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THIS EPISODE: Having understood the importance of Genomics in Primary Care, we start the beginning, and cover the basic terms concepts and how we in primary care should move forward when faced with a patient with such a presentation.

This is episode 2 of our 6 part series.

The episode is about helping you understand Genomics terminology, applicability to primary care, the importance of taking a family history, examples of relevant conditions that we encounter in a GP surgery and about where and when to refer, particularly for genetic tests.

As your 'average' frontline GP and paramedics, co-hosts Munir Adam and Claire Green speak to the experts, to whom we are grateful:

• Dr Angela Brady, Consultant Clinical Geneticist North West Thames Regional Genetics Service, Joint Clinical Education Lead North Thames Genomic Medicine Service Alliance.
• Dr Faye Dannhauser, Portfolio GP and GP Lead for the North Thames Genetic Medicine Alliance.

SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service.

Useful links:
The NTGMS: https://www.norththamesglh.nhs.uk/education-resources
Education programme: https://www.genomicseducation.hee.nhs.uk/education/​
National Genomic Test Directory: NHS England » National genomic test directory

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CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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Let's continue the discussion... Please check part 1 if you haven't already.

So are PA's replacing doctors?
And let's get to the bit that matters most: What should we be doing about this?

Quite specifically, what can YOU do about this?

This is the SECOND HALF of a discussion in which hosts Munir Adam (the GP) and Marium Hanif (the PA) explore the PA role and upcoming PA regulation by the GMC 2024.

SPECIAL THANKS: To Stephen Nash, Physician Associate and Founder at UMAPs Limited (United Medical Associate Professionals).

USEFUL LINKS: E36/38: Are Physician Associates replacing Doctors: USEFUL LINKS. (primarycareuk.org)

OUR PAGE ON LINKEDIN:
www.linkedin.com/company/primarycareuk

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CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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THIS EPISODE: Do you have any idea about how much of a role Genomics is beginning to play in the care of our patients? Or do you continue to pretend it doesn't matter?

We're excited to introduce a 6-part series that demystifies genomics for Primary Care staff. In a manner that is easy-to-understand and grounded in the realities of working in Primary Care, the experts cover everything we need to know, step-by-step. This is episode 1 of 6.

The episode is about helping you understand the importance of Genomics to Primary Care Professionals. You will learn that applying Genomics is actually more for Primary Care than for anyone else (including geneticists). You'll also learn that it doesn't have to be complicated.

As your 'average' frontline GP and paramedics, co-hosts Munir Adam and Claire Green speak to the experts, to whom we are grateful:

• Dr Angela George, North Thames Genomic Medicine Service Co-Medical Director, and Consultant Medical Oncologist and Consultant in Oncogenetics at the Royal Marsden Hospital.
• Dr Anwar Khan, working GP and GP Lead for Genomics (NTGMSA).

SPONSOR: The Genomics mini-series was sponsored by, and co-produced with the North Thames Genomics Medicine Service.

Useful links:
The NTGMS: https://norththamesgenomics.nhs.uk/about-the-gms/
FH Article: Summary of Management of Familial Hypercholesterolaemia in General Practice | RCGP Learning

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RATE US & comment on Apple podcasts/ Spotify (our humble request).

CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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THIS EPISODE: As a Doctor do you have concerns about the impact of Physician Associates on you, and on patient safety? Or do you welcome their contributions?

As a PA are you a welcome part of the team and well supported?

As an AHP or Nurse, can you relate to some of the tensions that exist between the professions?

This is the FIRST HALF of a discussion in which hosts Munir Adam (the GP) and Marium Hanif (the PA) explore the PA role and upcoming PA regulation by the GMC 2024. With input from Stephen Nash, they discuss experiences on the ground, the variety of concerns: Training, pay disparity, supervision, competing roles, and more.

Special thanks to Stephen Nash, Physician Associate and Founder at UMAPs Limited (United Medical Associate Professionals).

Useful links: E36/38: Are Physician Associates replacing Doctors: USEFUL LINKS. (primarycareuk.org)

Our page on Linkedin:
www.linkedin.com/company/primarycareuk

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JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

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CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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IN THIS EPISODE we look back over the last year's episodes and hear short snippets from some of the speakers. This is so that you can:

1. Re-visit the discussions and recall useful learning
2. Decide if you want to re-listen to the conversation
3. Ask yourself whether you managed to implement the changes that you thought you would
4. Decide if you want to listen to an episode, if you haven't already.

USEFUL LINKS: See individual episodes.

SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

RATE US & comment on Apple podcasts/ Spotify (our humble request).

CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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Do any of these things mean anything to you:

• Shortage of GP appointments!
• Changing skill mix in Primary Care: Allied Health Professionals.
• Lucy Letby case & trust in HCPs

Why does it affect us? What can we do about it? Dawn and Simon discuss possible implications for Primary Care professionals. Do you agree with them?

Dawn Hunt, Practice Nurse. Clinical Lead at Integrated Care Support Services
Simon Robinson, Advanced Care Practitioner (Paramedic)

USEFUL LINKS:

• Launch of NHS pharmacy first advanced services: https://bit.ly/49WSm0R
• I’m a GP-here’s why you cant get an appointment. Dr Ellen Welch Published 6-02-24 in I By Sadhbh O’Sullivan: https://apple.news/AZ_beTvrTTCu6-Ny4l70wag
• How not to waste your doctor’s time, by a fed up GP. https://apple.news/AfeyseNWwRTGNMknlcKTXog
• RCN whistleblowing advice: https://bit.ly/3T0GlAu
• Coaching for staff in SWL: Multi-Professional Coaching | Integrated Care Support Services
• Coaching for HCPs across UK: NHS England » Looking after you too
• Lucy Letby case: https://bit.ly/3IjUeF4

SEASON 2 is produced in partnership with Integrated Care Support Services supporting practices and ICBs with back-office support. (www.integratedcaresupport.com)

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JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

RATE US & comment on Apple podcasts/ Spotify (our humble request).

CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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THIS EPISODE features a discussion on the critical issue of air pollution and its significant impact on health. Experts from London share insights on the pervasive problem, though the topic is highly relevant UK wide. They discuss different sources of pollution, health effects and the current climate change crisis, and the responsibility and potential for clinicians to advocate change.

This podcast is released on 15th February 2024 in memory of the life of Ella Adoo-Kissi-Debrah and as a testament to the work of her family in bringing this important issue to the forefront of our knowledge.

Our esteemed guests:
Professor Kevin Fenton (CBE): Public Health Director for London
Rosamund Adoo-Kissi-Debrah (CBE): Founder & Director of the Ella Roberta Foundation
Dr Jo Sauvage: GP and CMO of NCL ICB & Co-Chair of London Air Quality Programme Delivery Group.
Dr Mark Hayden: Paediatrician, Great Ormond Street Hospital
Dr Karen Exley: Air Quality and Public Health Programme Lead, UKHSA (UK Health Security Agency)
Dr Sarah Robertson: Principal Environmental Public Health Scientist, Environmental Hazards and Emergencies Department. UKHSA

USEFUL LINKS:

• Chief Medical Officer's annual report 2022: https://bit.ly/3vfvhaQ
• All our health - elearning: https://bit.ly/3Vi21Li
• Clean Air Hub: Global Action Plan: https://bit.ly/3Vi21Li
• NHS England... children & Asthma: https://bit.ly/3PqBW95
• Outdoor air quality & Health (NICE): https://bit.ly/48XUXXl
• Pollution intro for HCWs: https://bit.ly/43jsn1v

Produced in partnership with Integrated Care Support Services: www.integratedcaresupport.com

JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

RATE US & comment on Apple podcasts/ Spotify (our humble request).

CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.

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IN THIS EPISODE: Really get to understand mental health, both for yourself and for your patients.

Co-host, Irina Varlan speaks with Matt Elswood, about the complexities of mental health conditions, stressing the importance of understanding mental health better rather than offering oversimplified solutions. Elswood emphasizes the need for non-prescription solutions such as developing gratitude, agency, and humility. He presents five categories of preventative measures for all to know about and also the barriers to accessing care. The conversation also covers the importance of building rapport with patients and the necessity of tailoring care and public health initiatives to improve mental health outcomes.

• Understanding the Spectrum of Mental Health Issues;
• Genetics, life experiences and insulating yourself
• The Impact of Social Media
• Health Inequalities
• Access to support Services
• Consultation Skills
• The Importance of Continuity
• Planning for an Ideal Future for Mental Health Care
• The Role of Parenting and Early Life Initiatives in Mental Health

SPECIAL THANKS to our guest speaker: Matthew Elswood, Chief Pharmacist, Nottinghamshire Healthcare, National Specialty Advisor – Mental Health Pharmacy, NHS England, Honorary Associate Professor, University of Nottingham School of Pharmacy

USEFUL LINKS:
Bonus Episode: Matt Elswood. - YouTube

Medication side effects: Medication Used to Treat Schizophrenia and Their Side Effects | with Pharmacist Matthew Elswood - YouTube

Improve their own MH: Mental Health Toolkit: Tools to Bolster Your Mood & Mental Health - YouTube

SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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JOIN THE PRIMARY CARE COMMUNITY! bit.ly/4dHGtP4

RATE US & comment on Apple podcasts/ Spotify (our humble request).

CONTRIBUTE: To sponsor or contribute, do visit our website: www.primarycareuk.org

DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

(C)Therapeutic Reflections Limited.