Primary Care UK: Let's Learn Together

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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/detection
• Using Breast cancer & Lung cancer genomics as examples
• Highlighting what you, the primary care clinician can do
• How 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 HERE
• The Royal Marsden NHS Foundation Trust Patient information library - Implications of alterations in BRCA1 and BRCA2 –  CLICK HERE
• The NHS Jewish BRCA Testing Programme - Link correct at the time of publication – CLICK HERE
• The 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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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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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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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:  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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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:  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:

1. Re-visit the discussions and recall useful learning
2. Decide if you want to re-listen to the conversation
3. Ask yourself whether you managed to implement the changes that you thought you would
4. Decide 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/49WSm0R
• I’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-Ny4l70wag
• How not to waste your doctor’s time, by a fed up GP. https://apple.news/AfeyseNWwRTGNMknlcKTXog
• RCN whistleblowing advice: https://bit.ly/3T0GlAu
• Coaching for staff in SWL: Multi-Professional Coaching | Integrated Care Support Services
• Coaching for HCPs across UK: NHS England » Looking after you too
• Lucy 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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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.