Podcasts about Royal College

Maternity care and its shortcomings will be in the spotlight over the next fortnight, as the biggest maternity inquiry in the history of NHS England prepares to report its findings. The independent review by former midwife, Donna Ockenden, has looked into maternity services at Nottingham University Hospitals NHS Trust. Meanwhile new figures from the Royal College of Midwives show that more than nine out of 10 of those polled felt unsafe staffing levels are directly impacting the quality of care they provide for women and babies. Next week we'll also hear the recommendations of a national review by Baroness Amos. BBC's social affairs correspondent, Michael Buchanan, talks to presenter Nuala McGovern about what we know so far. Joanna Cherry was elected as an MP in 2015, part of the SNP landslide when they took 56 out of 59 Scottish seats, just a year after the referendum on Scottish independence resulted in a No vote. Her memoir, Keeping the Dream Alive, captures the disappointment and euphoria of that time. Joanna went on to lose her seat in 2024 and has become a vocal critic of the party, and of Nicola Sturgeon's leadership. She was also well-known for expressing gender-critical views and concerns at a time when the SNP was trying to deliver a gender self-ID law in Scotland. She joins presenter Nuala McGovern to talk about that "tumultuous decade" in Scottish politics.A new study from the Universities of Exeter and Bristol is looking into how heavy periods impact daily life. Led by Gemma Sharp, a Professor of Epidemiology at Exeter, researchers will collect real-time data from thousands of participants to help us understand the relationship between periods - particularly heavy periods - and our energy levels, sleep and mood. Did you know that mini golf has feminist roots? A playful and ‘playable' exhibition, The Art of Mini Golf, has just opened at the Battersea Arts Centre in London, channelling the inclusive, subversive spirit of the game's female founders. Nuala's joined by curator Grace Herbert and one of the featured artists, Delaine Le Bas, to hear more about mini golf's hidden history and the art it's inspired.Presented by: Nuala McGovern Produced by: Sarah Jane Griffiths

In this episode of Clinical Conversations, Dr Emma Spencer discusses the importance of digital health literacy - the ability to access, understand and use digital health tools - with Professor Mahmood Adil, RCPE's outgoing Clinical Data & Digital Health Lead. Prof Adil provides insights into the evolution of digital health and clinical informatics over his career and how doctors can enhance their digital health literacy. The introductory resource on clinical data and digital health can be accessed on RCPE's Education Portal: https://learning.rcpe.ac.uk/data-digitalhealth Professor Mahmood Adil was RCPE's Clinical Data & Digital Health Lead. He is a global expert in clinical data, digital health & innovation fields. He has over 25 years of medical, public health, executive management, academic and policy experience and has delivered on key senior positions in the UK, USA & Middle East. Dr Emma Spencer is Co-Vice Chair - Education of RCPE's Trainees and Members' Committee and resident doctor in internal medicine. RCPE would like to thank Professor Adil for his contributions and service as our Clinical Data & Digital Health Lead. Recording date: 17 April 2026 An extended version of this episode will be released on our sister podcast, Career Conversations, later this year: https://podcasts.rcpe.ac.uk/show/career-conversations/ -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Each week, on RNIB Connect Radio we sit down with Simon Antrobus, CEO of RNIB, to look at some of the big stories coming from the UK sight loss charity.This week Simon began by reflecting on the increase in the availability of audio description for many of the 2026 Football World Cup games on television for blind and partially sighted fans.  Then to the reception on Wednesday 17 June at the House of Commons hosted by Marsha de Cordova, Labour MP for Battersea that brought together people from across the sight loss sector and Eye Care Health service to launch a new training package sponsored by the RNIB, hosted on the Royal College of Ophthalmologist's' Inspire platform for Clinicians working within Eye health to raise awareness around the importance of emotional support at the point of diagnosis for people affected by sight loss. Plus a couple of other important events at the Houses of Parliament for the RNIB this week too.If you, or someone you know, would like information on the support and services available from RNIB, go to www.rnib.org.ukYou can call our Helpline on 0303 123 9999Or ask your Amazon smart speaker to call RNIB's Helpline.#RNIBConnectImage shows Simon smiling for the camera. He is a white man with neat, short fair hair, dressed in a white shirt and charcoal suit jacket.

On Wednesday 17 June 2026 in the Thames Pavilion at the House of Commons Marsha de Cordova, Labour MP for Battersea hosted an event that brought together people from across the sight loss sector and Eye Care Health service to launch a new training package sponsored by the RNIB, hosted on the Royal College of Ophthalmologist's' Inspire platform for Clinicians working within Eye health to raise awareness around the importance of emotional support at the point of diagnosis.RNIB Connect Radio's Toby Davey was there for the launch event and caught up with Mohamed Elalfy, President of the Royal College of Ophthalmologists.(Image shows the RNIB Connect Radio logo. On a white background ‘RNIB' written in bold black capital letters and underlined with a bold pink line. Underneath the line: ‘Connect Radio' is written in black in a smaller font)

On Wednesday 17 June 2026 in the Thames Pavilion at the House of Commons Marsha de Cordova, Labour MP for Battersea hosted an event that brought together people from across the sight loss sector and Eye Care Health service to launch a new training package sponsored by the RNIB, hosted on the Royal College of Ophthalmologist's' Inspire platform for Clinicians working within Eye health to raise awareness around the importance of emotional support at the point of diagnosis.RNIB Connect Radio's Toby Davey was there for the launch event and caught up with Professor Tariq Aslam who was very much involved in the development of the training package. (Image shows the RNIB Connect Radio logo. On a white background ‘RNIB' written in bold black capital letters and underlined with a bold pink line. Underneath the line: ‘Connect Radio' is written in black in a smaller font)

On Wednesday 17 June 2026 in the Thames Pavilion at the House of Commons Marsha de Cordova, Labour MP for Battersea hosted an event that brought together people from across the sight loss sector and Eye Care Health service to launch a new training package sponsored by the RNIB, hosted on the Royal College of Ophthalmologist's' Inspire platform for Clinicians working within Eye health to raise awareness around the importance of emotional support at the point of diagnosis.RNIB Connect Radio's Toby Davey was there for the launch event and caught up with Amanda Hawkins, RNIB Head of Mental Health and Counselling. (Image shows the RNIB Connect Radio logo. On a white background ‘RNIB' written in bold black capital letters and underlined with a bold pink line. Underneath the line: ‘Connect Radio' is written in black in a smaller font)

On Wednesday 17 June 2026 in the Thames Pavilion at the House of Commons Marsha de Cordova, Labour MP for Battersea hosted an event that brought together people from across the sight loss sector and Eye Care Health service to launch a new training package sponsored by the RNIB, hosted on the Royal College of Ophthalmologist's' Inspire platform for Clinicians working within Eye health to raise awareness around the importance of emotional support at the point of diagnosis.RNIB Connect Radio's Toby Davey was there for the launch event and caught up with Professor Mhairi Thurston who is visually impaired and helped with the set up of the training package.(Image shows the RNIB Connect Radio logo. On a white background ‘RNIB' written in bold black capital letters and underlined with a bold pink line. Underneath the line: ‘Connect Radio' is written in black in a smaller font)

On Wednesday 17 June 2026 in the Thames Pavilion at the House of Commons Marsha de Cordova, Labour MP for Battersea hosted an event that brought together people from across the sight loss sector and Eye Care Health service to launch a new training package sponsored by the RNIB, hosted on the Royal College of Ophthalmologist's' Inspire platform for Clinicians working within Eye health to raise awareness around the importance of emotional support at the point of diagnosis.RNIB Connect Radio's Toby Davey was there for the launch event and caught up with RNIB Chair of Trustees Anna Tylor.(Image shows the RNIB Connect Radio logo. On a white background ‘RNIB' written in bold black capital letters and underlined with a bold pink line. Underneath the line: ‘Connect Radio' is written in black in a smaller font)

Episode 531 / Jo DennisJo Dennis (b. 1973, UK) is a British artist based in London. Her practice spans two decades,working across painting, sculpture, photography, and installation. Dennis explores ourpsychological and emotional connection to place and memory, specifically in relation to ruination,surface, and decay, and how these themes link with notions of mortality.Dennis received her MA in Painting from the Royal College of Art, London (2022) and her BA inFine Art and Contemporary Critical Theory from Goldsmiths College, London (2002).Recent exhibitions: Never the Straightest Path (solo) Belenius, Stockholm, Sweden 2026: A Letterto my Daughter (solo) Carvalho New York 2025: The Long Now, Saatchi Gallery, London, curatedby Phillipa Adams 2025: David Zwirner PLATFORM (group) curated by Elisabeth Johs 2025, AGlass of Absinth (solo) at JO-HS, Mexico City 2025.A Hopper Prize grant winner (2025) and a recipient of an Arts Council England Grant (2023-24),Dennis is the co-founder of several artist lead projects in London; Pigeon Park (2021-22)Peckham 24 Photo Festival (2016 - 2024) AMP Gallery (2015 - 2018) and Asylum Chapel (2010 -current) She has collaborated with Sid Motion Gallery on five solo projects (2017-2023)including the launch of her artists book ‘I touched this with my hand, I touched that with my eye'(2020) Dennis is a trustee and sits on the Artists' council for the Artists' General BenevolentInstitution.Her work was recently included in The Book Of Ladders, 100 Contemporary Art Works, edited byPaul Carey Kent and Adeline de Monseignat (2023), and Site Specific by Tall Poppy Press (2023). 

In this episode of The Theatre, we continue our oral history series. We speak to Professor Kathleen Fan, an oral and maxillofacial surgeon and professor at King's College London.Kathy reflects on her career in surgery, sharing practical insight into the path to consultancy. She also explores themes that matter to many of us across the College, from supporting research in training to developing as a consultant, and balancing a surgical career with family life.For more information about Kathleen: Professor Kathleen FanOther interviews part of the voices of surgery series: Voices of Surgery: RCS England oral historyFor more information, feel free to email the library at library@rcseng.ac.ukEducational Supervisor's Toolkit: Educational supervisor toolkit — Royal College of Surgeons

In this episode of the St Emlyn's Podcast, Iain Beardsell speaks with Anna Dobbie, consultant in emergency medicine and pre-hospital care, and Clinical Lead for London HEMS. Recorded at Trauma 2030 at the Royal College of Surgeons in London, the conversation explores what it means to lead exceptional teams in one of the most high-pressure areas of emergency medicine. Anna reflects on six years as Clinical Lead for London HEMS, sharing lessons on leadership, culture, psychological safety, difficult conversations, managing strong personalities, and supporting clinicians to do their best work. The discussion also touches on the unique nature of pre-hospital care, where teams move rapidly between downtime and high-intensity clinical decision-making, and where trust, openness and mutual respect are essential. Anna describes the importance of making sure all voices are heard, not just the loudest, and explains why leaders need to be consistent, approachable and willing to have honest conversations when things do not go as well as they should. Anna also reflects on learning leadership on the job, the value of formal leadership training, the challenge of maintaining boundaries when you care deeply about a service, and the relationship between London's Air Ambulance and its supporting charity. Finally, Iain and Anna look ahead to the future of trauma care and pre-hospital medicine, including research, ECMO, marginal gains, quality improvement, and the continuing ambition to reduce preventable deaths from trauma. Learning from podcasts? If podcasts form part of your CPD, you can log your listening time across all podcasts on MedPod Learn — not just St Emlyn's — and generate structured reflection. The app is free to download, includes a one-month free trial, and offers globally adjusted pricing. Trauma 2030 TRAUMA 2030 united experts and innovators to shape the future of trauma care. Over two days, it explored breakthroughs in science, systems, and frontline practice, fostering collaboration across disciplines. The symposium aimed to inspire research, inform policy, and build a bold roadmap for trauma care worldwide.

Music and biology are profoundly entwined. The heart beats, footsteps fall into familiar tempi, and even the movement of our limbs follows a natural rhythmic hierarchy—as if we shape music in our image. The rise and fall of breath, the cadence of laughter, and the wail of a cry all carry musical gestures, woven into our being. Yet our bodies do not just dictate music—they respond to it, from calming stress to thrilling chills. Beyond this, the biological world itself pulses with music: DNA sequences become melody, disease growth swells into an orchestral crescendo, and a hidden music emerges from within us.This lecture was recorded by Milton Mermikides on the 13th May 2026 at LSO St LukesMilton Mermikides is a composer, guitarist, technologist, academic and educator in a wide range of musical styles and has collaborated with artists and scientists as diverse as Evelyn Glennie, Tim Minchin, Pat Martino, Peter Zinovieff, John Williams and Brian Eno. Son of a CERN nuclear physicist, he was raised with an enthusiasm for both the arts and sciences, an eclecticism which has been maintained throughout his teaching, research and creative career. He is a graduate of the London School of Economics (BSc), Berklee College of Music (BMus) and the University of Surrey (PhD). He has lectured, exhibited and given keynote presentations at organisations like the Royal Academy of Music, TEDx, Royal Musical Association, British Library, Smithsonian Institute and The Science Museum and his work has been featured extensively in the press. His music, research and graphic art are published and featured by Oxford University Press, Cambridge University Press, Deutsche Grammophon, Sony and more, and he has won awards, scholarships and commendations for writing, teaching, research and his charity work.      Milton is Professor of Music at the University of Surrey, Professor of Guitar at the Royal College of Music, Deputy Director of the International Guitar Research Centre, an Ableton Certified Trainer, and lives in London with his wife, the guitarist Bridget Mermikides and their daughter Chloe. He is also a Vice-Chair of Governors at Addison Primary School, a state school which foregrounds music education, offering free instrumental lessons for all on Pupil Premium. The transcript of the lecture is available from the Gresham College website: https://www.gresham.ac.uk/watch-now/music-bodyGresham College has offered free public lectures for over 400 years, thanks to the generosity of our supporters. There are currently over 2,500 lectures free to access. We believe that everyone should have the opportunity to learn from some of the greatest minds. To support Gresham College's mission, please consider making a donation: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-today Website:  https://gresham.ac.ukX: https://x.com/GreshamCollegeFacebook: https://facebook.com/greshamcollegeInstagram: https://instagram.com/greshamcollegeBluesky: https://bsky.app/profile/greshamcollege.bsky.social TikTok: https://www.tiktok.com/@greshamcollegeSupport Us: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-todaySupport the show

Ahead of next week's Royal Highland Show being held at Ingliston just outside Edinburgh, Rachel catches up with farmer Anna Mitchell, who is one of this year's vice presidents. This year's presidential team are representing Aberdeenshire and Anna tells Rachel what visitors can expect from the show.Mark is in Newport-on-Tay with author Dr Erin Farley whose most recent book, Lighthouse Lives, tells the stories of the last generation to work on manned lighthouses across Scotland. She tells Mark about the experiences of some of the keepers and their families who she recorded with for the book.Phil Sime and Morven Livingstone meet Allan MacKinnon of Highland Bird Control Services, to see how he's tackling the issues that gulls are causing at Raigmore Hospital in Inverness.Two volumes of Birds of America by renowned artist and ornithologist John James Audubon are currently on show to the public at the Royal College of Physicians and Surgeons of Glasgow. The College has owned the art treasures for two centuries, and Mark went to meet their heritage lead, Claire McDade to hear a bit about their origins and take a look at the impressive books.Rachel is in Ayrshire meeting some of the farmers involved in the women in dairy initiative.As Scotland fans descend on Boston, Massachusetts in their thousands, we hear about the different birds that the discerning football supporter might be able to spot during their stay in the city. Erin Kelly from conservation charity Mass Audubon tells Rachel a bit about Boston birdlife and where to see it.The Glasgow Tandem Club has members who are both vision impaired and sighted. They are based in Ballahouston Park in Glasgow and Rachel went along to meet some of the members and chatted to founder, Anne Fraser.Mark heads to Cullen to meet the founder of Blue Lighthouse surf club, which was set up to offer tangible support for the health and wellbeing of members of the emergency services and care workers.And in this week's Scotland Outdoors podcast, Mark visits the Taliesin Community Woodland in Dumfries and Galloway which is celebrating its 30th anniversary. We hear an excerpt.

pWotD Episode 3328: David Hockney Welcome to popular Wiki of the Day, spotlighting Wikipedia's most visited pages, giving you a peek into what the world is curious about today.With 287,022 views on Friday, 12 June 2026 our article of the day is David Hockney.David Hockney (9 July 1937 – 11 June 2026) was an English painter, stage designer and photographer. As an important contributor to the pop art movement of the 1960s, he is considered one of the most influential British artists of the 20th and 21st centuries.Hockney studied at the Royal College of Art before moving to Los Angeles in the 1960s. The light and lifestyle of California had a profound effect on his work, using acrylic paint he worked on large portrait studies before turning to prints and photocollages in his later career. He used digital applications extensively in the final decades of his career and returned to the Yorkshire landscapes of his childhood with large en plein air pieces. He was also a celebrated operatic stage designer. He exhibited internationally with several important retrospectives at leading institutions and was the recipient of major civic and institutional honours. Hockney came out as gay as a young man several years before the decriminalisation of homosexuality in Britain. He lived between Britain and America. In the late 2010s auctions sales established him as the most expensive living artist.This recording reflects the Wikipedia text as of 02:59 UTC on Saturday, 13 June 2026.For the full current version of the article, see David Hockney on Wikipedia.This podcast uses content from Wikipedia under the Creative Commons Attribution-ShareAlike License.Visit our archives at wikioftheday.com and subscribe to stay updated on new episodes.Follow us on Mastodon at @wikioftheday@masto.ai.Also check out Curmudgeon's Corner, a current events podcast.Until next time, I'm generative Salli.

Last night, two debut authors received the Women's Prize for Fiction and Non-Fiction, each worth £30,000, respectively. Anita Rani speaks to the two winners, novelist Virginia Evans and Lyse Doucet, known to listeners as the BBC's Chief International Correspondent.Last week, Hannah Murray, who played Gilly in Game of Thrones, told Anita that during the final season of the show, the papers wrote she was pregnant - when she wasn't. Hannah said that maybe this was the only acceptable way for a woman in the public eye to gain weight. Following a strong listener response to that item we discuss if there is a right way to talk about women's weight. Anita is joined by Alex Light, a body confidence activist and author and Dr Dolly Van Tulleken, food policy researcher, policy consultant and visiting researcher at the MRC epidemiologist unit in Cambridge University. England is hosting the 2026 T20 Women's World Cup this summer, and England and Sri Lanka launch the competition with their match at Edgbaston today. This is the first time that 12 teams will competing for the World Cup trophy – an increase on previous years. Anita talks to Melissa Story, a cricket player for Gloucestershire and a commentator for BBC's Test Match Special, about how the tournament works, the players to watch - and the matches we can't miss.This week the Royal College of Psychiatrists launched its first ever Women's Mental Health Strategy. It was instigated by Dr Lade Smith, president of the Royal College of Psychiatrists who chose women's mental health as a key focus when she took up her post three years ago. As Lade steps down from that role, she joins Anita to talk about why she thinks that the women's mental healthcare is in crisis and her vision for improvements.When bride-to-be Kayley Stead was left alone at the altar on her wedding day in 2022, she did what few would think to do - she let the wedding continue. Kayley's photos of enjoying her wedding alone, including the speeches, the first dance and cutting the cake, went viral. Other women congratulated her for celebrating herself and still enjoying the day. Four years on, she's found love again - she's engaged! - and she says she wants her wedding to be "a big party." She joins Anita. Presenter: Anita Rani Producer: Rebecca Myatt

Vous connaissez les “bullshit jobs”, ces boulots peu intéressants, aux tâches répétitives, parfois même inutiles et vides de sens ? J'espère que vous n'êtes pas directement concernés, et si c'est le cas, laissez vous consoler : le “bullshit job” c'est peut-être le mal du siècle, mais autrefois certains emplois relevaient carrément de l'enfer sur terre ! Soit ils ont disparu, soit ils sont devenus très différents, alors aujourd'hui je vous présente la troisième fournée des pires jobs de l'histoire !Bonne écoute !

Social anxiety disorder is a common yet often overlooked condition in children and adolescents, with significant impacts on education, relationships, and long-term outcomes. In this podcast, Dr Myooran Canagaratnam speaks with Professor Eleanor Leigh, from the University of Oxford about the clinical presentation of social anxiety in young people, including how it differs from typical shyness, and the cognitive mechanisms that maintain it. The episode explores evidence based treatment for social anxiety disorder in practice. It also considers developmental risk factors, comorbidity including autism, and the emerging role of digital interventions in improving access to care for children and young people with the condition. Disclaimer: Thank you for listening to this Royal College of Psychiatrists CPD eLearning podcast. This podcast provides information, not advice. The content in this podcast is provided for general information only and is not intended to, and does not amount to, advice that you should rely on. It is not an alternative to specific, professional advice. Although we make reasonable efforts to present accurate information in our podcasts, we make no representations, warranties or guarantees, whether expressed or implied, that the content in this podcast is accurate, complete or up to date. If you have any questions about any medical matter, you should consult your doctor or other professional healthcare provider without delay. If you think you are experiencing any medical condition, you should seek immediate attention from a doctor or professional healthcare provider. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.

A thousand facets sits for a second time with Max Danger to discuss what he's been up to since we last spoke and about his solo show on Hello the Roses opening on June 19th in Copenhagen. About: Trained a fine jeweller from Copenhagen and with a MA in Jewellery and Metal from the prestigious Royal College of Art in London, Danger started up his own brand Danger Jewels. His love for precious metals, gemstones and his meticulous attention to detail is projected into the work along with his life long passion for illustrating.  The MA at The Royal College of Art was spent perfecting ways to integrate these passions and making them work in symbioses. His pieces are inspired by contemporary journeys and narratives, combined with a vivid imagination. Growing up reading comic books and later finding the Copenhagen suburban street scene, Dangers practice delivers highpolished edgey contemporary pieces made with a respect for the traditional virtues within jewellery.  Amongst his achievements is the Theo Fennell Award for Overall Excellence and the Best New Design Award from the Worshipful Goldsmiths Company in Great Britain. Please visit @athousandfacets on instagram to see some of the work discussed in this episode. You can find Max Danger 's work at: https://www.dangerjewels.com/max-danger or visit his Instagram page @danger_jewels Music by @chris_keys__ Learn more about your ad choices. Visit podcastchoices.com/adchoices

How can we use digital technology to address children's physical and mental health needs and shift from reactive to anticipatory, personalised care? This episode is the first of a series on research and child health and discusses the role of technology in transforming child health. Professor Paul Dimitri, Director of Research and Innovation at Sheffield Children's NHS Foundation Trust and paediatric endocrinology consultant talks with Nish Talawila Da Camara, Head of Research and Evidence. Paul outlines how digital tools, data and artificial intelligence can be used to build a more proactive and humane system for addressing children and young people's health. There are many exciting advancements in the world of digital health technology, from new infrastructure like the incoming National Centre for Child Health Technology to advancements like remote monitoring, digital twins and AI. But we now face new challenges: Paul emphasises the need for child-focused digital standards and safeguarding measures. As children and young people's physical and mental needs are rising, 'the real opportunity isn't the technology itself. It's what we choose to do with it.' Read our news page summary and download the transcript from episode 1 - on RCPCH website Discover more of our podcasts - on RCPCH Learning The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Paul Professor Paul Dimitri is a Consultant in Paediatric Endocrinology and the Director of Research and Innovation at Sheffield Children's NHS Foundation Trust. He has been working in the field of Paediatrics since 1998 and Paediatric Endocrinology since 2004.  Paul took office as Vice President for Science and Research at the Royal College of Paediatrics and Child Health in early 2022 and is leading on the development of the National Centre for Child Health Technology, aiming to bring together industry, universities, healthcare professionals, children and young people and their families to develop the most advanced healthcare technologies for children worldwide.

Wavy Gravy is a 2014 film by Alex Duncan, duration 1 minute 10 seconds. This silent film was created from found and reworked video footage, depicting a sea of undulating forms with wave movements that track from the top of the screen to the bottom. It is not immediately clear what the multicoloured abstract mass is made from, its repetitive movement instead giving an almost sculptural quality. The scene is in fact an upside-down densely packed tsunami wave pool swimming experience, with bodies rising and falling, engaged with their own weightlessness and loss of self within the swell, exploring realities and artificialities of motion and perception. The proximity of something fun and something ominous occurs. Alex Duncan said: “I am fascinated by where and how we place ourselves in the world, what we react to as human beings and our relationship to materials, objects and situations. “What is real and what is imitating the real has always fascinated me, and how subjectively, we respond to something that is both, or rather, something that sits between these two diverging states”. Within the Glynn Vivian's collection, the companion work, Like Swimming, is an installation of cast concrete ‘life-saving flotation aids'. Their surfaces bitten into and scratched at, contrasting the levity of youth with the uncertainty of real life. Swansea-born, Alex Duncan graduated from Swansea Metropolitan University in 2007 and gained his master's degree from the Royal College of Art in London. Making work that intersects sculpture, drawing, video and installation, his work has been exhibited both in the UK, notably the Whitechapel Gallery, V&A, MOSTYN, Camden Arts Centre and Ferens Art Gallery; and internationally, including Milan, Italy; Bilbao, Santander; Spain and Mauritius.

With ophthalmology being the busiest NHS outpatient specialty, with around 9.7 million appointments in England in 2024, the Royal College of Ophthalmology's new president, Mohamed Elalfy undoubtedly has a busy three years in the role ahead. Mohamed speaks with In Touch about his plans for the College and about issues of concern to eye health and care patients, including the issue of long waiting times for appointments and potential new treatments for eye diseases.Caroline Mackenzie contacted In Touch with concerns over whether or not her young grandson should learn braille. She has been wondering whether or not it will be worth his time, given how quickly assistive technology is evolving. Does braille have a future in the face of evolving technologies? To share your thoughts on this, please email intouch@bbc.co.uk or leave a voice message on 0161 836 1338.Presenter: Peter White Producer: Beth Hemmings Production Coordinator: Helen Surtees Website image description: Peter White sits smiling in the centre of the image, wearing a dark green jumper. Above Peter's head is the BBC logo (three individual white squares house each of the three letters). Bottom centre and overlaying the image are the words "In Touch"; and the Radio 4 logo (the word Radio in a bold white font, with the number 4 inside a white circle). The background is a bright mid-blue with two rectangles angled diagonally to the right. Both are behind Peter, one of a darker blue and the other is a lighter blue.

In the first of our Sessions for five years, Juliet speaks to artist, filmmaker, performer and art psychotherapist Jill Westwood (b. 1960) about her work in the early 1980s and its rediscovery after it was included in Tate Britain's landmark exhibition Women in Revolt: Art and Activism in the UK 1970-1990 in 2023. They also discussed how Jill's practice was formed in the Black Country, where she encountered punk as a teenager, at art school in Stourbridge, and then in Sheffield amidst the city's post-punk music scene, with deindustrialisation, misogyny and the Yorkshire Ripper in the background. We talked about her photography, performances and films, made as a student at the Royal College of Art in London between 1979 and 1984, how her art intersected with the queer and fetish scenes, and her subsequent work as an art psychotherapist in Australia and London. Finally, we talked about how group exhibition, Protect Me from What I Know with Sohrab Hura and Adam Lewis Jacob at Glasgow International, and how people respond to her work decades after its creation. For a full list of references, as well as links to Juliet's Frieze article on Jill's work, please go to https://patreon.com/suite212 and subscribe for as little as £3.50 per month.

All ideas have a history, no matter how inevitable and well-entrenched they may seem to us today. The later Enlightenment was a heady time when people were exploring new conceptions of nature, humanity, and the self. Andrea Wulf is a writer of narrative histories, examining the origins of ideas through the lives of the people who explored them. In this episode we discuss three of her books: The Invention of Nature, about Alexander von Humboldt and environmentalism; Magnificent Rebels, about the Jena circle of Romantics including Goethe, Schiller, Schlegel, and others; and most recently The Traveller, about George Forster, an early naturalist, ethnographer, and champion of human equality. Blog post with transcript: https://www.preposterousuniverse.com/podcast/2026/06/08/356-andrea-wulf-on-enlightenment-nature-romanticism-and-modernity/   Support Mindscape on Patreon. Andrea Wulf was born in India, raised in Germany, and studied design history at the Royal College of Art, London. She is the author of seven books. She is a Miller Scholar at the Santa Fe Institute and a Fellow of the Royal Society of Literature. The Invention of Nature won multiple prizes, including the Royal Society science book prize and the LA Times book prize. Web site Amazon author page Wikipedia

Today's guest is an extraordinary artist whose work feels deeply lived rather than simply made. Alexis Soul-Gray is a British painter exploring memory, loss, and maternal lineage through richly layered works that move between abstraction and figuration. Based in Devon, her paintings feel both intimate and expansive. A graduate of the Royal College of Art and Central Saint Martins, Alexis has exhibited internationally, received two Elizabeth Greenshields Foundation Grants, and won The Delphian Open in 2021. Alongside her studio practice, she also curates' exhibitions, including Declarative Language, a group show bringing together women artists whose practices have been shaped by caregiving within neurodivergent families. We talk about art school, grief, motherhood, caregiving, advocacy, and the challenge of continuing to make work that stays true to lived experience rather than outside expectation. Exploring the realities of artistic identity alongside financial pressure, loss, and resilience. What unfolds is an honest and deeply human conversation about endurance, creativity, and what it takes to keep going when life refuses to move in a straight line. KEY TAKEAWAYS When you've carried grief and caring responsibilities for years, the work you make in the margins is not “less than” - it's work that has learned to hold chaos, fatigue, school refusal, and hospital letters in the same frame as colour, gesture, and form. You don't need a clean, linear career to be an artist; you need a stubborn thread. The years of bad jobs, failed applications, family rupture, and self-doubt don't sit outside the practice - they deepen it. The culture will always reward tidy, repeatable pictures, but painting is something else: a willingness not to know the outcome in advance, to refuse being a production line for your own style, to risk disappointing people who only came for the last hit.  BEST MOMENTS “I just couldn't really see that my practice would ever become a full-time pursuit for me. It was very much the kitchen table … snatched moments.” “A creative life is not built in perfect conditions, it's built in real ones… sometimes the most important thing is not how quickly you move forward, but that you keep returning to the work.” “There is no neat formula here. No single turning point where everything suddenly resolves. Instead, what we hear is a gradual return.” EPISODE RESOURCES https://www.instagram.com/Alexis_soul_gray HOST BIO With over 35 years in the art world, Ceri has worked closely with leading artists and arts professionals, managed public and private galleries and charities, and curated more than 250 exhibitions and events. She has sold artworks to major museums and private collectors and commissioned thousands of works across diverse media, from renowned artists such as John Akomfrah, Pipilotti Rist, Rafael Lozano-Hemmer and Vito Acconci. Now, she wants to share her extensive knowledge with you, so you can excel and achieve your goals. ** Ceri Hand Coaching: Group coaching, live art surgeries, exclusive masterclasses, portfolio reviews, weekly challenges. Access our library of content and resource hub anytime and enjoy special discounts within a vibrant community of peers and professionals. Ready to transform your art career? Join today! https://cerihand.com/membership/ ** Unlock Your Artworld Network Self Study Course Our self-study video course, "Unlock Your Artworld Network," offers a straightforward 5-step framework to help you build valuable relationships effortlessly. Gain the tools and confidence you need to create new opportunities and thrive in the art world today. https://cerihand.com/courses/unlock_your_artworld_network/ ** Book a Discovery Call To schedule a personalised 1-2-1 coaching session with Ceri or explore our group coaching options, simply email us at hello@cerihand.com ** Discover Your Extraordinary Creativity Visit www.cerihand.com to learn how we can help you become an extraordinary creative. This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

In this episode, Dr. Neil Naik and I unpack a foundational question—is obesity actually linked to cancer, and what's really driving that connection? We explore the underlying biology, from chronic inflammation and insulin resistance to the hormonal activity of adipose tissue, and why visceral fat may matter more than we think.We then move beyond risk and into what happens after a diagnosis—how obesity can influence treatment response, toxicity, dosing, and outcomes across chemotherapy, surgery, and radiation. The conversation also highlights the often-overlooked phase of survivorship, including the role of metabolic health in recurrence risk and long-term prognosis.We close by discussing where emerging therapies like GLP-1 medications fit, how clinicians can move beyond BMI toward more individualized care, and how to talk about the obesity–cancer connection in a way that informs without adding shame.My Guest Dr. Neil NaikDr. Neil Naik, a family physician, educator, and innovator based in Waterloo, Ontario. Trained at the Royal College of Surgeons in Ireland, he completed residencies in Newfoundland and Nunavut and holds an Executive MBA from Ivey, where he focused on technology-driven healthcare innovation. He runs a Family Practice and an obesity medicine clinic in Waterloo, along with an AI-enabled skin cancer screening program, while teaching medical students at both McMaster University and the University of Waterloo.Dr. Naik advises startups, leads regional primary care and cancer prevention initiatives, and champions universal healthcare, leveraging AI to make safe, high-quality care accessible to everyone, everywhere.LinkedIn: https://www.linkedin.com/in/neil-naik/

If you're interested in herbalism or plant lore, chances are that you've perused a herbal or two in your time. Culpeper's Complete Herbal: A Compendium of Herbs and Their Uses, Annotated for Modern Herbalists, Healers, and Witches is a particularly well-known title, even if the contents have been surpassed with scientific advancements. Yet did you know that one of the most well-regarded herbals of the 18th century was created, and marketed, by a woman? And that she even got endorsements from the Royal College of Physicians for the book, used by apothecaries for decades? Let's go and meet Elizabeth Blackwell in this week's episode of Fabulous Folklore! Find the blog post with all the images and references here: https://www.icysedgwick.com/elizabeth-blackwell/ Join Herbaria here: https://school.rowanandsage.com/courses/herbaria?affcode=437598_3qokpyep From St Cuthbert to the Wizard of the North: The Magical Legends of the North East talk: https://www.newcastlecastle.co.uk/events-activities Get your free guide to home protection the folklore way here: https://www.icysedgwick.com/fab-folklore/ Become a member of the Fabulous Folklore Family for bonus episodes and articles at https://patreon.com/bePatron?u=2380595 Get weekly articles and bonus content at Substack: https://fabulousfolklore.substack.com/ Buy Icy a coffee or sign up for bonus episodes at: https://ko-fi.com/icysedgwick Find the Fabulous Folklore Bookshop, Icy's social media links, and other useful bits at: http://icysedgwick.com/start-here

New estimates of Global Patterns in Neonatal, Child, and Adolescent Mortality have been published - and while there has been a huge improvement, those gains are in danger - and we're seeing worrying trends.   Kate Strong, a Scientist at the World Health Organization and Lucia Hug, a specialist in statistics and monitoring for UNICEF, join us to explain the data - and why they are worried about our ability to measure this in the future.   Helen Sharman is the first British Astronaut to make it to space - this week she was at the Royal College of GPs giving the General Medical Council's annual Marx lecture. She joins us to discuss how research in space might impact healthcare on Earth, and what the NHS can learn from cosmonaut teamwork.    Finally, The government and doctors in England are not getting on well - we've had a series of strikes from the resident doctors, GPs are in dispute about the imposition of a new contract, and now consultants are being polled on industrial action.  BMA Consultants Committee co-chairs Shanu Dutta and Helen Neary explain why.   Reading list   Neonatal, Child, and Adolescent Mortality Global, regional, and national levels and trends in under 5, infant, and neonatal mortality during 1990-2024 with scenario based projections to 2030 Global, regional, and national levels and trends in older child, adolescent, and youth (5-24 years) all cause mortality from 1990 to 2024: modelling study Systematic estimates of global causes of neonatal and under 5 mortality in 2000-24: secondary data analysis using bayesian multinomial logistic regression Estimates of global causes of death for children and adolescents aged 5-19 in 2000-24: secondary data analysis using bayesian multinomial logistic regression   Full interview on YouTube: Why NHS Senior Doctors in England Are Considering Strike Action

The way women give birth is changing, according to BBC analysis, which has discovered that one in four births in England are now emergency caesareans. The current figure is 26% - an increase of 8% in the past five years - and the rate of elective caesareans has also gone up. The Royal College of Obstetricians and Gynaecologists say the system is struggling to cope with this increased level of unplanned surgeries. To discuss what's behind the rise and the potential impact on women, presenter Kylie Pentelow is joined by BBC Health Correspondent Catherine Burns, President of the Royal College of Obstetricians and Gynaecologists, Dr Alison Wright, and Helen Cheyne who's a Professor of Maternal and Infant Health Research at the University of Stirling. Hannah Murray was at the height of her fame as an actor in 2016, having found fame as the much-loved Cassie in E4's teen drama Skins, she was now a regular in the HBO fantasy series Game of Thrones as Gilly. But behind the scenes Hannah was struggling with her mental health, and she found herself involved in an organisation which offered courses in magical healing. The following year, Hannah was diagnosed with bipolar disorder. She's since retired from acting and written a memoir about those turbulent times, called The Make-Believe – A Memoir of Magic and Madness. Women's rights charity FiLiA has launched a new national campaign to get Sexual Entertainment Venues, commonly referred to as strip clubs, off the streets. This is informed by new research examining how the venues are viewed and experienced by women living, working and moving nearby. They spoke to more than 700 women across Cardiff, Edinburgh and Manchester, with 55% of women opposed to the venues, and 8% expressing supportive views. Dr Laura Favaro, Director of Research at FiLiA, joins Kylie to discuss their report. The female CEO of dating app Hinge has said that Gen Z "need AI to start conversations on dating apps because they lack the confidence of older generations". Jackie Jantos told the BBC that daters in their 20s are spending less time with other people, compared to two decades ago, has affected their ability to meet and chat in person. To discuss whether AI could help or hinder dating, and the challenges of meeting people IRL, Kylie is joined by author and journalist Olivia Petter and Jessica Evans, founder of events company BODA, which stands for Bored of Dating Apps.And BBC Music correspondent Mark Savage joins us to discuss the breaking news that Kayna King, the entrepreneur and founder of the Mobo awards, has died aged 57 from colon cancer. The Mobo Organisation called her one of the UK music industry's "most fearless champions". Presenter: Kylie Pentelow Producer: Sarah Jane Griffiths

In this episode of 50 Shades of Green, hosts Adam and Katie chat with Cecilia Brenner, Managing Director of Design for Good, about how design skills are being mobilized globally to tackle the UN Sustainable Development Goals. Design for Good is a global non-profit that convenes a global alliance of companies, design schools and NGOs to co-create open-source solutions for real community problems. Cecilia explains their two-year SDG cycles (past: clean water & sanitation; current: quality education; upcoming: people and planet health combining SDGs 3 & 13), and how local NGOs provide briefs and community access while volunteer designers form cross-functional task forces to prototype, validate and implement solutions.Key themes:Open-source approach: How alliance members waive IP so solutions can be adapted and scaled, shifting from ownership to shared impact.Practical impact: Learning about campaigns like a water-saving social media initiative which reached millions;Design practices: How they co-design with communities, systems thinking, life-centered and regenerative design, and treating climate impacts as design constraints rather than afterthoughts.Capacity-building: Updates of how a partnership with the Royal College of Art and the Design for Good Academy has trained over 1,200 designers to design for measurable impact, including sustainability and AI ethics topics.Scale and ambition: Find out how over 2,000 designers mobilized across 30 countries with a goal to improve 10 million lives and help regenerate the planet by 2030. You can find out more about Design for Good here: https://www.designforgood.org/Fifty Shades of Green is produced by Climate Group North America and recorded in New York City. Climate Group is a non-profit with a global impact. You can support this podcast and our wider work here: https://support.theclimategroup.org/give/280085/#!/donation/checkout Hosted on Acast. See acast.com/privacy for more information.

Professor Michael Kerin will today (3rd of June) be officially appointed as the President of the Royal College of Surgeons in Ireland.    The Kilnamona native was appointed vice president of the RCSI in June 2024.    He is Chair of Surgery at the University of Galway and Director of the Cancer Managed Clinical Academic Network (MCAN) for HSE West and North West.     Earlier, Alan Morrissey spoke with Michael to find out how he feels about being appointed to such a significant and important role.  Photo (c) University of Galway

Confronting the death of a loved one – or the end of our own life – can be frightening and overwhelming. And yet it is something that will happen to all of us. So how can we open up conversations about the way we want to die? Is it possible to avoid pain and suffering? And who are the people who will care for us in our final moments?Datshiane Navanayagam talks to two women who work in palliative care.Dr Tania Pastrana is from Colombia and is now based in Germany where she works for the International Association for Hospice & Palliative Care (IAHPC). And Dr Catherine Millington-Sanders is a general practitioner, and national lead in palliative care for the Royal College of GPs.Producer: Hannah Sander

Show NotesIn this episode, Simon Western speaks with seasoned psychoanalyst and organisational consultant Dr. Anton Obholzer about the hidden emotional and relational dynamics shaping leadership, organisations and society. Anton is a hugely respected organisational consultant from the Tavistock tradition, and it is a delight to hear his wisdom and insights on this podcast.  Moving beyond technical models of management and mental health, the conversation explores organisations as living systems embedded within wider social and political realities. Anton reflects on the Tavistock tradition, the influence of Eric Miller and the importance of understanding organisations not simply as structures of efficiency, but as emotional containers carrying anxiety, projection, creativity and possibility. Simon and Anton discuss leadership as a protective and generative force, creating the conditions for growth, talent and human flourishing.The dialogue explores the erosion of relational life in contemporary society, the dangers of organisations becoming spaces for unmanaged social anxiety, and the increasing dominance of technological and managerial rationality over human connection. They examine the importance of experiential learning, vulnerability, observation and creative practice in sustaining healthy organisations and societies.At the heart of the episode is a deeper question about how we live together in increasingly uncertain times. Rather than retreating into expertise, certainty or control, Anton calls for greater relational awareness, collective responsibility and societal imagination.Key Reflections Organisations are emotional and societal systems, not simply technical machines Leadership involves creating protective spaces where people and creativity can flourish Psychoanalysis offers ways to understand the hidden dynamics shaping organisational life Relational intelligence matters more than purely technical expertise Organisations often absorb and enact wider societal anxieties and fractures Creativity, art and dialogue are essential to organisational and societal health Experiential learning creates deeper awareness than abstract theory alone Technological advancement risks intensifying alienation and loss of human contact Mental health cannot be separated from political, social and organisational conditions Healthy societies require interdependence, vulnerability and collective responsibility KeywordsPsychoanalysis, Leadership, Organisational Dynamics, Tavistock, Anton Obholzer, Simon Western, Eco-Leadership, Relational Intelligence, Systems Thinking, Emotional Containment, Group Relations, Society, Human Connection, Organisational Culture, Creativity, Vulnerability, Interdependence.Brief BioDr. Anton Obholzer is a psychiatrist, Fellow of the Royal College of Psychiatrists, and both a child and adult psychoanalyst, trained at the Tavistock Clinic and the Institute of Psychoanalysis in London. Alongside his clinical work, he trained as an organisational consultant under Eric Miller at the Tavistock Institute of Human Relations, helping pioneer the application of psychoanalytic thinking to organisations, leadership, and institutional life.Until 2002, he served as Chief Executive of the Tavistock & Portman Clinics in London and continues as Chairman of the Consulting to Institutions Workshop and Senior Consultant in the Tavistock Consultancy Service. He has designed and directed group relations and management conferences internationally, and lectures widely on organisational change, leadership, and resistance under conditions of stress and turbulence.A Visiting Professor at the Universities of Vienna, Graz, and Innsbruck, faculty member at INSEAD's Advanced Management Programme, and teacher across Europe, Dr. Obholzer has spent decades exploring the unconscious dynamics that shape organisations - especially when systems are under pressure.He is also the co-editor of the influential book The Unconscious at Work, a seminal text that examines how unconscious anxieties and emotional dynamics operate within organisations and institutions. His writings and publications have profoundly shaped the fields of systems psychodynamics, organisational consultancy, and leadership studies.

Douglas Stuart was born and raised in Glasgow. After graduating from the Royal College of Art, he moved to New York, where he began a career in fashion design. Shuggie Bain, his first novel, won the Booker Prize and both 'Debut of the Year' and 'Book of the Year' at the British Book Awards. It was also shortlisted for the US National Book Award for Fiction, among many other awards. His second novel, Young Mungo, was a number one Sunday Times Bestseller. His short stories have appeared in The New Yorker. On this, the 1000th episode of Little Atoms, he talks to Neil Denny about his new novel John of John. Hosted on Acast. See acast.com/privacy for more information.

Maynooth University's (MU) has announced the launch of 25 new Faculty of Science & Engineering (FSE) ARDÚ Doctoral Scholarships, marking a major investment in the next generation of research talent and innovation. The FSE ARDÚ Doctoral Scholarships will support 25 PhD research students across three of the University's Research Beacons: Data Science and Digital Transformation, Health and Wellbeing, and Sustainability and Climate Change. The scholarships will fund cutting-edge research projects spanning areas such as health and disease, AI-driven healthcare analytics, and the molecular understanding of advanced materials. MU's FSE has a strong track record of delivering research that combines fundamental discovery with real-world impact. Across the faculty, researchers are addressing major challenges in health, sustainability, and digital transformation through collaborative research. By bringing together expertise from across disciplines, the ARDÚ programme will give doctoral research students the opportunity to work in a dynamic and supportive research environment while contributing to internationally recognised research. The programme reflects the faculty's strengths in computational and data science, advanced materials and physical sciences, and health, psychology, and human-centred research, supporting interdisciplinary approaches to complex real-world challenges. Each scholarship includes: Student stipend: €25,000 per annum Annual tuition fees Full-time Programme Fully funded for up to 4 Years Professor Paul Moynagh, Dean of the Faculty of Science & Engineering at MU, said: "The Faculty of Science & Engineering ARDÚ Doctoral Scholarships demonstrate Maynooth University's commitment to support of research in the Sciences and Engineering. They also provide exciting opportunities for early-stage scientists and engineers to pursue a research PhD under the supervision of world-class researchers who are making significant contributions to addressing some of the major challenges we face today." Dr Robert Elmes, Faculty of Science & Engineering Associate Dean for Research & Engagement at MU, added: "ARDÚ is a really positive development for the faculty and for the researchers who will join us through these scholarships. The projects reflect the breadth of excellent research taking place across Science and Engineering at Maynooth, while also creating space for new ideas, new collaborations and new researchers to develop. We are very much looking forward to welcoming the successful students and supporting them as they build their research careers." For more information visit: https://www.maynoothuniversity.ie/graduate-research-academy/scholarships-funding/ardu-scholarships About Maynooth University One of four constituent universities of the National University of Ireland, Maynooth University traces its origins to the foundation of the Royal College of St Patrick in 1795. It was formally established as an autonomous university in 1997. Maynooth University is one of Ireland's fastest growing universities with more than 17,000 students, including over 2,500 postgraduates. Maynooth University Faculty of Science & Engineering The Faculty of Science and Engineering comprises the departments of Biology, Chemistry, Computer Science, Electronic Engineering, Mathematics and Statistics, Physics, Psychology, Sport Science and Nutrition, and the School of Nursing. The role of the faculty is to coordinate the academic activities of individual departments, to oversee the strategic development of departments, and to support interdepartmental and interdisciplinary activities and programmes. See more breaking stories here.

When people think of midwives, they often think about pregnancy and birth, but the reality of modern midwifery is far broader.  In this episode of Behind the Genes, our guests explore the many different roles midwives play across healthcare, from clinical care and safety improvement to research and genomics.  The conversation looks at how midwives are helping shape the future of maternity care through research, supporting families to make informed decisions about genomic testing, and contributing to studies like the Generation Study.  Our host, Sharon Jones is joined by:  Katie Handley - maternal and child health clinical lead for the Generation Study,  Fiona Smith - research midwife for the Generation Study at Rosie Hospital in Cambridgeshire  Jess Fletcher - safety and quality midwife at the Rosie Hospital and a participant on the Generation Study  You can find out more about the Generation Study via the study's official website.   “ The more brave we are as midwives, and the more that we're willing to be curious about what we can do to improve our care, the better we're going to be at our profession. All midwives want to do is to provide safe, effective care that is what is in the best interest of that woman. We are advocates for women and for their families.” You can download the transcript or read it below. [00:00:00] Sharon Jones: Welcome to Behind the Genes. How is genomics changing midwifery, and what role are midwives playing in shaping the future of genomic healthcare? Also, do midwives just deliver babies, or is their role much broader than many people realise? [00:00:16] My name is Sharon Jones, and in this podcast we cover everything from cutting-edge research to real life stories in genomic healthcare. [00:00:23] Joining me today are Katie Handley, Fiona Smith, and Jess Fletcher. Katie is Maternal and Child Health Clinical Lead for the Generation Study, Fiona is a research midwife for the Generation Study at Rosie Hospital in Cambridgeshire, and Jess is a safety and quality midwife at the Rosie Hospital, and a participant on the Generation Study. [00:00:42] Together, we'll be exploring how midwifery's evolving, where research fits into clinical practice, and what genomics mean for maternity care now and in the future. We kicked off this one by asking Katie what roles midwives play day to day. [00:00:56] Kate Handley: I think when people think of midwives, they think of helping a lady to have a baby. [00:01:01] We're there for the birth, we're there to catch the baby, but it is so, so much more than that. We're there from the moment a woman becomes pregnant or even before that. We can help with prenatal, uh, preconception care. We're there all the way through the pregnancy, for the birth, and then afterwards as well, we'll look after the lady, her family, until, until we hand the baby and, and her over to the health visitor or to whoever's next in her care pathway. [00:01:25] But that's just looking at clinical midwives for the... that are involved directly in that particular pregnancy. There's midwives doing all sorts of other roles. I think I'm a really good example of that. So I am a clinic- I was a clinical midwife. I am a registered midwife, but now I work as a clinical lead, so I'm using my midwifery background and my midwifery skills in a research environment, but to help people who don't know as much about midwifery to implement a research study, and how we can make a research study real in a clinical environment. [00:01:59] So that's one example, but there are so many other things, and we have midwives doing screening roles and lots and lots of midwives working in research as well. [00:02:08] Sharon Jones: That's interesting. I've got a couple of friends who are midwives, and I would never have known, like, the extent and scope of their role. [00:02:14] Kate Handley: Yeah, I think people might be surprised to hear that you can be a midwife but never actually even see a pregnant person. So we have midwives that are academics, for example, or midwives that are lecturing at universities, midwives that are working behind the scenes in risk and governance and looking after the safety aspect. [00:02:30] Sharon Jones: That's amazing. I would never have known that. So Fiona, how has your role as a midwife changed over the years? Because you've gone through quite a bit of a transition, haven't you? [00:02:39] Fiona Smith: I have. Before I even became a midwife, I was, I was nursing. That nursing pathway was not academic, as we now have to undertake academic training to become a midwife. [00:02:50] So we... the training was very different. It was very hospital-based, and this is what you do, this is what we do. You would do some observation. You'd have a go. You'd get signed off. That really was my nursing background, and then when I started to explore midwifery, and it was much more academic, and that I was going to do the university pathway, I doubted that that would be something that I could actually even contemplate. [00:03:15] Moving forward 20 years, here I am. I've had various roles: community midwife, running birth centres, and then more recently, the last six years, joining a university hospital which has a, a, a big emphasis on research and academic training, brought in lots of students, medical students, and others. I saw some research that was happening at the hospital and became quite curious, took the plunge, and the last two years I've been working as a research midwife, which was a real surprise to me to find that this is where I am, and to actually be working on a genomic study is an even bigger surprise. [00:03:57] If you'd asked me 20 years ago that this is where I'd be, I'd probably have laughed and said, "No, that's not something that I could even be contemplating." [00:04:07] Sharon Jones: That's fascinating. It's fascinating, the journey you've been on and how midwifery and nursing training has evolved more broadly. So Jess, how does that compare with your own journey in midwifery? [00:04:19] Jess Fletcher: Similarly, actually, like off the back of what Katie and Fiona are saying, you do kind of go into midwifery thinking that your career is going to very much look like providing labour care and catching babies, which is a wonderful part of the job. And that is very much my background, is that I have been, like, a labour and delivery midwife, usually on the birth centre or in the community doing home birth. [00:04:43] So, and never in my wildest dreams did I think that I would pivot and go into something specialist. I think you k- ... Well, in my case, certainly, I kind of fell into it, quite literally, uh, because I broke my ankle and then had- ... to work from home for quite some time. I was offered to be off sick, and I was working at a new trust, and I kind of wanted to, so to speak, keep my foot in the door. [00:05:05] And I said, "Oh, I, there must be something I can do from home." And they set me up to do some auditing, which quite frankly, a few years prior I would've ... Yeah, you couldn't have paid me all the money in the world to do auditing. And then, lo and behold, I found it so fascinating, not just the process, but kind of seeing how that then would kind of implement us in clinical practice. [00:05:28] And now I'm a safety and quality improvement midwife. My office is on a birth centre though, so it does mean that I still very much work clinically. So yeah, so a similar story. [00:05:38] We're such a highly skilled profession that we can apply it in so many different ways. And now of course, I'm on maternity leave with my third baby. [00:05:46] Sharon Jones: Congratulations. [00:05:47] Jess Fletcher: And so taking a little, a little break, but really lovely to talk about it all today actually. [00:05:52] Sharon Jones: Yeah. Thank you. Thank you for sharing that. [00:05:53] So as mentioned, alongside clinical care, midwives are, are playing this increasingly important role in research. [00:06:00] And though it's something that people might not necessarily realise and they might not associate with the profession, I'd love to explore what that actually means in practice and how midwives have become involved in this space. So Katie, where does research fit in with midwifery today, and how do midwives get involved in that space, and is that something that all midwives are engaged with? [00:06:21] Or is it a more specialist kind of pathway? [00:06:23] Kate Handley: It can be a specialist pathway, but I think what's really, really important to realise here is that every single midwife is involved in, in research, whether they realise it or not, or midwifery care, has got to be evidence-based. Everything we do is evidence-based, um, because that's what keeps midwifery care as safe as it possibly can be, and we can only get that evidence base from doing research. [00:06:46] So even if midwives aren't taking part in a research study themselves, if they're not, you know, getting consent from people to do research studies, the care that they are giving comes from research that has been done in some space. Even if that's not within the UK, it's research that has been done. So research is incredibly important. [00:07:03] That's how we evolve, um, our care, how we evolve our pathways, evolve our guidelines is through that, through that research. [00:07:11] Sharon Jones: So can you talk to the audience about what is a research midwife versus a clinical midwife? [00:07:16] Kate Handley: So a clinical midwife generally is somebody that will have hands-on care during the antenatal and intrapartum or, or postnatal period. [00:07:24] A research midwife, often that will be someone who still works on a ward, in a hospital, but is helping to put research into place. So that may be running a study and taking consent from women to take to be part of that study, and then doing whatever the study needs. Or it can be actually conducting their own research, it can be writing, it can be an academic form of, of midwifery as well. [00:07:49] It's really, really important, and it really depends on the hospital and on the trust how much that research is incorporated into the clinical care, and sometimes it can be quite separate. But both very, very important. And the Royal College of Midwives are really, really trying to work on making research part of general midwifery care. [00:08:09] It's something that undergraduates need to do now as part of their, their degree, which all midwives have to do a degree to become a midwife. They have to do research. They have to be involved in research. Midwives in their first year of being qualified should still be having a research role and looking at how research can broaden their clinical skills, and it's something that should be going on throughout their entire career [00:08:32] Sharon Jones: Yeah, that's great. [00:08:33] Fiona, what does a typical day look like in your kind of research-focused role? [00:08:38] Fiona Smith: Firstly, just to say, when I moved from a clinical role into the research role, I thought I was going to miss that kind of adrenaline rush that does come with being a clinical midwife. And so I thought, it-- this is so quiet, it's just a really very different pace. [00:08:54] But actually, there are deadlines and things like that. So yeah, on a daily basis, it is really... it's a really busy day. [00:09:02] So we can be answering our emails and inquiries about research. We're liaising with the clinical team, so I'm involved in a screening study, so we, we need to collect samples. So we go and collect samples, we register those samples. [00:09:19] We're then approaching our patients or ladies that come in to have scans, or they might be in the antenatal ward. We liaise with the community midwives who might have people that want to take part in the study, so we do a lot of communication with the women through that way. [00:09:38] And having the background as a midwife, having that holistic approach has really, really broadened, you know, and really helped support my role as a midwife. Having-- transferring those skills has been incredible. [00:09:53] Sharon Jones: So what kind of studies do midwives support? [00:10:03] Fiona Smith: So apart from the genomic studies, uh, because a, a lot of genetic-based studies are going on within our trust. Where they're looking at trying to understand why things happen and see if there's a genomic h- component that might be attributed to conditions. We've got observational studies where we use lots of questionnaires to ask patients about their experiences. We've got interventional studies, so that could be testing a new drug or an interventions, just testing something that might work and, and might build that into that evidence base to - [00:10:32] You know, to put into practice. I'm really surprised at the portfolio of, of studies that is available. So they could be, um, not just maternity-based, but the obviously obstetric-based and studies, and we do a lot of gynae studies as well, so we work alongside the gynecologists. [00:10:51] Sharon Jones: So Katie, genomics is becoming more visible in healthcare. How is that showing up in maternity care more broadly? [00:10:58] Kate Handley: So I think what's really important to note here is that genomics has always been really important in, um, maternity care. [00:11:04] It's just that midwives potentially didn't know that they were doing it. Um, so from the very moment that we book a pregnancy, so when, when a woman has her first appointment at, you know, 8-10 weeks, we're already using genomics to plan her, her care. So we're asking about family history. We're asking about a predisposition to, um, heart disease, for example, or heart conditions or diabetes, or things that we will then use to plan a, a pregnancy going forwards. [00:11:30] We're looking at, yeah, family history. Uh, we're doing screening, antenatal screening, which, uh, some of the tests there are genomic based. And then after the 20-week scan, for example, if we find some sorts of congenital abnormalities, we can use genomic testing then to find out what, what is potentially wrong with the baby and what we can do about it. [00:11:50] And then moving forward throughout that pregnancy, genomics is also really important in bereavement care. So if there's a history of multiple miscarriages, for example, or if a baby is stillborn, we can use genomic testing to find out any reasons for that and to hopefully improve, um, care for that woman going forwards as well. [00:12:08] The big thing that's going on at the moment for genomics in maternity and midwifery is, uh, newborn screening At the moment, our newborn screening is looking for, uh, nine or 10 different conditions, um, which are very rare, but do have some treatment if they are caught early. What we're doing with whole genome sequencing, where genomic testing is looking to see whether we can find a much larger range of conditions much earlier in the baby's life to see if we can improve outcomes for those babies. [00:12:38] And so that's a huge role of genetics. Yeah, absolutely. [00:12:41] Sharon Jones: So Fiona, how confident do midwives generally feel about discussing genomics with families, even though Katie's just said it's not sort of nothing new and it's always sort of been there, maybe badged differently. How do you feel that midwives feel about talking about it when they are talking to families? [00:12:59] Fiona Smith: They probably don't feel, you know, very confident speaking about it. And I definitely wouldn't have been able to speak confidently in a comm- as a community midwife, uh role. But what, what is great about the hospital is that we know that they're where to refer to. So we've got the fetal medicine midwives who are available at any point to talk us through what to say to women or to help us, and the screening team are really useful and are on hand to, again, help us navigate that and what to, you know, what to say to parents. [00:13:36] We've got a really good patient record system as well, so we should, we, you know, the notes are very accurate. We should be able to, uh, follow through from what the parents have been told already, what their journey looks like. So although we're not 100% confident, but I think the students coming through, they're going to have res- acquire a lot more knowledge. [00:13:59] And also our midwifery standards imply that genomics should be part of that everyday conversation that midwives are having. So although it isn't something that's familiar within our parlance. I think going forward, I think it definitely will become much more mainstay, if you like, just- [00:14:20] something that we will be naturally talking about because you know, let's face it, genomics is here. I want to say being part of the Generation Study team, because I'm quite visible and everybody seems to know me because I've, I've transitioned from one role to the other, you know, we are visible. I'm stopped quite a lot, and midwives are asking the questions and, "Well, why?" [00:14:43] You know, "Why is it important?" Just even to be able to talk about, you know, that we've, we're building up a database, data that's going to be used for future reference. Being able to have those conversations with, with the midwives now will really help that confidence. It's something that I didn't think I'd ever have a conversation with. [00:15:02] I don't have very deep conversations, but I know where there are people if I do need to get those answers. [00:15:09] Kate Handley: No, um, I think going with what, what Fiona says, I think it's really interesting that pregnancies generally now are becoming a lot more complex. Um, we're seeing a lot more high-risk pregnancies, and I think that we will find that, that women and their families, their knowledge of genomics is probably going to increase as well because we're going to see genomic testing more widely in, in healthcare, and that's going to have to then flow through into maternity and into midwifery knowledge because women are coming in with more of a baseline knowledge as well. [00:15:40] And when we're dealing with more complex pregnancies and more high-risk pregnancies, genomics is a huge part of that. We, you know- Mm ... because we're going to be looking at things like pharmacogenetics, where we can see what kind of treatments are going to be best for these women and how that can then impact on their pregnancies. [00:15:56] I think epigenetics is becoming more and more talked about and more interesting in maternity, you know, and it's really important that midwives are aware that we've been speaking for years about the impact of smoking, alcohol, all of the outside factors on a pregnancy. But when we actually consider that from a genetic point of view, and that these genetic changes could potentially then be feeding down through generations, it brings a whole new level to the, to that aspect of maternity that, that midwives do need to know about. [00:16:27] So I, I think Fiona's right. I think that there is a lack of confidence when you hear the word genomics, but as soon as you explain what genomics actually means, then that confidence can be boosted. And I think that as we go forwards, there's so much work being done in the training and education systems for universities, for midwives that are already practicing. [00:16:53] We're really trying to, to improve that confidence and competence. Within the Generation Study, that's something that we're working really, really hard on, is to make sure that we're giving all the really appropriate training to the midwives that are involved in it, and that's not just the research teams that are, uh, that are asking consent from the participants, but that's for the wider team as well to, to help the, the midwives who are taking samples, for example, understand why they need to take that particular blood sample, the importance of taking it at the time, and what that means for the family and how that can impact on, on the future. [00:17:26] Sharon Jones: So it's kind of a whole literacy raising across the piece, isn't it? Just to sort of go back to a couple of things you said there, for those who might not know who are listening, would you mind just explaining about, um, pharmacogenomics and epigenetics? Because I just wanted to make sure that we put it across for everyone who might not know those terms. [00:17:44] Katie Handley: So epigenetics, for example, that's looking at how environmental factors can influence gene expression. So how the impact of something on the outside can impact what's going on in the inside. And we do know now that, that environmental factors can change the way that your genes in your body work. So that can not only impact the individual, those gene changes can be passed down through to the next generations as well. [00:18:12] And we know that this can happen across the placenta, so what a mum does in her pregnancy can then change the gene expression of the baby as well. And then we've got pharmacogenetics, which is looking at how certain drugs and certain treatments can be individualised for personal care. So looking at a person's genome, looking at the way their individual genes all work together, and then seeing how specific drugs, specific treatments can be used for that individual rather than as a population level. [00:18:43] Sharon Jones: That's really helpful. Thank you. So Jess, did being a participant on the Generation study change how you approach conversations as a midwife? 'Cause you're kind of like in both camps, which is a quite rare and interesting position to be in. [00:18:58] Jess Fletcher: Yeah, it's been a really amazing insight actually. Um, it definitely will, and I think this will kind of, uh, piggyback off of what, uh, Fiona was, and Katie was saying about how confident are midwives when, when they're counselling for studies. [00:19:10] So, you know, I'm, I'm particularly passionate about, and I mean mostly all midwives are, but I'm very passionate about making sure, ensuring that the people that we're providing care for are making truly fully informed decisions. Like very informed, you know, not, not just signposting, but making sure that they understand, you know, what does this mean for you? [00:19:31] Like what could these results mean for you and your family? Because I think the, I mean, this is a wonderful approach in some ways, but very often we'll be met with people under our care that go, "Yes, of course. Like sign me up for absolutely everything." Like the, the more we know, the better. Mm. And actually, I think it's- Then having that discussion about, well, actually, knowing things can be very complex because it then opens up a lot more questions for you and your family, and I'm not, not suggesting that ignorance is bliss, but actually, you know, really ensuring that they truly understand what this could mean for them and for their babies. [00:20:09] And the positives of that as well, what this could, you know, how this could really optimise your, your child's health throughout their life. And so for me, you know, I've always been very passionate about discussing studies with, with the people that I'm caring for. But it was really amazing actually being on the other side and applying that to me and my family and my baby. [00:20:32] What I talk about this, you know, every day, and actually Fiona's right, they're a very visible team, and it's, and it's amazing because, well, for Fiona, because often if she's on the birth centre and a bell goes, she's often having to get stuck in clinically in emergencies anyway. So you get a little touch of that every now and then, don't you, Fiona? [00:20:49] But it means that they are very accessible. I felt I had a really good understanding, but suddenly it felt very personal. And I can't quite remember how it went, whether Fiona approached me or I approached her, because we see each other so frequently at work. I think that when my pregnancy became, you know, common knowledge, correct me if I'm wrong, Fiona, it was more of a like, [00:21:11] "Oh, here we are again meeting in a corridor. Oh, yay, I can do the study," type of thing. [00:21:16] Fiona Smith: I think you came and sat in my office to do the consent. [00:21:19] Jess Fletcher: And that was a really interesting part for me because, of course, as a midwife, you know, you don't get to see behind the curtain, so to speak, as much as what I got to do as a participant. So I got to come and sit with Fiona in the office with the team. [00:21:33] It was wonderful from the perspective as a pregnant person, but also as a midwife, I've learnt quite a lot, and I think that, of course, I'm not at work, you know, currently, but when I return, um, certainly the way in which I signpost and, and the way that I talk about research and this, and the Generation Study in particular, all of that will still be there. [00:21:54] But I, I do wonder if there's going to be, there's a much deeper understanding on my side And yeah, I think undoubtedly that's probably going to, uh, I will adapt how I then, um, talk to people about the study because I've, you know, had more of an opportunity to delve into, you know, some of the great stories that have come out of it [00:22:15] and some of the real successes that have been shared from the team. I think there was very recently a case where a genetic condition was found, but it was found so early that actually his quality of life is now going to be, you know, really optimal. And I just found the whole story really fascinating. So I suppose it's opened a bit more of a door for me on a personal side and a professional side to read more, and I found it, you know, that much more intriguing, I suppose. [00:22:41] Sharon Jones: Yeah, I suppose it piques that curiosity and also just hearing those good news stories. Yeah, kind of showing how, you know, a family's life has been impacted in such a, sort of the early part instead of having that massive journey of finding out what possibly could be the challenges a child is facing and not knowing, having that result so much early on makes such a difference to, to a family. [00:23:03] Jess Fletcher: Absolutely. And, and also just I think as well, because I work in safety and quality, you know, the, a huge part of my role is looking at patient experience. It's been great to be on the other, I mean, yes, this is third time around, but this was the first time that I had a baby at this current trust that I'm working at. [00:23:18] So, you know, it was really great being on the other side of that and actually seeing how streamlined it was, how the communication between the research team and myself as the pregnant person, how efficient it was that I was receiving various things in the post and through the kind of patient portal that we use. [00:23:36] And then how swift the results were as well. [00:23:39] I mean, that, I'm sure that can vary between participants, but for me, you know, you're so caught up in the, in the newborn weeks that you can almost forget you were part of a study. And then I, and then I got the results through and I went, "Oh my gosh, of course. I mean, what a wonderful thing to participate in." [00:23:54] And the fact that we're still a part of it really until he's 16 years old and beyond, if he consents. So I just think, yeah, it's been a really great experience to participate, but it will undoubtedly change how I then talk about it moving forward because I've had this personal experience. [00:24:11] Sharon Jones: Yeah, yeah. Kind of hearing that seamless experience kind of builds on the trust that, you know, you have in the study and, and, you know, the sort of people behind it essentially, which is, is really important when you're kind of giving your genomic data essentially. [00:24:25] So it's, it's really good to hear that. Yeah. So looking to the future, it's clear that genomics is going to play a growing role in healthcare, so I'm really interested in what that means for midwifery. How might the role evolve, and what does that mean in terms of supporting midwives who need to feel confident in this space? [00:24:43] Kate Handley: I think that genomics is going to have a huge impact on maternity care, and I think it's going to be really great to see how we can really improve the personalised care that we give to individuals that come through the maternity system. We try really hard as midwives to treat every single woman that comes through our care as an individual, to personalise her care plan, and the more information that we've got about somebody, the more information they want to share, the better we can look after them and the better care plan we can actually put in place. [00:25:17] So by using any genomic data that we have, we can really improve that, that care. If whole genome sequencing does become part of newborn screening in the future, we can potentially find these babies every day that we think may have a rare condition, and we can do something to improve their quality of life. [00:25:37] Sharon Jones: Yeah. That's, that's incredible. If the study continues and, and rolls out into healthcare, that will be, um, such an impactful and, like, really game-changing Sort of effect for everyone. [00:25:49] Kate Handley: It will be really impactful and game-changing as long as we do it properly, and I think what Jessica was saying is really, really important about genomics can have huge implications for families and for people. [00:26:00] So it is so important that people understand what they're signing up for in any kind of genomic testing, not just in the Generation study. And because of that, the training that we give to midwives in the future, and I say we, I mean that as universities, as midwives teaching each other, as all education bodies, the information and the education that we give to midwives is so important because the only way that we can ensure that the individual signing up for any kind of genomic testing are giving informed consent is by making sure the people taking that consent are fully informed as well. [00:26:34] As us going forwards, if all midwives can just embrace genomics, everybody will help each other build to a position where we can provide really, really good care. [00:26:44] Jess Fletcher: From the perspective of, yes, a midwife, but also someone that's fairly freshly postnatal, you know, decision-making during a pregnancy is actually really complex. [00:26:53] There's a lot of grey areas, and I think that decision-making, that can be really tough if it's your first experience or if you're suddenly dealing with something in a pregnancy that is more complex than you anticipated, and there's no right or wrong answer, and you're having to make decisions with perhaps not quite all of the information. [00:27:14] I mean, Katie touched on the non-invasive prenatal testing when we are, yes, we're, we're screening in, in early pregnancy for a number of conditions, but the non-invasive prenatal testing, it's not 100%, but it, it gives us a lot more to work with. And I think everyone interprets risk differently, don't they? [00:27:34] So if you're given a one in something chance that your baby might have a condition, it's very, can be really difficult and, and a very emotional process to make decisions around that. What's my next move going to be? So if we have the ability with genomics to actually provide a lot more information and kind of broaden the decision-making process, then - [00:27:59] that can only, I think, be a positive thing, or give them the opportunity to then opt out of any further testing, which is equally as important. [00:28:08] Sharon Jones: Giving you as much agency to choose without pressure and just giving you as much knowledge that you need to make the best decision that you can in that, in that situation. [00:28:17] Jess Fletcher: Yeah, the situation that's right for, for you and for your family, which is going to look different for every family, isn't it? [00:28:23] Kate Handley: And midwives are in such a privileged position because of the amount of time that we potentially spend with a woman and to get to know that woman. We have got the ability to actually explain things in a way that, that woman may be able to understand as well, as long as we've got the knowledge. [00:28:40] So, you know, genomics can be really, really complex. Mm. And it can be really difficult for people to understand, even if we do have all that information. So by using the relationships that we can build with those women, I'm thinking particularly community midwives or people during the labour room that are building these really intense relationships really, really quickly. [00:28:58] We really need to be able to use that to our advantage when it comes to actually information given to, to patients as well, and to women and their families. [00:29:06] Jess Fletcher: We're in a really unique position in our profession because we're very highly skilled at having to explain something quickly and under pressure, and try and capture and provide all of the information possible. [00:29:18] But also we work as part of a multidisciplinary team, so we've got access to a lot of professionals that can provide input and help with educating the patient, but also educating us. So our knowledge is always growing, especially around kind of research and genomics in, in particular. Yes, it's becoming so much more a part of midwifery. [00:29:41] So I think, yeah, I, I feel really lucky that, you know, we're not just in a profession that, it, you know, we do this day to day and that's it. It just feels like that there's always a chance to learn and to grow as a professional, and then impart that on the people that we're caring for [00:29:57] Sharon Jones: So coming to my final question, if you could leave our listeners with one message about midwives and research, what would it be? [00:30:05] Fiona Smith: I'd say even though it does sound like it's a scary subject, I think we need to embrace it. The technology that's there, you know, we've got it. It's here to stay. Yeah, just don't be scared. Be curious and excited. [00:30:22] Jess Fletcher: Yeah, and I, I do think... I, I think midwives in general, I feel like when we qualify, we also qualify with a bit of an inferiority complex, you know? [00:30:30] That we worry about what we don't know, and actually, you're right, Fiona, we really mustn't be scared of this. We, we carry so much knowledge. Our profession is, as we've already spoken about, it's so... It's amazing how much we actually do as midwives and, and how broadly we practice, that actually it's absolutely okay if we're not confident in delivering this information, or we're not confident about, you know, where research is going. [00:30:55] The most important thing is, is, is accessing support so that we can make sure that we are, for ourselves and for the people that we're looking after, we have a- as deep of an understanding as we possibly can. [00:31:06] Sharon Jones: Definitely, and, and talking about sort of multi-skilling and, and being kind of pretty amazing, Jessica, I'm, I'm very impressed with our guest that has joined us on, on your shoulder [00:31:26] Jess Fletcher: The generation study baby! [00:31:28] Sharon Jones: A newborn baby. A Generation Study baby, that you've, uh, done this entire podcast with your baby. [00:31:32] Jess Fletcher: He's done amazingly well, hasn't he? [00:31:35] Sharon Jones: Yeah, he's done very well, and that really does, uh, sort of show the power of your, of your skills, not just a midwife, also as a mum, as we know. [00:31:43] Jess Fletcher: Always a juggle. [00:31:45] Sharon Jones: It certainly is. Katie, did you want to add any more about leaving our listeners with a, a message about midwives and, and research? [00:31:50] Kate Handley: Yeah. I, um... Fiona used the word curious, which I think is, is brilliant. I think if we can all be curious about research, we're already onto a winner. And Jessica said about being brave. The more brave we are as midwives, and the more that we're willing to be curious about what we can do to improve our care, the better we're going to be at our profession. All midwives want to do is to provide safe, effective care that is what is in the best interest of that woman. [00:32:07] We are advocates for women and for their families. We want what they want. But in order to do that, we have to embrace research, along with safeguarding and health and safety, I feel like it needs to be everyone's responsibility. You know, we all have this responsibility to improve care for, for the women that we're looking after, and research is at the heart of that. [00:32:30] And the more research that we can do, that we can be part of and that we can implement, the better that our profession will be and the safer that our women will be. [00:32:39] Sharon Jones: Thank you. Thank you to our guests, Katie, Fiona, and Jessica, and Jessica's newborn baby, for joining me today and sharing your insights into the evolving role of midwives. [00:32:50] It's been fascinating to hear how midwives are not only supporting families day-to-day, but also contributing to research and helping to bring genomic medicine into routine care. If you'd like to hear more like this, please subscribe to Behind the Genes on your favourite podcast app. Thank you for listening. [00:33:06] I've been your host, Sharon Jones. Behind the Genes is produced by Deanna Barac, Florence Cornish, Sophie McLachlan, and Patrick Wallace at Bespoken Media.  

By David Stephen who looks at electrochemical psychiatry trends and issues to consider. The College of Psychiatrists of Ireland [CPsychI] and the Royal College of Psychiatrists [RCPsych] may choose to collaborate on one of the major opportunities to better explain mental disorders and addictions: electrochemical psychiatry. The objective is to focus on electrical and chemical signals to describe and display mental disorders and addictions. Already, neuroscience has established that neurons with their electrical and chemical signals are responsible for functions. So, because there has not been any major success in explaining the configurations of mental disorders by neurons — which, in part, may be due do their anatomy as cells — the next options are the electrical and chemical signals. Why CPsychI and RCPsych should partner on electrochemical psychiatry There is currently no national or continental Psychiatric Association that is focused on this. The American Psychiatric Association actually released a road map earlier in 2026, towards improving the Diagnostic and Statistical Manual of Mental Disorders. However, they are having their 2026 Annual Meeting [May 16-20] in San Francisco, with a different theme entirely. Meanwhile, there is a recent debate in the United States about how and when to get off selective serotonin reuptake inhibitors [SSRIs], such that both the people on the side of deprescribing or against it have no model of the human mind, to explore how to map the mind for the effects of medications. While it is true that CPsychI and the RCPsych go it alone, respectively, it is possible to have both of them do much better if they collaborated on getting it done. The American Psychiatric Association do not seem to be in a hurry about solving the mind or have it as a central agenda. This gives the CPsychI and the RCPsych the chance to accelerate and get ahead, to bear the might of global psychiatry and mental health, even as the era evolves with newer risks and more unknowns. The CPsychl also need to make a major mark, giving its relatively young existence as well as the importance to lead right even as guess therapies continue in mental health, with little understanding of how they work. While the RCPsych has the National Collaborating Centre for Mental Health [NCCMH], the principal advance is what can be explained, or displayed using components of the brain, to move certainty to a better percentage, to shape outcomes. This means the interactions and attributes of electrical and chemical signals can be useful to thoroughly move psychiatry forward for now, according to the postulate in Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology. Conceptually, the human mind is the collection of all the electrical and chemical signals, with their interactions and attributes, in sets, in clusters of neurons, across the central and peripheral nervous systems. Simply, the human mind is the sets of signals. There is a recent [May 14, 2026] analysis in The New York Times, Thinking About Stopping an Antidepressant? Here's What to Consider., stating that, "The American Society of Clinical Psychopharmacology recently published recommendations about "deprescribing" psychiatric medications. They include the suggestion that doctors re-evaluate "the utility of continuing any particular psychotropic medication" on at least an annual basis." "There are several factors to take into account when deciding whether to stop. As a general rule, experts said people could consider going off their antidepressants when they felt they were back to their normal selves." "Dr. Mark Rapaport, the president-elect of the American Psychiatric Association, said he also took into account whether the person had a good support network in place and if they would be experiencing any major life changes in the near future, like moving or starting a new job. "Even good change is associated with stress," he said." "Anoth...

Robert meets Belfast-born Kathryn Ferguson is an Emmy and BAFTA nominated, BIFA and IFTA winning director whose innovative and boundary-pushing documentary work has screened globally. We explore art as activism and how film has the power to reveal, and more widely share, untold stories. Kathryn studied at Central Saint Martins and the Royal College of Art, and in 2022 was awarded the inaugural BFI & Chanel Award for Creative Audacity. In 2018, Kathryn's short documentary Taking the Waters premiered at Sheffield Doc Fest, and was long-listed for a BAFTA. Then, in 2021, Kathryn worked with Passion Pictures on the short Space to Be for The Guardian's acclaimed documentary series. After a decade of short-form work centred on identity, gender politics, and community, Kathryn recently completed her debut feature documentary Nothing Compares - which takes as its subject Sinéad O'Connor's artistry and activism. The film premiered at Sundance Film Festival 2022 then toured the international festival circuit, where it picked up multiple awards, before hitting cinemas in October 2022. It has received over thirty award nominations internationally, including Emmy, Critics Choice, IDA, and PGA Awards, and was awarded winner of Best Feature Documentary at BIFA 2022 and IFTA 2023. Nothing Compares is now available to watch on Showtime and Sky. Her second feature, Bogart: Life Comes in Flashes (Universal), was released in US cinemas in 2024. In 2024 she also co-founded Tara Films with producer Eleanor Emptage; their latest, Blue Road - The Edna O'Brien Story, premiered at TIFF 2024, and the company is currently developing a slate of non-fiction and drama projects. Alongside her film work, Ferguson has directed campaigns for Nike, Selfridges, Amnesty International, and Air France, and collaborated with artists such as Lady Gaga and Neneh Cherry. Nostalgie, Kathryn's first drama short starring Aiden Gillen, about a faded 80's pop star, has recently been nominated for a BAFTA and won Best Short Film at the IFTAs 2026. The film is available to watch on Channel 4. Hosted on Acast. See acast.com/privacy for more information.

The media is working overtime to manufacture the next viral panic, and pharma companies are making big money from the fear campaign. After confirming they were already working on a Hantavirus mRNA vaccine before the cruise ship outbreak – and also developing mRNA vax for ebola – Moderna's stock jumped 20%. What an odd coincidence… Diagnostic pathologist Dr. Clare Craig joins Dr. Drew to expose the suspicious timing behind the latest virus hysteria and what the pharmaceutical industry might be planning next – monkeypox, ebola, bird flu, or worse. Eric Bolling breaks down the economic warning signs flashing across the country as diesel prices near all-time highs. CA Lt. Gov. candidate Gloria Romero (running with Steve Hilton) exposes a new plot by California Democrats to repeal the “Top 2” primary system and change the rules of the election to maintain power. Dr. Clare Craig, BM BCh FRCPath, is a Diagnostic Pathologist and author of “Expired: Covid the Untold Story.” She practiced in the NHS for 15 years and became a Fellow of the Royal College of Pathologists. She was the day-to-day pathology lead for the cancer arm of the 100,000 Genomes Project and led R&D at Genomics England. She is Co-Chair of the Health Advisory and Recovery Team (HART Group). Follow at https://x.com/ClareCraigPath Eric Bolling is a TV personality, political commentator, and author. He is the host of TheEDGE and a former co-host of Fox News' The Five. A former commodities trader at the New York Mercantile Exchange specializing in crude oil, gold, and agricultural commodities, he also served on the NYMEX Board of Directors. He is a 2-time NYT bestselling author. Follow at https://x.com/ericbolling Gloria Romero is a candidate for California Lieutenant Governor, running alongside Steve Hilton. A former California State Senate Majority Leader, she was elected to the State Assembly in 1998 and the Senate in 2001. She left the Democratic Party in September 2024 and joined the Republican Party. She is also a professor, educator, and businesswoman. Learn more at https://gloriaromero.com 「 SUPPORT OUR SPONSORS 」 • COVEPURE – Do you know what's in your tap water? Get $250 off your purifier at https://covepure.com/DREW ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • Susan Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/firstladyoflove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Content Producer • Emily Barsh - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/emilytvproducer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Hosted By • Dr. Drew Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/drdrew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

NHS trade unions have persistently ignored the pernicious effects of this ideology, both on their own members and on the children in their care. This illustration featured in an article on caring for transgender patients in the Royal College of Nursing's magazine. The RCN has been silent on the need to protect the single-sex spaces and rights of its female members. And it has said nothing about the physical and psychological damage being done to young patients by the experimental and often mutilating ‘transgender care‘ they receive in NHS institutions. ----------------------------------------------------------------------- Subscribe! Donate! Join us in building a bright future for humanity! www.thecommunists.org www.lalkar.org www.redyouth.org Telegram: t.me/thecommunists Twitter: twitter.com/cpgbml Soundcloud: @proletarianradio Rumble: rumble.com/c/theCommunists Odysee: odysee.com/@proletariantv:2 Facebook: www.facebook.com/cpgbml Online Shop: https://shop.thecommunists.org/ Education Program: https://thecommunists.org/education-programme/ Each one teach one! www.londonworker.org/education-programme/ Join the struggle www.thecommunists.org/join/ Donate: www.thecommunists.org/donate/

Working to support the wellbeing of others can be immensely rewarding, and a real motivator for why we work in the health sector. But over time, exposure to the suffering of others - particularly those in mental distress and at the risk of suicide - can impact our own wellbeing and how we feel, including experiencing vicarious trauma. In 2025, NHS Sussex developed training that looks at the different ways we can keep ourselves and our colleagues safe. The training provides an overview of vicarious trauma and is made up of three complimentary sections, looking at different aspects of personal resilience, workplace wellbeing and reflective practice. In the first of these podcasts, Dr Brian Solts looks at at various definitions of vicarious trauma and identifies the key groups that may be at risk. He reviews the support needs of staff in roles than might blend into the background of healthcare provision, the 'invisible staff groups', and how vicarious trauma has the potential to bear its mark over time - in terms of emotional, psychological and physiological impacts. Disclaimer: Thank you for listening to this Royal College of Psychiatrists CPD eLearning podcast. This podcast provides information, not advice. The content in this podcast is provided for general information only and is not intended to, and does not amount to, advice that you should rely on. It is not an alternative to specific, professional advice. Although we make reasonable efforts to present accurate information in our podcasts, we make no representations, warranties or guarantees, whether expressed or implied, that the content in this podcast is accurate, complete or up to date. If you have any questions about any medical matter, you should consult your doctor or other professional healthcare provider without delay. If you think you are experiencing any medical condition, you should seek immediate attention from a doctor or professional healthcare provider. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.

Working to support the wellbeing of others can be immensely rewarding, and a real motivator for why we work in the health sector. But over time, exposure to the suffering of others - particularly those in mental distress and at the risk of suicide - can impact our own wellbeing and how we feel, including experiencing vicarious trauma. In 2025, NHS Sussex developed training that looks at the different ways we can keep ourselves and our colleagues safe. The training provides an overview of vicarious trauma and is made up of three complimentary sections, looking at different aspects of personal resilience, workplace wellbeing and reflective practice. In this session, Liz Tucker and Patrick Haywood discuss the role of the workplace in addressing issues to do with vicarious trauma. They look at how the signs of vicarious trauma may show up in frontline roles, when to act as a manager and provide useful tools that can be implemented to help a colleague who may be struggling with vicarious trauma. Disclaimer: Thank you for listening to this Royal College of Psychiatrists CPD eLearning podcast. This podcast provides information, not advice. The content in this podcast is provided for general information only and is not intended to, and does not amount to, advice that you should rely on. It is not an alternative to specific, professional advice. Although we make reasonable efforts to present accurate information in our podcasts, we make no representations, warranties or guarantees, whether expressed or implied, that the content in this podcast is accurate, complete or up to date. If you have any questions about any medical matter, you should consult your doctor or other professional healthcare provider without delay. If you think you are experiencing any medical condition, you should seek immediate attention from a doctor or professional healthcare provider. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.

Working to support the wellbeing of others can be immensely rewarding, and a real motivator for why we work in the health sector. But over time, exposure to the suffering of others - particularly those in mental distress and at the risk of suicide - can impact our own wellbeing and how we feel, including experiencing vicarious trauma. In 2025, NHS Sussex developed training that looks at the different ways we can keep ourselves and our colleagues safe. The training provides an overview of vicarious trauma and is made up of three complimentary sections, looking at different aspects of personal resilience, workplace wellbeing and reflective practice. In this session, Liz Tucker and Eleanor Leigh discuss the importance of building a daily resilience practice. They provide clear and effective tools that you can use at any point during your working day - whether working in-person or remote - to help improve your overall wellbeing. Disclaimer: Thank you for listening to this Royal College of Psychiatrists CPD eLearning podcast. This podcast provides information, not advice. The content in this podcast is provided for general information only and is not intended to, and does not amount to, advice that you should rely on. It is not an alternative to specific, professional advice. Although we make reasonable efforts to present accurate information in our podcasts, we make no representations, warranties or guarantees, whether expressed or implied, that the content in this podcast is accurate, complete or up to date. If you have any questions about any medical matter, you should consult your doctor or other professional healthcare provider without delay. If you think you are experiencing any medical condition, you should seek immediate attention from a doctor or professional healthcare provider. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.

Working to support the wellbeing of others can be immensely rewarding, and a real motivator for why we work in the health sector. But over time, exposure to the suffering of others - particularly those in mental distress and at the risk of suicide - can impact our own wellbeing and how we feel, including experiencing vicarious trauma. In 2025, NHS Sussex developed training that looks at the different ways we can keep ourselves and our colleagues safe. The training provides an overview of vicarious trauma and is made up of three complimentary sections, looking at different aspects of personal resilience, workplace wellbeing and reflective practice. In this podcast, Lucy Tucknott and Molly Booth discuss the impact of reflective practice to reduce the harms of vicarious trauma and break down different models of reflective practice, as well as some barriers that may occur. They explore how developing a deep sense of awareness can help us care for ourselves, whilst we're also caring for others. Disclaimer: Thank you for listening to this Royal College of Psychiatrists CPD eLearning podcast. This podcast provides information, not advice. The content in this podcast is provided for general information only and is not intended to, and does not amount to, advice that you should rely on. It is not an alternative to specific, professional advice. Although we make reasonable efforts to present accurate information in our podcasts, we make no representations, warranties or guarantees, whether expressed or implied, that the content in this podcast is accurate, complete or up to date. If you have any questions about any medical matter, you should consult your doctor or other professional healthcare provider without delay. If you think you are experiencing any medical condition, you should seek immediate attention from a doctor or professional healthcare provider. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.

The World Health Organisation on Sunday declared an Ebola outbreak in the Democratic Republic of Congo and Uganda a "public health emergency of international concern", posing risks to neighbouring countries. Professor Sam McConkey, Infectious Disease Specialist at the Royal College of Surgeons Ireland joined Anton this morning.

What does your baby's tongue position have to do with their sleep? Actually, quite a bit. In this episode, I'm joined by Dr. Alison Sigal, a pediatric dentist and airway specialist,  for a conversation about airway health and sleep. I find this to be a really important and under talked about reason for frequent waking, feeding challenges, and unsettled behavior. We discuss:Why tongue ties matter.What is good resting oral posture?Why is good resting oral posture important?How does mouth breathing affect sleep and development more broadly?What should parents look for when trying to find an airway knowledgeable provider local to them? Basics that make up a good tie release.I could have picked Dr. Alison Sigal's brain for so much longer! I hope this conversation gives you insight into your littles behavior and clarity around ways to investigate oral restrictions more fully. About Dr. Alison Sigal Dr. Alison Sigal graduated from McMaster University with an Honours degree in Kinesiology before attending the University of Toronto, Faculty of Dentistry where she earned her Doctor of Dental Surgery degree. She completed a hospital-based residency at Mount Sinai Hospital (Toronto) before completing her Masters of Science Degree with specialty training in Pediatric Dentistry. She is a fellow of the Royal College of Dentists of Canada and currently a certified specialist in pediatric dentistry. Dr. Sigal established Little Bird Pediatric Dentistry in Milton, Ontario to provide comprehensive airway centric health care to children from birth onwards. She has dedicated her practice to the provision of this care, creating novel airway assessment tools, surgical techniques for tongue and lip ties, and myofunctional protocols including Buteyko breathing for best patient outcomes and long-term retention.Dr. Sigal developed her clinic's medical record software, that features the largest on-going airway centric patient database globally to date with continual research integration, treatment evaluation, and evolution. Her career goal is for the provision of airway centric pediatric assessment and treatment to become standardized with universal protocols; assisting the evolution of pediatric anatomy textbooks, academic curriculums, and hospital/health care models. Dr. Sigal has been an invited speaker internationally, at many multi-disciplinary conferences, meetings, and symposiums, and is regarded as one of the leaders in pediatric airway centric health care.Connect with Dr. Alison Sigal Website: https://littlebirddental.ca/Instagram: www.instagram.com/dralisonsigal/ YouTube: www.youtube.com/@Dr.AlisonSigalFacebook: www.facebook.com/LittleBirdMilton Resources related to this episodeGet the age by age self-assessment check lists mentioned here: https://littlebirddental.ca/airway-centric-health-care/Connect with Kim Instagram: instagram.com/intuitive_parenting_dcFacebook:  facebook.com/intuitiveparentingdcLearn more about working with Kim: https://intuitiveparentingdc.com/

We now know that things like access to affordable housing and healthy food, good jobs that provide a livable income, education, safe environments, and other factors that make up what we call the “social determinants of health” are more powerful in promoting health of individuals and communities than health care itself. Sir Michael Marmot has been a pioneer in advancing this concept and has created what are called Marmot Cities and Towns or Marmot Places. One nurse who has worked with Marmot is Charlotte McArdle, a Global Nurse Consultant, Visiting Professor Ulster University Belfast, Vice Dean of the Faculty of Nursing and Midwifery at the Royal College of Surgeons in Ireland, and a former government chief nurse officer in the United Kingdom. On April 22, 2026, HealthCetera producer and host Diana J. Mason, PhD, RN, talked with McArdle about Marmot Places and its relevance for people in the United States. This interview first aired on HealthCetera in the Catskills on WIOX Radio on April 22, 2026. The post Marmot Places appeared first on HealthCetera.

  From a 10-bed lying-in hospital to Handel's Messiah, the Rotunda Maternity Hospital has operated continuously for 281 years. A Nurses' Week story. Summary Across the street from Danny’s Dublin hotel stood a large white institutional building with no signage. It turned out to be the Rotunda Hospital — the oldest continuously operating maternity hospital in the world, delivering babies in the same building since December 8th, 1757. Surgeon Bartholomew Mosse founded it after losing his wife and child in childbirth, trained as a midwife in Paris at a time when physicians were penalized for practicing midwifery, and returned to Dublin determined to build something that didn’t yet exist. The first version had 10 beds and delivered 190 babies in its first year, with one maternal death. Unable to raise money for a larger hospital — no one wanted to fund poor women’s care — Mosse attended the world premiere of Handel’s Messiah in Dublin in 1742 and was inspired. He turned the future hospital site into a pleasure garden with orchestras, dances, and theater to attract wealthy donors. He was later imprisoned for debt, escaped through a castle window in Wales, hid in the mountains for three weeks, and died exhausted and broke in 1759, less than two years after the new hospital opened. Sara E. Hampson, one of Florence Nightingale’s original nurses, became the hospital’s first female superintendent in 1891 — a thread that ties Nurses Week directly to this building, Danny almost walked past. Click here to view the printable newsletter. More readable than a transcript. Contents Podcast episode on YouTube Episode Proem: No Signage, No Appointment, No Problem Hello. Welcome to 2026 Nurses Week, May 6th through 12th. I’m very proud to be a nurse. I’ve been a nurse for 50 years. And my grandson’s going to nursing school next year. He’s graduating as a senior and will attend Loyola University in Chicago for its nursing program. I’m very proud. I want to tell you a story about one of the most significant things that happened during our trip to Ireland a couple of weeks ago. We were staying in the north-central city of Dublin, Ireland. Across the street, I saw a big white institutional facade with no signage. It looked like the side of the building. Next to it, on its right, was a dome with a more modern sign that read “Ambassador”. So, I went into the hotel and asked, “So what’s this building?” And they didn’t know. I looked it up, and it turned out to be the Rotunda Hospital. The Rotunda Hospital is the oldest freestanding maternity hospital in the world. Midwifery Was Scandalous. He Did It Anyway. Now let me see. I’ve got some notes here. The hospital was founded in 1745 by a man named Bartholomew Mosse, M-O-S-S-E. He was a certified surgeon. His wife and child died in childbirth. After this tragedy, he left Ireland to serve as a doctor with the British Army. While he was away, he received midwifery training at a hospital in Paris and obtained his midwifery license, which was unusual. In fact, fellows of the Royal College of Physicians were even penalized if they practiced midwifery. But Mosse wanted to change that. So, he built this small place, 10 beds, that… Let’s see, when did it open? I guess it opened in 1745. Mosse’s ambition was to build a dedicated maternity hospital in Dublin to provide medical care and shelter to the city's penniless mothers. This came after he encountered unspeakable conditions during his practice, particularly in the aftermath of the 1739 famine. So he established this 10-bed hospital. It was in a small theater called the New Booth Theatre. It says here that it was the first lying-in hospital of its kind in the world. It had only 10 beds, but in its first year, 190 babies were born, and just one mother died. But obviously, they couldn’t meet demand with 10 beds. When No One Funds Poor Mothers, Try Dancing Mosse tried to raise money to build a larger hospital, but nobody really wanted to give money to poor women. So he happened to attend the world premiere of Handel’s Messiah on April 13, 1742. While he was there, he was inspired to raise money by entertaining the wealthy. Somebody sent me a picture of the Handel statue that’s in front of the theater where the premiere was, which I thought would be interesting. According to my research, on the evening of April 13th, 1742, Handel conducted the world premiere of his Messiah on Dublin’s Fishamble Street, and Mosse was present. Historians suggest that this moment crystallized Mosse’s idea of using high-society entertainment to fund a hospital for the poor. So Mosse turned the proposed hospital site into a pleasure garden with a live orchestra, theatrical performances, and dances in a coffee house, marrying philanthropy with frivolity to reach the wealthy. Debt, Daring Escape, Death Here’s a little interesting tidbit. Lotteries nearly destroyed Dr. Mosse. Before he was able to return to Ireland, he was arrested and charged with being 200 pounds in debt, and he’s thought to have been imprisoned in Beaumaris Castle in Anglesey, Wales. The story was that he managed to escape through a window and hid in the Welsh mountains for three weeks before reaching Ireland. He then vindicated himself by publishing his receipts and lottery accounts, whatever. But less than a year after the hospital opened, he was taken seriously ill, exhausted, heavily in debt, and petrified about the prospect of arrest and imprisonment. He died on February 16th, 1759. Fix the Air, Save the Babies. Then and Now. Around 1781, when the hospital was poorly ventilated and every sixth child died within nine days of birth, they realized the problem was poor ventilation. Ventilation was improved, and mortality dropped to 1 in 20 over the following five years. They’re also planning to celebrate their millionth birth in 2026. It’s just amazing. I met a saleswoman in a sweater store who asked where we went in Dublin. When I told her about the Rotunda Hospital, she said she had a difficult pregnancy and birth without insurance. She received care at the Rotunda Hospital, with her baby in neonatal intensive care for three weeks and herself as an inpatient for two weeks. Awesome care! So, when we were there, I, an old white guy in a wheelchair, motored into the Rotunda Hospital and stopped at the registration desk to ask if I could speak with someone. I had not made an appointment. I was leaving the next day. Very nice people. I tried to get hold of people in their library, research, and marketing, but they were busy, of course. Oldest? It's Relative. I’m really impressed by the idea of being the world's longest-operating specialist hospital. I was trying to get some perspective on that, so I looked up the oldest continuously operating hospitals, and here’s what I learned. I learned that in the United States, the oldest continuously operating hospital is Bellevue Hospital in New York City, which opened in 1736 as a six-bed infirmary.[1] So, it began as a haven for the indigent and is still a major public hospital on the East Side of Manhattan. It opened nine years before Mosse opened his first lying-in hospital. The other long-running hospital is the Pennsylvania Hospital in Philadelphia[2], established in 1751 by Benjamin Franklin and Dr. Thomas Bond. It’s still operational as part of the University of Pennsylvania Health System. The oldest hospital is the Hôtel-Dieu in Paris[3], which officially opened in 650 AD, and that’s the hospital where Mosse became a midwife. There’s St. Bartholomew’s Hospital in London, founded in 1123[4]. And there’s the Hospital de Jesús Nazareno in Mexico City, opened in 1524. But really, the Rotunda is the oldest maternity-only specialist hospital, continuously operating in the world, which is a more specific and arguably more impressive claim than the general acute care hospitals Bellevue and Hôtel-Dieu, which have both moved buildings, changed missions, and been rebuilt. The Rotunda has been delivering babies in the same building since December 8th, 1757. That’s really something. Reflection: Nightingale Was Here Too So, let’s bring this back to Nurses Day and to Florence Nightingale. Interestingly, Sara E. Hampson was one of the original Nightingale nurses and the first lady superintendent of the Rotunda Hospital in 1891. So yay, nursing. Yay, history. I’m really looking forward to exploring more of this amazing hospital in Dublin. I wonder who was in charge all these years, and how it survived past Mosse and through those first decade or first few years? And then, how did the Rotunda Hospital survive war, famine, pandemics, and technological change? What research occurred there? Is there a diaspora of Rotunda alumni? Anyway, more to come. Thanks. Referenced in episode [1] By Harper’s Weekly – Harper’s Weekly, Public Domain, https://commons.wikimedia.org/w/index.php?curid=6014479 [2] William Strickland (1788-1854) Engraver: Samuel Seymour (1796-1823), Public domain, via Wikimedia Commons [3] I, Clio, CC BY-SA 3.0 , via Wikimedia Commons [4] See page for author, CC BY 4.0 , via Wikimedia Commons Are you part of the Rotunda Hospital diaspora? Find me at dannyhealthhats@gmail.com. Tell me your version. Please comment and ask questions: at the comment section at the bottom of the show notes on LinkedIn  via email YouTube channel  DM on Instagram, TikTok to @healthhats Substack Patreon Production Team Kayla Nelson: Web and Social Media Coach, Dissemination, Help Desk  Leon van Leeuwen: editing and site management Oscar van Leeuwen: video editing Julia Higgins: Digit marketing therapy Steve Heatherington: Help Desk and podcast production counseling Joey van Leeuwen, Drummer, Composer, and Arranger, provided the music for the intro, outro, proem, and reflection Claude, Perplexity, Auphonic, Descript, Grammarly, DaVinci Inspired by and Grateful to: Dr. Lisa Masinter and Dr. Michele Whitt, Janice Tufte, Linda DeRosa, Luc Pelletier, Cherie Binns Photo Credits  Ann Boland, Paul Boland, Janice Tufte, Danny van Leeuwen, and as referenced in the transcript Related episodes from Health Hats https://health-hats.com/pod133/ https://health-hats.com/ob-nurse-cannabis-nurse/ https://health-hats.com/build-it-and-they-will-come/ Artificial Intelligence in Podcast Production Health Hats, the Podcast, utilizes AI tools for production tasks such as editing, transcription, and content suggestions. While AI assists with various aspects, including image creation, most AI suggestions are modified. All creative decisions remain my own, with AI sources referenced as usual. Questions are welcome. Creative Commons Licensing CC BY-NC-SA This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:    BY: credit must be given to the creator.   NC: Only noncommercial uses of the work are permitted.    SA: Adaptations must be shared under the same terms. Please let me know. dannyhealthhats@gmail.com  Material on this site created by others is theirs, and use follows their guidelines. Disclaimer The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats)

In this very special episode of little teeth, BIG Smiles, host Dr. Joel Berg is joined by Dr. John Rutkaushas on the verge of his retirement after 27 years as American Academy of Pediatric Dentistry and AAPD Foundation CEO. Dr. Rutkauskas shares his personal highlights from his career, many of which made a profound impact on the profession – from elevating advocacy and education to strengthening the voice of pediatric dentists nationwide. He also reflects on the vision, dedication, and transformative leadership that helped shape the AAPD into the organization it is today, positioned to continue its mission of optimal oral health for all children. Guest Bio: John S. Rutkauskas, M.S., D.D.S., M.B.A., CAE, is the Chief Executive Officer of the American Academy of Pediatric Dentistry (AAPD), a position he has held since July 1999. He is also the Chief Executive Officer of American Academy of Pediatric Dentistry Foundation. Prior to joining the AAPD, Dr. Rutkauskas served for eight years as Executive Director of the Federation of Special Care Organizations in Dentistry, which represents organizations focused on hospital dentistry, geriatric dentistry, and dentistry for persons with disabilities. He has a wealth of experience and interest in public policy related to issues of medical necessity, federally funded dental programs, residency training, and clinical care guidelines, best practices, and policies. His clinical interests include treating patients with medically compromising conditions.  Under his leadership during the past 26 years, the AAPD has significantly increased membership and focused the association's efforts on public policy. He was instrumental in establishing the association's first political action committee which has increased visibility in Washington of the 11,000-member organization. He oversaw the AAPD Foundation's first successful fundraising capital campaign and coordinated the successful merger of an affiliated association. He was instrumental in creating two leadership development tracks in association with Northwestern University's Kellogg School of Management and the University of Pennsylvania's Wharton School to meet the growing needs of the AAPD membership.  Raised in Illinois, Dr. Rutkauskas received his undergraduate degree as well as a Master of Science degree from the University of Chicago. He received his dental degree from the University of Illinois at Chicago, his residency training in general practice at the University of Chicago, and a Master of Business Administration from the Kellogg School of Management at Northwestern University. He is a fellow of the American College of Dentists, International College of Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. In June 2002, he was inducted as a fellow in the prestigious Royal College of Surgeons of Edinburgh. He received the designation of CAE (Certified Association Executive) from the American Society of Association Executives (ASAE) in June 2002. In 2012, he received the Outstanding Public Advocacy Award on behalf of the Friends of the National Institute of Dental & Craniofacial Research (FNIDCR) for being a champion for oral health care for special patient populations. The Royal College of Surgeons of Ireland bestowed fellowship on him in 2018. He is Senior International Dental Ambassador of the Royal College of Surgeons of Edinburgh.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Labia fillers are one of those beauty trends that's quietly gaining traction- and chances are, you didn't even know it was something you were supposed to think about.In this episode, I break down what labia fillers actually are, why more people are getting them, and the beauty standards driving the demand. We're getting into the language, the marketing, and the bigger cultural shift behind this idea of "rejuvenation." If you've ever wondered how far beauty standards can go, this episode might change the way you see them.Are. You. Ready?****************Sources & References:Braun, V. (2009). Female genital cosmetic surgery: A critical review. Feminism & Psychology, 19(2), 139–159.Gill, R. (2007). Gender and the Media. Polity Press.Illich, I. (1976). Limits to Medicine: Medical Nemesis: The Expropriation of Health. Pantheon Books.Bordo, S. (1993). Unbearable Weight: Feminism, Western Culture, and the BodyLiao, L. M., Creighton, S. M., & Crouch, N. S. (2005). Female genital appearance: “Normality” unfolds. BJOG: An International Journal of Obstetrics and Gynaecology, 112(5), 643–646.Tiefer, L. (2008). Female Sexual Dysfunction: A Case Study of Disease Mongering. PLoS Medicine, 5(2), e32.American Society of Plastic Surgeons. (2023). Cosmetic Procedure Trends Report.Royal College of Obstetricians and Gynaecologists. (2013). Ethical Considerations in Relation to Female Genital Cosmetic Surgery (FGCS).American Psychological Association. (2007). Report of the APA Task Force on the Sexualization of Girls.Smith, T. P. (2022). The Infantilization of Women and Pedophilic Beauty Standards in Western Culture: A Literature Review. Medium.Cleveland Clinic. (2023). Dermal Fillers: What to Know Before You Get Them.Mayo Clinic. (2023). Dermal Fillers Overview.****************Leave Us a 5* Rating, it helps the show!Apple Podcast:https://podcasts.apple.com/us/podcast/beauty-unlocked-the-podcast/id1522636282Spotify Podcast:https://open.spotify.com/show/37MLxC8eRob1D0ZcgcCorA****************Follow Us on TikTok & Subscribe to our YouTube Channel!YouTube:@beautyunlockedspodcasthourTikTok:tiktok.com/@beautyunlockedthepod****************Intro/Outro Music:“Fame Inc” by Savvier — https://icons8.com/music

Prof Angus Dalgleish is a professor emeritus of oncology at St Georges-University of London and a visiting professor at the institute of Cancer Research in London, who is recognized worldwide for his contributions in cancer and HIV research. Dr. Dalgleish is the co-discoverer of identifying the CD4 receptor as a major cellular receptor for HIV. He has published approximately 500 papers in the peer-reviewed literature, and is a fellow of the Academy of Medical Sciences and the Royal College of Physicians. Early during the Covid pandemic, Dr. Dalgleish was a member of a selective group that as early as March 2020, just a few months after the first announcement of the pandemic coronavirus, claimed the Covid-19 virus originated from the Wuhan Institute of Virology. Gus has been an outspoken critic of government lockdowns, mask mandates and the Covid vaccines, notably the mRNA vaccines by Pfizer and Moderna.