Primary Care UK: Let's Learn Together

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. THIS 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 LearningMAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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)SOCIAL MEDIA:  LinkedIn:  https://www.linkedin.com/company/primarycareukTwitter: @DrMuniradamMAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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:Re-visit the discussions and recall useful learningDecide if you want to re-listen to the conversationAsk yourself whether you managed to implement the changes that you thought you wouldDecide 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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 HCPsWhy 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 ServicesSimon Robinson, Advanced Care Practitioner (Paramedic)USEFUL LINKS: Launch of NHS pharmacy first advanced services:  https://bit.ly/49WSm0RI’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-Ny4l70wagHow not to waste your doctor’s time, by a fed up GP. https://apple.news/AfeyseNWwRTGNMknlcKTXogRCN whistleblowing advice: https://bit.ly/3T0GlAuCoaching for staff in SWL: Multi-Professional Coaching | Integrated Care Support ServicesCoaching for HCPs across UK: NHS England » Looking after you tooLucy Letby case:  https://bit.ly/3IjUeF4SEASON 2 is produced in partnership with Integrated Care Support Services supporting practices and ICBs with back-office support. (www.integratedcaresupport.com)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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 FoundationDr Jo Sauvage: GP and CMO of NCL ICB & Co-Chair of London Air Quality Programme Delivery Group.Dr Mark Hayden:  Paediatrician, Great Ormond Street HospitalDr 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.  UKHSAUSEFUL LINKS: Chief Medical Officer's annual report 2022:  https://bit.ly/3vfvhaQAll our health - elearning:  https://bit.ly/3Vi21LiClean Air Hub: Global Action Plan:  https://bit.ly/3Vi21LiNHS England... children & Asthma:  https://bit.ly/3PqBW95Outdoor air quality & Health (NICE):  https://bit.ly/48XUXXlPollution intro for HCWs: https://bit.ly/43jsn1vProduced in partnership with Integrated Care Support Services: www.integratedcaresupport.comMAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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 yourselfThe Impact of Social MediaHealth InequalitiesAccess to support ServicesConsultation SkillsThe Importance of ContinuityPlanning for an Ideal Future for Mental Health CareThe 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 PharmacyUSEFUL 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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 ACPMunir Adam, GP & EducatorUSEFUL 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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, FIPPThe 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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-hostMunir 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-disabilityLOTS MORE AMAZING RESOURCES:  Check the show notes for this episode on our main website www.primarycareuk.orgSEASON 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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.pdfNHSE 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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 homelessCarla 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.pdfhttps://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/dawshttps://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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

THIS IS part 2 of 2 on the topic of Advance Care Planning, and here we consider:The difference that a care plan can makeWhat 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 SuttonJodie Grace, Paramedic, London Ambulance Service.Sarah Fischer, Transformation Manager - Universal Care Plan ProgrammeUSEFUL LINKS: Marie Curie:  www.mariecurie.org.uk/professionals/palliative-care-knowledge-zone/proving-good-quality-care/advance-care-planning?msclkid=5fe931bbf6131160d861554f74fb33c1NHS 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

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/3TGBCpphttps://youtube.com/playlist?list=PL0iI-soGFKUVOV4zIyw4t8uaRjckDo0Z5SEASON 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

THIS EPISODE is about why Advance Care Planning is so important for Primary Care.   Clinicians should:Understand why Advance Care Planning is so importantThe significant difference that planning can make to those critical stages in lifeBarriers, misconceptions and needs.How each of us can do the right thing when in that situation.   This is part 1 of a 2-part series.   SPECIAL THANKS to our guest speaker: Dr Eva Kalmus, Interface Medicine GP Sutton Health and Care @Home.  Clinical Lead for End of Life Care Sutton.USEFUL LINKS:  https://www.england.nhs.uk/wp-content/uploads/2018/04/my-future-wishes-advance-care-planning-for-people-with-dementia.pdfSEASON 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)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

THIS EPISODE:  Beware - patients can READILY read what you've entered in their notes!Munir Adam talks to Dr Devin Gray, a GP very much involved with patient access to records, and in fact, despite not being their employee, was invited by NHS England to present the subject.  Q: How ready do you feel that patients will readily be able to read (almost) everything you document? URGENT! For EMIS practices, the deadline to opt-in to prospective records access is 20-09-23, to go-live on 4th October using this form.  After this , practices will need to manually edit. For TPP it's by 31/10. SPECIAL THANKS to:  Dr Devin Gray, GP and Clinical Lead for Digital First (Wandsworth) USEFUL LINKS:  Follow this link:   https://vimeo.com/860075412 MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

IN THIS EPISODE we briefly visit the role of the GPA (General Practice Assistant) and consider how this can let us focus more on the things that we'd like to do. - An overview of the GPA role is provided by a representative of NHS England.- Munir Adam has a conversation with a recently qualified GPA about her role- We consider why GPAs exist, what they can do, and how make the best use of them.SPECIAL THANKS to our guest speakers: Sharon Kelly, Project Manager, NHS England (London region) – Workforce, Transformation & Education Directorate (WT&E). Ms Honey Tandon, General Practice Assistant, London region.USEFUL LINKS: You can find out more general information on GP Assistant role here: https://www.hee.nhs.uk/our-work/gp-assistantVisit NHS England e-lfh GPA webpage (https://www.e-lfh.org.uk/programmes/general-practice-assistant/) to find out more details on the GP Assistant role including JD and GPA competency framework. SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices & ICBs with back-office support. (www.integratedcaresupport.com)MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

IN THIS EPISODE:  You explain it all very clearly to the patient, yet they don't do it.  Why? Munir Adam talks to Caroline Haines to discuss a healthcare topic that is so incredibly important for all to know about, and yet so often overlooked: Health Coaching.SPECIAL THANKS to our guest speaker:  Caroline Haines. Health & Wellbeing Coach & Supervisor. Leatherhead PCN.USEFUL LINKS: Summarised overview of role:  HWBC 1 pager summary (transformationpartnersinhealthandcare.nhs.uk)Development framework for H&WB coach:NHS England » Workforce development framework for health and wellbeing coachesSEASON 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. Primary Care UK Podcasts | Integrated Care Support ServicesMAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

IN THIS EPISODE we use the example of Primary Care Nursing  to discuss things that are available and important to the workforce to help with job satisfaction.   Three senior nurses discuss the role of the GPN, focusing on:-Opportunities for nurses-Portfolio working-The value of the GP nurse role.  Munir Adam considers how the points may be relevant to all of us.SPECIAL THANKS to the lead nurses who are also Programme Directors and have other senior roles in London: Charlotte CooleyDawn HuntDebbie Brown 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).MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.

IN THIS EPISODE:  A nurse, a Physician Associate & a GP explore the ways in which clinicians can save time when working in Primary Care.  This is based on tips provided by actual working GPNs, PAs and GPs and includes discussion of common ways that time is lost and how to stop that from happening.  Emma Borders and Marium Hanif are part of the PCUK Team and support the podcast by providing the GPN and PA perspective, respectively.  Munir Adam is an Educator and a working GP.  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).SEASON 2 episodes: Transcript on website.MAIN WEBSITE www.primarycareuk.orgHUMBLE REQUEST Your ratings + comments on Apple podcasts, Spotify & our website is what keeps us going. Please feedback.CONTRIBUTE: If you would like to sponsor, contribute or have an enquiry, we'd love to know: primarycareuk@outlook.comDISCLAIMER: 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.