Primary Care UK: Let's Learn Together

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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/3vfvhaQ
• All our health - elearning:  https://bit.ly/3Vi21Li
• Clean Air Hub: Global Action Plan:  https://bit.ly/3Vi21Li
• NHS England... children & Asthma:  https://bit.ly/3PqBW95
• Outdoor air quality & Health (NICE):  https://bit.ly/48XUXXl
• Pollution 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 yourself
• The Impact of Social Media
• Health Inequalities
• Access to support Services
• Consultation Skills
• The Importance of Continuity
• Planning for an Ideal Future for Mental Health Care
• The 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.

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IN THIS EPISODE Co-host Emma Borders updates Munir Adam and all of us on the current position of Covid-19.  Has the danger really gone away?  How common is it now?  And, most importantly, what should we be doing in Primary Care? 

The episode will summarise the current position, and focus on vaccination.  

 As well as being part of the PCUK podcast team and an experienced practice nurse, Emma is also a senior educator and a Covid Vaccination Champion, and trains the multi-professional workforce on this issue.

USEFUL LINKS: 

Which COVID-19 Vaccine?
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1171095/UKHSA-12555-which-COVID-19-vaccine-2023-poster-landscape.pdf

NHSE elfh Hub (e-lfh.org.uk)

Immunisation against infectious disease - GOV.UK (www.gov.uk)

Cornwall Primary Care Training - Immunisation Training Video Resource

FAQs about vaccines | Vaccine Knowledge Project (ox.ac.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:  Are we fulfilling the rights of our homeless patients?  

Munir Adam has a conversation with Keith and Carla who work at a GP Practice that treats homeless patients.   They share their experiences, insights, and suggestions for how each of us, wherever our practice is based, can provide a better service for this vulnerable group.  

Dealing with homeless patients forms the start of a mini-series dealing with groups of patients to whom the inverse care law applies.  Though much is outside our control, there are things we CAN do to provide them with better care. 

SPECIAL THANKS to our guest speakers:
Keith  McDonald, GP,  The Dr Hickey Surgery - Caring for the homeless
Carla Boreland, Advanced Nurse Practitioner, Homeless Healthcare.

USEFUL LINKS: 

• https://helpbristolshomeless.org/
• https://groundswell.org.uk/what-we-do/homeless-health-peer-advocacy/
• https://groundswell.org.uk/wp-content/uploads/2022/05/Hospital-Homeless-pathway-teams-directory.pdf
• https://passage.org.uk/contact-us/our-centres-and-opening-times/
• https://www.connection-at-stmartins.org.uk/
• https://www.turning-point.co.uk/
• https://www.turning-point.co.uk/services/daws
• https://www.mungos.org/contact-us/#:~:text=For%20general%20enquiries%2C%20please%20call,email%20within%20two%20working%20days.

 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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THIS IS part 2 of 2 on the topic of Advance Care Planning, and here we consider:

• The difference that a care plan can make
• What it should include 
• What format that it can take  
• The Universal Care Plan as being an example of this.  

SPECIAL THANKS to our guest speakers: 
Dr Eva Kalmus, Interface Medicine GP Sutton Health and Care @Home Clinical Lead for End of Life Care Sutton
Jodie Grace, Paramedic, London Ambulance Service.
Sarah Fischer, Transformation Manager - Universal Care Plan Programme

USEFUL LINKS: 

Marie Curie:  www.mariecurie.org.uk/professionals/palliative-care-knowledge-zone/proving-good-quality-care/advance-care-planning?msclkid=5fe931bbf6131160d861554f74fb33c1

NHS England:  universal-principles-for-advance-care-planning.pdf (england.nhs.uk)

Universal Care Plan:   https://ucp.onelondon.online/

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:  Where did all these new roles come from?

We take head-on what could arguably be described as the biggest change in Primary Care for a long time - the transformation of the workforce.  Well embedded GPs and nurses know it, and the newcomers know it.  But what does this mean? Why is it happening?  How do we get it right?  Here is an opportunity to listen to the perspective of different professional groups, as below...

SPECIAL THANKS to our guest speakers:

• Dr Rachel Roberts, Primary Care Dean, London, and Clinical Director of Primary Care Workforce, NHSE London region 
• Paul Jeffrey, Strategic Lead, General Practice Nursing, NHS Cornwall and Isles of Scilly Integrated Care Board, Cornwall training hub.  Queens Nurse.
• Irina Varlan, Specialist Interface Pharmacist for NHS Nottingham and Nottinghamshire ICB.
• Andrew Preece, Advanced Paramedic Practitioner (Urgent care) Clinical Supervisor.
• Chaima Hale, NHSE Physician Associate Ambassador for North Central London.

USEFUL LINKS: 

• Attached is the Retaining GPNs leaflet and the link to Allison Leary Lecture below that I mentioned:  https://bit.ly/3TGBCpp
• https://youtube.com/playlist?list=PL0iI-soGFKUVOV4zIyw4t8uaRjckDo0Z5

SEASON 2 is supported by funding and back-office support from Integrated Care Support Services.  ICSS supports practices/ ICBs with Projects & 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.