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    THIS EPISODE:

    Summary of key points from previous episodes on GenomicsPersonalised care: PharmacogenomicsHow to discuss genomics with your patientsThe importance and impact of genetic testing


    Special thanks to our guest speakers:

    Dr Pooja Dasani. Lead genomic counsellor, North Thames GMSA and Principal genetic counsellor, North East Thames regional genetics service (Great Ormond Street Hospital)

    Dr Anwar Khan. GP with a Special Interest in Genomics.


    SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service. Special thanks to Shazia Mahamdallie for leading and overseeing the genomics project and team and to Anwar Khan for his incredible insights, awareness and contributions.

    Useful links:

    Refer back to episode 3 on FH and CF to learn more - NHSE GeNOTES for Primary Care: Two-tier NHS information resource centred around clinical scenarios and encyclopaedia of further learning resources – click HERENHSE Genomics National Test Directory – click HERENTGMS Cystic Fibrosis (CF) Carrier Testing in Primary Care: Bitesize resources and Toolkit – Click HERE

    OUR PAGE ON LINKEDIN: www.linkedin.com/company/primarycareuk

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    In this episode of the NHS News show, hosts Emma Borders and Simon discuss pressing issues in primary care and recent NHS developments, focusing on Health Secretary Wes Streeting's commitment to reform amidst funding disparities. They highlight the alarming trend of GP practices returning contracts due to unsustainable costs, which leaves many patients without care.
    The conversation also addresses the challenges of integrating technology in patient care due to staff digital literacy gaps, and GPs' concerns regarding workload management amid potential industrial action. The episode ends on a positive note with high patient satisfaction rates from the GP survey, encouraging healthcare workers to focus on successful interactions while maintaining supportive communication within the community.

    Emma is a senior nurse and Si is a Paramedic and Advanced Clinical Practitioner. Representing Primary Care UK, they discuss what these news headlines mean for us working in the front line.

    If you want to add to these discussions, you can do so through out LinkedIn Community group: Primary Care Community: Share Your Attitude! | Groups | LinkedIn

    Presented by Emma Borders and Simon Robinson.

    OUR PAGE ON LINKEDIN: www.linkedin.com/company/primarycareuk

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS FIFTH EPISODE of Primary Care UK's six-part series on genomics, hosts Claire and Munir are joined by Anwar Khan and Sophia Varadkar to discuss the significance of rare diseases in the realm of primary care. The episode emphasizes the prevalence and impact of rare diseases, elaborating on how genomics can provide crucial insights for early diagnosis, treatment, and family counselling.

    The discussion covers the importance of genetic testing, the role of primary care professionals in identifying and managing rare conditions, and the broader implications of equitable access to genetic services.

    Special thanks to our guest speakers:

    Dr Sophia Varadkar. Co-Medical Director North Thames Genomic Medicine Service, Deputy Medical Director and Consultant Paediatric Neurologist, Great Ormond St Hospital for Children NHS Foundation Trust, London

    Dr Anwar Khan. GP with a Special Interest in Genomics.

    SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service

    Useful links:

    National Genomics Education Programme – Knowledge Hub – What is rare disease? Click HERENational Genomics Education Programme – Primary Care - Presentation: Patient with a family history of sudden cardiac death. Click HERENational Genomics Education Programme – Knowledge Hub – The Generation Study. Click HERENHS Race and Health Observatory - Ethnic inequities in genomics and precision medicine review report. Click HERE

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    THIS EPISODE is about Cultural Awareness. Irina Varlan speaks to two clinicians who have an interest in this area, as they cover important issues such as:

    How to approach culure conversations, and what language to use when discussing.Important principles to bear in mind.By way of example, there will be a focus on Muslim patients fasting in Ramadhan. And a vareity of other points worth knowing about different cultures and approaches we can use

    Special thanks to our guest speakers:

    Dr Margaret Abbott, Health inequality lead for Nottingham City & GP;Farheen Jessa- was a Psych pharmacist at Notts HC trust with an interest in the stigma attached to mental health in the Asian community.

    Useful links:

    Elearning for health Cultural awareness training modules: https://portal.e-lfh.org.uk/Component/Details/438885Government Migrant Health website: Migrant health guide - GOV.UK (www.gov.uk)Diabetes Uk Diabetes and Ramadan | Fasting | Diabetes UKBMJ infographic about things to consider in Ramadan (not just diabetes) Ramadan fasting with existing conditions | The BMJBritish Islamic Medical Association advice on various topics: Advice | British Islamic Medical Association (britishima.org)


    OUR PAGE ON LINKEDIN: www.linkedin.com/company/primarycareuk

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    THIS EPISODE: Do you agree there is more that needs doing to detect cancer early, and to treat optimally?

    This is episode 4 of the 6-part Genomics mini-series, and looks at:

    Cancer and the role of Primary Care in early diagnosis/detectionUsing Breast cancer & Lung cancer genomics as examplesHighlighting what you, the primary care clinician can doHow genomics helps, not only for diagnosis, but in several other ways.

    If you work in primary care and patients consult you, and you want cancer diagnosis and survival to improve, you should listen to this episode.

    SPECIAL THANKS to our guest speakers:

    Dr Angela George, North Thames Genomic Medicine Service Co-Medical Director, and Consultant Medical Oncologist and Consultant in Oncogenetics at the Royal Marsden Hospital.

    Dania Shoeb, GP Partner with a special interest in Genomics.

    SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service

    USEFUL LINKS:

    North Thames Genomic Medicine Service – CLICK HEREThe Royal Marsden NHS Foundation Trust Patient information library - Implications of alterations in BRCA1 and BRCA2 – CLICK HEREThe NHS Jewish BRCA Testing Programme - Link correct at the time of publication – CLICK HEREThe NHS Genomics Education Programme - Family History – CLICK HERE

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE, doctors Catherine Byrne and Rahul Mohan discuss the critical aspects of managing chronic kidney disease (CKD) in primary care. They explain: the definition, prevalence, and risk factors of CKD, highlighting its association with other conditions such as hypertension, diabetes, and cardiovascular diseases.

    Led by podcast host Irina Varlan, the conversation covers the role of primary care in early detection, optimal management, and timely referral to secondary care. They also discuss the importance of lifestyle modifications and the advancements in CKD treatments, including the adoption of new medications like SGLT2 inhibitors and finerenone. The discussion emphasizes the need for accurate coding and record-keeping in primary care to ensure effective monitoring and improved patient outcomes. Finally, the episode provides insights into various resources available for patients to help them understand and manage their condition better.

    SPECIAL THANKS TO GUEST SPEAKERS:
    Catherine Byrne, kidney consultant in Nottingham City Hospital. CKD Midlands Renal Network Lead
    Rahul Mohan, GP in Rushcliffe and GPwER in Diabetes and CVRM Medicine, Nottingham and Nottinghamshire ICB. Board member, national Executive Committee of Primary Care Diabetes Society and SAHF.



    OUR PAGE ON LINKEDIN: www.linkedin.com/company/primarycareuk

    USEFUL RESOURCES:
    CKS link-https://cks.nice.org.uk/topics/chronic-kidney-disease/

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    Imagine you had a time-bomb inside your body ticking away... now imagine that your GP surgery had the ability to detect it and defuse it, but didn't. How would that make you feel?

    Familial hypercholesterolaemia is common and dangerous without treatment, yet most cases remain undiagnosed. The condition highlights the key role that primary care plays in terms of genomics.

    IN THIS EPISODE Claire and Munir speak with those who have a clear insight into FH as a genomics condition, what you working in primary care can and should do, and that it's really not that difficult.

    There is also brief coverage of Cystic Fibrosis, which in fact is one of three conditions where primary care has direct access to genetics.

    Special thanks to our guest speakers:

    Dominic Studdart, specialist Genomics nurse
    Anwar Khan, GP with special interest in Genomics.

    SPONSOR: The Genomics series is sponsored by the North Thames Genomics Medicine Service.

    Useful links: Genomics episode links (primarycareuk.org)

    OUR PAGE ON LINKEDIN: www.linkedin.com/company/primarycareuk

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    What you, as a primary care clinician should know about:
    - Vaping
    - The General Practice contract deal
    - GPs getting abused.

    Emma is a senior nurse and Si is a Paramedic and Advanced Clinical Practitioner. Representing Primary Care UK, they discuss what these news headlines mean for us working in the front line.

    If you want to add to these discussions, you can do so through out LinkedIn Community group: Primary Care Community: Share Your Attitude! | Groups | LinkedIn

    Presented by Emma Borders and Simon Robinson.

    OUR PAGE ON LINKEDIN: www.linkedin.com/company/primarycareuk

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    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    THIS EPISODE: Having understood the importance of Genomics in Primary Care, we start the beginning, and cover the basic terms concepts and how we in primary care should move forward when faced with a patient with such a presentation.

    This is episode 2 of our 6 part series.

    The episode is about helping you understand Genomics terminology, applicability to primary care, the importance of taking a family history, examples of relevant conditions that we encounter in a GP surgery and about where and when to refer, particularly for genetic tests.

    As your 'average' frontline GP and paramedics, co-hosts Munir Adam and Claire Green speak to the experts, to whom we are grateful:

    Dr Angela Brady, Consultant Clinical Geneticist North West Thames Regional Genetics Service, Joint Clinical Education Lead North Thames Genomic Medicine Service Alliance.Dr Faye Dannhauser, Portfolio GP and GP Lead for the North Thames Genetic Medicine Alliance.

    SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service.

    Useful links:
    The NTGMS: https://www.norththamesglh.nhs.uk/education-resources
    Education programme: https://www.genomicseducation.hee.nhs.uk/education/​
    National Genomic Test Directory: NHS England » National genomic test directory

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    Let's continue the discussion... Please check part 1 if you haven't already.

    So are PA's replacing doctors?
    And let's get to the bit that matters most: What should we be doing about this?

    Quite specifically, what can YOU do about this?

    This is the SECOND HALF of a discussion in which hosts Munir Adam (the GP) and Marium Hanif (the PA) explore the PA role and upcoming PA regulation by the GMC 2024.

    SPECIAL THANKS: To Stephen Nash, Physician Associate and Founder at UMAPs Limited (United Medical Associate Professionals).

    USEFUL LINKS: E36/38: Are Physician Associates replacing Doctors: USEFUL LINKS. (primarycareuk.org)

    OUR PAGE ON LINKEDIN:
    www.linkedin.com/company/primarycareuk

    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    THIS EPISODE: Do you have any idea about how much of a role Genomics is beginning to play in the care of our patients? Or do you continue to pretend it doesn't matter?

    We're excited to introduce a 6-part series that demystifies genomics for Primary Care staff. In a manner that is easy-to-understand and grounded in the realities of working in Primary Care, the experts cover everything we need to know, step-by-step. This is episode 1 of 6.

    The episode is about helping you understand the importance of Genomics to Primary Care Professionals. You will learn that applying Genomics is actually more for Primary Care than for anyone else (including geneticists). You'll also learn that it doesn't have to be complicated.

    As your 'average' frontline GP and paramedics, co-hosts Munir Adam and Claire Green speak to the experts, to whom we are grateful:

    Dr Angela George, North Thames Genomic Medicine Service Co-Medical Director, and Consultant Medical Oncologist and Consultant in Oncogenetics at the Royal Marsden Hospital. Dr Anwar Khan, working GP and GP Lead for Genomics (NTGMSA).

    SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service.

    Useful links:
    The NTGMS: https://norththamesgenomics.nhs.uk/about-the-gms/
    FH Article: Summary of Management of Familial Hypercholesterolaemia in General Practice | RCGP Learning

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    THIS EPISODE: As a Doctor do you have concerns about the impact of Physician Associates on you, and on patient safety? Or do you welcome their contributions?

    As a PA are you a welcome part of the team and well supported?

    As an AHP or Nurse, can you relate to some of the tensions that exist between the professions?

    This is the FIRST HALF of a discussion in which hosts Munir Adam (the GP) and Marium Hanif (the PA) explore the PA role and upcoming PA regulation by the GMC 2024. With input from Stephen Nash, they discuss experiences on the ground, the variety of concerns: Training, pay disparity, supervision, competing roles, and more.

    Special thanks to Stephen Nash, Physician Associate and Founder at UMAPs Limited (United Medical Associate Professionals).

    Useful links: E36/38: Are Physician Associates replacing Doctors: USEFUL LINKS. (primarycareuk.org)

    Our page on Linkedin:
    www.linkedin.com/company/primarycareuk

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    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE we look back over the last year's episodes and hear short snippets from some of the speakers. This is so that you can:

    Re-visit the discussions and recall useful learningDecide if you want to re-listen to the conversationAsk yourself whether you managed to implement the changes that you thought you wouldDecide if you want to listen to an episode, if you haven't already.


    USEFUL LINKS: See individual episodes.

    SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    Do any of these things mean anything to you:

    Shortage of GP appointments!Changing skill mix in Primary Care: Allied Health Professionals. Lucy Letby case & trust in HCPs

    Why does it affect us? What can we do about it? Dawn and Simon discuss possible implications for Primary Care professionals. Do you agree with them?

    Dawn Hunt, Practice Nurse. Clinical Lead at Integrated Care Support Services
    Simon Robinson, Advanced Care Practitioner (Paramedic)

    USEFUL LINKS:

    Launch of NHS pharmacy first advanced services: https://bit.ly/49WSm0RI’m a GP-here’s why you cant get an appointment. Dr Ellen Welch Published 6-02-24 in I By Sadhbh O’Sullivan: https://apple.news/AZ_beTvrTTCu6-Ny4l70wagHow not to waste your doctor’s time, by a fed up GP. https://apple.news/AfeyseNWwRTGNMknlcKTXogRCN whistleblowing advice: https://bit.ly/3T0GlAuCoaching for staff in SWL: Multi-Professional Coaching | Integrated Care Support ServicesCoaching for HCPs across UK: NHS England » Looking after you tooLucy Letby case: https://bit.ly/3IjUeF4

    SEASON 2 is produced in partnership with Integrated Care Support Services supporting practices and ICBs with back-office support. (www.integratedcaresupport.com)

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    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    THIS EPISODE features a discussion on the critical issue of air pollution and its significant impact on health. Experts from London share insights on the pervasive problem, though the topic is highly relevant UK wide. They discuss different sources of pollution, health effects and the current climate change crisis, and the responsibility and potential for clinicians to advocate change.

    This podcast is released on 15th February 2024 in memory of the life of Ella Adoo-Kissi-Debrah and as a testament to the work of her family in bringing this important issue to the forefront of our knowledge.

    Our esteemed guests:
    Professor Kevin Fenton (CBE): Public Health Director for London
    Rosamund Adoo-Kissi-Debrah (CBE): Founder & Director of the Ella Roberta Foundation
    Dr Jo Sauvage: GP and CMO of NCL ICB & Co-Chair of London Air Quality Programme Delivery Group.
    Dr Mark Hayden: Paediatrician, Great Ormond Street Hospital
    Dr Karen Exley: Air Quality and Public Health Programme Lead, UKHSA (UK Health Security Agency)
    Dr Sarah Robertson: Principal Environmental Public Health Scientist, Environmental Hazards and Emergencies Department. UKHSA

    USEFUL LINKS:

    Chief Medical Officer's annual report 2022: https://bit.ly/3vfvhaQAll our health - elearning: https://bit.ly/3Vi21LiClean Air Hub: Global Action Plan: https://bit.ly/3Vi21LiNHS England... children & Asthma: https://bit.ly/3PqBW95Outdoor air quality & Health (NICE): https://bit.ly/48XUXXlPollution intro for HCWs: https://bit.ly/43jsn1v

    Produced in partnership with Integrated Care Support Services: www.integratedcaresupport.com

    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE: Really get to understand mental health, both for yourself and for your patients.

    Co-host, Irina Varlan speaks with Matt Elswood, about the complexities of mental health conditions, stressing the importance of understanding mental health better rather than offering oversimplified solutions. Elswood emphasizes the need for non-prescription solutions such as developing gratitude, agency, and humility. He presents five categories of preventative measures for all to know about and also the barriers to accessing care. The conversation also covers the importance of building rapport with patients and the necessity of tailoring care and public health initiatives to improve mental health outcomes.

    Understanding the Spectrum of Mental Health Issues; Genetics, life experiences and insulating yourselfThe Impact of Social MediaHealth InequalitiesAccess to support ServicesConsultation SkillsThe Importance of ContinuityPlanning for an Ideal Future for Mental Health CareThe Role of Parenting and Early Life Initiatives in Mental Health

    SPECIAL THANKS to our guest speaker: Matthew Elswood, Chief Pharmacist, Nottinghamshire Healthcare, National Specialty Advisor – Mental Health Pharmacy, NHS England, Honorary Associate Professor, University of Nottingham School of Pharmacy

    USEFUL LINKS:
    Bonus Episode: Matt Elswood. - YouTube

    Medication side effects: Medication Used to Treat Schizophrenia and Their Side Effects | with Pharmacist Matthew Elswood - YouTube

    Improve their own MH: Mental Health Toolkit: Tools to Bolster Your Mood & Mental Health - YouTube

    SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE Claire and Munir from the PCUK team talk to Rachel Morris about the challenges in General Practice in these turbulant times with evolving roles and uncertainties. She explains how to think about this differently, in order to not only survive, but to thrive.

    SPECIAL THANKS to our guest speaker: Dr Rachel Morris.

    Rachel is former GP who now helps doctors and other professionals in high stress, high stakes jobs beat burnout and work happier. Rachel is the host of the Apple Top 100 UK Business Chart podcast ‘You Are Not a Frog’ and creator of the Shapes Toolkit Resilience Training Programme.

    Rachel knows what it’s like to feel overwhelmed and one crisis away from not coping. She believes that you don’t need to dramatically change careers to thrive in your 9-5 (or 8-8) but by thinking differently, you can make deliberate choices to feel calmer, get some time and headspace and love what you do again.

    Co-hosts:
    Claire Green Paramedic/Trainee ACP
    Munir Adam, GP & Educator

    USEFUL LINKS:

    Listen to the You Are Not A Frog podcast: https/youarenotafrog.com

    Download some FREE resources about The Zone of Power to share with your team including a bitesize video and team activities
    www.shapestoolkit.com/ZoP-bitesize-signup

    SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE: Munir Adam discusses the common issue of lower back pain with an expert in the field who:

    starts by reminding us about the basics, red flags and then also the need for patient education and empowerment to manage their own pain, instead of relying solely on strong analgesia. He also discourages unnecessary spine surgery and advises avoiding gabapentin or pregabalin for lower back pain management, as they have been shown to have no beneficial effect. The discussion then shifts towards a newly developed implant technology called 'spinal cord stimulation,' which creates an electromagnetic field to block pain impulses. Managing low back pain discussion concludes with an insight into a residential, three-week pain management program aimed at those with severe psychosocial issues.

    SPECIAL THANKS to our guest speaker:

    Dr Adnan Al-Kaisy- Consultant in pain medicine MB ChB, FRCA, FPMRCA, FIPP

    The episode was produced with input from Guys & St Thomas' Private Healthcare.

    USEFUL LINKS:

    Overview | Low back pain and sciatica in over 16s: assessment and management | Guidance | NICE

    Dr Adnan Al-Kaisy - Guy's and St Thomas' Private Healthcare (guysandstthomasprivatehealthcare.co.uk)

    Pain services - Overview | Guy's and St Thomas' NHS Foundation Trust (guysandstthomas.nhs.uk)

    SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE: Does the global war and conflict affect your role in Primary Care?

    Co-hosts Dawn Hunt and Munir Adam discuss the challenges healthcare professionals face due to global conflicts. Referring to the emotional toll and distress caused by news of the wars, they delve into how healthcare professionals should maintain professionalism when patients or colleagues share their own struggles and anxieties about war-torn countries. They emphasize self-awareness, maintaining personal wellbeing, remaining sensitive to patients' diverse viewpoints, and upholding professional boundaries in the workplace. They also discuss navigating political matters in social media and protests, with guidance from Mark Swindells, who works for the General Medical Council.

    The episode encourages healthcare providers to remain vigilant about their duties and responsibilities.

    SPECIAL THANKS to Mark Swindells, Assistant Director, Standards and Ethics Team, General Medical Council.

    This episode has been reviewed and approved by the General Medical Council, and has been submitted for approval to the Nursing and Midwifery Council, and we understand it to be based on its guidance.

    USEFUL LINKS:
    Personal Beliefs: Personal beliefs and medical practice - professional standards - GMC (gmc-uk.org)

    Social media: Doctors use of social media - professional standards - GMC (gmc-uk.org)

    The updated GMP: Good medical practice 2024 - GMC (gmc-uk.org)

    SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.

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    IN THIS EPISODE: Are you doing justice to your patients with Learning disability?
    Irina Varlan interviews senior pharmacist Alison Barr to discuss the important topic of Learning Disability.

    The discussion underlines the importance of extra effort in assisting these patients access healthcare services because they may face more limitations than others. The podcast continues the ongoing series about patients who suffer due to the 'inverse care law'.

    A significant part of the conversation is an interview with Alison Barr, Principal Pharmacist for LD and Autism for Nottinghamshire Healthcare NHS Foundation Trust. Alison sheds light on the definition and diagnosis of LD, the difference between mild and severe forms of LD, how medication for LD is managed, and what guidelines are available for care management. She emphasizes the importance of building quality relationships with patients for improving their engagement with healthcare services. The episode also discusses how raising awareness amongst primary care teams and offering reasonable adjustments can aid in providing better care for patients with LD.

    From the PCUK Team:
    Irina Varlan, Clinical Pharmacist & co-host
    Munir Adam, GP & host.

    SPECIAL THANKS to our guest speaker: Alison Barr, Principal Pharmacist for LD and Autism; Nottinghamshire Healthcare NHS Foundation Trust.

    USEFUL LINKS:
    www.mencap.org.uk/learning-disability-explained/communicating-people-learning-disability

    LOTS MORE AMAZING RESOURCES: Check the show notes for this episode on our main website www.primarycareuk.org

    SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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    JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

    RATE US & comment on Apple podcasts/ Spotify (our humble request).

    CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

    DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

    Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

    (C)Therapeutic Reflections Limited.