbourhood is, how general practice should fit into this model and the benefits of this way of working for patients, GPs and practices, including increased job satisfaction.She also talks about how neighbourhood models could help shift care out of hospitals and into the community, the role of Community Health and Wellbeing Workers, a model the NAPC has been involved in rolling out nationally and the potential impact ICB cuts could have on developing neighbourhoods.Caroline also has some practical advice for GPs and others on how to get neighbourhood working off the ground in their area,This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksOn GPonline● 'GP-centric' 10-year NHS plan will protect partnerships● 10-year plan to overhaul GP incentives and 'completely reimagine' NHS● How community health and wellbeing workers could help general practice● ICBs are downsizing – what does this mean for primary care?National Association of Primary CareNAPC report on creating integrated neighbourhood teams Hosted on Acast. See acast.com/privacy for more information.

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we look at three new pieces of research with implications for general practice.Firstly, can exercise prevent the recurrence of colorectal cancer? Short answer, yes. But how much exercise did you need to do, and what on earth is a MET? Secondly, what are the concerns around low-dose amitriptyline use for IBS from patients and GPs? How can we aid the discussion? Finally, can SLGT2 inhibitors improve liver disease? Is this the new treatment for our patients with MASLD (the condition formerly known as NAFLD? ReferencesNEJM Exercise and CRCMETs WikipediaBJGP IBS & amitriptyline prescribingBMJ SGLT2i & MASLDNB Blog MASLD: The rebrand you never heard ofwww.nbmedical.com/podcast

In this episode of the Transforming Primary Care podcast, a panel of practising GPs including Dr Aarti Bansal co-founder of the Greener Practice network, discuss the practical steps general practice colleagues can take towards greener and better healthcare, which benefit patients, GP practice teams and the planet. For more information about Greener NHS visit: https://www.england.nhs.uk/north-east-yorkshire/our-work/greener-nhs/ For more information about Greener Practice visit: https://greenerpractice.co.uk/ A transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/greener-general-practice-podcast-transcript/ If you have any questions regarding this episode please email us: england.ney.pctransformation@nhs.net

Recorded on 5 June 2025 for ICMDA Webinars.Dr Peter Saunders chairs a webinar with Dr Nicholas HerodotouPalliative Medicine is the symptom management of any patient who has an irreversible, progressive, life-limiting condition and is not solely cancer patients. It aims to enhance quality of life, utilizing a holistic, multidisciplinary approach. Good symptom management of palliative patients is what every clinician should be able to deliver. This short webinar addresses the practical management of how to commence strong opioids, palliative surgical interventions, palliative emergencies and lastly, when do you stop treating a patient who is clinically deteriorating.Nicholas studied medicine at St Andrew's University, Scotland, earning a BSc in medical sciences, then trained at St Bartholomew's Hospital Medical College, London, qualifying in 1994. After GP training, he worked as a locum in General Practice and Psychiatry before choosing palliative medicine. He completed specialist training in Warwickshire (CCT 2007) and became an NHS consultant in Luton in 2009, focusing on holistic care in acute hospitals.His passion is to make a difference to palliative patients so that they die with dignity and respect.He is the former president of the Motor Neurone Disease Association local branch and a UCL lecturer.He is married to a former Dentist and they have four children. He enjoys playing squash player and running marathons.⁠To listen live to future ICMDA webinars visit⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://icmda.net/resources/webinars/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Today, we're speaking to Dr Jamie Scuffell, GP and NIHR In Practice Fellow at King's College London.Title of paper: Patterns in GP Appointment Systems: a cluster analysis of 3480 English practicesAvailable at: https://doi.org/10.3399/BJGP.2024.0556GP practices in the UK are using a wide range of different appointment systems to meet patient demand and improve access. This cluster analysis of NHS appointment data from 56 million appointments and 3480 English practices demonstrates two predominant models of primary care delivery. ‘Same day' practices tend to fulfil appointments on the same day using GP telephone consultations. ‘Routine care' practices tend to employ non-GP staff members offering face-to-face appointments and longer appointment wait times. ‘Same day' care practices had younger and more urban populations. Episode transcriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:00.640 - 00:00:54.360Hello and welcome to BJGP Interviews. I'm Nada Khan and I'm one of the Associate Editors of the bjgp. Thanks for listening to this podcast today. In today's episode, we're speaking to Dr.Jamie Scuffle, who is a GP in South London and an NIHR In Practice Fellow at King's College London. We're here to talk about a really topical issue in his new paper here in the bjgp.The paper is called Paper Patterns in GP Appointment A cluster analysis of 3,480 English practices.So, hi, Jamie, it's really great to meet you and talk about this work, I guess, really just to start, as you point out in this paper, each practice has their own systems and strategies to manage appointment booking. But how do you think that this impacts on access and patient appointment booking in each practice?Speaker B00:00:55.000 - 00:02:17.300Yeah, it's interesting because I think, as you say, appointment systems have developed even further, really, since COVID and we've ended up with this a quite interesting diverse range of implementing appointments across the country, across England at least.And I suppose the things that have changed are, you know, if you phone up a practice now, actually, you might not even phone them up, you might submit an online consult, you might be triaged, you might see not a gp, but a range of other professionals as well. And also it might not be done face to face, it might be done by telephone or online.In fact, there's a new appointment system range of things that have happened across England, and actually there's some evidence that that might relate to access in some ways. So we know lots of people who don't speak English struggle to navigate that system of getting an appointment, for example.And we also know from the qualitative evidence that there's some digital exclusion as well with appointments. So, yeah, so I think there's lots of issues with access and how that relates to appointment systems.And so far what we've done is looked at components of the appointment system and how that then affects access. But what we haven't really done much of is looking at the appointment system as a whole and how that might affect access.Speaker A00:02:18.180 - 00:02:33.200Yeah.So in this study, you wanted to look at patterns of primary care delivery in English GP practices, and you used this Appointments in General Practice data set. Can you tell us just briefly what's available in this data and what you were looking at here?Speaker B00:02:33.360 - 00:03:20.700It's a tremendous data set and I think could be very useful. So...

Cardiovascular disease (CVD) is the leading global cause of death, with an estimated 18 million deaths each year (over 30% of all global deaths). In 2022, around 175,000 people in the UK died from CVD, accounting for about 27% of all deaths — the second most common cause of death after dementia and Alzheimer's disease. In this podcast, Dr Thomas Round talks to Dr Nicholas Jones, a salaried GP in Oxford with a special interest in cardiology, about primary risk assessment and lipid management in cardiovascular disease.  EKU Programme module on Cardiovascular disease: risk assessment, reduction & lipid modification. British Journal of General Practice article on Cardiovascular disease — risk assessment and reduction: NICE 2023 update for GPs.

Contact us and share your opinionJoin Andy and Gandhi for an update on the BMA, DDRB and impact for General PracticeEngland GPs to receive 4% pay uplift backdated to Aprilhttps://www.pulsetoday.co.uk/news/bre... What is actually in the Doctors and Dentist Review Body Report?   • What is actually in the Doctors and Dentis...  187 pages!Review Body on  Doctors' and Dentists'  Remuneration Fifty Third Report – 2025 https://assets.publishing.service.gov... ICB imposes GP call response targets as part of £6.6m access fundinghttps://www.pulsetoday.co.uk/news/pra...Capita to run GP support services for another three yearshttps://www.pulsetoday.co.uk/news/pra...Capita slammed by former home secretary over ‘unacceptable' GP pension errorshBoost 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 speaking to Dr Steve Bradley, GP and Senior Clinical Lecturer based within the School of Medicine and Population Health at the University of Sheffield.Title of paper: General practice chest X-ray rate is associated with earlier lung cancer diagnosis and reduced all-cause mortality: a retrospective observational studyAvailable at: https://doi.org/10.3399/BJGP.2024.0466It is known that there is wide variation in the use of chest X-ray (CXR) by general practices, but previous studies have provided conflicting evidence as to whether greater utilisation of them leads to lung cancer being diagnosed at an earlier stage and improves survival. This observational study analysed data from the English national cancer registry on CXR rates for individual general practices, along with stage and survival outcomes; it found earlier stage at diagnosis and improved survival for patients diagnosed with cancer at practices that used the test more frequently. Increasing use of CXR by GPs for symptomatic patients, particularly by focusing on practices that use the test infrequently, could improve lung cancer outcomes.TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:00.640 - 00:01:06.820Hello and welcome to BJGP Interviews. I'm Nada Khan and I'm one of the Associate Editors at the Journal. Thanks for taking the time today to listen to this podcast.In today's episode, we're talking to Dr. Steve Bradley. Steve is a GP and senior clinical Lecturer based within the School of Medicine and Population Health at the University of Sheffield.Early diagnosis of cancer has been an area of research that is Steve's real strength. And we're here to discuss his recent paper here in the BJJP titled General Practice.Chest X Ray Rate is Associated with Earlier Lung Cancer Diagnosis and Reduced All Cause Mortality A Retrospective Observational Study. Hi, Steve, Great to speak again and to talk through this paper.I suppose I want to start by saying that, yes, we know that earlier diagnosis of cancer is a good thing because it can lead to earlier stages of diagnosis and treatment. And you start the paper with a short discussion about screening for lung cancer.But talk us through why this, this alone won't solve delays in lung cancer diagnosis and what else we need to be doing.Speaker B00:01:07.540 - 00:02:14.620So, yeah, this context is really important because screening is a hugely important development and the UK has led in many ways on lung cancer screening using low dose ct. And this, we hope is going to be very, very beneficial for patients.But it would be a mistake to think that this is going to solve the problem of lung cancer. And there's a few reasons for that.One is that only about half of people who get lung cancer would have been eligible for screening because screening concentrates on the highest risk population. And also we know that only about half of people who are invited for screening actually choose to participate in screening.So the upshot for general practice really is that most patients are still going to be coming through by symptoms and in the same way.So screening is good news in terms of lung cancer detection, but we still need to do as well as we can in terms of picking these patients up through symptomatic pathways. And actually, this is something we touched on in an editorial for BJGP about a year or 18 months ago, I think.Speaker A00:02:15.020 -...

With Pride Month just around the corner, join us for an insightful discussion with Alex Matheson, Director of Inclusion at the LGBT Foundation, as we explore the vital work being done to improve healthcare for LGBTQ+ communities. Alex shares their expertise on the comprehensive services offered by the foundation, including talking therapies, addiction recovery, and mental health support. Discover the origins and impact of the Pride in Practice program, a key initiative addressing health inequalities and barriers faced by LGBTQ+ individuals in accessing healthcare. Alex highlights the importance of understanding the unique needs of LGBTQ+ people and how systemic gaps in education contribute to misinformation and delayed healthcare access, ultimately affecting treatment outcomes. This conversation is an invitation to healthcare practices to engage with these initiatives and work towards more equitable healthcare for all. Introduction (00:09)  Funding.. (01:28) Are your services national? (02:02)  Pride in Practice (02:20)  Barriers the community experience (03:43)  General practice has become an important role.. (07:29)  Are staff also experiencing challenges? (08:55) Do figures break down to General Practice? (10:38) More about Pride in Practice.. (11:38) Common changes (15:06)  Monitoring the impact.. (17:45)  Which practices need ‘Pride in Practice' (20:15)  How to get involved/Getting in touch.. (22:30)  Visit the LGBT Foundation website here, or contact Alex directly via email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Today, we're speaking to Professor Martijn Schut, Professor of Translational AI in Laboratory Medicine and Professor Henk CPM van Weert, GP and Emeritus Professor of General Practice, both based at Amsterdam University Medical Center.Title of paper: Artificial intelligence for early detection of lung cancer in GPs' clinical notes: a retrospective observational cohort studyAvailable at: https://doi.org/10.3399/BJGP.2023.0489In most cancers, the prognosis depends substantially on the stage at the start of therapy. Therefore, many methods have been developed to enhance earlier diagnosis, for example, logistic regression models, biomarkers, and electronic-nose technology (exhaled volatile organic compounds). However, as most patients are referred by their GP, who keeps life-long histories of enlisted patients, general practice files might contain hidden information that could be used for earlier case finding. An algorithm was developed to identify patients with lung cancer 4 months earlier, just by analysing their files. Contrary to other methods, all medical information available in general practice was used.TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:01.600 - 00:00:55.370Hello and welcome to BJGP Interviews. I'm Nada Khan and I'm one of the associate editors of the journal. Thanks for taking the time today to listen to this podcast.Today we're speaking to Professor Martin Schutt, who is a professor in translational AI and Laboratory medicine, and Professor Hank Vanwort, GP and Emeritus professor in General Practice, who are both based at Amsterdam University Medical Center. We're here to discuss their paper, which is titled Artificial Intelligence for Early Detection of lung cancer in GP's clinical notes.So, yeah, it's great to see you both here today. And Martin, I'll come to you first.I suppose we know that it's important to try and diagnose cancer early, but could you talk us through what's the potential for artificial intelligence here in terms of identifying cancer earlier based on patient records?Speaker B00:00:55.810 - 00:01:52.220Yeah, that's a very interesting question because the potential kind of like goes hand in hand with the huge amount of interest in AI. And I think there are great opportunities. There are also great challenges.But talking about the opportunities, especially in the context of the article that we wrote, is on the data side. So on the data side, the digitalization of electronic health records gives great opportunities.A lot more is digitalized, and that means that we also, in our case, have access to free text, and that we, with the advent of the large language models, with also new developments in AI, we also have better ways of making use of those data. So those two combined creates a really interesting formula for big opportunities for AI in the general practice and healthcare in general.Speaker A00:01:52.300 - 00:02:05.960And you mentioned access to free text records. So what GPs are typing into the record records?But before we get into the study, can you just briefly describe what is natural language processing and how that can be used in free text records?Speaker B00:02:06.760 - 00:03:10.100So we know that a lot of clinical risk scores, they work with features of patients, so their age and their gender or sex. And. But of course, a lot of information is also written up in unstructured way. And in our case that is...

This webinar encourages supervisors to reflect on their own knowledge, confidence and skills in working with families to support child mental health. It also discusses transferable skills that can be applied when working with children and families to better support child mental health. GPSA Teaching Plans can be found here https://gpsa.org.au/our-resources/supervision-support/

This week is the General Practice issue of the MJA. One of the authors featured is Dr Michael Wright, the President of Royal Australian College of General Practitioners. He is a co-author on the paper "The impact of patient enrolment in primary care on continuity and quality of care around the world, 2014–2024, and lessons for Australia: a scoping review."

Introducing a new product or way of working can be seen as the way to fix a problem, but why is it that an innovation that works well for one practice does not work so well for a neighbouring practice?  What is it that helps an innovation be introduced successfully? In the third of our innovation podcast series, Jenny Partridge, Innovation Manager at Health Innovation Kent, Surrey, Sussex and Louise Greenwood, Director of Education & Training at Wessex LMCs discuss some of the findings from discussions with practices who have all implemented the same innovation, but with widely varying results. Learn what you can do to help ensure that the innovation you introduce works well.   Automation of admin tasks – examples of products & further reading BetterLetter  GP Automate  Healthtech1  Rapid Health Case study: Transforming primary care access and efficiency through Smart Triage An evaluation of Rapid Health's Smart Triage at The Groves Medical Centre eGPlearning – eGPlearning (episodes 488 & 489) Administrative triage using digital tools in General Practice – elearning for healthcare Digital Resources Hub | Health Innovation Wessex Innovation Portal – Health Innovation South West

Contact us and share your opinionJoin Andy and Gandhi as they review the latest updates in General Practice, including Model ICBs, the BMA Value of a GP and some cool tech news. PCIT details: https://bit.ly/pcit2025Find out more from our episode sponsor Primary Care IT: https://bit.ly/pcit2025BMA Value of a GP: https://cdn.intelligencebank.com/eu/s...Surgery Intellect by Tortus and Xon : https://www.digitalhealth.net/2025/05...Neighbourhood Health in London: https://www.england.nhs.uk/london/wp-...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

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this edition, we look at three new pieces of research.First, in the BMJ, a paper exploring whether a GP-led psychological intervention can help PTSD symptoms in our patients after ICU. Could this also be successful for other forms of trauma?Second, in the Lancet, research looking at whether semaglutide can improve walking distance in patients with diabetes and intermittent claudication.Finally, in the BJGP, can a practice-led physical activity intervention improve symptoms in survivors of cancer? Will anyone actually want to do it? The answer, and who, may surprise you.ReferencesPoor by Katriona O'SullivanBMJ PTSD paperLancet GLP1ra and PADBJGP Physical activity and cancer survivorsMoving Medicinewww.nbmedical.com/podcast

In this episode of the Transforming Primary Care podcast, a panel of practising GPs including Dr Minal Bakhai, Director for Primary Care and Community Transformation and Improvement at NHS England, discuss how new digital triage techniques within the Modern General Practice model have made a huge difference to both practices and patients. For more information about Modern General Practice visit: https://www.england.nhs.uk/gp/national-general-practice-improvement-programme/modern-general-practice-model/ A transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/modern-general-practice-top-tips-for-successful-triage/

Today, we're speaking to Dr Stephen Gibbons, Consultant Clinical Biochemist at Leeds Teaching Hospitals NHS Trust, and Dr Clare Spencer, GP Partner and Menopause Specialist at the Meanwood Group Practice in Leeds.Title of paper: Optimising testosterone therapy in patients with hypoactive sexual desire disorderAvailable at: https://doi.org/10.3399/bjgp25X741321TranscriptThis 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 - 00:01:08.824Hello and welcome to BJJP interviews and welcome to our new season of the podcast. Hope you all had a great break over Easter and thanks again for listening to this podcast today.My name is Nada Khan and I'm one of the associate editors of the BJTP. In today's episode, we're speaking to Dr. Stephen Gibbons, consultant clinical biochemist at Leeds Teaching Hospital NHS Trust, and Dr.Claire Spencer, a GP partner and menopause specialist at the Meanwood Group Practice in Leeds. We're here to talk about the recent clinical practice paper published here in the bjgp.The paper is titled Optimizing Testosterone Therapy in Patients with Hypoactive Sexual Desire Disorder. So thanks, Stephen and Claire, for joining me here today.It's great to talk to you about this paper, especially because it's in an area of a lot of interest to patients and clinicians in general practice wondering what to do about testosterone prescribing.I guess I wanted to kick things off, Stephen, really, by asking, what made you start investigating testosterone replacement in patients with hypoactive sexual desire disorder?Speaker B00:01:08.952 - 00:03:09.662So it was actually a conversation with a colleague at work over coffee and she mentioned to me that she'd noted quite a lot of high testosterone in females of a particular age and she was asking why that might be. So I explained it's probably because of TRT in this condition called hsdd, but that was kind of quite anecdotal at that point.So we thought we'd do a clinical audit. So myself and two colleagues, Kia and eloise, we audited 100 patients from Leeds.So we looked at a sample of 100 patients on TRT for HSDD and we audited them against the British Menopause Society guidance, which state that you should do a pre testosterone measurement and then you should check at at six to eight weeks, I believe. And what we found is that actually there was quite poor compliance with the BMS guidance. And at this point we felt a little bit out of our depth.But we thought, well, this is quite alarming. Probably the most alarming thing was the number of patients with a really high testosterone that weren't adequately followed up.So we thought, right, let's bring some clinical experts in at this point. So that's when we got in touch with Dr. Spencer and Dr. Jasim and Dr. Wal Ford, who's also on the paper.She's a consultant endocrinologist at Leeds, and we kind of had a look at the data and we all agreed that, you know, there were significant findings. And the question was why?Because there are quite comprehensive guidance out there from the bms, but I think we all felt that potentially they lacked some of the finer detail. Potentially in some areas they were a little vague. So that's when we came up with these additional recommendations.And they're certainly not supposed to replace the BMS guidance, but it's a supplementary kind of recommendations to support the BMS guidance. So that's where we started, really.Speaker...

Contact us and share your opinionJoin Andy and Gandhi for some major updates on health tech in general practice. Did you catch these? PCIT➡️ https://bit.ly/pcit2025

This is the second in our series on Innovation led by Jenny Partridge, Innovation Manager at Health Innovation Kent Surrey Sussex. Smart triage is one solution to the problem faced in general practice of balancing patients' clinical needs with practice clinical capacity. It is a way of automating the triage process, allocating patient appointments based on their clinical need and approved patient pathway, saving clinical and admin time in the triage and reception process. This podcast discusses why you might consider implementing smart triage, how you could justify it, and shares some tips for implementation. Hear from Cathie Sims, a practice manager who implemented a smart triage system recently and the positive impact this has had on her practice, both for patients and staff. Dan Ferrett, a Practice Manager & Practice Manager Supporter, is considering smart triage & explores the concerns about making such a change, including patient safety, accessibility for all patients and data security questions. Automation of admin tasks – examples of products & further reading BetterLetter  GP Automate Healthtech1  Rapid Health Case study: Transforming primary care access and efficiency through Smart Triage An evaluation of Rapid Health's Smart Triage at The Groves Medical Centre eGPlearning – eGPlearning (episodes 488 & 489) Administrative triage using digital tools in General Practice – elearning for healthcare Digital Resources Hub | Health Innovation Wessex Innovation Portal – Health Innovation South West

This week Emma speaks to Dr Katie Bramall-Stainer, the chair of the BMA England GP committee, about what the future holds for general practiceKatie explains why this year's contract deal is the start of a long journey of recovery for general practice and the basis on which to create a more positive future for the profession.Now that the government has agreed to negotiate a completely new GP contract, Katie explains what her priorities will be in those contract negotiations and how the BMA will be making the case for greater investment in general practice.She talks about whether general practice should be directly reimbursed for staff costs, what should replace the Carr-Hill formula and whether it's now time to define what core services in general practice actually are.Katie also explains why GPs need to keep up the pressure in their area to secure better funding for local enhanced services, how she thinks neighbourhoods could impact on general practice and also why she feels more hopeful about the future than at any other point since she qualified as a GP.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksFull GPonline coverage of the 2025/26 GP contractDefine GP core services or risk unfunded work transfer from hospitals, LMCs to warnBMA guidance on the 2025/26 GP contractBMA safe working guidancePatients first – Why general practice is broken and how can we fix it - BMA manifesto Hosted on Acast. See acast.com/privacy for more information.

Researchers are increasingly partnering with patients, clinicians and others who use research to design, conduct, report and disseminate research studies. Today we hear about a conversation that involved over 600 patients, clinicians and carers, who were supported to nominate their top priorities for research on shoulder pain. Kristian Lyng (physiotherapst, PhD student at Aalborg University's Department of Health Science and Technology, and Center for General Practice) led the work as part of his PhD research looking at interventions for shared decision-making in collaboration with patients with subacromial pain syndrome. Kristian discusses the challenges and opportunities in translating research to clinical practice, and the benefits to researchers of engaging patients and the public in doing musculoskeletal research. ------------------------------ RESOURCES Research priorities for atraumatic shoulder pain: https://www.jospt.org/doi/10.2519/jospt.2025.13059 Patients as partners in research - It's the right thing to do: https://www.jospt.org/doi/10.2519/jospt.2019.0106 Help for researchers wanting to engage patients as research partners: https://www.jospt.org/doi/10.2519/jospt.2020.0104 How to talk about compensation with patient partners: https://www.jospt.org/doi/10.2519/jospt.2020.0106 Engaging patients and the public in musculoskeletal research: https://www.jospt.org/doi/10.2519/jospt.2024.12668

Contact us and share your opinionJoin Andy and Gandhi for the latest General Practice update for Easter - what chaos is being brought? PCIT: https://www.primarycareit.co.uk/00:00 Intro01:30 Episode plan03:14 Advice and guidance on millions to saveBBC - Plan for GPs to keep millions out of hospitalhttps://www.bbc.co.uk/news/articles/c...10:36 ICBs mining dataLike Minecraft ICBs told to mine new GP practice dataset for ‘unwarranted variation'https://www.pulsetoday.co.uk/news/nhs...17:30 NHS barcodeNHS-specific barcode to ensure prompt delivery of appointment lettershttps://www.pulsetoday.co.uk/news/ref...21:37 save money on SMS22:10 BMA timelineBMA wants wholesale new GP contract to be agreed ‘by end of 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 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

The episode features Dr. David Bartlett, a retired GP and neuroendocrine cancer patient, offering a dual perspective as both clinician and patient.Key Learnings from this episode.Patient Experience and Diagnostic ChallengesDr. Bartlett's symptoms began with severe, intermittent abdominal pain, starting in 2001, but he did not seek medical help for several years due to a combination of stoicism, not wanting to trouble others, and a belief in the commonality of benign causes. Over 15 years, he experienced repeated misdiagnoses, primarily being labeled as having irritable bowel syndrome (IBS) despite atypical features (severe pain, minimal bowel habit change, and no systemic symptoms). Multiple opinions and investigations (including ultrasounds and CT scans) failed to identify the underlying cause, with a key scan being misread by local radiologists. The correct diagnosis of a small bowel neuroendocrine tumour was only made after a tertiary centre re-examined previous scans, highlighting the importance of specialist review and persistence in unexplained cases.Clinical Red Flags and SymptomatologyDr. Bartlett's case underscores that neuroendocrine tumors can present with isolated, severe abdominal pain without classic red flags (vomiting, weight loss, significant bowel changes)[1]. He retrospectively identified subtle signs of carcinoid syndrome (flushing, one episode of profound diarrhoea, and skin changes), which are present in only about 10% of small bowel neuroendocrine tumour cases. The lack of awareness about neuroendocrine tumors, even among experienced clinicians, contributed to the diagnostic delay[1].Lessons for Primary Care and CliniciansThe story illustrates the risk of anchoring on common diagnoses (like IBS) and the need to reconsider the diagnosis when symptoms are severe, persistent, or atypical. It highlights the value of listening to the patient's narrative, especially when symptoms do not fit classic patterns, and the importance of considering rare conditions in the differential diagnosis. The episode emphasises the need for ongoing education about neuroendocrine tumours and the importance of keeping rare but serious conditions on the diagnostic radar in primary care.Management InsightsStandard treatment for small bowel neuroendocrine tumours often includes monthly somatostatin analog injections (e.g., lanreotide). Surgical intervention may be considered, but it carries specific risks such as carcinoid crisis, requiring specialised perioperative management. The decision for surgery is individualised, weighing potential symptomatic improvement against procedural risks.Systemic and Human FactorsDr. Bartlett's experience reflects how personal traits (stoicism, reluctance to seek help) and systemic issues (misinterpretation of scans, diagnostic inertia) can delay diagnosis. The narrative also demonstrates the importance of patient advocacy, persistence, and the value of second (or third) opinions, especially in complex or unresolved cases.Educational ValueThe episode serves as a reminder for clinicians to maintain a broad differential, revisit diagnoses when the clinical picture changes, and to be aware of their own cognitive biases. It also advocates for the inclusion of patient voices in medical education to better understand the lived experience and challenges of rare diseases like neuroendocrine cancer.Summary Table: Key LearningsThemeKey PointsDiagnostic Delay15 years from symptom onset t... Chapters (00:00:10) - Ingest(00:02:07) - David Bartlett on neuroendocrine cancer(00:05:32) - Irritable bowel syndrome, 15 years after first bout(00:12:09) - Carcinoid syndrome in small bowel neuroendocrine tumors(00:16:10) - Neuroendocrine tumour, surgery and recovery(00:20:43) - Somaostatin analogues for neuroendocrine cancer(00:25:43) - The role of the multidisciplinary team in bowel cancer care(00:28:21) - The battle with depression in your 50s(00:30:00) - General Practice and the Art of Medicine(00:33:13) - General Practice: The challenge of slowing down(00:35:35) - Neuroendocrine Cancer UK support group(00:39:28) - David's story of cancer(00:40:38) - David's Neuroendocrine Cancer Episode 1

In this episode, host Alyssa Watson, DVM, welcomes Søren Boysen, DVM, DACVECC, to talk about his recent Clinician's Brief articles on the benefits and limitations of POCUS in general practice. Using point-of-care ultrasound is becoming more accessible, and Dr. Boysen details the questions you can expect to answer and the confidence you'll gain by adopting this modality.  He also gives a helpful explanation on ultrasound settings.Resources:https://www.cliniciansbrief.com/article/pocus-veterinary-medicine-useshttps://www.cliniciansbrief.com/article/veterinary-pocus-limitations-ultrasoundhttps://www.zoetisus.com/products/dogs/librela/Contact: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

With increasing rates of chronic disease and comorbidity, a cohesive, team-based approach to address a broad range of mental health and wellbeing issues has never been more crucial. This webinar explores how GPs can effectively collaborate with other healthcare professionals within integrated care teams, breaking down silos and ensuring better patient outcomes. Whether you're a GP looking to enhance collaboration with your team or simply seeking to understand the latest trends in integrated care, this webinar will provide you with the knowledge and tools to transform patient care in your practice. Facilitator: Dr Phoebe Holdenson KimuraGuest: Dr Paul Fung

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we are joined by Dr Stephen Bradley, lead author of a new paper published in the BJGP looking at rates of CXR use in general practice and how this influences lung cancer stage at diagnosis and mortality. He discusses the findings of his research and how this might influence our practice. In other research, we look at a new paper in the BMJ on orthostatic HYPERtension - yes, you read that correctly - does treatment help, and does it really matter in the first place? And from the Lancet, research looking at the role of urodynamic studies in women with refractory overactive bladder - does it improve outcomes, or should it be stopped?ReferencesBMJ Orthostatic hypertension and BP treatmentBMJ OH editorialLancet Refractory overactive bladder & urodynamic studiesBJGP CXR in GP & lung cancer staging and mortalitywww.nbmedical.com/podcast

Sarah Kull is a New Zealand Registered Nurse.  She has been working with intermittent fasting for many of her clients since early 2018, in particular, to support those with Type 2 Diabetes or obesity related health concerns. Sarah has been working in General Practice for over 20 years and has a background in chronic care management and diabetes, as well as the many health risks associated withobesity.  With a growing epidemic of type 2 diabetes and obesity related health issues in NZ, Sarah was looking at alternatives to the old “calories in vs calories out” advice that has not made an impact on global health since its inception. She came across the work of Dr Jason Fung, a Canadian nephrologist and world-leading expert on intermittent fasting for type 2 diabetics. Having been taught throughout her career that type 2 diabetes is a long-term, chronicdisease that worsens with time, the results from Dr Fung's work were phenomenal. Sarah went on to look at intermittent fasting as a solution to New Zealand'sgrowing crisis and so spent time researching and learning about fasting as an option in her work. Now, with over 6 years of experience working with clients and intermittent fasting, Sarah has a fantastic knowledge base on IF and some phenomenal and life-changing stories and case studies to show the incredible health benefits of IF.   From complete reversal of type 2 diabetes, dramatic weight loss,improvement in fatty liver and blood pressure to improved sleep, wellbeing and energy, the results speak for themselves.  Sarah continues to work in a couple ofclinics in South Auckland, supporting many patients in starting their IF journey and improving their health outcomes.  She also runs a Facebook group with over 10000 members, which is growing daily. She runs courses forfasting education and support for the general public in New Zealand and sees private clients. In her spare time, Sarah enjoys Pilates and horse riding. She is also the CEO of a medical charity in her local community, and of course, she practices intermittent fasting! Sarah has two children, a small farm, and many animals to keep her busy.   Our Patreon Supporters Community - An Invitation to Join Us!Please consider joining the Fasting Highway Patreon community. The feedback has been great for all who have joined. It has become an excellent addition to our Patreon members' IF lifestyle. These members enjoy a lot of bonus content to support them in living an IF life for as little as 0.16 cents a day. For less than a cup of coffee a month, you can join and support your health goals, meet like-minded people and get a lot of support.Graeme hosts Zoom meetings four times a month in the Northern and Southern hemispheres for members to come and get support for their IF lifestyle, which has proven very popular with our Patreon members.You will not find anywhere that provides that kind of support and accountability for just 0.16 cents a day. There are over 100 exclusive pieces of audio content for Patreon members to help you navigate your IF journey and get more accountability and support. Please go to www.patreon.com/thefastinghighway to see the benefits you get back and how to join.Graeme's best-selling book, The Fasting Highway, about his journey and how he did it, is available in paperback and Kindle at your local Amazon store. It is also available on audio at Apple Books, Kobo, Spotify, and many other audiobook platforms. Graeme can also be booked for one-on-one mentoring and coaching by going to www.thefastinghighway.com, clicking on get help, get coaching, and booking a time. All times you see are your local time zone.Disclaimer: Nothing in this podcast should be taken as medical advice. The opinions expressed herein are those of the host and guest only. 

Today we pause for breath and recap on the big announcements and developments so far this year in General Practice and the NHS.This is a great summary to help you catch up with the big contract changes and announcements so far this year.Topics covered and more in depth eGPlearning resources…30/1/25 - Neighbourhood health guidelines 2025/26https://www.youtube.com/live/MhH60zzBIxEAnd 2025/26 NHS priorities and operational planning guidancehttps://www.youtube.com/live/7NKeYOp4TBU New GP contract 25-26https://www.youtube.com/live/5gAcCPTPE08 ICBs to reduce running costs by 50%NHS England abolishedhttps://www.youtube.com/live/JxO60Y7Hquw New PCN DES contracthttps://www.youtube.com/live/L8wWWy4-_tU New QOF guidanceAdvice & Guidance Enhanced Service SpecificationJoin us for the PCN plus conference on 23/4/25https://ockham.healthcare/pcn-plus-conference-the-future-of-pcns-2025/ Join us for the GP5T9 conference for GP educators on 26/4/25 https://events.ringcentral.com/events/gp5t9-7cdf6d94-83b6-4175-adf8-0abf2549b216/registration 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

Respiratory Distress? Don't Panic! In this VetFolio Voice episode, you'll get tips for responding to respiratory distress in your patients to help ensure a good outcome. LISTEN NOW

Doctors Lisa and Sara are joined by GP and Medical Educator Dr Alan Ng, working in Canada. We discuss what Balint groups are, starting from who Balint was. We go through the structure of a Balint session and why they exist in the form they do. We discuss the advantages to both Doctors and their patients of discussing cases within a Balint group and being part of a group. Discussions can help us gain a deeper understanding of the doctor-patient relationship and discover more about the dynamics and causes of our stresses in particular cases.    You can use these podcasts as part of your CPD - we don't do certificates but they still count :)   Useful resources:  UK Balint Society: https://balintsociety.org.uk/ American Balint Society: www.americanbalintsociety.org International Balint Federation: www.balintinternational.com Balint, Michael. The Doctor, His Patient and the Illness. Churchill Livingstone  1957, 1963, 2000: https://www.worldofbooks.com/en-gb/products/doctor-his-patient-and-the-illness-book-michael-balint-9780272792063 Salinsky, John and Sackin, Paul.  What Are You Feeling Doctor? Radcliffe 2000: https://www.worldofbooks.com/en-gb/products/what-are-you-feeling-doctor-book-john-salinsky-9781857754070 Joanne Reeve and the idea of ‘Knowledge Work': https://bjgplife.com/reclaiming-general-practice-tackling-our-workforce-crisis-with-wisegp/ Stojanovic-Tasic M, Latas M, Milosevic N, Aritonovic Pribakovic J, Ljusic D, Sapic R, Vucurevic M, Trajkovic G, Grgurevic A. Is Balint training associated with the reduced burnout among primary health care doctors? Libyan J Med. 2018 Dec;13(1):1440123: https://pubmed.ncbi.nlm.nih.gov/29493438/ Van Roy K, Vanheule S, Inslegers R. Research on Balint groups: A literature review. Patient Educ Couns. 2015 Jun;98(6):685-94: https://pubmed.ncbi.nlm.nih.gov/25681874/ Player M, Freedy JR, Diaz V, Brock C, Chessman A, Thiedke C, Johnson A. The role of Balint group training in the professional and personal development of family medicine residents. Int J Psychiatry Med. 2018 Jan-Mar;53(1-2):24-38. doi: 10.1177/0091217417745289. Epub 2017 Dec 13: https://pubmed.ncbi.nlm.nih.gov/29235909/ Kjeldmand D, Holmström I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008 Mar-Apr;6(2):138-45. doi: 10.1370/afm.813: https://pubmed.ncbi.nlm.nih.gov/18332406/ Mathers and Rowland (1997). General practice-a post-modern speciality? British Journal of General Practice, 47, 177-179: https://bjgp.org/content/47/416/177 ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we look at three new papers with practice-changing consequences. Firstly, can treating partners of women with bacterial vaginosis prevent recurrence? Secondly, can semaglutide be effective in alcohol misuse? Finally, is tirzepatide an effective treatment for pre-diabetes in people with obesity (take a guess...!)?ReferencesNEJM Male partner treatment for BVJAMA Psychiatry GLP1a & alcoholNEJM Tirzepatide for Pre-diabeteswww.nbmedical.com/podcast

Dr. Kristen Lester has taken a unique journey as a general practitioner offering chemotherapy to dogs. Dr. Lester shares the inspiring cancer story of her "heart dog" Sue, the challenges of cancer treatment, and why she believes GPs can play a vital role in oncology. From safety protocols to overcoming the lack of local specialists, this episode is packed with insights for dog lovers and veterinarians alike.  What You'll Learn in This Episode:  How Dr. Lester got into oncology through her heart dog, Sue  The role general practitioners can play in cancer treatment  Safety protocols for administering chemo in a general practice  Tools and resources for GPs interested in oncology  The pros and cons of choosing a GP versus an oncologist  Your Voice Matters!   If you have a question for our team, or if you want to share your own hopeful dog cancer story, we want to hear from you! Go to https://www.dogcancer.com/ask to submit your question or story, or call our Listener Line at +1 808-868-3200 to leave a question.   Related Videos:  https://www.youtube.com/watch?v=PNbQ4mNx938  https://www.youtube.com/watch?v=V6_fWtQbxfw   Related Links:  This chemotherapy article covers EVERYTHING! https://www.dogcancer.com/articles/drugs/dog-chemotherapy/  Looking at metronomic chemo? Here's a great read: https://www.dogcancer.com/articles/diagnosis-and-medical-procedures/metronomic-chemotherapy-for-dogs/  Chapters:  00:00 Introduction  00:30 - Dr. Lester's Background: General Vet Meets Oncology  01:15 - The Heart Dog Who Started It All: Sue's Story  06:45 - What is Chemotherapy in General Practice Like?  08:30 - The Role of Palladia and Modern Cancer Drugs  12:15 - General Practitioners vs. Oncologists: Pros and Cons  19:00 - Safety Protocols for Chemo in General Practice  24:30 - Special Equipment Needed for Chemotherapy  30:15 - What Dog Owners Should Know About At-Home Chemo  35:00 - Common Cancers and Chemo Protocols GPs Can Handle  38:45 - How to Start Offering Chemo as a GP  45:15 - Resources and Support for General Practitioners  48:30 - Closing Thoughts: Fighting Cancer Together    Get to know Dr. Kristen Lester: https://www.dogcancer.com/people/kristen-marie-lester-dvm/  For more details, articles, podcast episodes, and quality education, go to the episode page: https://www.dogcancer.com/podcast/   Learn more about your ad choices. Visit megaphone.fm/adchoices

The Commission is shifting focus from simple weight metrics to the impact of obesity on health Clear clinical criteria have been established for defining obesity as a disease, making it easier to assess and manage patients, stratify treatments, and guide future policies and research priorities The importance of early intervention to prevent progression to organ dysfunction The Commission aims to reduce stigma for those living with obesity and improve access to care Provide guidance for policymakers and potentially create an obligation to fund and treat obesity as a defined clinical disease Host: Dr David Lim | Total Time: 38 mins Expert: Dr Catherine Bacus, Bariatric General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

One hundred new placements for overseas-trained doctors to work in primary care, and incentives for recruitment of 400 graduate nurses a year, are big-ticket items in the government's $285 million package for the health sector. General Practice NZ's Brian Betty spoke to Alexa Cook.

GPs say a Government cash injection into general practices is a good start. The Health Minister's announced $285 million in performance-based funding for practices over three years. Simeon Brown is also kick-starting initiatives to boost the number of nurses and overseas-trained doctors in healthcare. Royal College of GPs President Samantha Murton told Mike Hosking practices need a lot more money, but the Government has to start somewhere. Another measure announced was the 100 new placements for overseas-trained doctors. The Royal College of GPs says vocational training for the doctors was always done in hospitals. But Murton told Hosking primary care is now getting a slice of the pie. She says general practices offer a wider range of training in New Zealand healthcare than hospitals. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Sari Cooper LCSW-R CST-S and Kelly Ghweinem LCSW CST, co-founders of the Erotic Intimacy Academy, discuss their new See It Certification program aimed at enhancing general therapists' competency in addressing sexual health issues. Sari and Kelly explain the extensive AASECT certification process and how their streamlined program provides foundational knowledge in sexual health. They cover the importance of sexual health in overall well-being, comfort levels for therapists discussing sexual issues, and the practical application of evidence-based practices through webinars and live case consultations. The program offers rolling admission and aims to create a community of learners from diverse backgrounds. Sari and Kelly invite therapists and coaches to join the program to better support their clients and enhance their own professional skills. Sari Cooper LCSW-R CST-S and Kelly Ghweinem LCSW CST are co-founders of the Erotic Intimacy Academy, a digital educational platform for therapists, and AASECT-Certified Sex Therapists. With over 30 years of combined experience, Sari and Kelly have seen firsthand how addressing sexuality and intimacy can profoundly impact therapeutic outcomes. The SEE IT (Sexuality Educated and Erotically Informed Therapist) certification program is designed to equip therapists with the knowledge and skills necessary to navigate these often-overlooked areas in their practice. Their program is rooted in creating a safe, shame-free environment for learning, allowing professionals to feel confident in discussing these sensitive topics. eroticacadmey24@gmail.com www.eroticacademy.net Subscribe, rate, & review The Shrink Show podcast: Facebook, Instagram , YouTube, X

Doctors Lisa and Sara were delighted to interview Dr Sylvia Kama-Kieghe, a GP based in Sheffield with an interest in Women's Health. She is the Chair of the Royal College of General Practice North of England International Medical Graduates Group. We start with what the group does, why it was set up and look at issues International Medical Graduates might face when working and training in the UK. We consider what practices, staff and supervisors can do to help make International Medical Graduates feel welcome and supported so that the experiences for all can be positive.    A useful listen for all working in Primary Care and specifically those new to Practice in the UK and to Educational and Clinical GP Supervisors.   You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources:  Dr Sylvia Kama-Kieghe's YouTube Channel for Women's Health: https://www.youtube.com/c/AskAwayHealth GMC Welcome to the UK pack for International Medical Graduates and Supervisors: https://www.gmc-uk.org/about/what-we-do-and-why/learning-and-support/workshops-for-doctors/welcome-to-uk-practice Royal College of General Practitioners Resources for International Medical Graduates: https://www.rcgp.org.uk/blog/international-medical-graduates-support Royal College of General Practitioners Guide for Overseas Doctors: https://www.rcgp.org.uk/your-career/overseas-doctors-guide Royal College of General Practitioners International Medical Graduates Forum: https://forum.rcgp.org.uk/login Guide on How the NHS works (2021): https://www.nhsemployers.org/system/files/media/Working-and-training-in-NHS-2021_0.pdf International Medical Graduates Podcasts with Raykal Simm: https://open.spotify.com/episode/5ZB88fc9X1tKftnYLhRytb?si=7c906c86bee34fbf Our Episode on How General Practice is Funded (2024): https://www.podbean.com/ew/pb-84rq4-15bc17f ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Heart failure is a clinical diagnosis with specific signs. If unsure, N-terminal pro b-type natriuretic peptide (NT-proBNP) levels can help rule it out Differences between brain natriuretic peptide (BNP) and NT-proBNP, and how to apply each of them to your heart failure patients In patients with chronic kidney disease, NT-proBNP levels should be within context of renal dysfunction Serial measurements of NT-proBNP are associated with prognosis, guidance and response to heart failure treatment Only one NT-proBNP test per patient per year is reimbursed; additional tests must be self-funded Host: Dr David Lim | Total Time: 39 mins Experts: Prof Andrew Sindone, Cardiologist A/Prof Ralph Audehm, General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

A Government plan to extend repeat prescription terms to 12 months could follow international trends. The current supply limit is generally three months - possibly longer for contraceptives and overseas travel. The Ministry of Health opened consultation last year. General Practice New Zealand chair, Doctor Bryan Betty, says Australia, the US and the UK have already made similar moves. "There were similar sorts of restrictions on prescribing there, but all of those countries have started to loosen this up in terms of flexibility." LISTEN ABOVESee omnystudio.com/listener for privacy information.

Join Andy and Gandhi for this review of the NHS Operational Guidance, the NHS Neighbourhood plan and more...NHS operational guidance: https://www.england.nhs.uk/publicatio...NHS neighbourhood plan:  https://www.england.nhs.uk/long-read/...Sign up to PCN Plus 2025 https://ockham.healthcare/pcn-plus-co...Sign up to GP5T9: https://events.ringcentral.com/events...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

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. This week we look at three new pieces of research. First, we have a paper in the BMJ exploring arterial thrombosis risk with modern hormonal contraceptives including newer treatments such as the combined patch and ring. Second, we have a BJGP paper looking at which type of safety net advice is the most effective. Finally, a new paper in JAMA Internal Medicine collates trials on anti-virals for influenza. Can any of them provide genuine benefit? And don't forget our NB Plus offer - £25 discount on an annual subscription until the 17th of February.ResourcesBMJBJGPJAMAHealthier Together patient infowww.nbmedical.com/podcast

Unlock the secrets to revolutionising general practice with Ruth Rankine from the NHS Confederation, as she guides us through the intricate web of healthcare innovation and policy shaping. Learn how Ruth's pivotal role empowers her to engage with key stakeholders to drive transformative changes across the healthcare landscape. Discover the unique position of the NHS Confederation compared to the General Practitioners Committee, with a focus that extends beyond individual practices to embrace a diverse array of primary care providers. Ruth offers a candid look at the current landscape of general practice, highlighting the dynamic challenges and opportunities healthcare providers face amidst evolving governmental policies. With a focus on strategic co-production, community infrastructure, and organisational development, this episode offers valuable insights into the future of primary care and the path towards creating a resilient healthcare system. Introduction (00:09) A day in Ruth's life.. (01:18)  Influencing on behalf of members (02:37)  The difference between you & the GPC? (03:53) The current situation for General Practice (05:02)  What does the government want from General Practice? (07:20) General Practice & Neighbourhood teams.. (11:46) Coordination of organisations.. (14:03) How will collaborations work for local systems? (16:59) Do collaborations exist everywhere? (21:08)  Next steps.. (23:03)  Getting in touch.. (25:13) Visit the NHS Confederation website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Andy and Gandhi for the latest on the NHS and General Practice with some major policy shifts coming see links below ⬇⬇⬇00:00 Gandhi solo02:20 News Roundup02:30 Vaccinations by ICBsNational vaccination plan: https://www.pulsetoday.co.uk/news/cli...04:56 AI Benefits in Health https://www.pulsetoday.co.uk/news/tec...07:23 Mounjoro harder to getNew weight loss drug guidance:; https://www.pulsetoday.co.uk/news/cli...09:43 Legal risk with weight loss drugs:  https://www.pulsetoday.co.uk/news/cli...12:30 Comments and Questions13:57 NHS publications corner14:53 Valdo Calocane Nottingham case review Independent mental health Homicide review for Nottingham: 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 of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe talk with Nathalie Pattyn at TacTrauma24 in Sweden about the phenomenon of skills fade amongst emergency physicians. Nathalie discusses her extensive background in medicine, psychology, and neuroscience, and shares insights from her research on how skills can deteriorate during low workload deployments, such as her 15-month clinical stint in Antarctica. They delve into the lack of systemic measures to address returning to practice after long absences, how cognitive and psychomotor skills are affected by skill fade, and the contrast between teaching technical skills and ensuring they become automatic and stress-resilient. The conversation highlights the need for evidence-based guidelines to ensure healthcare professionals maintain their proficiency, which ultimately benefits patient care and the healthcare system. 00:00 Introduction and Guest Introduction 00:13 Natalie's Background and Expertise 00:38 Skills Fade in Emergency Medicine 01:01 Personal Experience with Skills Fade 02:14 Regulations and Policies on Skills Maintenance 04:19 Imposter Syndrome vs. De-skilling 06:42 Aviation vs. Medical Field: Skills Certification 08:27 Aging and Cognitive Decline in Medical Skills 09:57 Teaching vs. Training in Medical Education 12:42 Future Directions and Systemic Solutions 14:31 Conclusion and Contact Information The Guest Nathalie Pattyn, MD, MPsy, PhD, received a degree in medicine from the Université Libre de Bruxelles (magna cum laude, 2001), a Master in Clinical Psychology from the Vrije Universiteit Brussel (cum laude, 2004), a PhD in Psychological Sciences from the Vrije Universiteit Brussel (2007) and a PhD in Social and Military Sciences from the Royal Military Academy (2007). She also holds a postgraduate degree in Aerospace Medicine; a postgraduate degree in Emergency Medicine; a postgraduate degree in General Practice ; a postgraduate degree in Disaster Medicine ;and a Master in Global and Remote Healthcare. She completed her Junior Officer Course with the Belgian Defense College in 2005, and her Staff Officer Course in 2008. She has a mixed clinical, research and operational background, having been deployed as a medical officer in various Middle Eastern and African countries, and having completed missions in Antarctica for a total duration of more than two years. Her longest deployment was 15 months to the Halley VI Research Station in Antarctica, where she worked as the station physician while setting up a new biomedical research laboratory for the European Space Agency. She is currently still working as an emergency physician and a flight surgeon. Her research interests include the psychophysiological measures of performance in elite populations; and Human Factors approach to isolated and confined environments, ranging from space to submarines. In 2010, she founded a research unit within the Royal Military Academy, dedicated to the multidisciplinary study of human performance in operational environments. This led her to be the project manager for designing a tailored Human Performance Program for the tier one unit of the SOF community in Belgium. She is currently an Associate Professor in Physiopathology at the Vrije Universiteit Brussel and in Human Performance at the Royal Military Academy. You can read Nathalie's excellent book "Handbook of Mental Performace" for free here.

For the podcast this week we spoke to Dr Abid Ali Khan, a GP trainee in East London currently on a Clinical Fellowship in Leadership (National Medical Directors Clinical Fellow). We focused on his experiences as an International Medical Graduate to gain an understanding of the challenges he faced coming to the UK. We got his advice for other International Medical Graduates and those supporting IMGs. We have a second episode out next month focusing more on what practices and staff can do to help support International Medical Graduates.   A useful listen for all working in Primary Care and specifically those new to Practice in the UK and to Educational and Clinical GP Supervisors.   You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources:  GMC Welcome to the UK pack for International Medical Graduates and Supervisors: https://www.gmc-uk.org/about/what-we-do-and-why/learning-and-support/workshops-for-doctors/welcome-to-uk-practice Royal College of General Practitioners Resources for International Medical Graduates: https://www.rcgp.org.uk/blog/international-medical-graduates-support Royal College of General Practitioners Guide for Overseas Doctors: https://www.rcgp.org.uk/your-career/overseas-doctors-guide Royal College of General Practitioners International Medical Graduates Forum: https://forum.rcgp.org.uk/login Guide on How the NHS works (2021): https://www.nhsemployers.org/system/files/media/Working-and-training-in-NHS-2021_0.pdf International Medical Graduates Podcasts with Dr Raykal Sim: https://open.spotify.com/episode/5ZB88fc9X1tKftnYLhRytb?si=7c906c86bee34fbf Our Episode on How General Practice is Funded (2024): https://www.podbean.com/ew/pb-84rq4-15bc17f ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Welcome to the Hot Topics podcast with Dr Neal Tucker. This is the third in our series of special podcasts where we talk to interesting and influential people from the world of general practice.In this interview, we talk to Dr Euan Lawson, GP and editor of the BJGP. The journal will be familiar to all clinicians in general practice and has gone from strength to strength over the past few years. We talk about his career and how he became editor, discuss the world of research including the most influential papers published during his tenure, consider the importance of inclusion health in the changing face of GP, and discuss his vision for the future.And remember our recent NB Clinic in Inclusion Health can be watched on demand here.www.nbmedical.com/podcast

Doctors Lisa and Sara talk to Hepatitis C GP Champion Dr Lindsey Kent and Greater Manchester Peer Programme Manager Tony Horrocks for an overview of Hepatitis C. We cover the basics around the virus and prevalence, potential symptoms and at risk groups to consider when offering testing. We discuss the great work being done to eradicate Hepatitis C in Manchester (and around the UK) including Tony's personal story as well as his work as a Peer Programme Manager. Wonderful to hear the success rate for cure with medications and how the team ‘leave no one behind'.  Great listening for all of us working in General Practice. You can use these podcasts as part of your CPD - we don't do certificates but they still count :)   Useful resources:  NICE Clinical Knowledge Summaries Hepatitis C (last revised Sept 2022): https://cks.nice.org.uk/topics/hepatitis-c/ The Hepatitis C Trust UK Online Risk Checker: https://www.hepctrust.org.uk/hepatitis-c-risk-checker/ Order free Hepatitis C test UK: https://hepctest.nhs.uk/ Liverpool Hepatitis Interaction Checker: https://hep-druginteractions.org/checker Greater Manchester and East Cheshire Hepatitis C Operational Delivery Network: https://research.cmft.nhs.uk/innovation-at-mft/hepatitis-c-operational-delivery-network-for-greater-manchester-and-east-cheshire Aneesha Noonan's podcast on Expanding hepatitis C elimination into Primary Care settings: https://youtu.be/U5TdLJdAGrI?si=Woy1nkVxfCztXaJY Hep C U Later Primary Care Toolkit: https://www.hepculater.com/wp-content/uploads/2024/05/Primary-Care-Toolkit-Final-with-links-v2-with-updated-date.pdf Hep C U Later's ‘Hep C Elimination Successes': https://www.hepculater.com/hepatitis-c-elimination-successes/ Hep C U Later: GP practices can run a case finding tools (these are already installed on systems within general practice). If you're interested in running these tools with support from other organisations email connect.HepCULater@mpft.nhs.uk so we can link you to the right people.  NHS England » NHS set to eliminate Hepatitis C ahead of rest of the world: https://www.england.nhs.uk/2022/12/nhs-set-to-eliminate-hepatitis-c/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Dr. Natalie Fayman is a Veterinarian, Certified Professional Coach, and a Certified Positive Intelligence Coach.  Dr. Fayman has over 33 years of experience in Emergency and General Practice, and now works as a veterinary stress and burnout coach. She attended Veterinary School at Kansas State University, graduating in 1991. Her interests include, pain management techniques, companion animal surgery, and dentistry. She spends her free time training in martial arts, Taiko drumming, and recreational kayaking.  On this podcast Julie and Natalie discuss how to overcome your feelings of stress and burnout and create a balanced life. Learn more about Dr. Fayman at FullCircleLab.com Contact Julie for coaching at theveterinarylifecoach.com