Primary Care UK: Let's Learn Together

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IN THIS EPISODE We continue our Time Management series and listen to someone who is regarded by many as a passionate expert in the area of Consultations.   Whilst maintaining our focus on managing time, we discuss the pleasure that consultations can be.

SPECIAL THANKS to the guest speaker: Professor Roger Neighbour, former president of the Royal College of GPs and author of 'The Inner Consultation'.

USEFUL LINKS: 

Some books by Professor Roger Neighbour:  

Consulting in a Nutshell:  https://amzn.to/4clcPhJ

The Inner Consultation: How to Develop an Effective and Intuitive Consulting Style, Second Edition : Roger Neighbour, David Haslam, Bill Styles: Amazon.co.uk: Books

 https://www.amazon.co.uk/s?k=the+inner+consultation+by+roger+neighbour&crid=30QK7MMGO3CPM&sprefix=the+inner+consultation%2Caps%2C70&ref=nb_sb_ss_ts-doa-p_1_22>

SEASON 2 is supported by funding and back-office support from Integrated Care Support Services.  ICSS supports practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com).

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

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

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

(C)Therapeutic Reflections Limited.

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THIS EPISODE covers the all important topic of when to suspect cancer in your day to day work in Primary Care.  It also marks the start of our mini-episode series where we aim to provide useful information in a succinct way, without the extra talk (mid-month episodes).  Cancer lead Helen Stedeford explains which important things to bear in mind in relation to common cancers, suspicious presentations,  and the not-so-straightforward. 

SPECIAL THANKS to the guest speakers: Dr Helen Stedeford, GP & Clinical Lead for Cancer in Newham, East London.   
 
USEFUL LINKS: 

Information about cancer statistics, diagnosis, etc.
https://www.cancerresearchuk.org/ 

Two-week Cancer referrals:
 https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer

Gateway C MindMaps
MindMaps (gatewayc.org.uk)
(https://www.gatewayc.org.uk/cancer-maps)

SEASON 2 is supported by funding and back-office support from Integrated Care Support Services.  ICSS supports practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com).   Transcript available on website.

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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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Do you find time management in General Practice a challenge?

We kick off this season with some episodes addressing the all-too-familiar problem of managing time in Primary Care, both within and outside of the consultation.  In this episode Dr Munir Adam speaks to a GP who has a lot of good advice to share with us about how we can manage our time more efficiently. 

SPECIAL THANKS to our guest speaker: Dr Ed Pooley; GP and author of the book Managing Time in Medicine.
 
USEFUL LINKS:
1.  https://www.facebook.com/groups/difficultconversationsinmedicine/
2. mybook.to/MTIM
3. Managing time in Medicine course:  https://tenminutemedicine.podia.com/managing-time-in-medicine
4. Assertiveness and Saying No course:  https://tenminutemedicine.podia.com/burnout-to-brilliance-assertiveness-and-saying-no

SEASON 2 is supported by funding and back-office support from Integrated Care Support Services.  ICSS supports practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com).

Transcript available on website.

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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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The first season of Primary Care UK comes to an end, we've listened to your feedback and taken onboard your suggestions.  Season two starts on 1st April and this is a 2 minute trailer of what's to come.

Season 2 will consist of a main episode released on the 1st of each month, and an equally important but shorter episode on the 15th.  Along either of these channels we'll run themes that cover multiple episodes.  Transcripts will also be provided, although the quality and accuracy can not be guaranteed. 

The main month theme to kick-start the season is: Time management.

Follow us on social media: @DrMunirAdam and Primary Care UK - Let's Learn Together.

SEASON 2 is produced by the PCUK Team 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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Call it recap, revisit, revise or just looking back, here we spend 20 minutes whizzing through the 10 episodes as Season 1 comes to an end.  This can aid recall, check follow-through of any action plans you may have made, and perhaps prompt you to listen again (or listen for the first time) if you wish to.

For details of contributors, please refer to the individual episodes.

Do rate us on Apple podcasts, and let others know about this podcast - focused explicitly on the busy clinical staff in Primary Care.

We thank you for joining us in season 1, and we'll soon be back with season 2.  

Munir Adam, and the Primary Care UK team.

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  is about the General Practice Fellowship Scheme that provides funding to allow GPs and GPNs to pursue interests.  Developed by NHS England and further enhanced  in areas, such as London: The SPIN-new-to-Practice offer:  Munir Adam is joined by a variety of contributors to see how this plays out,  the benefits, the challenges  and even how AHPs, such as Pharmacists in Practice are benefitting  from it.

SPECIAL THANKS to the guest speakers: 
Dr Rachel Roberts, Primary Care Dean for London; 
Mandy Claret, Programme Manager, NCL SPIN/New to Practice Fellowship Scheme & Barnet Training Hub Manager;
Charlotte Cooley, GPN SPIN Programme Director for North London;
Sarah Buthlay, NEL SPIN Programme Manager

And to Adela, Amy, Kaitlyn, Lisa and Tamsin for enriching this further with their contributions.

This episode was developed in collaboration with North-Central London Fellowship Team on behalf of the North-Central London Training Hub. 

USEFUL LINKS:
The NHS Fellowship Scheme, England:  NHS England » General Practice Fellowship programme

HEE: GP fellowships | Health Education England (hee.nhs.uk)

Evaluation of Fellowships (Education for Primary Care Vol. 33; 2022, Issue 6) https://www.tandfonline.com/doi/full/10.1080/14739879.2022.2120832

London SPIN/Fellowship website:  https://www.hee.nhs.uk/about/how-we-work/your-area/london/salaried-portfolio-innovation-spin-scheme-%E2%80%93-new-practice-fellowships

NCL Fellowship webpage:
Spin/New to Practice Fellowships Programme (ncltraininghub.org)

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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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IN THIS EPISODE our host Munir Adam begins discussing a theme that is ever-present in the daily life of many frontline clinicians in Primary Care:  the struggle of keeping to time during consultations.  

• What are the thoughts about time management? 
• Why has this happened to us?  
• What is its impact? 
• What needs to happen?   
• Does it even matter?

This episode is followed by a series of episodes pursuing the topic of time management further.

USEFUL LINKS/RESOURCES:
The Inner Consultation; book by Roger Neighbour.

Consultation length | British Journal of General Practice (bjgp.org)(British Journal of General Practice 2017; 67 (656): 108-109.

Consultation length & patient estimation of... https://pubmed.ncbi.nlm.nih.gov/12528588/

Consultaton length v patient experience:  https://bjgp.org/content/66/653/e896

Consultation times:  BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c2554 (Published 26 May 2010).  Cite this as: BMJ 2010;340:c2554

GP Online article:  Consultation times not long enough, say 93% of GPs | GPonline 

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

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

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

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

(C)Therapeutic Reflections Limited.

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THIS EPISODE:  As an educator you may find yourself putting on a positive and confident persona, aimed at encouraging your 'students'.  But you are not immune to burnout.

Munir Adam is joined by Mary-Rose Shears, Primary Care Dean for South London, who leads us in a discussion about the challenges in supervising and educating our learners and colleagues.  The GPs are joined by experienced and senior members from various professions to discuss challenges and solutions.  

SPECIAL THANKS to: 

Mary-Rose Shears, Primary Care Dean, South London, Health Education England (HEE).

Rebecca Corneck, QN, Director of GP Nursing, South East London (SEL) ICS Training Hub

Liz Nicholls, Primary Care Tutor, Bexley Training Hub, Lead, SEL Nursing

Bianca Osei-Tutu, Physician Associate Ambassador, SEL, HEE

Graham Stretch - President of the Primary Care Pharmacy Association and Pharmacy Lead Ealing GP Federation.

This episode was produced in partnership with North-East London Training Hub.

USEFUL LINKS: 

Coaching for all NHS staff through “looking after you too” - https://www.england.nhs.uk/supporting-our-nhs-people/support-now/looking-after-you-confidential-coaching-and-support-for-the-primary-care-workforce/looking-after-you-too/

Another useful link:
https://www.nhsemployers.org/articles/beating-burnout-nhs

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

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

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

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

(C)Therapeutic Reflections Limited.

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THIS EPISODE is about getting it right when providing remote consultations to patients in the GP or Primary Care setting.  

It focuses on the sudden increase in remote consultations in recent times, and what issues we should be considering when offering patients consultations in this way.  Munir Adam speaks with Anwar Khan who provides insights into how to do it better. Includes:  

• The potential pros and cons of remote consulting
• Important considerations such as framing, setting and context.
• About personal capital and about establishment of rapport
• The disconnect
• About this being a training need across the Primary Care professions.

SPECIAL THANKS to the guest speaker Dr Anwar Khan.

Anwar Khan is a GP Principal and Trainer in Chingford who joined NHS Resolution in late 2020 as Senior Clinical Advisor. He works with the Safety and Learning Team not only to maximize learning from claims but also promoting activities to reduce harm within primary care. His senior roles in commissioning as well as education & assessment are driven by a passion to promote patient safety through education, significant event analysis, and promoting safe systems around hard working professionals on the frontline of Primary Care.

This episode was produced in partnership with North-East London Training Hub.

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

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

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

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

(C)Therapeutic Reflections Limited.

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This is part 2 of our special episode in which our host Munir Adam is again joined by Naureen, Jonathan, Sarah and Carrianne, the London team dedicated to addressing the problem of racial discrimination in Primary Care staff.  Having heard about the scale of the problem and the forms that this may take, we hear about:

•  The 8 workstreams:  Strategies being employed to address the problem
• Awareness raising, and how this being done
• A Framework in the making, that we can all use
• What each of us should be doing to make a difference.

This episode was produced in partnership with North-East London Training Hub.

NAVINA EVANS, CEO of Health Education England
NAUREEN BHATTI, London Workforce Race Strategy Primary Care Strategic Lead, Health Education England; co-chair for London Primary Care in Workforce Race Strategy Working Group
JONATHAN SAMPSON, Senior Programme Manager, Transforming Primary Care Regional NHS-Improvement; co-chair for London Primary Care in Workforce Race Strategy Working Group
SARAH SWINFIN, Primary Care School Programme Manager, Health Education England
CARRIANNE GREEN, Project Support Officer, Primary Care School London.

USEFUL LINKS:   https://www.hee.nhs.uk/our-work/equality-diversity-inclusion?utm_source=Twitter&utm_medium=social&utm_campaign=Orlo

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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.