Primary Care Knowledge Boost

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 in place for a number of specialties for primary care clinicians to ask questions to consultants, getting an answer that will help guide patient care within a matter of short weeks at most. We talk about the system and where it can fit in to make a difference to patient care. We take the opportunity to go through some common themes and glean learning points from these to help our own practice.

Useful resources: 

Wigan, Wrightington and Leigh have their own LFTs guideline that should be available on the intranet or contact the local CCG

BMJ LFTs Algorithm 2017: https://www.bsg.org.uk/wp-content/uploads/2019/12/Guidelines-on-the-management-of-abnormal-liver-blood-tests.pdf

Greater Manchester Guidelines for managing patients with dyspepsia in primary care: https://gpexcellencegm.org.uk/resources/guidelines-for-managing-patients-with-dyspepsia-in-primary-care/#.YFEP4C2l23U

NICE guidelines Chronic Heart Failure in Adults: Diagnosis and Management (2018) https://www.nice.org.uk/guidance/ng106

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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

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This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 improvement, and some helpful tools and tips to think about before you start. We hope it’s accessible for all within general practice, and think it provides a great starting point for those considering quality improvement within their setting.

Useful resources: 

Quality Improvement Resources by the Royal College of General Practitioners:

RCGP QI Ready: https://qiready.rcgp.org.uk/ 

Domains of Healthcare Quality:

Public Health England National General Practice Profiles:

GP Patient Survey data: https://www.gp-patient.co.uk/ 

Prescribing data: https://openprescribing.net/ 

Institute for Healthcare Improvement (IHI) Model for Improvement: http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx 

The Health Foundation booklet: Quality Improvement made simple, written by Bryan Jones, Esther Kwong and Will Warburton:

RCGP Quality Improvement Webcast with Dr Joanna Bircher Aug 2019:

The Q Community Webcast: ‘Can QI help us to match capacity and demand in General Practice with Dr Joanna Bircher’:

Run Chart Tool: https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/A-guide-to-creating-and-interpreting-run-and-control-charts.pdf 

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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 consultations can be welcoming, before considering Hormone Replacement Therapy and NHS funded surgical options which are potential options for people accessing Gender Clinics. We move onto health issues that disproportionately affect Trans and Non-Binary people, and discuss important resources for clinicians and patients. A lot more could be said but we hope you will find this a useful resource for the whole Primary Care Team to access. 

Useful resources: 

LGBT Foundation including links to Pride in Practice: https://lgbt.foundation/

GMC ethical guidelines: Your rights as lesbian, gay, bi and trans patients: https://www.gmc-uk.org/Ethical-guidance/Patient-guides-and-materials/LGBT-patient-guide?utm_source=press&utm_medium=press%20release&utm_campaign=LGBT

Royal College of General Practitioners Transgender Care: https://www.rcgp.org.uk/policy/rcgp-policy-areas/transgender-care.aspx

TransActual UK: Supporting trans patients: A brief guide for GP surgery staff (excellent resource and links): https://www.transactual.org.uk/gp-surgery-trans

Information for trans and non-binary patients seeking fertility treatment: https://www.hfea.gov.uk/treatments/fertility-preservation/information-for-trans-and-non-binary-people-seeking-fertility-treatment/

Changing Name Greater Manchester LMC Guidance: https://manchesterlmc.co.uk/wp-content/uploads/2016/06/LGBT-Foundation-changing-a-trans-persons-name.pdf

Changing Name and Gender, Primary Care Support England Flow Diagram: https://pcse.england.nhs.uk/media/1291/process-for-registering-a-patient-gender-re-assignment.pdf

Greater Manchester Indigo Gender Service: https://indigogenderservice.uk/

Gender Identity Research and Education Society (includes eLearning packages): https://www.gires.org.uk/

The World Professional Association of Transgender Health: https://www.wpath.org/

The Royal College of General Practitioners Gender Variance eLearning module: https://elearning.rcgp.org.uk/course/search.php?search=transgender

Mutual Aid Resource for trans and non binary people in Greater Manchester: https://www.consortium.lgbt/member-directory/trans-mutual-aid-manchester/

Information about Hate Crimes, reporting them and third party Hate Crime centres: https://www.report-it.org.uk/home

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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 was supported by Greater Manchester Training Hub.

Useful resources: 

Greater Manchester Primary Care Careers: https://gmprimarycarecareers.org.uk/jobs/

Greater Manchester Training Hub: https://www.gmthub.co.uk

A Roadmap to Practice: https://www.hee.nhs.uk/sites/default/files/documents/A%20Roadmap%20to%20Practice.pdf

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 was supported by Greater Manchester Training Hub.

Useful resources: 

Primary Care Pharmacy Education Pathway: https://www.cppe.ac.uk/career/pcpep/pcpep-training-pathway

A Roadmap to Practice: https://www.hee.nhs.uk/sites/default/files/documents/A%20Roadmap%20to%20Practice.pdf

Greater Manchester Training Hub: https://www.gmthub.co.uk

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 registration side entails. She also provides great examples of some of the work that she has been involved with in her PCN.

This episode was supported by Greater Manchester Training Hub.

Useful resources: 

The National Pharmacy Association (NPA): https://www.npa.co.uk/

Primary Care Pharmacy Education Pathway: https://www.cppe.ac.uk/career/pcpep/pcpep-training-pathway

General Pharmaceutical Council: https://www.pharmacyregulation.org/

Greater Manchester Primary Care Careers: https://gmprimarycarecareers.org.uk/jobs/

Greater Manchester Training Hub: https://www.gmthub.co.uk

Community Pharmacist Consultation Service (CPCS): https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacist-consultation-service/

Royal Pharmaceutical Society: https://www.rpharms.com/

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 discussion with the caveat of not teaching ourselves how to put up with toxic work environments, but to consider how we can take control over things that we do have some control over. We discuss the importance of prioritising, planning your week, doing your best work at the best time and consider the importance of ‘catching the story that you’re telling yourself’. We then consider coping with the negativity in the media about general practice at the moment, assertiveness and the difference between stress and burnout.

This episode was supported by Greater Manchester Training Hub NHSE GP Fellowship programme. 

Useful resources: 

Greater Manchester Training Hub NHSE GP Fellowship information: https://www.gmthub.co.uk/offers/gp-fellowship

Dr Rachel Morris’s Podcast and Wellbeing/Resilience resources: https://youarenotafrog.com/

NHS Practitioner Help: https://www.practitionerhealth.nhs.uk/

Book recommendation: ‘Essentialism: The Disciplined Pursuit of Less’ by Greg McKeown https://uk.bookshop.org/books/essentialism-the-disciplined-pursuit-of-less/9780753558690

Book Recommendation: ‘The 7 Habits of Highly Effective People’ By Stephen Covey https://uk.bookshop.org/books/the-7-habits-of-highly-effective-people/9780762408337

Permission to Thrive monthly Webinars for doctors: https://www.shapestoolkit.com/permission-to-thrive

Resilient Team Academy - membership for leaders in Healthcare to help team to beat burnout and work happier: https://www.shapestoolkit.com/resilient-team-academy-2021

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of Greater Manchester training hub, GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 high value examination findings that could help us clinch the diagnosis and put his approach to the test with some theoretical cases. 

Useful resources: 

A resource for clinicians and patients around Functional Neurological Disorder: https://www.neurosymptoms.org/en_GB/

An example of a link to buy a 128 Hertz Tuning fork: https://www.amazon.co.uk/Gardiner-Brown-128Hz-Vibration-Tuning/dp/B005GZ1RG0/ref=dp_prsubs_2?pd_rd_i=B005GZ1RG0&psc=1

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 patients, and her thoughts about referral indications.

Useful resources: 

British Association of Dermatologists: https://www.bad.org.uk/  

Primary Care Dermatology Society:  www.pcds.org.uk

Derm Net NZ: www.dermnetnz.org

Psoriasis Association: www.psoriasis-association.org.uk

Psoriasis and Psoriatic Arthritis Alliance, PAPAA: www.papaa.org

IMPACT study information: https://www.researchgate.net/publication/288833029_The_IMPACT_Programme_in_Psoriasis_Phase_I_-_where_we_are_now_and_future_directions

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback

____

This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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 atopic eczema. This includes navigating emollients, steroids and calcineurin inhibitors with advice on how to use these effectively. 

Useful resources: 

Primary Care Dermatology Society: www.pcds.org.uk

DermNet New Zealand: www.dermnetnz.org

GMMMG Emollient Guidelines: www.gmmmg.nhs.uk/docs/guidance/GM-Emollient-Ladder.pdf

GMMMG Steroid Ladder: www.gmmmg.nhs.uk/docs/guidance/GM-Steroid-Ladder.pdf

BATHE Study: https://www.rcgp.org.uk/clinical-and-research/about/clinical-news/2019/november/rcgp-research-paper-of-the-year-2018-the-bathe-study.aspx

BATHE study BMJ resources: https://www.bmj.com/content/361/bmj.k1332

___

We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://www.surveymonkey.co.uk/r/YLN6GKT

___

This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.