Talking General Practice

This week Emma speaks to Dr Adrian Hayter, a GP partner in Windsor and Chief Medical Officer at NICE. Adrian discusses why he made the move to NICE and what having a practicing GP in senior leadership at the organisation means for primary care as the NHS shifts focus towards community-based care and neighbourhood health teams. He explains how NICE is working to accelerate guidance approvals, how guidelines can be made more accessible for frontline clinicians managing patients with complex multi-morbidities, and the role of the upcoming Single National Formulary - and what it will mean for GPs, pharmacists and primary care teams. Adrian also explains how NICE is adapting its evaluation frameworks for emerging health technologies, including AI tools and medical-grade wearables. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. Useful links MHRA and NICE aligned pathway: how it's working in practice - article on NICE’s website Information about NICE’s lifecycle approach to guidance development The Pharmacists’ Summit - from MIMS Healthcare Network Two evenings of online learning on 30 November and 1 December for pharmacists working in primary care. For more information and to register for your free place visit: https://www.mimshealthcarenetwork.co.uk/mims-learning-live-digital-the-pharmacists-summit Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the latest news affecting general practice. This week they look at the additional roles reimbursement scheme after an analysis of NHS data by Nick suggested that PCNs are starting to switch funding towards paying for more GPs and nurses as opposed to other healthcare professionals. Nick and Emma discuss the BMA England GP committee’s decision to postpone any escalation to collective action in a bid to reset its relationship with the government ahead of this year’s contract negotiations.They look at what that means and the key issues the BMA will be pushing for in this year’s contract talks. Meanwhile, this week Kimberley went to Liverpool to the Labour Party conference - she explains what the mood was like and what GPs attending the conference thought about it. And the team looks at what prime minister Andy Burnham and health and social care secretary Yvette Cooper had to say. And our good news story this week is about an innovative GP-led falls prevention initiative. This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen. Sign up for GPonline updates with our 60-second GP email here Useful links ARRS funding shift as PCNs prioritise doctors and nurses GPs in England postpone further action in 'reset' with government GPs urged to 'seize' neighbourhood model as Cooper hails improved access If hospital to community shift doesn't work - stop it, says RCGP Innovative GP-led falls scheme 'strong example' of neighbourhood benefits The Pharmacists’ Summit - from MIMS Healthcare Network Two evenings of online learning on 30 November and 1 December for pharmacists working in primary care. For more information and to register for your free place visit: https://www.mimshealthcarenetwork.co.uk/mims-learning-live-digital-the-pharmacists-summit Hosted on Acast. See acast.com/privacy for more information.

In this bonus episode of Talking General Practice Dr Netty Kinsella, uro-oncology nurse consultant and clinical lead for urology cancer diagnostics and active surveillance at The Royal Marsden NHS Foundation Trust, speaks to GPonline editor Emma Bower about urological cancer. Netty explains what makes the Royal Marsden's urology diagnostic service unique, and provides essential guidance for GPs on when to refer patients with suspected urological cancer. She talks about the latest on prostate cancer screening, including the National Screening Committee’s recent recommendation for a targeted programme, and how GPs should approach risk-adapted PSA testing. Netty also shares key insights into the role of MRIs, advanced biopsy technologies, and provides advice on managing haematuria and urgent testicular presentations in primary care. This episode was produced by Czarina Deen. This episode of the podcast has been sponsored by The Royal Marsden Private Care. About The Royal Marsden Private Care The Royal Marsden opened in 1851 as the world's first hospital dedicated to cancer diagnosis, treatment, research, and education. Today, it operates as a specialist cancer centre and, working closely with its principal academic partner, the Institute of Cancer Research, is ranked among the top four institutions globally for the impact of its research. As a centre of excellence, The Royal Marsden pioneers the latest cancer treatments and technologies while leading the way in innovative cancer diagnosis, research, and education. As a specialist cancer centre, The Royal Marsden has the clinical expertise, facilities and technology to provide the very highest levels of private cancer care. Every cancer is different, and their multidisciplinary teams, consisting of over 2,500 world-leading cancer experts, provide patients with personalised and bespoke treatment plans. NHS and Private Care services are provided in parallel at The Royal Marsden, ensuring clinical need and urgency is prioritised over NHS or private status. Revenue generated by private care is reinvested back into the hospital, for the benefit of everyone. Find out more about this unique care model, including how revenue generated by Private Care is reinvested into the hospital, here: royalmarsden.nhs.uk/our-care-model. The Royal Marsden Private Care operates across sites in Chelsea and Sutton, a Medical Day Unit at Kingston Hospital, as well as a diagnostic and treatment centre at Cavendish Square in central London. Find out more about The Royal Marsden’s cancer services: royalmarsden.nhs.uk/private-care/londonGP. Hosted on Acast. See acast.com/privacy for more information.

This week Emma talks to Dr Lynsey Bennett, a GP in Oxford, about the educational resource she has co-developed to help primary care teams better understand grief and deliver effective bereavement care. Lindsay explains the simple, three-part consultation framework designed to help clinicians navigate conversations about loss within standard short appointments. She explains why outdated linear models of grief can be unhelpful, how to support patients without trying to 'fix' their pain, and simple changes practices can make to better support bereaved patients. She also covers how to spot signs of complex grief that require specialist psychological input, how practices can protect staff wellbeing, and why bereavement care needs higher priority across NHS training and policy. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. Useful links A primary care approach to bereavement | British Journal of General Practice A compassionate bereavement response - Poster for clinical and waiting rooms National Grief Awareness Week - Resources for running an awareness campaign Explaining grief - This is a resource compiled by GPs in London, and includes a poster summary of the consultation model Grief and Bereavement in Primary Care - Good Grief - A short course for anyone who works in primary care. Broken down into seven one-hour webinars and available on demand for six months from the time you subscribe. Could be listened to as a podcast if downloaded. Good Grief – an online community which hosts events and courses that bring people together to gain insight and knowledge, hear stories they can relate to, and find support and healing as part of the Good Grief community. The Bristol Centre for Grief Research and Engagement - Mentioned in the interview The Pharmacists’ Summit - from MIMS Healthcare Network Two evenings of online learning on 30 November and 1 December for pharmacists working in primary care. For more information and to register for your free place visit: https://www.mimshealthcarenetwork.co.uk/mims-learning-live-digital-the-pharmacists-summit Hosted on Acast. See acast.com/privacy for more information.

This week Nick and Emma discuss the latest on list cleaning and what it means for GP funding, as well as how it is affecting individual practices and patients. They look again at neighbourhood contracts after seeing various responses to NHS England’s consultation - they assess what GP organisations and others had to say about the proposals and what it could mean longer term. And they talk about access and continuity following the results from our own survey and also the publication of a report by MPs into access across all areas of primary care,. This week’s good news story is about the CQC showcasing positive work in general practice. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. Useful links ● List cleaning has slashed equivalent of 30m appointments from GP practices ● 'Patients have missed out on medication because they've been removed unfairly' ● Neighbourhood contracts untested and may not be necessary, warns RCGP ● Neighbourhood contracts risk imposing form over function, warns NAPC ● Viewpoint: Neighbourhood contracts bring risk - but also opportunity for GPs ● Government focus on GP access 'undermining quality and continuity' ● NHS needs 'fundamental shift' of resources to primary care, MPs say ● CQC highlights best practice examples from GP inspections Hosted on Acast. See acast.com/privacy for more information.