We are delighted to welcome Dr Toni Hazell, the accomplished Chair of Haringey LMC, to *The art of GP locuming* podcast. Dr Hazell discusses her inspiring journey into General Practice, detailing how a pivotal rotation shifted her perspective away from the "failed surgeons" trope to recognising General Practice as "proper medicine," leading to a 21-year tenure as a salaried GP in Tottenham. She offers insights into managing a portfolio career, anchored by her clinical work and extensive role as a "full stack educationalist" for the RCGP, where she develops e-learning content and contributes to the Primary Care Women's Health Society. As LMC Chair, Dr Hazell advocates fiercely for general practice, highlighting the significant challenge of the "absolute tsunami of unresourced work" from secondary care—estimating it consumes at least one to two hours per clinical day—and emphasises the fundamental need for collective action to address this burden. Finally, she provides powerful career wisdom, encouraging fellow GPs, especially women in medicine, to be open to every professional opportunity, embrace iteration, and actively challenge imposter syndrome.
This episode offers a detailed clinical update on the early detection and diagnosis of prostate cancer, tailored for the primary care setting. Dr Bunmi Olajide, a GP with a special interest in cancer services and a Prostate Cancer UK Clinical Champion, presents an evidence-based review of the significant changes to the diagnostic pathway. The discussion highlights how the integration of multi-parametric MRI has led to a 79% reduction in the risk of harm and 90% fewer cases of post-procedure sepsis.Dr Olajide provides a nuanced analysis of risk stratification, addressing the significant health inequalities that result in a doubled risk for Black men. The discussion covers the clinical application of NICE guidelines, the interpretation of PSA results in the context of confounding factors, and the diminishing role of the DRE as a screening tool. This is an essential briefing for clinicians seeking to align their practice with the latest evidence in prostate cancer management.Key topics discussed in this episode:An overview of the current epidemiology of prostate cancer in the UK.A review of key risk factors, including the 1-in-4 lifetime risk for Black men.Practical application of the NICE NG12 guidelines and age-specific PSA thresholds.The Prostate Cancer Risk Management Programme for managing asymptomatic men.The evolution of the diagnostic pathway and the role of multi-parametric MRI.A critical appraisal of the digital rectal examination (DRE) in screening for prostate cancer.An introduction to the large-scale Transform screening trial, which is examining approaches beyond PSA testing.Professional resources and educational opportunities for healthcare professionals.
Dr Lisa Harrod-Rothwell, Chief Executive Officer of Londonwide LMCs, reflects on her career trajectory from a salaried GP to prominent leadership roles in NHS commissioning and Londonwide LMCs. The discussion explores the formative experiences that shaped her commitment to holistic patient care and the challenges faced by general practice, including safe working conditions, continuity of care, and workforce retention. * Contact London LMCs https://www.lmc.org.uk/find-your-local-lmc/Dr Harrod-Rothwell also offers insights into the evolving landscape of the NHS, particularly in the context of the 10-year plan, advocating for clinical autonomy and the active involvement of sessional GPs in shaping future healthcare models.
An informative discussion on acute leukaemia for general practitioners, led by consultant haematologist Steve Knapper. This episode provides an overview of acute leukaemia, its diagnosis, and management, with a focus on presentations encountered in primary care. Case studies illustrate the varied clinical manifestations and the importance of a low threshold for full blood count assessment. The discussion also covers referral pathways and the rapid progression of cases to definitive treatment in secondary care.
In this episode, we feature an insightful conversation with Dr Shana Tam, a GP based in Cheshire and a key representative on Cheshire LMC, where she also serves as Vice Chair.* YouTube – https://youtu.be/KKjXlJbB9mYRichard discusses Dr Tam's career progression, from an initial interest in palliative care to discovering her passion for general practice, driven by a desire to be 'embedded in the community' and a commitment to 'health promotion'. She shares her experiences, including GP training in Chester, her initial 'baptism of fire' as a maternity locum, navigating two distinct partnerships in Wales and England, and ultimately transitioning to a sessional GP role in late 2019.Dr Tam offers valuable insights on 'professional risk' and the significance of 'self-reflection' in career development. The conversation highlights her extensive work as the sessional GP representative and chair of the education group for Cheshire LMC. She explains how surveys have been instrumental in identifying challenges faced by sessional GPs, such as underemployment and unemployment, noting that some responses were 'one of the hardest things' she had to read. Her initiatives aim to equip GPs with essential skills, including marketing, CV writing, interviewing, and complaints handling, addressing crucial gaps often not covered in standard GP training.The discussion also covers the vital role of LMCs in supporting all GPs, regardless of contractual status, by providing confidential advice and signposting. Dr. Tam shares recommendations for other LMCs, emphasizing the 'valuable' contribution of sessional GPs and the 'fundamental' importance of professional unity for a secure future of general practice.Finally, Dr Tam provides a forward-looking perspective on the future of general practice, advocating for a clear vision, understanding 'our why,' embracing new developments like AI, and prioritizing 'safe working' supported by adequate funding. This serves as a powerful reminder that 'Everyone Counts' and 'Everyone has a voice' within the profession.We invite you to listen to this insightful discussion.Timestamps:00:00 - Introduction to Dr. Shana Tam00:57 - Shana's journey into General Practice02:32 - First steps as a qualified GP: The locum years05:19 - Navigating different partnerships and professional growth07:40 - The art of professional risk and self-reflection10:30 - Joining Cheshire LMC as a Sessional GP Rep12:31 - Understanding and addressing Sessional GP needs17:00 - The vital role of LMCs and supporting all GPs18:27 - Advice for other LMCs20:22 - Wisdom for GPs in 2025: Vision, Unity, and Embracing Change24:49 - Conclusion and thank youIf you find this episode beneficial, please consider subscribing and sharing it with your GP colleagues.
In this powerful and deeply personal episode of the NASGP podcast The art of GP locuming, Richard talks to Dr Amrita Sen Mukherjee — GP, wellbeing advocate, and founder of Your Wellbeing Doctor — about her extraordinary journey through medicine, motherhood, illness, and identity.Amrita shares how the challenges she faced during her GP training, including living with a hidden disability, ultimately led her to discover the concept of post-traumatic growth — transforming adversity into a purposeful new direction. She speaks candidly about the systemic pressures within general practice, the cultural barriers to self-compassion in medicine, and how she now supports other doctors through coaching, advocacy and education.This wide-ranging conversation offers GPs a moving reminder that it’s not weakness to struggle — and that growth often begins with self-kindness.YouTube – https://youtu.be/OZtFFWo8R7AInstagram – https://www.instagram.com/yourwellbeingdoctorX – https://x.com/YourwellbeingdrLinkedIn – https://www.linkedin.com/in/dr-amrita-sen-mukherjee/Website – https://www.yourwellbeing.doctorTEDx Talk entitled “Invisible disability: Challenging bias to enable change” – https://www.youtube.com/watch?v=Ro3SbU95qwcPublication – https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12642
In this informative session, clinical psychologists Dr Jess Gough and Dr Alesia Moulton-Perkins from Neurodiverse Online (https://neurodiverseonline.com/) provide a comprehensive overview of ADHD and autism diagnosis, treatment, and patient care. They discuss the current healthcare landscape, highlighting the rising demand for neurodevelopmental assessments and the challenges in diagnosis, particularly for women, girls, and older adults. Also available as a YouTube video https://youtu.be/HLEY7BQrjMEThe presentation covers key topics including:Prevalence and comorbidities of ADHD and autismDiagnostic criteria and screening toolsTreatment options (medication and non-pharmacological interventions)Health outcomes and importance of early interventionPractical advice for healthcare professionals on supporting neurodivergent patientsThe speakers emphasize the need for personalized, holistic approaches to diagnosis and treatment, with practical recommendations for creating more inclusive and supportive healthcare environments.
Join us for a insightful conversation with Dr Kalindi Tumurogoti, who explores his remarkable career path as an international medical graduate turned GP. Discover the supportive work of BAPIO, the challenges facing sessional GPs, and the critical role of local medical committees. Dr Tumurugoti shares personal experiences of transitioning from hospital medicine to general practice, emphasizing the unique aspects of GP work like patient continuity and holistic care. Learn about the professional support networks for international medical graduates and the current landscape of general practice in the UK.
Experienced nurse Claire Coughlan, clinical lead for Bowel Cancer UK, presents the NASGP’s second webinar given at 1pm on Thursday 6 February.The main aims of the talk were to give an overview of:-Bowel cancer and the red flag symptoms.-Use of qFIT in symptomatic patients.-The bowel cancer screening programme.-The diagnostic pathway.-Lynch Syndrome.-Bowel Cancer UK support services for GPs and patients.Claire Coughlan is a consultant nurse in colorectal cancer with expertise in bowel cancer follow-up, genetics and symptom assessment. Claire is currently undertaking a PhD in the priorities for bowel cancer follow up care across diverse communities.#TeamGP #BowelCancer #PrimaryCare
Tori Ferguson answers questions on taxes, expenses, national insurance, NHS and private pensions from experienced and new GP locums as well as GPs and GP registrars who are thinking of locuming for the first time in 2025.Also available on YouTube https://youtu.be/r0xu5p1PbWUAs healthcare professionals, we understand the day-to-day challenges you face, which is why we founded NASGP. We are a supportive membership body for GP locums, and we are also home to LocumDeck – the award-winning workforce management platform for GP locums and practices: nasgp.org.ukVictoria (Tori) Ferguson BA Hons, ATT CTA: After working for the NHS Tori joined Honey Barrett in October 2016 as part of the tax team. In addition to dealing with personal tax clients, Tori forms part of the specialist medical team where she deals primarily with tax and pension-tax matters for our doctor clients, as well as assisting with GP practice accounts.The information contained in this podcast is for guidance only, and does not constitute advice given by Tori Ferguson or Honey Barrett. No responsibility can or will be accepted for loss occasioned to any person or entity as a result of action taken or refrained from in consequence of the contents of this article. Professional advice should be obtained before acting on any information contained herein, from your own accountant, or by contacting Tori for a free initial consultation.
This podcast features Dr Sarah Smith, a GP and member of the @leukaemiacare advisory panel, discussing the importance of early diagnosis of acute leukaemia. Learn how: Leukaemia is often diagnosed late, with 37% of cases first identified in A&E, leading to poorer outcomes. Common leukaemia symptoms include fatigue, repeated infections, bruising, and bleeding. Symptoms like shortness of breath, fever, night sweats, and bone/joint pain can also be indicators of leukaemia.GPs are advised to have a low threshold for ordering full blood counts if leukaemia is suspected, and to act quickly to get results.The emotional impact of a leukaemia diagnosis is significant, so GPs must communicate sensitively when raising concerns.#Leukaemia #EarlyDiagnosis #GPEducation #BloodCancer #MedicalEducation
In this informative podcast, hosted by NASGP, consultant ophthalmologist Nigel Davies from St Thomas’ Hospital shares practical insights on diagnosing and managing common eye conditions in general practice. Nigel offers a structured approach to assessing eye problems, focusing on symptoms and signs, not just diagnoses. The session also covers practical tips on red eye cases, the importance of pupil reactions, and key considerations for conditions like conjunctivitis, retinal detachment, and glaucoma. Perfect for GPs looking to enhance their ophthalmology skills in everyday practice. See YouTube video https://youtu.be/LNklfZ50Joo
In this informative session hosted by the National Association of Sessional GPs (NASGP), Victoria (Tori) Ferguson, a tax manager at Honey Barrett, shares essential advice for GP locums on managing their finances, tax obligations, and pensions. Tori, a chartered tax advisor, offers a comprehensive guide tailored to GPs who are new to locuming or those seeking a refresher on best financial practices.For further advice on these topics, NASGP members can access more resources and guidance on the NASGP website: https://nasgp.org.ukDuring the talk, Tori covers 10 key points to help locum GPs successfully manage their self-employment status. She explains the importance of setting up a personal tax account, notifying HMRC of self-employment, and staying on top of record-keeping and software tools like LocumDeck. Other essential topics include navigating the NHS pension scheme, understanding expenses for tax deductions, and planning ahead for tax payments, especially with looming changes such as Making Tax Digital.The session also delves into the nuances of claiming allowable business expenses, the significance of maintaining separate bank accounts, and the critical need for GPs to view themselves as both a doctor and a business. Tori emphasises the importance of investing in financial education to stay up-to-date with ever-changing tax laws, whether through self-learning or hiring a specialised accountant.The Q&A session further explores real-world concerns, such as handling fraudulent use of unique taxpayer references (UTRs) and dealing with the complexities of IR35 and employment status, highlighting Tori’s expertise in resolving practical issues GPs may face.Intro 00:00Topics covered: 1. Setting up a personal tax account. 02:41 2. Informing HMRC about self-employment. 03:38 3. Importance of bookkeeping software. 05:23 4. Record-keeping essentials for locums. 06:25 5. Navigating expenses and the trading allowance. 08:30 6. Pension contributions and time limits. 12:00 7. Managing a separate business account. 15:15 8. Saving for taxes and avoiding pitfalls. 16:53 9. Viewing yourself as a business owner. 20:21 10. Investing in financial education. 21:52Q&A 25:41Highlights: • HMRC UTR fraud cases and how to handle them. 27:46 • Employment status and IR35 for locum GPs. 38:07For further advice on these topics, NASGP members can access more resources and guidance on the NASGP website: https://nasgp.org.uk#GPs #LocumTax #Pensions #NASGP #HoneyBarrett #SelfEmployment #TaxAdvice #GPFinance #MedicalAccountants #MakingTaxDigital #IR35 #LocumDeck
This webinar from Dr. Eloise Elphinstone provides an update on managing unscheduled bleeding in postmenopausal women on hormone replacement therapy (HRT). Key points include new guidance on assessing bleeding risk factors and adjusting HRT regimens. Case studies demonstrate approaches to controlling bleeding through modifying estrogen and progesterone doses or alternatives like the Mirena coil. Guidance is also given on ultrasound results and referral pathways. Options for complex cases involving progesterone intolerance or premature ovarian insufficiency are explored. The talk aims to help GPs confidently manage common menopause issues and determine when specialist referral is appropriate. YouTube of this podcast available here https://youtu.be/2dYJiv8-IIQ
Join Dr Richard Fieldhouse as he talks with Dr Jennie Ferrie, a seasoned GP with a rich international background, now practicing as a locum in New Zealand. In this episode, Dr Ferrie shares her journey from the UK to New Zealand, detailing the nuances of locum work in rural areas, the challenges and rewards of adapting to a different healthcare system, and the lifestyle benefits of living in New Zealand. This enlightening conversation offers a deep dive into the life and career shifts that come with international locuming, providing valuable insights for GPs considering a similar path.
Join Dr Andrew Whittamore, jobbing GP and clinical lead for Asthma+Lung UK, as he delves into the latest strategies and treatments for managing asthma effectively. In this informative session, we explore the essentials of asthma, principles of treatment, and how to support patients towards achieving better asthma control. From understanding asthma triggers to discussing the impact of inhaler choices on the environment, this webinar covers it all.View presentation slidesUseful links:See this talk on YouTubeAsthma and Lung UKInhaler Technique VideosAsthma Action PlansTreating Asthma with AIRFollow on TwitterJoin the Facebook community: Asthma and Lung UK If you're a healthcare professional, this webinar provides valuable insights into optimising asthma care.
In this informative episode of our dermatology-focused podcast, Dr George Moncrief, a retired GP with a profound interest and extensive experience in dermatology, delves into common dermatological conditions, offering his insights into their diagnosis, management, and treatment. Dr Moncrief shares his journey from practising as a GP to specialising in dermatology, reflecting on the challenges and learning experiences he encountered along the way.Throughout the discussion, Dr Moncrief emphasises the importance of accurate diagnosis, highlighting cases where misdiagnoses led to ineffective treatments. He provides practical advice on the use of topical steroids, advocating for their cautious application and the preference for ointments over creams to avoid sensitivities and ensure better treatment outcomes.Dr Moncrief also addresses several skin conditions in detail, including tinea incognito, discoid eczema, superficial BCC (Basal Cell Carcinoma), and perioral dermatitis. He stresses the significance of considering the patient's history and presenting symptoms to avoid common pitfalls in diagnosis.Particularly noteworthy is his discussion on the management of perioral dermatitis and rosacea, where he advises against the indiscriminate use of steroids and highlights alternative treatments that can provide relief without the adverse effects associated with steroids.Additionally, Dr Moncrief touches upon the psychological impact of skin conditions on patients and the necessity of integrating empathetic care with clinical treatment. He concludes the session by answering questions from the audience, further enriching the conversation with practical tips and clarifications.This episode is a must-listen for healthcare professionals seeking to deepen their understanding of dermatology and for anyone interested in learning about the complexities of diagnosing and treating skin conditions effectively.
Join Richard Fieldhouse and Tori Ferguson as they delve into the world of tax advice for GP locums in this episode of the Art of GP Locuming podcast. Tori, a Tax Advisor for Honey Barrett, shares her expert insights on a range of topics including tax returns, pension statements, and the value of using a tax adviser. She also provides practical tips on how to handle your tax affairs effectively and efficiently. Don't miss out on this informative episode, perfect for any GP locum looking to better understand their tax obligations.
Join Dr Sam Merriel, an experienced GP and NIHR academic clinical lecturer from the University of Manchester, as he shares his insights on prostate cancer diagnosis in primary care. In this informative session, Dr Merriel discusses the risk factors, recent changes in the diagnostic pathway, and the importance of PSA blood testing. Discover how these advancements can help improve early cancer detection and address inequalities in prostate cancer diagnosis and treatment.
Join Dr Eloise Elphinstone, a GP with a special interest in women's health, as she provides an insightful update on ovarian cancer, focusing on its implications for general practice. In this webinar, Dr Elphinstone, who works in SW London and has extensive experience in menopause and postnatal health, delves into the complexities of diagnosing and managing ovarian cancer from a GP's perspective.Link to slidesThis session covers:The latest statistics and survival rates of ovarian cancer.Risk factors and symptomatology.Challenges in screening and diagnosis.Case studies illustrating practical scenarios in GP practice.NICE guidelines and primary care tips.Dr Elphinstone also shares her experiences working with the Target Ovarian Cancer organization and the Family Planning Association.Connect with Dr. Eloise ElphinstoneInstagramUseful LinksMenopause Care ClinicTarget Ovarian CancerFamily Planning Association:#OvarianCancer #GPUpdate #WomensHealth #GeneralPractice #NASGP #MedicalWebinar #EloiseElphinstone