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Doctors Lisa and Sara talk to Senior Eating Disorder Practitioners Vicky McGee and Rachelle Davies to get their advice on consulting with children and young people who present with features of an Eating Disorder. We take the theoretical case of 14-year-old Suzie, who presents to the Practice alongside her Mum with mood symptoms, reduced eating and weight loss. We use this to guide the discussion around consulting with children and young people and assessing for an Eating Disorder. We talk about Red Flags during acute assessment and follow up.
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
Medical Emergencies in Eating Disorders: Guidance on Recognition and Management (Updated July 2023 - Traffic Light System Starts p31): https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr233-medical-emergencies-in-eating-disorders-(meed)-guidance.pdf?sfvrsn=2d327483_52
NICE Guidelines Eating disorders: recognition and treatment  (Dec 2020): https://www.nice.org.uk/guidance/ng69/resources/eating-disorders-recognition-and-treatment-pdf-1837582159813
Royal College of General Practice Eating Disorders eLearning: https://elearning.rcgp.org.uk/enrol/index.php?id=173
Children and young people with suspected eating disorders: Guidelines for primary care professionals (Greater Manchester Focus): https://hub.gmintegratedcare.org.uk/mental-health/children-and-young-people-with-suspected-eating-disorders-guidelines-for-primary-care-professionals/
Eva Musby, a resource for Parents and Clinicians around Anorexia Nervosa: https://anorexiafamily.com/
Maudsley Model in Eating Disorder Treatment: https://www.eatingdisorderhope.com/blog/maudsley-model-eating-disorder
Guidelines Summary for Primary Care: Management of Eating Disorders (lists specific types): https://www.medscape.co.uk/viewarticle/eating-disorders-2022a10019oa
FEAST (Families Empowered And Supporting Treatment for Eating Disorders) Resources for Families: https://www.feast-ed.org/
Beat Eating Disorders: https://www.beateatingdisorders.org.uk/get-information-and-support/about-eating-disorders/types/
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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 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.

Doctors Sara and Lisa talk to GPs and Workforce Leads Dr Nikesh Vallabh and Dr Richard Bircher. They wanted to talk to us today to discuss a practical approach to some of the workforce issues we are all facing. This episode will be particularly useful for GP Partners, Practice Managers and anyone interested in workforce issues in General Practice.
The clicking into the episode will bring up a large list of resources for people to check out as well. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
NHS Long term Workforce Plan (June 2023):  ttps://www.england.nhs.uk/long-read/accessible-nhs-long-term-workforce-plan/
National offers to support GPs, including information on Returning to General Practice, GP retainer Scheme, International GP recruitment and the GP Fellowship Scheme: https://www.england.nhs.uk/gp/the-best-place-to-work/
Greater Manchester Primary Care Provider Board: New Access Models with Worked Examples: https://gmpcb.org.uk/general-practice/new-access-models/
GM Primary Care Provider Board website with links to case studies for new models of care to improve access: https://gmpcb.org.uk/general-practice/new-access-models/
Our Previous Episode ‘Changing Access Models in General Practice’: https://www.podbean.com/ew/pb-nw7rc-13ca7c0
NHS England GP Fellowship Programme: https://www.england.nhs.uk/gp/the-best-place-to-work/gp-fellowship-programme/
Health Education England GP Fellowship Programme: https://www.hee.nhs.uk/our-work/gp-fellowships
Health Education England North West Professional and Educational Development Course (for GPs): https://nwpgmd.nhs.uk/professional-education-and-development-course-ped
Greater Manchester Training Hub (access to lots of different training opportunities for General Practice Staff as well as Coaching and Mentorship Courses): https://gmthub.co.uk/
GP careers: Becoming a GP trainer: Article on GP Online (Jan 2022): https://www.gponline.com/gp-careers-becoming-gp-trainer/article/1424835
Health Education England General practice educator, assessor, coach or mentor: https://www.hee.nhs.uk/our-work/primary-care/general-practice-educator-assessor-coach-or-mentor
GPs Return to Practice: https://www.england.nhs.uk/gp/the-best-place-to-work/returning-to-practice/#:~:text=A%20national%20support%20team%20means,educational%20needs%20of%20each%20GP
National GP Retention Scheme: https://www.england.nhs.uk/gp/the-best-place-to-work/retaining-the-current-medical-workforce/retained-doctors/
Health Education England Apprentices in primary care - success in practice! https://www.hee.nhs.uk/sites/default/files/documents/Apprentices%20in%20primary%20care%20Mar%202017_0.pdf
Gov.uk Education Hub Blog: NHS doctor apprenticeships: Everything you need to know (June 2023): https://educationhub.blog.gov.uk/2023/06/30/nhs-doctor-apprenticeships-everything-you-need-to-know/
Greater Manchester Primary Care Careers: https://gmprimarycarecareers.org.uk/
(Direct link to page with infographic for GPs Career paths): https://gmprimarycarecareers.org.uk/generalpractice/careers/general-practitioner/
Information on becoming a learning environment: https://gmthub.co.uk/placements/health-professions-in-social-care/becoming-an-accredited-learning-environment
___
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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Lisa and Sara talk to Dr Aseem Mishra to discuss changes in the guidelines for Hypertension. The discussion includes advice on how to get the most accurate diagnosis and measurements for blood pressures, the importance of counselling patients well, and advice on medications. We started with a poem from Aseem focusing around why this is such an important topic.
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 (updated March 2023): https://cks.nice.org.uk/topics/hypertension/
NICE Visual Summary of Hypertension Diagnosis and Management (Aug 2019): https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517
European Society of Hypertension Guidelines: https://www.eshonline.org/guidelines/2023-guidelines/
Greater Manchester Medicines Management Group (GMMMG) Hypertension Toolkit (Sept 2023): https://gmmmg.nhs.uk/wp-content/uploads/2023/09/GM-Hypertension-Pathway-V9.2-Final.pdf
Antonios T116 Antihypertensive drug concordance in patients with apparent resistant hypertension: a tertiary hypertension referral centre experience Heart 2019;105:A97 https://heart.bmj.com/content/105/Suppl_6/A97.1
Blood Pressure UK (good resources including patient booklets: https://www.bloodpressureuk.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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Lisa and Sara talk with Consultant Psychiatrist Dr Mark Spurrell about a framework that can be applied to the care of complex patients with multiple problems or difficulties. It is particularly useful at times where we feel stuck, we are struggling to help or move forward and care may be fragmented with lots of care professionals feeling similarly. The idea is to use a value based approach using the whole team to breathe new life into the scenario, create positivity and momentum and build on this to help generate better outcomes for patients that are tailored to their values. 
The idea is originally for the MDT approach of Mental Health work but it has been interesting to discuss the approach for General Practice Patients. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
Spurrell M, Potts L, Shaw A. Framing Value Based Healthcare in Practice: Introducing the Complex Case and Recovery Management Framework (The CCaRM). Int J Integr Care. 2023 Jan 9;23(1):1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838237/
Dr Mark Spurrell Website with resources: www.mark-spurrell.com
Shared Decision Making Summary guide NHS England and NHS Improvement Feb 2019: https://www.england.nhs.uk/wp-content/uploads/2019/01/shared-decision-making-summary-guide-v1.pdf
Royal College of GPs 2016: Collaborative Care and Support Planning: Ready to be a reality https://elearning.rcgp.org.uk/pluginfile.php/174399/mod_book/chapter/576/RCGP-CCSP-Ready-to-be-a-Reality.pdf
The Good Lives Model, a strengths-based approach to offender rehabilitation that can be used in other areas: https://www.goodlivesmodel.com/
Recovery Star The Outcomes Star for mental health and well-being: https://www.outcomesstar.org.uk/using-the-star/see-the-stars/recovery-star-4/
NHS Examples of survey tools for use in supported self-management: https://www.england.nhs.uk/personalisedcare/supported-self-management/health-system-support-framework-for-supported-self-management/examples-of-survey-tools-for-use-in-supported-self-management/
___
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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Lisa and Sara talk to GP Dr Charlotte Bădescu about Ovarian Cancer. We focus on the important learning points about cardinal and other features of presentations to better understand this cancer as an abdominal cancer with symptoms that can and do often present much earlier than the diagnosis is often picked up. She talks us through the value of CA125 tests and the reasons not to be overly reliant on them, though they can be a useful tool in the tool box. The usefulness of ultrasound scans, both pelvic and transvaginal, as well as clinician continuity is discussed.  We go through 2 hypothetical cases based on real examples as well as Charlotte’s own diagnosis. An excellent episode for picking up great learning points to avoid missing this diagnosis in your own patients. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
NICE Guidelines: Suspected Cancer, Recognition and Referral (Dec 2021): https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#gynaecological-cancers
NICE guidelines on Ovarian Cancer (Published April 2011): https://www.nice.org.uk/guidance/cg122
GP network & resources: https://targetovariancancer.org.uk/health-professionals/GPs
Nurses network & resources: https://targetovariancancer.org.uk/health-professionals/nurses
Patient resources: https://targetovariancancer.org.uk/support-for-you
Shine Cancer Support: https://shinecancersupport.org/
ForteenFish Free Ovarian Cancer Webinar (you will need to log-on and search Ovarian Cancer): https://www.fourteenfish.com/
___
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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Lisa and Sara are joined by Community Pharmacist and Director of Pharmacy Transformation for Greater Manchester Luvjit Kandula. We learn all about the Essential Services and Enhanced Services Community Pharmacies are engaged in and get an understanding of the pressures Community Pharmacies are under. We discuss the plans for upcoming transformations and top tips to avoid errors in prescribing and to help take some of the pressure off Pharmacy teams. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
The Kings Fund, Community Pharmacies Explained: https://www.kingsfund.org.uk/publications/community-pharmacy-explained
Primary Care Demand: Supporting General Practice and Community Pharmacy (Greater Manchester: https://greater-manchester.communitypharmacy.org.uk/wp-content/uploads/sites/118/2022/11/Primary-Care-Demand_Supporting-General-Practice-and-Community-Pharmacy_October-2022_Final.pdf
Community Pharmacist Consultation Service (includes links to training Webinar, list of conditions, demos and case studies): https://gmpcb.org.uk/general-practice/gp-community-pharmacist-consultation-service/
Greater Manchester Primary Care Provider Board Community Pharmacy Hub: https://gmpcb.org.uk/community-pharmacy/
Save our pharmacies campaign: https://saveourpharmacies.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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Lisa and Sara are joined this week by Dominic Anderson (Programme Director of the Health and Wellbeing Programme Greater Manchester), Lorna Laflin (Former Practice Manager who works with the GP Excellence team) and Joanna Bircher (GP and Programme Director for GP Excellence). We discuss the new QOF indicators around Workforce and Wellbeing in General Practice. We learn what the indicators are and get hints and tips about how to achieve them. We come at this slightly sceptical of the workload this might put on practices but are glad of the opportunity to talk thought the underlying principles of trying to support practices, what that support might look like and how to approach this in a quality improvement way that might help all staff, including those charged with collecting this data. This leads us to talk about Compassionate leadership. Please check out our episode resources for links and guides to these things. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
New wellbeing QOF indicator to reduce GP burnout risk, Pulse Article March 2023: https://www.pulsetoday.co.uk/news/clinical-areas/mental-health-and-addiction/new-wellbeing-qof-indicator-to-reduce-gp-burnout-risk/
Quality and Outcomes Framework guidance for 2023/24: https://www.england.nhs.uk/publication/quality-and-outcomes-framework-guidance-for-2023-24/
Greater Manchester Resilience Hub: https://www.penninecare.nhs.uk/gmrh
Greater Manchester Health and Wellbeing Resources: https://gmprimarycare.org.uk/workforce/health-and-wellbeing/
King’s Fund Kind and Compassionate Leadership Online Learning Resource: https://www.kingsfund.org.uk/courses/introduction-kindness-compassion-health-and-social-care
Kindness Leadership Network: https://carnegieuktrust.org.uk/publications/commitment-to-kindness/
Book: West M. Compassionate Leadership; sustaining wisdom, humanity and presence in health and social care. The Swirling Leaf Press. London, 2021:  https://www.amazon.co.uk/gp/product/0995766975/ref=dbs_a_def_rwt_bibl_vppi_i1
Podcast: The Compassionate Leadership Interview with Chris Whitehead: https://www.podbean.com/podcast-detail/cdwzg-b7b51/The-Compassionate-Leadership-Interview-Podcast
Book:  The Leadership Hike: Shaping Primary Care Together. Rughani A, Bircher J. CRC Press 2020:https://www.waterstones.com/book/the-leadership-hike/amar-rughani/joanna-bircher/9780367236984
Staff Risk Assessments with Templates. Health and Safety Executive Website, Managing Risk and Risk Assessments at Work: https://www.hse.gov.uk/simple-health-safety/risk/index.htm
Looking after you too Coaching Support from NHSE: https://www.england.nhs.uk/supporting-our-nhs-people/support-now/looking-after-you-confidential-coaching-and-support-for-the-primary-care-workforce/looking-after-you-too/
Dominic Anderson's email address for those with additional questions or wanting support in Greater Manchester: [email protected]
___
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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Lisa and Sara speak with Dr Uma Marthi who is a GP with a Specialist Interest in Gynaecology about red flags for gynaecological cancers. We discuss some cases based on real patients that involve cervical, vaginal and endometrial cancers. We’ll be recording a separate episode around the varied presentations of Ovarian cancer. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
NICE guidelines for Red Flags for Gynaecological Cancers (Updated Dec 2021): https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#gynaecological-cancers
Cancer Research UK: https://www.cancerresearchuk.org/about-cancer/
Jo’s Trust for Cervical Cancer: https://www.jostrust.org.uk/
The Eve Appeal: UK Charity funding research and raising awareness of the five gynaecological cancers – womb, ovarian, cervical, vulval and vaginal: https://eveappeal.org.uk/
Go Girls: UK Charity Supporting Women with Gynaecological Cancers: https://www.gogirlssupport.org/
BMJ Research Article: Prevalence of cervical disease at age 20 after immunisation with bivalent HPV vaccine at age 12-13 in Scotland: retrospective population study (April 2019): https://www.bmj.com/content/365/bmj.l1161
___
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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Sara and Lisa talk to Dr Wasim Javed, ST6 in Cardiology, about the diagnosis and management of Angina. Taking a theoretical case we talk through symptoms, differentials, diagnosis, including the guidelines and practicalities of different types of functional and non-functional tests, as well types of angina and their management. It was useful to understand the initial management once diagnosed, and where further investigations or referrals/discussions with cardiology come in. As well as the above, we discuss the difference between medical management and stenting and some of the third line anti-anginal medications. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
NICE guidelines on Stable Angina (updated July 2016): https://www.nice.org.uk/guidance/cg126
European Society of Cardiology 2019 Guideline on Chronic Coronary Syndromes: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Chronic-Coronary-Syndromes
Life in the Fast Lane (ECG interpretations etc): https://litfl.com/library/
Traffic Light System for Primary Care Prescribing in Greater Manchester (contains information on what should be started by Specialists etc): https://gmmmg.nhs.uk/rag-category/adult/
___
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 really quick anonymous survey here: https://pckb.org/feedback
___
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.

Doctors Sara and Lisa talk to ENT Consultant Ms Sadie Khwaja about common throat symptoms we encounter in General Practice and get her take on how to assess and manage these. We cover Red Flag symptoms for the neck in detail as well as looking at three cases we commonly encounter; pain on swallowing, globus symptoms and hoarseness. We discuss a useful approach for assessing causes of throat problems, consider the triad of swallowing, breathing and voice difficulties and the importance of feeling for neck lumps amongst other interesting pearls of wisdom. 
You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Useful resources: 
NICE guidelines for Head and Neck Cancer Referrals: https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#head-and-neck-cancers
Greater Manchester Cancer: Head and Neck Cancer: Homepage: https://gmcancer.org.uk/head-and-neck/
Greater Manchester Cancer: Head and Neck Cancer: 2 week wait Proforma: https://gmcancer.org.uk/wp-content/uploads/2021/10/head-and-neck-referral-form.pdf
EAT-10 Swallowing Screening Tool Score: https://www.exservanhcp.com/assets/dist/pdfs/eat-10-screening-tool.pdf
Use of proton pump inhibitors to treat persistent throat symptoms: multicentre, double blind, randomised, placebo controlled trial. BMJ Jan 2021: https://www.bmj.com/content/372/bmj.m4903
British Voice Association (BVA) resources: https://www.britishvoiceassociation.org.uk/free.htm
British Voice Association (BVA) resources: General Voice Care Advice: https://www.britishvoiceassociation.org.uk/downloads/free-voice-care-literature/Take%20care%20of%20your%20voice.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 really quick anonymous survey here: https://pckb.org/feedback
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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.