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Welcome to the Primary Care Pod from Red Whale – join GPs Nik Kendrew and guests as each month they discuss a roundup of four key topics for primary care clinicians, which can also be found in our popular free Pearls.
We look at the evidence, the guidelines and the media coverage and make learning together as a primary care community as relaxing and enjoyable as possible. We invite you to nominate your primary care heroes and share your best intentions stories. So, grab a cuppa or put on your trainers and head out for some fresh air whilst you enjoy this month’s podcast.
We'd love to hear your feedback by email - podcast@redwhale.co.uk or leave us a voice message - https://www.speakpipe.com/RedWhalePrimaryCarePod
54 Episodes
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Send us Fan Mail Two potentially practice changing pearls in one episode: we tackle obesity & weight management in pregnancy: how to raise it sensitively, what to do with BMI at booking, how to handle GLP‑1s pre‑conception, and what to say about folate, vitamin D, diet and activity. Then we demystify perianal masses: the red flags, and why the clock is ticking for thrombosed haemorrhoids. Plus a much needed best intentions story to put a smile on your face. Press play as we make your life...
Send us Fan Mail This time Fiona and Nik serve up two “don’t miss” clinical challenges: precocious puberty—what’s normal vs red flags, who warrants urgent paediatric referral, and how to use the RCPCH puberty growth charts. And bullous pemphigoid—how to spot it fast, common drug links and when to phone dermatology today: when was the last time you did that? Useful Links Growth charts from the Royal College of Paediatrics and Child Health (RCPCH) with ‘puberty lines’ that show the normal age l...
Send us Fan Mail Grief touches every consulting room. In this episode we gently unpick how to support people after loss, using the RCGP framework “A Compassionate Bereavement Response”. Practical language you can use tomorrow, how to recognise prolonged grief disorder (including in children) and when to refer. The overlap with PTSD, and realistic ways we can look after ourselves as clinicians. Then we change gear for an update on NICE’s 2024 guideline covering bacterial meningitis and meningo...
Send us Fan Mail Fiona and Nik break down the latest evidence on menopause, HRT and cognition so you can feel confident when patients ask, “Should I be worried?” Plus: in our second Pearl in this episode, practical tips for behaviour change that actually sticks, including how to spot those golden moments and use the STOP IT model to turn advice into action. Tune in for clear answers and real‑world support for primary care. Perfect for anyone in primary care who wants to feel informed, c...
Send us Fan Mail Domestic abuse affects patients and colleagues, yet it’s often unseen- so in this compassionate, practical episode Fiona and Nik walk you through what primary care can do right now: How to spot warning signsHow we should use clinical inquiry (not universal screening)How to respond to a disclosure with the LIVES frameworkHow to document safely in the electronic medical recordYou’ll also hear why children and young people are recognised as victims in their own right, and how to...
Send us Fan Mail Have you heard of Alpha-gal syndrome? It was new for nearly all of us at Red Whale too. Kick off the year with some free CPD as Fi and Nik share what you need to know in this week’s round-up of Red Whale Pearls. They discuss: What Alpha-gal syndrome is and how it affects patientsThe serious consequences of this rare, tick-borne allergy to red meatHow it manifests as urticaria occurring 2–6 hours after ingesting mammal productsHow repeated exposure can increase sensitivity and...
Send us Fan Mail Grab your trainers, your dog lead, or even shake your jingle bells, and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Fi and Nik discuss: It’s beginning to look a lot like…flu season. There’s been a LOT of media coverage on seasonal influenza over the past few weeks. But aside from flu jabs, are you confident in where we would use antivirals? We look at the crite...
Send us Fan Mail Grab your trainers, your dog lead, or even shake your jingle bells, and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Fi and Nik discuss : Spotting adrenal crisis. Adrenal insufficiency and Addison’s disease can be easy to miss. We've recently updated our article on this, so we thought we’d share it as a Pearl, distilling the 2024 NICE guidance for you.Recur...
Send us Fan Mail Grab your trainers, your dog lead, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Fi and Nik discuss: Genital warts: spotting, treating and referring. Are you confident to diagnose? Do you know what additional screening should be offered? Are you comfortable with what can be managed in primary care and what should be referred?Addictiv...
Send us Fan Mail Grab your trainers, your dog lead, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Fi and Nik have special guest Lucy Cox, the Red Whale women’s health course lead to discuss : Managing menopause after breast cancer. A diagnosis of breast cancer is life-changing at any age. Women in this situation will commonly seek our advice and...
Send us Fan Mail Grab your trainers, your dog lead, and perhaps a pumpkin spice latte, and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Ali and Nik discuss: The NEW cervical screening intervals that apply in England from 1 July 2025: moving to a 5-yearly screening interval for all women and people with a cervix aged 25–64y who have tested negative for HPV and have no oth...
Send us Fan Mail Grab your trainers, your dog lead, and enjoy the crunchy leaves under your feet as you savour your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Ali and Nik discuss: Asthma: the autumn spike. The Primary Care Respiratory Society has drawn our attention to this. It refers to the significant increase in asthma admissions that occurs each au...
Send us Fan Mail Grab your trainers, your dog lead, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Ali and Nik discuss: Obesity and weight management in pregnancy. NICE produced updated guidance on nutrition and weight management in pregnancy earlier this year. Special guest Hussain Al-Zubaidi, joins us to discuss it all…CBT for menopausal sympt...
Send us Fan Mail Grab your trainers, your dog lead, a cozy jumper, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Ali and Nik discuss: Gonorrhoea: prevention through vaccination. The UK ‘gonorrhoea vaccine’ recently became widely available through sexual health services. We’re here to help with any consultations you may have on this.Emotionally-b...
Send us Fan Mail Grab your trainers, your dog lead, or your drink of choice-with ice- and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Fi and Nik discuss: Hyperhidrosis- a year-round challenge for those who are affected. It significantly impacts quality of life, relationships and work. Hyperhidrosis is thought to be under-reported, possibly because people feel embarrasse...
Send us Fan Mail Grab your trainers, your dog lead, or your drink of choice-with ice- and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Fi and Nik discuss: Contraception, weight and GLP-1s: “Women on ‘skinny jabs’ must use effective contraception, MHRA urges in latest guidance” – Government press release, 5 June 2025. We share our newly-updated article on contracepti...
Send us Fan Mail Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Ali and Nik discuss: E-cigarettes and vapes… in the news again. The recent ban on the sale of single-use, disposable vapes has been implemented, in part, because disposable vapes have been “cited as a key driver in the rise of youth vaping.” But can vaping be a...
Send us Fan Mail Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Ali and Nik discuss: Potassium 6.1… what should we do? We share a GEMS: assessing and managing hyperkalaemia in primary care.Cancer, sexuality and gender: supporting LGBTQIA+ people with cancer screening, diagnosis and support when living with and beyond cancer....
Send us Fan Mail Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Ali and Nik discuss: The gut microbiome: what do we need to know? What is known, and what just isn’t known?Multiple sclerosis: suspecting it and supporting patients.Listen as soon as you can to ensure you have full access to all the free resources. The ...
Send us Fan Mail Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Ali and Nik discuss: Glue ear: should we refer as soon as we suspect?Contraception after a diagnosis of breast cancer: supporting choice.Physical health and severe mental illness: can we reduce significant health inequalities? Listen as soon as you can to ensur...
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