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Doctors Sara and Lisa speak with Consultant Psychiatrist Dr Raja Mukherjee about neurodevelopmental disorders in children. He has an interest in Foetal Alcohol Spectrum Disorder (FASD) and this is the focus of the talk. We cover what neurodevelopmental disorders are, discuss neurodiversity, common disorders such as Autism, ADHD, Dyspraxia aka Devel…
 
*Recorded in June 2020 - Summer Replay* In this episode Lisa and Sara talk to Dr Avril Danczak, a GP with an interest in managing uncertainty in medicine which led to her co-authoring the RCGP published book called Mapping Uncertainty in Medicine. We cover what uncertainty is, and why it is important to address this within medicine and general prac…
 
This week’s episode is designed for primary care clinicians wanting an overview of current diabetes management. Doctors Lisa and Sara are joined by Dr Marlon Morais and Nicola Milne to talk first about Type 1 diabetes briefly (from the GP point of view) before going on to discuss the recent changes to the NICE guidelines for management of Type 2 Di…
 
Doctors Lisa and Sara are joined by Diabetes Lead for Manchester CCG GP Dr Marlon Morais and Diabetes Support Lead and Diabetes Specialist Nurse Nicola Milne to discuss diagnosis of Diabetes Mellitus. We go through the types of Diabetes Mellitus, touching on MODY and LADA and get advice on avoiding common pitfalls in making a new diagnosis of Diabe…
 
Doctors Lisa and Sara welcome Consultant Haematologist Dr Chris Gregory back to the podcast to discuss bruising and bleeding issues. We go through history, examination and differentials including patterns of bleeding more associated with different causes. We cover what constitutes excessive/concerning bleeding and blood test values that would lead …
 
Drs Lisa and Sara were thrilled to welcome Professor Dame Helen Stokes-Lampard onto the podcast to talk about one of her passions within medicine - social prescribing. They discuss what social prescribing is and why it matters. They talk about the National Academy of Social Prescribing, and its current roles and remit. There are some great examples…
 
Today Lisa and Sara welcome Dr Rachel Morris back onto the podcast. Rachel is a former GP who has previously worked in GP education. She is now an executive coach and host of the wonderful podcast You Are Not a Frog. The discussion in this episode is all about assertiveness - we chat about what assertiveness is, general tips, frameworks and models …
 
This is another episode with a focus on Urology. Doctors Lisa and Sara invited Professor Ian Pearce back to speak about overactive bladder and urinary incontinence in women. They discuss the types of lower urinary tract symptoms in women (drilling down into the definitions of commonly used terms), before looking at the red flags to consider. They t…
 
Doctors Lisa and Sara speak to Judith Dawson to learn all about the ins and outs of supervising the Additional Roles Reimbursement Scheme members as the landscape stands at the moment. They discuss who can be a supervisor, the training involved and what that might mean for the day job. Useful resources: Greater Manchester Primary Care Careers: http…
 
This is another episode in the series looking at all of the different roles that exist within primary care. Doctors Lisa and Sara speak to Charlotte Cockman who is a Dietician working in Primary Care in South Manchester. They discuss what a Dietician is and what the role can look like in Primary Care. It’s a new role and can be tailored to best sui…
 
Drs Sara and Lisa tackle another urology topic today - recurrent urinary tract infections (UTIs) in non-pregnant women. They speak to Ian Pearce who is a consultant urologist at Manchester Royal Infirmary. They discuss what UTIs are, and what makes them recurrent vs relapsing. They also chat through how to assess someone with recurrent UTIs and hig…
 
****DISCLAIMER - CONTAINS STRONG LANGUAGE**** Doctors Lisa and Sara talk with GP Dr Austin O'Carroll. Austin works in Inner-City Dublin with marginalised and homeless/rough sleeping communities. He is co-founder of Safetynet Ireland, North Dublin City GP Training, and GPCareForAll. He talks to us about his take on how unhelpful the label of persona…
 
Doctors Lisa and Sara talk with Consultant Urologist Dan Burke about Lower Urinary Tract Symptoms in Men. We start with how to divide symptoms into voiding and storage. Red flags to consider are discussed, before tackling cases that lead us to talk about bladder diaries, tips for assessing the prostate and how PSA discussions have changed since the…
 
This episode is part 2 of our focus on Quality Improvement. This time Drs Lisa and Sara are joined by Dr Varshini Rajakulendran alongside Dr Joanna Bircher. Varshini is a GP who is on the NHS England fellowship, and she talks to us about a quality improvement example that she is currently working on around weight management. Joanna (our resident QI…
 
This is another episode in the series looking at all of the different roles that exist within primary care. Lisa and Sara speak to Heidi West who is a nursing associate as well as an apprenticeship facilitator for nursing associates, and Marina Khan who is a trainee nursing associate. They discuss what a nursing associate is and how they differ fro…
 
Joining doctors Lisa and Sara on today’s episode are GP and Perinatal Mental Health Champion Dr Carrie Ladd and Perinatal Psychiatrist Dr Sarah Jones. We discuss types of mental illness that can be experienced in the perinatal period and the challenges in primary care when helping patients and families. We cover tips for addressing these challenges…
 
Drs Lisa and Sara are joined by GP Dr Nikesh Vallabh, Consultant Cardiologist Dr Karthikeyan and Consultant Gastroenterologist Dr Bliss to discuss advice and guidance. For those unfamiliar, the advice and guidance system came about to try to ease pressure on the long outpatient waiting lists, providing a different way of managing some cases. It is …
 
Drs Lisa and Sara welcome Dr Joanna Bircher back to the podcast to speak about an area which she is very passionate about - Quality Improvement. We talk about what quality improvement is, how it differs from audits and why it’s so important within general practice. We also learn about the processes that can be followed when approaching quality impr…
 
Drs Lisa and Sara talk to Dr Luke Wookey, Dr Joanna Bircher and Ava Bircher for an introduction to Trans and Non-Binary Health in General Practice. We start with all important definitions, which leads us to talking about coding, healthcare records and a discussion about screening and health inequalities. We talk about how our practices and consulta…
 
Lisa and Sara speak to Sam Howard, who is an advanced clinical practitioner in primary care. She talks us through her career journey to date and what her job looks like now, as well as highlighting the varied role of an advanced clinical practitioner. She also explains details about supervision, registration and training requirements. This episode …
 
This episode is another of our lovely chats with wider members of the primary care team. Today Lisa and Sara speak to Vishika Rabadia, a senior pharmacist who is working in primary care in a PCN and CCG pharmacist role. She gives insights into the varied roles of a pharmacist within primary care, the training, and what the supervision and registrat…
 
Working in General Practice can be challenging at the best of times, but needless to say has been more challenging of late. Lisa and Sara are joined by Dr Rachel Morris; GP, coach and host of You are not a Frog Podcast. She talks us through her top tips for looking after yourself in general practice. These include: the importance of framing this di…
 
Back by popular demand, Consultant Neurologist Dr Matt Jones joins us to share his approach to assessing patients with peripheral paraesthesia. Patients don’t present with textbook terms. Dr Matt Jones takes us through how to de-code tingling, numbness and burning, and take a structured approach to these often difficult presentations. We cover the …
 
Lisa and Sara are joined again by the lovely Dr Rachel Hilton, who is a speciality doctor in Dermatology. In this episode she takes us through psoriasis - what it is, differentials to consider and associated triggers and comorbidities. She then systematically talks about the management of psoriasis, how this might need to be amended for pregnant pa…
 
Speciality Doctor Rachel Hilton joins us on the podcast to talk about eczema. You’ll hear from the episode that she is passionate about getting the basics right as a way of providing vastly better care to our patients. In the episode we cover: what eczema is, types of eczema and some important differentials, before focusing on the management of ato…
 
Originally recorded in January 2020 and released in August 2020... Early diagnosis of cancer is a huge priority in order to try to improve our cancer survival rates in the UK. Lisa and Sara took the opportunity to speak to Dr Sarah Taylor, GP in Fallowfield and Cancer Research UK Cancer Diagnosis Lead for Greater Manchester about this important sub…
 
Lisa and Sara talk to GP and Professor of General Practice Research Carolyn Chew Graham about Long COVID. We discuss what Long COVID is, its prevalence, and how to assess and manage those presenting with symptoms of possible Long COVID in primary care. We also talk about the condition in children, Long COVID clinics, and how to support patients on …
 
This episode is another of our lovely chats with wider members of the primary care team. Today Lisa and Sara speak to Laura Butroid, a pharmacy technician who is working in primary care. She gives insights into the varied roles of a pharmacy technician within primary care, and how this differs from a pharmacist. She also discusses what the training…
 
Lisa and Sara are joined by Dr Amar Rughani and Dr Joanna Bircher to discuss team working in the context of leadership. We focus on specific examples of some potential conflicts within the primary care team such as when members of a team do not get on and how to manage interruptions of a surgery. ___ Amar Rughani and Joanna Bircher (2020): The Lead…
 
Lisa and Sara talk to practice managers Amanda Ormesher and Karen Bradshaw about the role of the practice manager in general practice. This is a great episode to find out more about the role and how varied it is. We go through what a practice manager is, the different remits of practice managers and some learning points about the role for new staff…
 
Lisa and Sara talk to Occupational Therapist and Advanced Clinical Practitioner Payal Wilson about the role of occupational therapists in primary care. She talks about how to become an occupational therapist, the training involved, and how occupational therapists might work in primary care (their remit and the roles they could take on). She also di…
 
Lisa and Sara talk to Geriatrician Dr Emma Vardy & GP Dr Helen Martin all about Delirium. If we pick delirium up early and treat the right cause it can make a world of difference to patients and families. They share some great tips on how to diagnose and remember the list of causes. We also discuss the Greater Manchester delirium toolkit which was …
 
In this episode Lisa and Sara discuss the topic of Primary Care Networks with Vicky Tolliday (Nurse, Director of the social enterprise “Better Health Manchester”, and Clinical Director of a Primary Care Network), and Dr Girish Patel (GP and Clinical Director of a Primary Care Network). They explain some of the basics about Primary Care Networks; wh…
 
By popular demand we are delighted to share this talk about managing peri-menopausal symptoms in general practice! Dr Jacquelyn Gatenby joins us to discuss her approach; starting with common symptoms, alternatives to HRT, who she feels we should be offering HRT to, and the pros and cons of HRT. We talk about the contraindications, her process for d…
 
Dr Amar Rughani returns to the podcast today to share some great leadership and life skills. We spoke to him in a previous episode about the big picture of leadership skills and why they matter. In this episode we take a dive into the specifics around getting to know ourselves and how this can be useful both in leadership as well as our everyday li…
 
We are joined by Paediatric Consultant Dr Christos Zipitis to discuss a great overview of infant feeding issues. It was fabulous to go over definitions, presentations and management of colic, gastro oesophageal reflux and reflux disease, lactose intolerance and cow's milk protein allergy. We later touch on the resource ICON designed to help parents…
 
In this episode, we speak to safeguarding nurse lead Sarah Khalil, and adult safeguarding GP lead Dr Rebecca Marchmont about managing self-neglect in adult patients. We discuss the difference between neglect and self neglect, the importance of recognising both, the fundamentals of capacity, where other teams can fit in, and practical tips to help m…
 
Lisa and Sara talk to senior physiotherapists Judith Dawson and Joanne Roberts about how they became involved in physiotherapy in primary care and the roles of physiotherapists in this setting, including First Contact Practitioners. Having been part of enhancing primary care access to physiotherapy throughout the years, it’s great to get their pers…
 
The COVID pandemic caused an upheaval to the endoscopy services for suspected upper and lower gastrointestinal malignancies. To talk us through the changes in how referrals are managed and what that means for us in general practice and our patients, we’re joined by GPwSI in Gastroenterology Dr Sophie Nelson and Consultant Gastroenterologist Dr Alis…
 
The next in our series talking about additional roles in primary care is all about paramedics in general practice. Lisa and Sara speak to Scott Murray, who has been working as a paramedic within primary care for some time now, having transitioned through acute care and urgent care. He talks us through his journey, why he chose to move to primary ca…
 
Lisa and Sara are joined by Dr Amar Rughani to discuss his approach to leadership. We talk about the importance of considering our influence, place in the world and how to achieve our goals. We consider our motivations for doing what we are doing in life; the importance of taking that step back to really consider why, how and what we are doing in t…
 
As part of their mini-series in Primary Care New Roles, Lisa and Sara spoke with Physician Associate Ricky Staniland to get an idea of how he became a Physician Associate in General Practice and what his role includes at present. Definite learning points were just how varied and useful Physician associates can be in practice. As part of her role as…
 
To teach us more about the New Roles in primary care, as well as the development of existing roles in general practice, Dr Ali Lea and Primary and Community Nurse Lead Lesley Royal-Price join us. The plans for Primary Care Work Transformation are described as ‘making sure we have the right team to deliver the best care looking after people the righ…
 
Lisa and Sara talk to Dr Adam Abbs about remote consulting. Dr Abbs is a GP who has written a handbook about remote consulting which has been accredited by the RCGP. Remote consulting has been in our lives for quite some time now, and this doesn’t look likely to change anytime soon so we thought it was worth getting some more hints and tips to make…
 
Lisa and Sara are joined by Dr Uma Marthi (GP with a Special Interest in Gynaecology) to discuss some common gynaecological presentations in young girls up to teenage years. She takes us through her approach to vaginal bleeding in neonates, vaginal itch in toddlers, breast development and vaginal discharge in teenagers. The British Society for Paed…
 
Primary Care Knowledge Boost has teamed up with the Greater Manchester GP and GP Nurse Fellowship schemes as well as the Additional roles in General Practice scheme to incorporate episodes related to these topics into our schedule. Here to explain what fellowships are is GP and GM training hub Clinical Lead Dr Gill Tonge. It was really interesting …
 
In this episode, Lisa and Sara speak to consultant neurologist, Dr Matt Jones about headaches. The discussion has a focus on the diagnosis and categorisation of common headaches with a touch of management at the end. We talk through where Dr Jones starts when taking a headache history and how he categorises them. We also discuss features that would…
 
Lisa and Sara are joined by GP and HIV lead for Greater Manchester Dr Marlon Morais and Yvonne Richards, an inspiring positive speaker from George House Trust to talk about HIV in Greater Manchester. We cover what it is, it’s prevalence and opportunities for testing. We then go on to speak about the importance of early diagnosis and effective treat…
 
In this episode Lisa and Sara talk to Dr Avril Danczak, a GP with an interest in managing uncertainty in medicine which led to her co-authoring the RCGP published book called Mapping Uncertainty in Medicine. We cover what uncertainty is, and why it is important to address this within medicine and general practice. We talk about ‘what to do when you…
 
This week’s podcast episode is all about Polycystic Ovarian Syndrome with Tameside Consultant Obstetrician & Gynaecologist Dr Mahshid Nickkho-Amiry. It’s a detailed look at the subject using an example case, following this from diagnosis to management. Useful resources: Royal College of Obstetricians and Gynaecologists - Patient Leaflet on Polycyst…
 
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