Primary Care Knowledge Boost
- Episodes
- 165
- Released
- monthly
- Latest episode
- Nov 11, 2026
About the podcast
All things General Practice! Join doctors Sara and Lisa as they interview specialists from around Greater Manchester with the aim of improving the confidence and knowledge of local primary care clinicians. The podcast has been made possible due to the support of Wigan CCG and GP Excellence in Greater Manchester.
Episodes 165
How to choose and use anitbiotics well
Doctors Lisa and Sara are joined by Medical Microbiology and Infectious Diseases Consultant Jame for an overview of Antibiotics and Microbiology in General Practice. Doctors Callum and Jame host a podcast in …
Show notes
Doctors Lisa and Sara are joined by Medical Microbiology and Infectious Diseases Consultant Jame for an overview of Antibiotics and Microbiology in General Practice. Doctors Callum and Jame host a podcast in Infectious Diseases called ID:IOTS. In this episode we were keen to pick Jame’s brain about some common conundrums we’ve encountered using some hypothetical cases such as a patient with recurrent UTIs and an elderly, frail patient with possible chest or urine infection. Jame was keen to spread the news about antimicrobial stewardship and highlight guidelines and useful tips for choosing antibiotics including using the AWaRe (Access Watch, Reserve) classification of antibiotics. Great to talk briefly at the end about the benefits for patients of challenging those labelled as Penicillin allergic and how this could be done.
Resources:
- GAWaRe Classification System of Antibiotics, a summary from the ID:OIT team: https://idiots.notion.site/142-AWaRe-classification-2d76a1ea09d881338de1f99c34930619
- World Health Organisation: The selection and use of essential medicines, 2025: WHO AWaRe (Access, Watch, Reserve) classification of antibiotics for evaluation and monitoring of use: https://www.who.int/publications/i/item/B09489
- Antibiotic and safety whilst breastfeeding (discussion about short course Doxycycline whilst breastfeeding): https://www.breastfeedingnetwork.org.uk/factsheet/antibiotics/
- Greater Manchester Medicines Management Group Prescribing Antimicrobial Guidelines: https://gmmmg.nhs.uk/guidance/clinical-guidance-and-pathways/antimicrobial-guidance-and-resources/
- NICE Clinical Knowledge Summaries (mentioned in discussion about checking Antibiotic Safety in Pregnancy): https://cks.nice.org.uk/
- Royal College of Obstetrics and Gynaecology Green Top Guideline for Maternal sepsis (mentioned in discussion about antibiotics and known safety profiles in pregnancy): https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/identification-and-management-of-maternal-sepsis-during-and-following-pregnancy-green-top-guideline-no-64/
- Scottish Antimicrobial Prescribing Group (SAPG) Guidelines on UTIs: https://www.sapg.scot/guidance-qi-tools/infection-specific-guidance/urinary-tract-infections-utis/
- Scottish Antimicrobial Prescribing Group (SAPG) Decision aid for diagnosis and management of suspected urinary tract infection (UTI) in people aged 65 years and over: https://www.sapg.scot/media/5844/decision-aid-for-diagnosis-and-management-of-suspected-uti-in-people-over-65-years.pdf
- Challenging a Penicillin Allergy using the PEN-FAST score: https://www.mdcalc.com/calc/10422/penicillin-allergy-decision-rule-pen-fast
- Antibiotic courses ‘Shorter is better’ conversation link: https://www.bradspellberg.com/shorter-is-better
___
If you have any questions, suggestions, concerns or want any particular areas covered, leave a comment on our survey here: https://pckb.org/feedback
Or email us at: [email protected]
___
Given that this episode was recorded with specific clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
An approach to nausea and vomiting in palliative care
Doctors Lisa and Sara talk to Palliative Care Consultants Doctors Cat Barrat Ayres and Cat MacDermott about nausea and vomiting in palliative patients. We talk through their overview of assessing patients with …
Show notes
Doctors Lisa and Sara talk to Palliative Care Consultants Doctors Cat Barrat Ayres and Cat MacDermott about nausea and vomiting in palliative patients. We talk through their overview of assessing patients with these symptoms, tips to work out causes before considering medication options. A nice section on avoiding common prescribing pitfalls towards the end. A useful episode for all of us in primary care helping to manage palliative patients with these often distressing symptoms.
Resources:
- Greater Manchester Medicines Management Group palliative symptom control guidelines: https://gmmmg.nhs.uk/wp-content/uploads/2025/05/Palliative-Care-Pain-and-Symptom-Control-Guidelines-DIGITAL.pdf
- NICE Clinical Knowledge Summaries, Palliative Care - Nausea and Vomiting: https://cks.nice.org.uk/topics/palliative-care-nausea-vomiting
___
If you have any questions, suggestions, concerns or want any particular areas covered, leave a comment on our survey here: https://pckb.org/feedback
Or email us at: [email protected]
___
Given that this episode was recorded with specific clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
The value of lifestyle medicine in general practice
Doctors Lisa and Sara discuss lifestyle medicine with Dr Lydia Vogelaar-Kelly. We cover what lifestyle medicine is and her approach to it in general practice. We then look at some interesting cases that …
Show notes
Doctors Lisa and Sara discuss lifestyle medicine with Dr Lydia Vogelaar-Kelly. We cover what lifestyle medicine is and her approach to it in general practice. We then look at some interesting cases that highlight how effective lifestyle medicine can be in consultations with patients.
The idea is to give a taster and consider how to talk about lifestyle in greater detail with patients. Lots of ways to follow up on this.
Resources:
- Feel better, live more podcast with Dr Rangan Chatterjee: https://drchatterjee.com/podcast-episodes/
- How to improve uptake of food vouchers from the healthy star scheme: https://feedingbritain.org/wp-content/uploads/2019/02/Healthy_Start_Uptake-_Feeding_Britain_Case_Study_2-1.pdf
- BJ Fogg Behavioral Change model: https://www.behaviormodel.org/
- BJ Fogg Tiny Habits: https://tinyhabits.com/wp-content/uploads/2021/02/The-Official-Tiny-Habits-Toolkit-by-BJ-Fogg-Paperback-Edition.pdf
- British Society of Lifestyle Medicine: https://bslm.org.uk/lifestyle-medicine/what-is-lifestyle-medicine/
- Royal College of General Practice: Lifestyle Medicine in General Practice: https://www.rcgp.org.uk/your-career/gp-extended-roles/lifestyle-medicine-framework-practice
- Dr Gemma Newsome Get well stay well book: https://gemmanewman.com/get-well-stay-well-landing
- Prescribing Lifestyle Medicine course: https://www.practiceunbound.org.uk/product/prescribinglifestylemedicine/home
- Dr Lydia Vogelaar-Kelly’s upcoming workshops: Find Balance, Energy and Ease: Reset Your Nervous System: https://www.transformthroughlifestyle.co.uk/events
___
If you have any questions, suggestions, concerns or want any particular areas covered, leave a comment on our survey here: https://pckb.org/feedback
Or email us at: [email protected]
___
Given that this episode was recorded with specific clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Tips for listening, and how to avoid dismissing young women
In this really interesting episode, Doctors Lisa and Sara talk to Dr Rageshri Dhairyawan - Consultant in Sexual Health and HIV Medicine, and Dr Laura Tinner - Research Fellow in Centre for Public Health, at …
Show notes
In this really interesting episode, Doctors Lisa and Sara talk to Dr Rageshri Dhairyawan - Consultant in Sexual Health and HIV Medicine, and Dr Laura Tinner - Research Fellow in Centre for Public Health, at Bristol University. Rageshri talks about her lived experience of being dismissed in a medical situation, despite her professional background and how this led to her researching the topic in depth, and writing a book on the subject. Laura speaks to a piece of research she carried out around the views of young women accessing medical care and explains that we need to put more emphasis on listening in healthcare. They both talk to the system pressures and challenges that lead to patients feeling dismissed, but also share practical advice and tips for what healthcare professionals can do to help certain groups of people feel more heard in healthcare.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Resources:
Unheard - The Medical Practice of Silencing by Dr Rageshri Dhairyawan: https://amzn.eu/d/03u4y1DX
Animation about a young women’s experience of healthcare accessible through the embedded link on this site: https://ayph.org.uk/wp-content/uploads/2025/12/SHIFT-Improving-young-womens-care-resource-sheet.pdf
The Association for Young People’s Health: https://ayph.org.uk/
The Young Women’s Movement: https://youngwomenscot.org/
Training session: Enquiries taken by Association for Young People’s Health who have a 90-minute training course to healthcare professionals. It’s co-delivered by young women who have been trained in facilitation skills and can be booked by groups of healthcare professionals who would benefit from training support related to delivering care to young women. The training uses the animation pillars to go through scenarios and exercises. Cost is dependent on whether delivered online or in person and whether any bespoke elements need to be included, but please get in touch to discuss what could work for you. Contact AYPH for more info: [email protected]
The Young Women’s Movement: EmBody to EmPower: https://youngwomenscot.org/resources/embody-to-empower/
Intersectional discrimination and mental health inequalities: a qualitative study of young women’s experiences in Scotland: https://link.springer.com/article/10.1186/s12939-024-02133-3#citeas
An exploration of discrimination in healthcare for young women in Scotland: An intersectional study: https://www.sciencedirect.com/science/article/pii/S2667321525000125
Fighting the “Bog Standard”: Intersectional experiences of gender and disability discrimination within healthcare among women in Scotland: https://www.sciencedirect.com/science/article/pii/S2667321526000119
Women's experiences of discrimination and the impact on health: https://www.gov.scot/publications/womens-experiences-discrimination-impact-health/
Reflect, collaborate, and listen: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00251-X/abstract
Listening is a tool for health equity, not just a soft skill: https://www.bmj.com/content/390/bmj.r1164.long
Listening to the voices of the medically silenced: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0003761
Scotland’s Women’s Health Plan: Phase Two: https://www.gov.scot/publications/womens-health-plan-phase-two-2026-2029/
Dr Jonathon Tomlinson’s blog : https://abetternhs.net/about/
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
Given that this episode was recorded with specific clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Chronic Kidney Disease
Doctors Lisa and Sara talk to Consultant Nephrologist Dr James Tollitt about Chronic Kidney Disease. We started by defining this and asking detailed questions on diagnosis, pitfalls to avoid, before getting his …
Show notes
Doctors Lisa and Sara talk to Consultant Nephrologist Dr James Tollitt about Chronic Kidney Disease. We started by defining this and asking detailed questions on diagnosis, pitfalls to avoid, before getting his advice on risk stratifying patients and options for management. Excellent key messages with some easy practice pointers to take away that will benefit your patients and practice.
Disclaimer: All educational content in this podcast was developed as part of the Circulation Health collaborative working project between Boehringer Ingelheim Limited, Greater Manchester Primary Care Provider Board and Health Innovation Manchester. Content has been created by Circulation Health Clinical Leads for educational purposes, reflecting NHS Clinical Lead and guideline-based recommendations. Boehringer Ingelheim had no input into content development. They have provided financial resources to support Podcast recordings related to this project.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Resources:
NICE CKD Chronic kidney disease: assessment and management (last updated Nov 2021, accessed Feb 2026): https://www.nice.org.uk/guidance/ng203/chapter/recommendations
GP Notebook Deteriorating eGFR (how to spot accelerating decline in renal function and advice on how to approach this): https://gpnotebook.com/en-GB/pages/renal-medicine/deteriorating-egfr-in-ckd
The British Journal of General Practice: The National CKD Audit: a primary care condition that deserves more attention. Aug 2018: https://pmc.ncbi.nlm.nih.gov/articles/PMC6058639/
Ipsos MORI poll from 2014 looking at what the Public know about Kidneys: https://www.thinkkidneys.nhs.uk/aki/wp-content/uploads/2015/01/Think-Kidneys-Report-270115-Understanding-what-the-public-know-about-their-kidneys-and-what-they-do.pdf
- Liu et al. Accounting for Age in the Definition of Chronic Kidney Disease. JAMA Intern Med Oct 2021. https://pubmed.ncbi.nlm.nih.gov/34459844/
- Clinical Digital Resource Collaborative: Renal Disease Search tools (EMIS and SystemOne):
https://cdrc.nhs.uk/resources/systmone-resource-centre/specialties/systmone-renal-urology-overview/chronic-kidney-disease-ckd/ - The Kidney Failure Risk Equation (UK): https://www.kidneyfailurerisk.co.uk/
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Type 2 Diabetes: Management Tips
Doctors Lisa and Sara talk to Consultant Endocrinologist Dr Rupinder Kochhar about patients with Type 2 Diabetes. Using hypothetical cases, we talk a little bit about diagnosis, but spend most of the time …
Show notes
Doctors Lisa and Sara talk to Consultant Endocrinologist Dr Rupinder Kochhar about patients with Type 2 Diabetes. Using hypothetical cases, we talk a little bit about diagnosis, but spend most of the time discussing the details of management in younger patients as well as how to de-escalate treatment and what the goals might be in a more frail elderly patient.
Disclaimer: All educational content in this podcast was developed as part of the Circulation Health collaborative working project between Boehringer Ingelheim Limited, Greater Manchester Primary Care Provider Board and Health Innovation Manchester. Content has been created by Circulation Health Clinical Leads for educational purposes, reflecting NHS Clinical Lead and guideline-based recommendations. Boehringer Ingelheim had no input into content development. They have provided financial resources to support Podcast recordings related to this project.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Resources:
NICE draft guideline - Type 2 diabetes in adults: management: https://www.nice.org.uk/guidance/gid-ng10336/documents/450
Managing Heart Failure, CKD and T2DM in Primary Care: https://pckb.org/e/managing-heart-faiure-ckd-and-t2dm-in-primary-care/
Essential steps in primary care management of older people with Type 2 diabetes: an executive summary on behalf of the European geriatric medicine society (EuGMS) and the European diabetes working party for older people (EDWPOP) collaboration: https://pmc.ncbi.nlm.nih.gov/articles/PMC10628003/
Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes: https://diabetesjournals.org/care/article/45/11/2753/147671/Management-of-Hyperglycemia-in-Type-Diabetes
Diabetes UK: https://www.diabetes.org.uk/
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Managing Heart Failure, CKD and T2DM in Primary Care
Doctors Lisa and Sara talk to Consultant Nephrologist Dr Darren Green about patients with Type 2 Diabetes who also have Chronic Kidney Disease and Heart Failure. We go through a hypothetical case to illustrate …
Show notes
Doctors Lisa and Sara talk to Consultant Nephrologist Dr Darren Green about patients with Type 2 Diabetes who also have Chronic Kidney Disease and Heart Failure.
We go through a hypothetical case to illustrate some of the finer points of management that can commonly get missed or might not be appreciated. A really detailed talk full of useful practice enhancing tips for this complex group of patients.
Disclaimer: All educational content in this podcast was developed as part of the Circulation Health collaborative working project between Boehringer Ingelheim Limited, Greater Manchester Primary Care Provider Board and Health Innovation Manchester. Content has been created by Circulation Health Clinical Leads for educational purposes, reflecting NHS Clinical Lead and guideline-based recommendations. Boehringer Ingelheim had no input into content development. They have provided financial resources to support Podcast recordings related to this project.
Darren would like us to make you all aware that he has working relationships with pharmaceutical industry partners. Specifically, that he has received speak fees and consultancy fees from AstraZeneca, GSK, Novartis, Boehringer Ingelheim, Bayer, and Lilly, and has been part of collaborative working agreements with Novartis, Boehringer Ingelheim, and AstraZeneca.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Resources:
Dr Kevin Fernando counselling diabetic patients starting an SGLT2 Inhibitors like Dapagliflozin or Empagliflozin: https://www.youtube.com/watch?v=pc99SdtlsyU
Diabetes UK counselling sheets on SGLT2 inhibitors: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/treatments/tablets-and-medication/sglt2-inhibitors
Kidney Care UK Patient Booklets: https://kidneycareuk.org/get-support/free-resources/patient-information-booklets/
Pumping Marvellous Heart Failure Charity with patient resources: https://pumpingmarvellous.org/
International Society for Nephrology Toolkit for Initiating or Changing RAASi - Renin Angiotensin Aldosterone System Inhibitors (like ACEis such as Lisinopril or Ramipril, or ARBs like Candesartan on Losartan): https://www.theisn.org/initiatives/toolkits/raasi-toolkit/
Royal College of General Practitioners Acute Renal Failure Toolkit: https://elearning.rcgp.org.uk/course/info.php?id=899
CONFIDENCE trial: Finerenone with Empagliflozin in Chronic Kidney Disease and Type 2 Diabetes | New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMoa2410659
ATLAS trial: Efficacy and safety of high-dose lisinopril in chronic heart failure patients at high cardiovascular risk, including those with diabetes mellitus: https://pubmed.ncbi.nlm.nih.gov/11071803/
Metformin lactic acidosis Metformin in Patients With Type 2 Diabetes and Kidney Disease: A Systematic Review: https://jamanetwork.com/journals/jama/article-abstract/2084896
UK AKI Summit report UKKA AKI Summit Report + Recommendations: https://share.google/7uw1GPQ5sV2riJtiV
RCGP AKI follow up post discharge recommendations: https://bjgpopen.org/content/early/2020/06/15/bjgpopen20X101054/tab-figures-data?versioned=true
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Parkinson's Disease
Doctors Lisa and Sara are back with Consultant Neurologist Dr Antonella Macerollo for this episode about Parkinson’s disease. We look at a typical case and discuss what Parkinson’s is, the differentials, the …
Show notes
Doctors Lisa and Sara are back with Consultant Neurologist Dr Antonella Macerollo for this episode about Parkinson’s disease.
We look at a typical case and discuss what Parkinson’s is, the differentials, the need for time to discern between these, and the options for treatment. Links include information on Clinical Trials and Parkinson’s UK which is an active Charity linking resources together for patients and professionals. Thanks to Alison Day at Parkinson’s UK for making the connection between ourselves and Antonella to make these episodes possible.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Resources:
Parkinson’s UK: https://www.parkinsons.org.uk/
The epidemiological link between Essential Tremor and Parkinson’s Disease: https://www.nature.com/articles/s41531-023-00577-y
PD Frontline (clinical trial in Parkinson's disease): https://pdfrontline.com/en
Cure Parkinson’s: https://cureparkinsons.org.uk/
Parkinson’s Europe Charity (good resources): https://parkinsonseurope.org/
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Round up of the Year 2025
Doctors Sara and Lisa discuss the podcast episodes over the year. We talk about our longer term learning points, how the year has gone and what's to come. ___ We really want to make these episodes relevant and …
Show notes
Doctors Sara and Lisa discuss the podcast episodes over the year. We talk about our longer term learning points, how the year has gone and what's to come.
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Essential Tremor
Doctors Lisa and Sara speak to Consultant Neurologist Dr Antonella Macerollo about Essential Tremor (ET). We take a case and go through what ET is, how it might present, differentials and the differences …
Show notes
Doctors Lisa and Sara speak to Consultant Neurologist Dr Antonella Macerollo about Essential Tremor (ET). We take a case and go through what ET is, how it might present, differentials and the differences between other conditions, how it might affect people and what management options there are.
This is the first of two Episodes with Dr Antonella Macerollo, our next one is about Parkinson’s Disease. Thanks to Alison Day at Parkison’s UK for making the connection between ourselves and Antonella to make these episodes possible.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Resources:
More Differentials and details of clinical assessment of Tremors: https://patient.info/doctor/history-examination/tremor-pro?utm_source=gpoptin
Revisiting the assessment of tremor: clinical review. Vijiaratnam N, Wirth T and Morris HR. British Journal of General Practice 2020; 70 (701): 611-614. https://bjgp.org/content/70/701/611
Treatment for essential tremor: a systematic review and Bayesian Model-based Network Meta-analysis of RCTs. Zhang, Junjiao et al. eClinicalMedicine, Volume 77, 102889: https://www.thelancet.com/action/showCitFormats?doi=10.1016%2Fj.eclinm.2024.102889&pii=S2589-5370%2824%2900468-1
Parkinson’s UK: https://www.parkinsons.org.uk/
The epidemiological link between Essential Tremor and Parkinson’s Disease: https://www.nature.com/articles/s41531-023-00577-y
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Digital Developments in Primary Care
Doctors Sara and Lisa speak to Dr Chris Nortcliff who is a GP and Chief Clinical Information Officer for Greater Manchester Primary Care Provider Board. The discussion is focussed around all things digital in …
Show notes
Doctors Sara and Lisa speak to Dr Chris Nortcliff who is a GP and Chief Clinical Information Officer for Greater Manchester Primary Care Provider Board. The discussion is focussed around all things digital in primary care. We start with an overview of how the digital environment is set up within Greater Manchester. We then spend some time talking about digital inclusion - covering how to find people, how to help upskill them to be more digitally literate, and how to support better access to digital services. We also explore what is available in the digital space to help in primary care, and touch on AI and large language models.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
- Greater Manchester Care Record: https://gmwearebettertogether.com/
- Health Innovation Manchester: https://healthinnovationmanchester.com/
- Greater Manchester Digital First Primary Care: https://healthinnovationmanchester.com/our-work/gm-digital-first-primary-care/
- Digital Skills Map: https://greatermanchester-ca.gov.uk/what-we-do/digital/get-online-greater-manchester/greater-manchester-wide-support/get-online-greater-manchester-digital-skills-map/
- National Databank: https://www.goodthingsfoundation.org/our-services/national-databank
- The Good Things Foundation: https://www.goodthingsfoundation.org/
- NHS App: https://www.nhs.uk/nhs-app/
- Digital Facilitator Team: https://gmpcb.org.uk/general-practice/digital-transformation/dfpc-programme-explained/meet-the-team/
- Greater Manchester Primary Care Provider Board Website: https://gmpcb.org.uk/general-practice/digital-transformation/
- Clinical safety standards - DCB 0129: https://digital.nhs.uk/data-and-information/information-standards/governance/latest-activity/standards-and-collections/dcb0129-clinical-risk-management-its-application-in-the-manufacture-of-health-it-systems/
- Clinical safety standards - DCB0160: https://digital.nhs.uk/data-and-information/information-standards/governance/latest-activity/standards-and-collections/dcb0160-clinical-risk-management-its-application-in-the-deployment-and-use-of-health-it-systems/
- Digital Inclusion Framework by NHS England: https://www.england.nhs.uk/long-read/inclusive-digital-healthcare-a-framework-for-nhs-action-on-digital-inclusion/
- Digital Inclusion Heat Map: https://www.thrivebydesign.org.uk/digital-exclusion-heatmap
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Assisted Conception - Managing Subfertility in General Practice
Doctors Lisa and Sara are joined by Dr Cheryl Fitzgerald who is a retired gynaecologist with an extensive background in subfertility. Using a hypothetical case we discuss the definition of subfertility …
Show notes
Doctors Lisa and Sara are joined by Dr Cheryl Fitzgerald who is a retired gynaecologist with an extensive background in subfertility. Using a hypothetical case we discuss the definition of subfertility, important components of a history with this presenting complaint, and comorbidities to be aware of. We talk about who should be referred to secondary care, and what patients can expect from that referral. We also think about useful investigations in primary care before referral.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
- Human Fertilisation and Embryology Authority (HFEA): https://www.hfea.gov.uk/
- NICE Fertility problems: assessment and treatment: https://www.nice.org.uk/guidance/cg156
- Green Top Guidelines: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/
- RCGP Infertility: https://elearning.rcgp.org.uk/mod/book/view.php?id=12534&chapterid=82
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Where do your Microbiology Specimens go?
Doctors Lisa and Sara are joined by Medical microbiology and Infectious Diseases Consultant Dr Callum Mutch to follow the journey of a urine sample and a throat swab as they are processed. We discuss the …
Show notes
Doctors Lisa and Sara are joined by Medical microbiology and Infectious Diseases Consultant Dr Callum Mutch to follow the journey of a urine sample and a throat swab as they are processed. We discuss the important points to get right in the pre-analytical, analytical and post analytical stages of their journeys. Some fascinating insights (including how the clinical details can affect what is tested for) that have changed our practice for the better. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
Podcast: Infectious Diseases Insight of Two Specialists (ID:IOTS): https://www.britishinfection.org/education-events/idiots-podcast
UK Standards for Microbiology Investigations, The Royal College of Pathologists: https://www.rcpath.org/profession/publications/standards-for-microbiology-investigations.html
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Introducing Episode 6 of the Contented Clinician Podcast: Presenting balanced information about benefits and harms to patients makes you more contented
We’ve got something a little bit different for you today, instead of our summer rewind. Some people may remember the wonderful episode about dealing with Uncertainty we did way back in 2020 with GP, Primary …
Show notes
We’ve got something a little bit different for you today, instead of our summer rewind.
Some people may remember the wonderful episode about dealing with Uncertainty we did way back in 2020 with GP, Primary Care Educator and Author Dr Avril Danczak. It was such an important episode in our careers and I know helped many others.
We wanted to share the news that Avril is doing brilliant podcasting work with the ever pragmatic Professor James McCormack. Their podcast Contented clinician, people may have already found, but we thought it would be useful to post one here to signpost listeners to their good work.
Welcome to Episode 6 of The Contented Clinician Podcast! Dr Avril Danczak and Professor James McCormack created The Contented Clinician Podcast to help clinicians find more joy and satisfaction in your practice by blending a collective of real-world experience, common sense, and the best available evidence. So, if you’re looking to make your clinical practice more fulfilling and sustainable, join us and our inspiring network of clinicians as we explore new perspectives and effective strategies to reshape the way you think about your work.
The Case:
Dr. Ashville is currently training to become a family physician. One day, they receive a phone call from a frustrated patient named Jane Brown.
Jane had received a message stating: “As your cardiovascular risk is now 10%, it is recommended you take a statin medication.” She is upset because no one had a proper conversation with her about starting a new prescription.
Her main concern is: “How likely am I to actually benefit from this treatment? Is it really worth it?”
Dr. Ashville realizes they had simply been following a protocol and isn't entirely sure how to answer Jane's question. Wanting to better understand how to provide more balanced information, Dr. Ashville decides to discuss the issue with the clinician supervising their medical education.
Resources:
GP Evidence: https://gpevidence.org/
James McCormack: Doing statistics can be difficult but understanding them can be fairly simple: https://www.sensible-med.com/p/doing-statistics-can-be-difficult
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Things you need to know about Microbiology
Doctors Lisa and Sara are joined by Medical Microbiology and Infectious Diseases Consultant Dr Callum Mutch for an overview of Antibiotics and Microbiology in General Practice. Doctors Callum and Jame host a …
Show notes
Doctors Lisa and Sara are joined by Medical Microbiology and Infectious Diseases Consultant Dr Callum Mutch for an overview of Antibiotics and Microbiology in General Practice. Doctors Callum and Jame host a podcast in Infectious Diseases called ID:IOTS and we wanted to do a crossover episode exploring common themes in Microbiology that we encounter in General Practice. We talk about the case of a woman with recurrent UTIs and a man with epididymo-orchitis. This lends itself to a discussion on general approaches to cases, microbes and antibiotics. We cover a little bit about antimicrobial stewardship at the end. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
Podcast: Infectious Diseases Insight of Two Specialists (ID:IOTS): https://www.britishinfection.org/education-events/idiots-podcast
Antimicrobial Counselling Resources from Public Health Wales: https://phw.nhs.wales/services-and-teams/antibiotics-and-infections/harp-news/eaadwaaw-2021/resources/community-pharmacy-counselling-checklist/
Antimicrobial Counselling RCGP TARGET Resources: https://elearning.rcgp.org.uk/mod/book/view.php?id=12647
The Cynefin Framework for looking at decisions (Simple, complicated, Complex, Chaos): https://thecynefin.co/about-us/about-cynefin-framework/?srsltid=AfmBOopHNprchcOsISLVvXm2C5W-UU-oqHDkty_jo1IAAsupfoMu4_Cx
Shared Decision Making Tool BRAN - Benefits, Risks, Alternatives, Nothing: https://www.england.nhs.uk/personalisedcare/shared-decision-making/decision-support-tools/how-to-use-a-decision-support-tool/#:~:text=Prepare%20patients%20to%20share%20decisions&text=In%20addition%20to%20the%20proactive,Nothing)%20or%20equivalent%20local%20initiatives
World Health Organisation AWaRe Book: Access, Watch, Reserve Antimicrobial Book (can aid in decision making around which antibiotics to use. Accessed May 2025): https://www.who.int/publications/i/item/WHO-MHP-HPS-EML-2022.02
UK Health Security Agency Adaptation of the Access, Watch, Reserve (AWaRe) Guidelines: https://www.gov.uk/government/publications/uk-aware-antibiotic-classification/uk-access-watch-reserve-and-other-classification-for-antibiotics-uk-aware-antibiotic-classification
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
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Asthma Guidelines: What's new?
Doctors Lisa and Sara take a deep dive into the recent combined asthma guidelines with Dr Murugesan Raja who is a GP and clinical lead for respiratory medicine for NHS Greater Manchester Strategic Clinical …
Show notes
Doctors Lisa and Sara take a deep dive into the recent combined asthma guidelines with Dr Murugesan Raja who is a GP and clinical lead for respiratory medicine for NHS Greater Manchester Strategic Clinical Network. We go through the new asthma recommendations for the different age groups, starting with a reminder of what symptoms make up a typical asthma history, moving on to the new pathway of investigations, and ending with a chat about management covering AIR and MART. We also touch on green prescribing, steroid cards and other important areas of management such as adherence and inhaler technique. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
Joint asthma guideline: https://www.nice.org.uk/guidance/ng244
GMMMG asthma guidelines: https://gmmmg.nhs.uk/guidance/clinical-guidance-and-pathways/gm-asthma-guideline-2024-for-web/
Asthma and Lung UK: https://www.asthmaandlung.org.uk/
Right Breathe: https://www.rightbreathe.com/
Asthma and Lung UK explainer videos: https://www.asthmaandlung.org.uk/living-with/inhaler-videos
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Chapters
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Nasal Obstruction in Children
Episode four of four on Paediatric ENT. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on nasal obstruction in children. We use examples of …
Show notes
Episode four of four on Paediatric ENT. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on nasal obstruction in children. We use examples of typical cases to discuss an approach to assessing these patients, discussing who ENT might want to see urgently, and differentials for these presentations. We discuss options for management in Primary Care and what ENT can do. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
- Efficacy and Safety of Nasal Steroids reference: Li Y, Xiong J, Zhang Z, Liao K, Zho X, Li J, Xiang J, Xu L. Efficacy and safety of various corticosteroids in the treatment of children with allergic rhinitis: A systematic review and network meta-analysis. J Evid Based Med. 2024 Sep;17(3):626-642: https://pubmed.ncbi.nlm.nih.gov/39313999/
- Safety of Intranasal Steroids link: McDonnell J, Weller K, Pien LC. Safety of Intranasal Steroids: an Updated Perspective. Curr Allergy Asthma Rep. 2020 Sep 7;20(11):69. https://pubmed.ncbi.nlm.nih.gov/32893309/
- ENT UK Paediatric Snoring and Obstructive Sleep Apnoea in Children and Adolescents (accessed May 2025): https://www.entuk.org/_userfiles/pages/files/guidelines/global%20ent%20guidelines/global_health_guidelines_pediatric_snoring_obstructive_sleep_apnoea.pdf
- ENT UK Chronic Rhinosinusitis in Children: https://www.entuk.org/patients/conditions/64/chronic_rhinosinusitis_in_children/
- NICE Clinical Knowledge Summaries Allergic Rhinitis (Jan 2024): https://cks.nice.org.uk/topics/allergic-rhinitis/
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Recurrent Epistaxis in Children
Episode three of four on Paediatric ENT. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Epistaxis in Children. We discuss …
Show notes
Episode three of four on Paediatric ENT. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Epistaxis in Children. We discuss important differentials, including a rare condition that can present in predominantly teenage boys not to be missed, before moving on to discuss options for management and why the vast majority of these patients can often be safely managed in the community. We discuss cases that would be useful to be seen by the ENT team. Short and sweet, full of useful resources. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)Resources:
- Success Rates of Naseptin (Chlorhexidine dihydrochloride and neomycin sulfate) in reducing Epistaxis: Garry S, Wauchope J, Hintze J, Ryan E, O'Cathain E, Heffernan C. Factors affecting Naseptin treatment success – A prospective cohort study. International Journal of Pediatric Otorhinolaryngology. Volume 171. 2023: https://www.sciencedirect.com/science/article/abs/pii/S0165587623001878#:~:text=80.8%25%20(n%20%3D%20101),effects%20(skin%20irritation%20etc.)
- ENT UK: How to use a Nasal Spray: https://www.entuk.org/patients/conditions/79/how_to_use_nasal_sprays/
- Asthma and Lung UK, How to use a Nasal Spray useful Video for patients: https://www.youtube.com/watch?v=S31maomo1xQ
- Alder Hey Children’s Hospital Patient leaflet: Nosebleeds: https://www.alderhey.nhs.uk/conditions/symptoms-checker/nosebleeds/
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Recurrent Tonsillitis in Children
Episode two of four on Paediatric ENT conditions. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Tonsillitis in Children. We go …
Show notes
Episode two of four on Paediatric ENT conditions. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Tonsillitis in Children. We go through the definition of tonsillitis and what ENT class as recurrent Tonsillitis that would hit the criteria for Tonsillectomy in our region. We use a case and discuss why referral criteria are so strict, as well as some exceptions to the criteria.Resources:
- ENT UK Recurrent Tonsillitis Decision Making Tool for Tonsillectomies (for parents): https://www.entuk.org/patients/conditions/63/helping_you_decide_about_tonsil_surgery_for_your_child
- NHS England ENT UK Recurrent Tonsillitis Decision Making Tool for Tonsillectomies (for adults and Children): https://www.england.nhs.uk/publication/decision-support-tool-making-a-decision-about-recurrent-tonsillitis-in-children-and-adults/
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Recurrent Acute Otitis Media in Children
Episode one of four on Paediatric ENT conditions. Doctors Lisa and Sara are joined by Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Acute Otitis Media (AOM) in …
Show notes
Episode one of four on Paediatric ENT conditions. Doctors Lisa and Sara are joined by Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Acute Otitis Media (AOM) in Children. A common problem, we take a classic presentation and work through getting the diagnosis right, red flags and differentials before discussing management and which children may need referrals. We then discuss the limited options of what might be done in an ENT clinic and helpful resources for families. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful Resources:
- NICE Clinical Knowledge Summaries on Acute Otitis Media (including initial presentation, persistent infections and recurrent infections (updated August 2024): https://cks.nice.org.uk/topics/otitis-media-acute/
- Hoberman et al. 2021 NEJM Tympanostomy tube placement or medical management for recurrent acute otitis media: https://www.nejm.org/doi/full/10.1056/NEJMoa2027278
- Resource for Patients:
- ENT UK: Decision making aid for parents re Grommets: https://www.entuk.org/patients/conditions/5/grommets_a_decisionmaking_aid_for_parents
- ENT UK: Explainer leaflets, How to use ear drops or sprays: https://www.entuk.org/patients/conditions/74/how_to_use_ear_drops_or_sprays
- The Royal Children’s Hospital Melbourne. Clinical Paediatric Guideline (good algorithm, pictures of erythematous Tympanic Membranes versus Acute Otitis Media with bulging/effusion): https://www.rch.org.au/clinicalguide/guideline_index/acute_otitis_media/
- ENT Guidelines for Derbyshire (includes details of Topical Drops in specific cases: https://www.derbyshiremedicinesmanagement.nhs.uk/assets/Clinical_Guidelines/Formulary_by_BNF_chapter_prescribing_guidelines/BNF_chapter_12/Chapter_12_Ear_nose_and_oropharynx.pdf
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
The Beauty of Balint Groups in General Practice
Doctors Lisa and Sara are joined by GP and Medical Educator Dr Alan Ng, working in Canada. We discuss what Balint groups are, starting from who Balint was. We go through the structure of a Balint session and …
Show notes
Doctors Lisa and Sara are joined by GP and Medical Educator Dr Alan Ng, working in Canada. We discuss what Balint groups are, starting from who Balint was. We go through the structure of a Balint session and why they exist in the form they do. We discuss the advantages to both Doctors and their patients of discussing cases within a Balint group and being part of a group. Discussions can help us gain a deeper understanding of the doctor-patient relationship and discover more about the dynamics and causes of our stresses in particular cases.You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
UK Balint Society: https://balintsociety.org.uk/
American Balint Society: www.americanbalintsociety.org
International Balint Federation: www.balintinternational.com
Balint, Michael. The Doctor, His Patient and the Illness. Churchill Livingstone 1957, 1963, 2000: https://www.worldofbooks.com/en-gb/products/doctor-his-patient-and-the-illness-book-michael-balint-9780272792063
Salinsky, John and Sackin, Paul. What Are You Feeling Doctor? Radcliffe 2000: https://www.worldofbooks.com/en-gb/products/what-are-you-feeling-doctor-book-john-salinsky-9781857754070
Joanne Reeve and the idea of ‘Knowledge Work’: https://bjgplife.com/reclaiming-general-practice-tackling-our-workforce-crisis-with-wisegp/
Stojanovic-Tasic M, Latas M, Milosevic N, Aritonovic Pribakovic J, Ljusic D, Sapic R, Vucurevic M, Trajkovic G, Grgurevic A. Is Balint training associated with the reduced burnout among primary health care doctors? Libyan J Med. 2018 Dec;13(1):1440123: https://pubmed.ncbi.nlm.nih.gov/29493438/
Van Roy K, Vanheule S, Inslegers R. Research on Balint groups: A literature review. Patient Educ Couns. 2015 Jun;98(6):685-94: https://pubmed.ncbi.nlm.nih.gov/25681874/
Player M, Freedy JR, Diaz V, Brock C, Chessman A, Thiedke C, Johnson A. The role of Balint group training in the professional and personal development of family medicine residents. Int J Psychiatry Med. 2018 Jan-Mar;53(1-2):24-38. doi: 10.1177/0091217417745289. Epub 2017 Dec 13: https://pubmed.ncbi.nlm.nih.gov/29235909/
Kjeldmand D, Holmström I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008 Mar-Apr;6(2):138-45. doi: 10.1370/afm.813: https://pubmed.ncbi.nlm.nih.gov/18332406/
Mathers and Rowland (1997). General practice-a post-modern speciality? British Journal of General Practice, 47, 177-179: https://bjgp.org/content/47/416/177
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
How General Practice can support International Medical Graduates
Doctors Lisa and Sara were delighted to interview Dr Sylvia Kama-Kieghe, a GP based in Sheffield with an interest in Women’s Health. She is the Chair of the Royal College of General Practice North of England …
Show notes
Doctors Lisa and Sara were delighted to interview Dr Sylvia Kama-Kieghe, a GP based in Sheffield with an interest in Women’s Health. She is the Chair of the Royal College of General Practice North of England International Medical Graduates Group. We start with what the group does, why it was set up and look at issues International Medical Graduates might face when working and training in the UK. We consider what practices, staff and supervisors can do to help make International Medical Graduates feel welcome and supported so that the experiences for all can be positive.A useful listen for all working in Primary Care and specifically those new to Practice in the UK and to Educational and Clinical GP Supervisors.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
Dr Sylvia Kama-Kieghe’s YouTube Channel for Women’s Health: https://www.youtube.com/c/AskAwayHealth
GMC Welcome to the UK pack for International Medical Graduates and Supervisors: https://www.gmc-uk.org/about/what-we-do-and-why/learning-and-support/workshops-for-doctors/welcome-to-uk-practice
Royal College of General Practitioners Resources for International Medical Graduates: https://www.rcgp.org.uk/blog/international-medical-graduates-support
Royal College of General Practitioners Guide for Overseas Doctors: https://www.rcgp.org.uk/your-career/overseas-doctors-guide
Royal College of General Practitioners International Medical Graduates Forum: https://forum.rcgp.org.uk/login
Guide on How the NHS works (2021): https://www.nhsemployers.org/system/files/media/Working-and-training-in-NHS-2021_0.pdf
International Medical Graduates Podcasts with Raykal Simm: https://open.spotify.com/episode/5ZB88fc9X1tKftnYLhRytb?si=7c906c86bee34fbf
Our Episode on How General Practice is Funded (2024): https://www.podbean.com/ew/pb-84rq4-15bc17f
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Tips from an International Medical Graduate about joining General Practice
For the podcast this week we spoke to Dr Abid Ali Khan, a GP trainee in East London currently on a Clinical Fellowship in Leadership (National Medical Directors Clinical Fellow). We focused on his experiences …
Show notes
For the podcast this week we spoke to Dr Abid Ali Khan, a GP trainee in East London currently on a Clinical Fellowship in Leadership (National Medical Directors Clinical Fellow). We focused on his experiences as an International Medical Graduate to gain an understanding of the challenges he faced coming to the UK. We got his advice for other International Medical Graduates and those supporting IMGs. We have a second episode out next month focusing more on what practices and staff can do to help support International Medical Graduates. A useful listen for all working in Primary Care and specifically those new to Practice in the UK and to Educational and Clinical GP Supervisors.You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
- GMC Welcome to the UK pack for International Medical Graduates and Supervisors: https://www.gmc-uk.org/about/what-we-do-and-why/learning-and-support/workshops-for-doctors/welcome-to-uk-practice
- Royal College of General Practitioners Resources for International Medical Graduates: https://www.rcgp.org.uk/blog/international-medical-graduates-support
- Royal College of General Practitioners Guide for Overseas Doctors: https://www.rcgp.org.uk/your-career/overseas-doctors-guide
- Royal College of General Practitioners International Medical Graduates Forum: https://forum.rcgp.org.uk/login
- Guide on How the NHS works (2021): https://www.nhsemployers.org/system/files/media/Working-and-training-in-NHS-2021_0.pdf
- International Medical Graduates Podcasts with Dr Raykal Sim: https://open.spotify.com/episode/5ZB88fc9X1tKftnYLhRytb?si=7c906c86bee34fbf
- Our Episode on How General Practice is Funded (2024): https://www.podbean.com/ew/pb-84rq4-15bc17f
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Hepatitis C
Doctors Lisa and Sara talk to Hepatitis C GP Champion Dr Lindsey Kent and Greater Manchester Peer Programme Manager Tony Horrocks for an overview of Hepatitis C. We cover the basics around the virus and …
Show notes
Doctors Lisa and Sara talk to Hepatitis C GP Champion Dr Lindsey Kent and Greater Manchester Peer Programme Manager Tony Horrocks for an overview of Hepatitis C. We cover the basics around the virus and prevalence, potential symptoms and at risk groups to consider when offering testing. We discuss the great work being done to eradicate Hepatitis C in Manchester (and around the UK) including Tony’s personal story as well as his work as a Peer Programme Manager. Wonderful to hear the success rate for cure with medications and how the team ‘leave no one behind’.Great listening for all of us working in General Practice.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
- NICE Clinical Knowledge Summaries Hepatitis C (last revised Sept 2022): https://cks.nice.org.uk/topics/hepatitis-c/
- The Hepatitis C Trust UK Online Risk Checker: https://www.hepctrust.org.uk/hepatitis-c-risk-checker/
- Order free Hepatitis C test UK: https://hepctest.nhs.uk/
- Liverpool Hepatitis Interaction Checker: https://hep-druginteractions.org/checker
- Greater Manchester and East Cheshire Hepatitis C Operational Delivery Network: https://research.cmft.nhs.uk/innovation-at-mft/hepatitis-c-operational-delivery-network-for-greater-manchester-and-east-cheshire
- Aneesha Noonan’s podcast on Expanding hepatitis C elimination into Primary Care settings: https://youtu.be/U5TdLJdAGrI?si=Woy1nkVxfCztXaJY
- Hep C U Later Primary Care Toolkit: https://www.hepculater.com/wp-content/uploads/2024/05/Primary-Care-Toolkit-Final-with-links-v2-with-updated-date.pdf
- Hep C U Later’s ‘Hep C Elimination Successes’: https://www.hepculater.com/hepatitis-c-elimination-successes/
- Hep C U Later: GP practices can run a case finding tools (these are already installed on systems within general practice). If you’re interested in running these tools with support from other organisations email [email protected] so we can link you to the right people.
NHS England » NHS set to eliminate Hepatitis C ahead of rest of the world: https://www.england.nhs.uk/2022/12/nhs-set-to-eliminate-hepatitis-c/
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Round up of the Year 2024
Doctors Sara and Lisa discuss the podcast episodes over the year. We talk about our longer term learning points, how the year has gone and what's to come. ___ We really want to make these episodes relevant and …
Show notes
Doctors Sara and Lisa discuss the podcast episodes over the year. We talk about our longer term learning points, how the year has gone and what's to come.
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Constipation in Palliative Patients
Doctors Lisa and Sara talk to Locum Consultant Dr Caitriona MacDermott about assessing and managing constipation in Palliative Patients. A common symptom with a significant impact on people’s quality of life …
Show notes
Doctors Lisa and Sara talk to Locum Consultant Dr Caitriona MacDermott about assessing and managing constipation in Palliative Patients. A common symptom with a significant impact on people’s quality of life, the episode aims to get across the importance of the topic, the often multifactorial nature of clinical scenarios, the red flags not to miss and arm you with a logical and holistic approach to management. We discuss how management might differ for patients with certain conditions such as partial bowel obstruction, neurological causes, or liver disease. An important listen for those of us in the community looking after palliative patients.You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
- Greater Manchester Palliative Care Symptom Control Guidelines for Adults (2019): https://www.england.nhs.uk/north-west/wp-content/uploads/sites/48/2020/01/Palliative-Care-Pain-and-Symptom-Control-Guidelines.pdf
- Clinical Knowledge Summaries from NICE: Palliative Care - Constipation (Updated Feb 2024): https://cks.nice.org.uk/topics/palliative-care-constipation/
- NICE CKS Table of Doses of Laxatives that can be used for Palliative Patients: https://cks.nice.org.uk/topics/palliative-care-constipation/prescribing-information/doses-of-laxatives/
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Tips to Pass the SCA for GP Trainees
As requested by GP Trainees, this week's episode is on tips to pass the Simulated Consultation Assessment exam; the final exam for GP trainees in the UK. We spoke to Dr Anne Hawkridge who was a GP trainer in …
Show notes
As requested by GP Trainees, this week's episode is on tips to pass the Simulated Consultation Assessment exam; the final exam for GP trainees in the UK. We spoke to Dr Anne Hawkridge who was a GP trainer in Bolton for over 20 years and has been a MRCGP examiner since 2007 when the CSA (Clinical Skills Assessment) started, the predecessor to the pandemic RCA and now the SCA.She is also the co-founder of the successful exam support programme here in the North West; the SOX programme (Support on Exams) and co-author of the North West England Consultation Toolkit which is published in full on the MRCGP SCA preparation website.
Questions we had were; what is the exam, what does it look like, how much does it cost, when to consider sitting in, how to approach revising for it and what pitfalls to avoid. The top tips fit into 4 themes; GP consulting skills, ensuring knowledge, good exam technique and timing. Anne covers the changes in the exam through the recent years and there’s plenty in there to give people a flavour of how they can approach the exam in a way that will maximise their chance of success, as well as gaining skills for being a good GP.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
- Interviews from successful North West Deanery Trainees: https://www.nwpgmd.nhs.uk/sca-resources
- We highly recommends listening to the interviews in full on the North West Deanery SCA resources site here https://www.nwpgmd.nhs.uk/sca-resources
- Royal College of General Practitioners Simulated Consultation Assessments Introduced and Explained with the Toolkit: https://www.rcgp.org.uk/mrcgp-exams/simulated-consultation-assessment/introduction
- We recommend that you watch the short How to use the toolkit video:
https://www.youtube.com/watch?v=AMHfHJVENfk - Royal College of General Practitioners Red Amber Green (RAG) Rating Tool: https://www.rcgp.org.uk/getmedia/95fa6d76-b02d-41c8-873d-f1ccf576dd4b/sca-consultation-toolkit-rag.pdf
- North West England Deanery Website with information and tips on Passing the SCA: https://www.nwpgmd.nhs.uk/sca-resources
- The SCA-SOX Programme: https://heeoe.hee.nhs.uk/general_practice/sca-sox-programme
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
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This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
COPD in General Practice
Doctors Lisa and Sara talk to Respiratory Physiotherapist Thomas James about COPD. We start with what COPD is, when to suspect it, a standard work up, pitfalls and points of consideration about spirometry …
Show notes
Doctors Lisa and Sara talk to Respiratory Physiotherapist Thomas James about COPD. We start with what COPD is, when to suspect it, a standard work up, pitfalls and points of consideration about spirometry, before moving on to an overview of management. We then cover some changes in the way COPD exacerbations are managed in South Manchester and the role of Eosinophils in both acute and chronic management. Understanding the role of Pulmonary rehabilitation, prednisolone and exercise in management are particular highlights. We cover our learning points from the episode at the end.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
- NICE COPD in adults (last updated Sept 2023): https://www.nice.org.uk/guidance/QS10
- The Global Initiative for Chronic Obstructive Lung Disease (GOLD) Spirometry Guide: https://goldcopd.org/gold-spirometry-guide/
- Association for Respiratory Technology and Physiology (ARTP) advice on Spirometry Interpretation: https://www.artp.org.uk/en/spirometry
- Greater Manchester Medicines Management Group (GMMMG) COPD Management Plan Guideline (2021): https://gmmmg.nhs.uk/wp-content/uploads/2021/11/COPD-Treatment-Guideline-Nov-2021-V7.1.pdf
- Greater Manchester Medicines Management Group (GMMMG) COPD Inhaler Guide (2021): https://gmmmg.nhs.uk/wp-content/uploads/2023/05/GMMMG-COPD-Inhaler-Guide-update-Mar-2023.pdf
- Greater Manchester CURE Project for Smoking Cessation: https://gmcancer.org.uk/programmes-of-work/treatment/the-cure-project/
- Greater Manchester Change, Grow, Live Services including Smoking Cessation: https://www.changegrowlive.org/
- Primary Care Respiratory Society MRC Breathlessness scale: https://www.pcrs-uk.org/mrc-dyspnoea-scale
- Our podcast with Dr Lesley Henson and Dr Caitriona MacDermott on Breathlessness in Palliative Care (May 2024): https://pckb.org/e/breathlessness-in-palliative-care/
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Proactive Care - Dementia Projects
Doctors Lisa and Sara talk to Dr Joanna Bircher, Dr Nikesh Vallabh, Shelley Ryder (SWAN PCN Manager and Transformation Lead) and Dr Fran Fitton. We find out what proactive care is all about and then launch into …
Show notes
Doctors Lisa and Sara talk to Dr Joanna Bircher, Dr Nikesh Vallabh, Shelley Ryder (SWAN PCN Manager and Transformation Lead) and Dr Fran Fitton. We find out what proactive care is all about and then launch into example projects around dementia care that Shelley and Fran are involved in. We hope this gives people a flavour of what proactive care projects could entail in General Practice in terms of design and implementation.
Later in the year, we hope to bring more examples of projects and how they managed to get them off the ground.You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
- NHS Long Term Plan, Overview and Summary: https://www.longtermplan.nhs.uk/online-version/overview-and-summary/
- Proactive care: New GM support offer for 20 PCNs: https://gmpcb.org.uk/proactive-care-new-gm-support-offer-for-20-pcns/
- An Introduction to Quality Improvement: https://www.podbean.com/ew/pb-ubnht-114762e
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
2024 Polypharmacy Summer Rewind
***SUMMER REWIND - INITIALLY RELEASED ON 31ST JAN 2024*** To get in touch: [email protected] Doctors Lisa and Sara talk to Senior Pharmacist Sarah Hafeez about Polypharmacy. She explains the …
Show notes
***SUMMER REWIND - INITIALLY RELEASED ON 31ST JAN 2024***
To get in touch: [email protected]
Doctors Lisa and Sara talk to Senior Pharmacist Sarah Hafeez about Polypharmacy. She explains the difference between inappropriate and appropriate polypharmacy before talking through some typical cases that illustrate several examples of common scenarios.
This leads to discussions on prioritising concerns, weaning/stopping medications, counselling patients on the effects of Opioids and Gabapentinoids and involving community teams aiming for successful reductions of addiction forming medications. Other gems include a discussion of the potential long term risks of Proton Pump Inhibitors and advice on weaning, remembering to consider anticholinergic burdens as well as handy resources for tackling Polypharmacy, Structured Medications Reviews and medication reductions.You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources:
Greater Manchester Medicines Management Group: Inappropriate Polypharmacy Review and Treatment Optimisation: Resource Pack (from Dec 2022, accessed Dec 2023): https://gmmmg.nhs.uk/wp-content/uploads/2023/02/GMMMG-Polypharmacy-resource-pack-v3.0.pdf
Scotland Polypharmacy Resources for Professionals and for Patients: https://www.polypharmacy.scot.nhs.uk/for-patients-and-carers/
Scottish Polypharmacy Guidance 2018: https://www.therapeutics.scot.nhs.uk/wp-content/uploads/2018/04/Polypharmacy-Guidance-2018.pdf
Lewis T. Using the NO TEARS tool for medication review. BMJ. 2004 Aug 21;329(7463):434. doi: 10.1136/bmj.329.7463.434. PMID: 15321901; PMCID: PMC514207 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC514207/
Toolkit for General Practice in Supporting Older People Living with Frailty (includes a great Appendix of the STOPP/START criteria (2017): https://www.england.nhs.uk/wp-content/uploads/2017/03/toolkit-general-practice-frailty-1.pdf
An example of an Anticholinergic Burdon Resource from West Essex CCG 2020: https://westessexccg.nhs.uk/your-health/medicines-optimisation-and-pharmacy/clinical-guidelines-and-prescribing-formularies/04-central-nervous-system/61-anticholinergic-side-effects-and-prescribing-guidance/file
Canadian Resource for Deprescribing including reducing medications and some patient information leaflets: https://deprescribing.org/
Resource for help reducing and stopping medications: https://medstopper.com/
Me and My Medicines Resource for Patients to look through their medications before reviews or for information: https://meandmymedicines.org.uk/
Anticholinergic Medications and Risks of Dementia Cochrane Editorial with Reports in Link (Sept 2021): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.ED000154/full
- Anticholinergic drugs and risk of dementia: Time for action? British Pharmacological Society. Bell B et al Jun 2021 (9:3). Accessed 15/1/2024: https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1002/prp2.793
- Cognitive Effects of Anticholinergic Load in Women with Overactive Bladder. Clin Interv Aging. 2020; 15: 1493–1503: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7457731/
- Greater Manchester Medicines Management Group: Management of Overactive Bladder Including a simple Bladder Diary before and after stopping Medications (Jun 2019): https://gmmmg.nhs.uk/wp-content/uploads/2021/08/Management-of-OAB-in-adults-v3-0-approved-Aug-2019.pdf
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback
Email us at: [email protected]
___
This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
These are the latest 40 of 165 episodes. You’ll find older episodes in the podcast’s feed.
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