The FCP Podcast

Send us Fan MailRichard is joined by Consultant Neurologist Dr Fiona McKevitt for a practical discussion around two common neurological presentations in primary care: tremor and headache.Using two patient cases, we explore the clinical assessment, key examination findings, appropriate investigations, neurological red flags, and when referral to specialist services is indicated.A clinically focused episode designed to help frontline primary care clinicians approach neurological presentations with greater confidence.Hope you enjoy the episode!Home - Coventry & Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/https://collegeofparamedics.co.uk/Association of British Neurologistshttps://www.theabn.org/BASH  - The British Association for the Study of Headache. National guidelines on the management of headache. https://bash.org.uk An example of advice of local migraine management advice (plus red flag headache symptoms) is hereSouth Yorkshire Guideline Neurology Migraine Management.pdf www.migrainetrust.orgA patient support website for tremor.  TremorNeurology – Primary Care SheffieldA video that helps explain the difference between essential tremor and idiopathic Parkinson's disease tremor. www.tremor.org.ukA patient support website for tremor. 

Send us Fan MailIn this episode of The FCP Podcast, Richard is joined by Emily Styles to discuss the MAGIC project — a programme designed to help general practice teams prepare for and manage medical emergencies.We explore where the MAGIC project came from, the challenges it was developed to address, and how an initial idea evolved into a national programme.Emily explains the GP Quick Reference Handbook, including the clinical checklists designed to support teams during rare but high-pressure emergencies. We discuss how these resources can improve patient safety, support team performance, and provide a structured approach when every second counts.We also hear about feedback from practices using the handbook and MAGIC training, examples of its impact, and how GP practices and Primary Care Networks can access the resources and get started.A practical episode for anyone working in primary care who wants to improve their team's preparedness for managing emergencies in general practice.Hope you enjoy the episode!Home - Coventry & Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/MAGIC Projecthttps://collegeofparamedics.co.uk/cop/ProfessionalDevelopment/MAGIC%20Project.aspx

Send us Fan MailRichard is joined by Occupational Therapist LIzzie Mattacola to discuss her service improvement  project she developed withing her General Practice role. We discuss how the project idea originated, the problem it aimed to solve, and what success looked like from the outset. We explore the planning process, including identifying the target patient population, selecting the right location, and deciding how best to introduce the service.We also delve into the practicalities of measuring impact—covering data collection, outcome measures, evaluation tools, and how meaningful metrics were chosen. Reflecting on the results, we discuss what worked well, what didn't go to plan, and the key findings that shaped the future of the service.Whether you're involved in quality improvement, service development, or looking to introduce change within your own organisation, this episode provides valuable insights, lessons learned, and practical advice for turning an idea into a sustainable service.Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training HubCollege of Paramedics https://collegeofparamedics.co.uk/Home | British Geriatrics Societyhttps://www.bgs.org.uk/Overview | Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset | Guidance | NICEhttps://www.nice.org.uk/guidance/ng16Leadership Academy – Better Leaders, Better Care, Brighter Futurehttps://www.leadershipacademy.nhs.uk/10 Year Health Plan for England: fit for the future - GOV.UKhttps://www.gov.uk/government/publications/10-year-health-plan-for-england-fit-for-the-future

Send us Fan MailRichard is joined by ED Paramedic ACP Greg Markham to explore emergency presentations in general practice — and what truly constitutes an emergency in the primary care setting.Through case-based discussion, they work through presentations of syncope and angioedema, focusing on structured history-taking, clinical assessment, immediate management within general practice, and clear thresholds for hospital referral.With practical insights and real-world application, this episode is designed to build confidence in recognising and managing high-risk presentations safely and effectively in primary care.Enjoy the episode.Thank you for your support ScottCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training HubCollege of Paramedics https://collegeofparamedics.co.uk/https://cks.nice.org.uk/topics/blackouts-syncope/Syncope toolkit | RCGP Learning https://elearning.rcgp.org.uk/mod/book/tool/print/index.php?id=12386Overview | Transient loss of consciousness ('blackouts') in over 16s | Guidance | NICEhttps://www.nice.org.uk/guidance/cg109

Send us Fan MailRichard is joined by ED Paramedic ACP Greg Markham to explore emergency presentations in general practice — and what really counts as an emergency in the primary care setting.Greg shares a structured approach to recognising and assessing the acutely unwell patient, including practical tools and resources that can support safe, confident decision-making under pressure.Through case-based discussion, they work through suspected sepsis and acute shortness of breath — covering clinical assessment, immediate management options within general practice, red flags, and when escalation is essential.A focused, clinically grounded episode designed to support frontline practitioners managing high-risk presentations in primary care.Enjoy the episode.As always - Thank you Scott for you supportCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training HubCollege of Paramedics https://collegeofparamedics.co.uk/JRCALC – Joint Royal Colleges Ambulance Liaison Committeehttps://jrcalc.org.uk/Healthcare professionals - The UK Sepsis Trusthttps://sepsistrust.org/healthcare-professionals/Emergency Oxygen | British Thoracic Society | Better lung health for allhttps://www.brit-thoracic.org.uk/clinical-resources/guidelines/emergency-oxygen/Scenario: Acute exacerbation of asthma | Management | Asthma | CKS | NICEhttps://cks.nice.org.uk/topics/asthma/management/acute-exacerbation-of-asthma/Scenario: Acute exacerbation | Management | Chronic obstructive pulmonary disease | CKS | NICEhttps://cks.nice.org.uk/topics/chronic-obstructive-pulmonary-disease/management/acute-exacerbation/The Resus Room - Podcast - Apple Podcastshttps://podcasts.apple.com/gb/podcast/the-resus-room/id1090433226GP mythbusters: recently updated - Care Quality CommissionHome | Resuscitation Council UKhttps://www.resus.org.uk/

Send us Fan MailRichard is joined by renal consultant Dr Debasish Banerjee for a practical deep dive into sodium disorders and what those blood test results really mean in clinical practice.In this episode, we break down the interpretation of sodium levels — from hyponatraemia to hypernatraemia — and move beyond the numbers to focus on real-world decision making. Through case-based discussion, we explore key elements of history taking, red flags you shouldn’t miss, and when sodium levels become genuinely concerning.We also cover appropriate further investigations, common pitfalls, and how to manage these patients safely in primary care — including when it’s time to escalate.A must-listen for clinicians who want to get sodium right… because getting it wrong can go south fast.As always thank you to Scott for your supportHyponatraemia | Health topics A to Z | CKS | NICEhttps://cks.nice.org.uk/topics/hyponatraemia/Hypernatraemia Algorithm – GP Gatewayhttps://www.coventryrugbygpgateway.nhs.uk/resources/hypernatraemia-algorithm/Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training HubCollege of Paramedics https://collegeofparamedics.co.uk/UK KidneyUK Kidney Association | The leading professional body for the UK kidney community

Send us Fan MailRichard is joined by renal consultant Dr Dabashish Banerjee for a practical deep dive into renal function tests and chronic kidney disease (CKD).In this episode, they break down what CKD actually is, how it’s diagnosed in primary care, and what the numbers really mean for your patients — beyond just the eGFR.Through case-based discussion, we explore a new diagnosis of CKD and a patient with worsening renal function, covering interpretation, red flags, progression, and when to escalate or refer.Clear, clinically focused, and designed for frontline practitioners — this episode will sharpen your confidence in managing kidney disease in everyday practice.Enjoy the episode.As always thank you for your support ScottUK Kidney CKD staginghttps://www.ukkidney.org/health-professionals/information-resources/uk-eckd-guide/ckd-stagingKidney Failure Risk Calculator https://www.mdcalc.com/calc/10045/kidney-failure-risk-calculatorNICE - Chronic Kidney Diseasehttps://cks.nice.org.uk/topics/chronic-kidney-disease/FLOW Studyhttps://www.nejm.org/doi/full/10.1056/NEJMoa2403347Proteinuria UK Kidneyhttps://www.ukkidney.org/sites/default/files/education/Proteinuria%20quick%20reference.pdfCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training HubCollege of Paramedics https://collegeofparamedics.co.uk/UK KidneyUK Kidney Association | The leading professional body for the UK kidney community

Send us Fan MailRichard is joined by renal consultant Dr Dabashish Banerjee to break down the interpretation of renal function tests — without the nephrology-induced headache.In this episode, we explore when renal function tests should be requested, what they actually include, and how to interpret results confidently in clinical practice.The conversation then focuses on potassium disorders, using real-world cases to unpack hypokalemia and hyperkalemia. We discuss key history points, relevant investigations, red flags not to miss, and when referral.A practical, case-based episode aimed at clinicians working in primary care, urgent care, and acute settings.Hope you enjoy the episode As always massive thank you to ScottRichard Tennant - [email protected] and Warwickshire Training HubHome - Coventry & Warwickshire Training HubCollege of Paramedics https://collegeofparamedics.co.uk/UK KidneyUK Kidney Association | The leading professional body for the UK kidney communityOverview | Sodium zirconium cyclosilicate for treating hyperkalaemia | Guidance | NICEhttps://www.nice.org.uk/guidance/ta599ABCD-UKKA joint finerenone consensus statement | UK Kidney Associationhttps://www.ukkidney.org/about-us/news/abcd-ukka-joint-finerenone-consensus-statementIncreasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias | New England Journal of Medicinehttps://www.nejm.org/doi/abs/10.1056/NEJMoa2509542Diabetes management in chronic kidney disease: a consensus report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO)https://kdigo.org/wp-content/uploads/2023/04/Diabetes-Management-in-Chronic-Kidney-Disease-Consensus-Report-by-the-ADA-and-KDIGO.pdfUKKA Clinical Practice Guideline – Management of Hyperkalaemia in Adults – October 2023https://www.ukkidney.org/sites/renal.org/files/FINAL%20VERSION%20-%20UKKA%20CLINICAL%20PRACTICE%20GUIDELINE%20-%20MANAGEMENT%20OF%20HYPERKALAEMIA%20IN%20ADULTS%20-%20191223_0.pdfOptimization of RAASi Therapy Toolkit - International Society of Nephrologyhttps://www.theisn.org/initiatives/toolkits/raasi-toolkit/#Challenges

Send us Fan MailRichard is joined by consultant ophthalmologist Dr Stella Hornby for a practical deep-dive into eye assessment in general practice.In this episode we break down real-world cases including: 👁️ Acute vision loss 👁️ Eyelid swelling 👁️ Foreign bodiesTogether we cover structured history taking, focused clinical assessment, red flags you absolutely can’t miss, and — crucially — when, where, and how urgently to refer.If eyes make you nervous… this one’s for you.As always big thank you to Scott for your support.Richard Tennant - [email protected]‎Eye Handbookhttps://apps.apple.com/us/app/eye-handbook/id335546959Primary Care Eye Servicehttps://primaryeyecare.co.uk/

Send us Fan Mail Richard is joined by consultant ophthalmologist Dr Stella Hornby to discuss the assessment of patients presenting with eye symptoms. This episode provides a practical introduction to ocular assessment and common presentations, before exploring real-world cases including red eye and changes in vision. Key elements of history-taking, relevant investigations, red flags, and appropriate referral pathways are discussed to support safe clinical decision-making. As always big thank you to Scott for your support.Richard Tennant - [email protected]‎Eye Handbookhttps://apps.apple.com/us/app/eye-handbook/id335546959Primary Care Eye Servicehttps://primaryeyecare.co.uk/TAKE YOUR GLASSES AND DO NOT DRIVE TO THE EYE HOSPITAL 

Send us Fan MailRichard is joined on the podcast by consultant hematologist Dr Suzy Morton.  During the episode we discuss interpretation of Full Blood Counts.  Including, a introduction to platelets and common reasons for platelets being affected.  We then utilise Suzy's knowledge to discuss cases including thrombocytosis and thrombocytopenia.  Including, pertinent history, further investigations , red flags and referral.As always big thank you to Scott for your support.Richard Tennant - [email protected] Society for hematology https://b-s-h.org.uk/Blooducate podcasthttps://podcasts.apple.com/gb/podcast/blooducations-podcast/id1477503846College of Paramedics https://collegeofparamedics.co.uk/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/

Send us Fan MailRichard is joined on the podcast by consultant hematologist Dr Suzy Morton.  During the episode we discuss interpretation of Full Blood Counts.  Including, a introduction to white blood cells and common reasons for white blood cells being affected.  We then Utilise Suzy's knowledge to discuss cases including neutropenia and raised lymphocytes.  Including, pertinent history, further investigations , red flags and referral.As always big thank you to Scott for your support.Richard Tennant - [email protected] Society for hematology https://b-s-h.org.uk/Blooducate podcasthttps://podcasts.apple.com/gb/podcast/blooducations-podcast/id1477503846College of Paramedics https://collegeofparamedics.co.uk/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/

Send us Fan MailRichard is joined on the podcast by consultant hematologist Dr Suzy Morton.  During the episode we discuss interpretation of Full Blood Counts.  Including, a introduction to full blood count, why we should be requesting a full blood count and common reasons for red blood cells being affected.  We then Utilise Suzy's knowledge to discuss cases including microcytic and macrocytic anemia.  Including, pertinent history, further investigations , red flags and referral.As always big thank you to Scott for your support.Richard Tennant - [email protected] Society for hematology https://b-s-h.org.uk/Blooducate podcasthttps://podcasts.apple.com/gb/podcast/blooducations-podcast/id1477503846College of Paramedics https://collegeofparamedics.co.uk/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/

Send us Fan MailRichard is joined on the podcast by consultant hepatologist Dr Sophia Than.  During the episode discuss the interpretation of liver function tests.  We use Sophia expert knowledge to discuss cases of raised ALP and Bilirubin including history, red flags, further investigations and referral. As always big thank you to Scott for your support.Richard Tennant - [email protected] Society of Gastroenterology - Management of abnormal liver function testshttps://www.bsg.org.uk/clinical-resource/guidelines-on-abnormal-liver-blood-testsFIB-4 https://www.mdcalc.com/calc/2200/fibrosis-4-fib-4-index-liver-fibrosisNAFLD scorehttps://www.mdcalc.com/calc/3081/nafld-non-alcoholic-fatty-liver-disease-fibrosis-scoreKings college acute liver injuryhttps://www.mdapp.co/kings-college-criteria-calculator-527/Change Grow Live https://www.changegrowlive.org/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/British Society of Gastroenterologyhttps://www.bsg.org.uk/

Send us Fan MailRichard is joined by palliative care doctor Alistair Duncan and Nurse specialist Angela Wilson to discuss palliative care assessment. During the episode we utilise their skills and knowledge to discuss the deteriorating palliative patient. Including pertinent history, red flags and when to refer.  Hope you enjoy the episode. Please leave some feedback about the episode. Thank you Scott for all your help as always!Angela Wilson - [email protected] Duncan - [email protected] Midlands Palliative Care Guidance  https://www.westmidspallcare.co.uk/wmpcp/guide/Scottish Palliative Care Guidancehttps://www.palliativecarescotland.org.uk/news/news/new-guidelines-on-palliative-care-in-scotland-published/#:~:text=The%20guidelines%20provide%20practical%2C%20evidence-based%20or%20best-practice%20guidance,end%20of%20life%20care%20and%20use%20of%20medicines.Macmillanhttps://www.macmillan.org.uk/?gclid=f45758439b8e10e75a253f9ad779540a&gclsrc=3p.ds&msclkid=f45758439b8e10e75a253f9ad779540aNICE Prescribing in Palliative Care https://bnf.nice.org.uk/medicines-guidance/prescribing-in-palliative-care/SPICT toolhttps://www.spict.org.uk/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

Send us Fan MailRichard is joined on the podcast by consultant hepatologist Dr Sophia Than.  During the episode we introduce liver function tests.  We discuss what is included in a liver function test, who needs a liver function test, any guidance for clinicians in interpreting liver function tests and some common reasons for abnormal liver function test.  We then discuss a case of a raised alanine transaminase,  including history, red flags, further investigations and referral. As always big thank you to Scott for your support.Richard Tennant - [email protected] Society of Gastroenterology - Management of abnormal liver function testshttps://www.bsg.org.uk/clinical-resource/guidelines-on-abnormal-liver-blood-testsFIB-4 https://www.mdcalc.com/calc/2200/fibrosis-4-fib-4-index-liver-fibrosisNAFLD scorehttps://www.mdcalc.com/calc/3081/nafld-non-alcoholic-fatty-liver-disease-fibrosis-scoreKings college acute liver injuryhttps://www.mdapp.co/kings-college-criteria-calculator-527/Change Grow Live https://www.changegrowlive.org/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/British Society of Gastroenterologyhttps://www.bsg.org.uk/

Send us Fan MailRichard is joined on the podcast by Advanced Clinical Practitioner (Nurse) and ReSPECT fellow Debbie White.  During the episode we discuss the 'Recommended Summary Plan for Emergency Care and Treatment' (ReSPECT).  We discuss the relevant background to the ReSPECT process, including why it was started, who the process is for, when should the process start and what are the legal implications for clinicians.  We then discuss two cases including an acutely unwell patient refusing further care and a new cancer diagnosis.  We us Debbie's expertise for the appropriate use of ReSPECT process in these situations. Hope you Enjoy the episodeAs always big thank you to Scott for your support.Richard Tennant - [email protected] Council https://www.resus.org.uk/respectWarwick University Respect Toolshttps://warwick.ac.uk/fac/sci/med/research/hscience/sssh/research/respect/resourcesE Learning for Healthhttps://portal.e-lfh.org.uk/Component/Details/626543GMC CPR Professional Standardshttps://www.gmc-uk.org/professional-standards/the-professional-standards/treatment-and-care-towards-the-end-of-life/cardiopulmonary-resuscitation-cprAdvanced Care Planning Guidance CCGhttps://www.cqc.org.uk/sites/default/files/20210318_dnacpr_printer-version.pdfMENCAP Reasonable Adjustments https://www.mencap.org.uk/easyread/about-reasonable-adjustmentsDNACPR Guidance https://www.turning-point.co.uk/_themesdelivery/content-delivery/assets/dnacpr-content/dnacpr-information-pack/content/index.html#/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

Send us Fan MailRichard and Sophie are join by palliative care doctor Alistair Duncan and Nurse specialist Angela Wilson to discuss palliative care assessment. During the episode we then utilise their skills and knowledge to discuss a case of a palliative care patient with low mood/depression and nausea/vomiting. Including pertinent history, red flags and when to refer.Thank you Scott for all your help as always!West Midlands Palliative Care Guidance  https://www.westmidspallcare.co.uk/wmpcp/guide/Scottish Palliative Care Guidancehttps://www.palliativecarescotland.org.uk/news/news/new-guidelines-on-palliative-care-in-scotland-published/#:~:text=The%20guidelines%20provide%20practical%2C%20evidence-based%20or%20best-practice%20guidance,end%20of%20life%20care%20and%20use%20of%20medicines.Macmillanhttps://www.macmillan.org.uk/?gclid=f45758439b8e10e75a253f9ad779540a&gclsrc=3p.ds&msclkid=f45758439b8e10e75a253f9ad779540aNICE Prescribing in Palliative Care https://bnf.nice.org.uk/medicines-guidance/prescribing-in-palliative-care/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

Send us Fan MailRichard and Sophie are join by palliative care doctor Alistair Duncan and Nurse specialist Angela Wilson to discuss palliative care assessment. During the episode they define palliative care, what the journey may look like for patients, who is involved and when should specialist team get involved.  We then utilise their skills and knowledge to discuss a case of a palliative care patient with pain. Including pertinent history, red flags and when to refer. Thank you Scott for all your help as always!West Midlands Palliative Care Guidance  https://www.westmidspallcare.co.uk/wmpcp/guide/Scottish Palliative Care Guidance https://www.palliativecarescotland.org.uk/news/news/new-guidelines-on-palliative-care-in-scotland-published/#:~:text=The%20guidelines%20provide%20practical%2C%20evidence-based%20or%20best-practice%20guidance,end%20of%20life%20care%20and%20use%20of%20medicines.Kathryn Mannixhttps://www.kathrynmannix.com/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

Send us Fan MailWe welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management.  During the podcast we define chronic pain, symptoms and types of pain.  We discuss assessment of a patient with fibromyalgia including history taking, diagnosis , investigations , red flags and referral. As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.NICE Guidelines Chronic Painhttps://www.nice.org.uk/guidance/ng193Royal College of Physicians  https://www.rcp.ac.uk/improving-care/resources/the-diagnosis-of-fibromyalgia-syndrome/Diagnosis of FibromyalgiaTo make a diagnosis using the ACR 2016 criteria the following need to be present  1 - Widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5 OR WPI 4–6 and SSS score ≥9. 2 - Generalised pain, defined as pain in at least 4 of the 5 body regions, is present 3 - Symptoms have been present at a similar level for at least 3 months. Symptoms Severity Score (SSS) and Widespread Pain Index (WPI) calculator https://rheumcalc.com/fibromyalgia/Live Well With Painhttps://livewellwithpain.co.uk/Flippin Painhttps://www.flippinpain.co.uk/Pain Toolkithttps://www.paintoolkit.org/Rethink Pain https://rethinkingpain.org/Fibromyalgia UKhttps://www.fmauk.org/

Send us Fan MailWe welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management.  During the podcast we define chronic pain, symptoms and types of pain.  We discuss assessment of pain including ; onset, reviewing medications, investigations and referral.  We then utilise Graham's knowledge to discuss a patient with chronic lower back pain.As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.Reviewing patient medicationis the medication recommended?is it effective? is it safe? is it wanted ? Low back pain and sciatica in over 16s: assessment and managementhttps://www.nice.org.uk/guidance/ng59Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary painhttps://www.nice.org.uk/guidance/NG193Osteoarthritis in over 16s: diagnosis and managementhttps://www.nice.org.uk/guidance/ng226Neuropathic pain in adults: pharmacological management in non-specialist settingshttps://www.nice.org.uk/Guidance/CG173Pain Concernhttps://painconcern.org.uk/Live Well With Painhttps://livewellwithpain.co.uk/Pain Consortiumhttps://www.painconsortium.nih.gov/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/

Send us Fan MailWe welcome Dr Jeff Forster who is a GP with a specialism in men's health to the podcast. We use Dr Jeff Forster's knowledge to discuss a 2 cases including testicular swelling and testosterone deficiency.  We discuss pertinent history, investigations , red flags and referrals.  Hope you enjoy the episode. Thank you as always Scott for you help!The British Society for Sexual Medicine Guidelines on Male Adult Testosterone Deficiencyhttps://pubmed.ncbi.nlm.nih.gov/36876744/NICE - Scrotal Pain and Swelling https://cks.nice.org.uk/topics/scrotal-pain-swelling/Testosterone Calculator https://www.pctag.uk/testosterone-calculator/The TIMES2 studyTestosterone Replacement in Hypogonadal Men With Type 2 Diabetes and/or Metabolic Syndrome (the TIMES2 Study) | Diabetes Care | American Diabetes Association (diabetesjournals.org)H3 Healthhttps://www.h3health.co.uk/Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedic https://collegeofparamedics.co.uk/

Send us Fan MailWe welcome Dr Jeff Forster who is a GP with a specialism in men's health to the podcast.  During the episode we discuss what men's health is and why it is important in general practice.  We then use Dr Jeff Forster knowledge to discuss a case of a patient with Lower Urinary Tract Symptoms, including pertinent history, investigation , red flags and referrals.  Thank you as always Scott for you help!NICE guidelines LUTShttps://cks.nice.org.uk/topics/luts-in-men/Patient UKhttps://patient.info/mens-health/prostate-and-urethra-problems/lower-urinary-tract-symptoms-in-menProstate cancer screening with prostate-specific antigen (PSA) test: a systematic review and meta-analysishttps://www.bmj.com/content/362/bmj.k3519.abstractH3 Health https://www.h3health.co.uk/Coventry and Warwickshire Training Hub Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedic https://collegeofparamedics.co.uk/

Send us Fan MailWe are joined on the podcast by Dr Caroline Wrigley who is a GPwSI and personal interest in ADHD.  During the episode we discuss ADHD, the importance of recognition, assessment and referral.  We discuss pertinent history, referral and red flags.  Caroline also gives some methods to help parents and patients with possible ADHD following her own experience and research.As always thank you Scott for your help and support.Please contact us if you wishCaroline Wrigley - [email protected] Tennant - [email protected] Guidelines https://cks.nice.org.uk/topics/attention-deficit-hyperactivity-disorder/ Screening toolsASRS v1.1 for ADHD (score 4+ is significant)  - https://www.mdcalc.com/calc/1730/adult-self-report-scale-asrs-adhdPatient-generated document detailing ADHD symptoms according to diagnostic criteria, includes ASRS - https://thinkadhd.co.uk Screening questionnaires for parents/teachers of children aged 6-18:SNAP-IV 26 for ADHD (see results for significance of scores) - https://www.mdapp.co/snap-iv-teacher-and-parent-rating-scale-18-and-26-items-calculator-491/ Information ·         Driven to Distraction by Ed Hallowell MD and John Ratey MD – Book/Audiobook·         Taking charge of adult ADHD by Russell Barkley – Book/Audiobook·         ADHD Aha! by Understood – Podcast ·         The Disruptors – Documentary film·         ADDitude magazine - https://www.additudemag.com  ADHD in women and girls:·         ADHD As Females – Podcast·         ADHD for smart ass women by Tracy Otsuka – Podcast·         Unmasked by Ellie Middleton – Book/Audiobook ·         Earthed by Rebecca Schiller – Book/Audiobook·         Moodswings, Meds and Mared – Documentary (Welsh with subtitles) https://m.youtube.com/watch?v=Y4aDWG-AXCo  

Send us Fan MailWe are joined on the podcast by Dr Caroline Wrigley who is a GPwSI and personal interest in autism.  During the episode we discuss autism, the importance of recognition, assessment and referral.  We discuss pertinent history, referral and red flags.  Caroline also given some methods to help parents and patients with possible autism follow her own experience and research.As always thank you Scott for your help and support.Please contact us if you wish Caroline Wrigley - [email protected] Richard Tennant - [email protected] guidelines Autism in children https://cks.nice.org.uk/topics/autism-in-children/NICE guidelines Autism in Adults https://cks.nice.org.uk/topics/autism-in-adults/The Explosive Child (book)https://www.amazon.co.uk/Explosive-Child-Sixth-Understanding-Chronically/dp/0063092468/ref=asc_df_0063092468?tag=bingshoppinga-21&linkCode=df0&hvadid=80470608947562&hvnetw=o&hvqmt=e&hvbmt=be&hvdev=c&hvlocint=&hvlocphy=&hvtargid=pla-4584070152008036&psc=1Autism West MidlandsAutism West Midlands | Supporting the Autistic CommunitySIGN patient information bookletshttps://www.sign.ac.uk/patient-and-public-involvement/patient-publications/autism/Neurotribes by Steve Silberman – Book/AudiobookWhat I want to talk about: How autistic special interests shape a life & Untypical by Pete Wharmby – Book/AudiobookChris Packham’s Inside our autistic minds - BBC documentary Autism in women and girlsAutism, girls and keeping it all inside white paper by the Autistic Girls Networkhttps://autisticgirlsnetwork.org/wp-content/uploads/2022/03/Keeping-it-all-inside.pdfOdd Girl Out: An autistic woman in a neurotypical world by Laura James – Book/AudiobookStrong female character by Fern Brady – Book/AudiobookUnmasked by Ellie Middleton – Book/Audiobook Christine McGuinness: Unmasking my autism – BBC documentary Screening questionnaires for adults age 16+ without intellectual disabilityASQ-10 for autism (score of 6+ meets NICE criteria for referral) - https://embrace-autism.com/aq-10/ ASQ-50 for autism (score of 26+ significant) - https://embrace-autism.com/autism-spectrum-quotient/

Send us Fan MailRichard is joined by Dr Ayesha Mahmud who is a GP with a specialist and personal interest in learning disabilities.  During the episode we discuss cases including low mood, memory loss and menopause.  We use these case studies to discuss pertinent history taking, investigations and referral.Hope you enjoy the episode.Please feel free to contact us if you have any [email protected]@nhs.netThank you as always to Scott for you help and support.EHCP and related SEN serviceshttp://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilitieshttps://www.coventry.gov.uk/sendlocalofferhttps://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessmenthttps://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-registerhttps://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilitieshttps://www.coventry.gov.uk/coventry-send-support-serviceHealth Information about annual health checks:https://www.covwarkpt.nhs.uk/learning-disability-services ScreeningEasy to access resources to understand the screening process:Cervicalhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdfBreasthttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdfhttps://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/Bowelhttps://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdfEasy read health informationBeyond Wordshttps://booksbeyondwords.co.uk/resources-dlIt has resources about screening, health checks and also resources with pictures for people who are unable to read.There are resources about dealing with grief, bullying and law.Breast screeningCervical screeningColonoscopyBowel screeningTesticular self examinationVisiting Sexual health clinicBowel movement and stoolsCollege of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)Menopause NICE guidelines

Send us Fan MailRichard is joined by Dr Ayesha Mahmud who is a GP with specialist  and personal interest in learning disabilities.  During the episode we define learning disabilities, why it is important to clinical practice and what should be included in learning disability reviews.  We then discuss a case including with Dr Ayesha of a concerned patient which includes pertinent history, investigations and referral.Please feel free to contact us if you have any [email protected]@nhs.netThank you as always to Scott for you help and support.EHCP and related SEN serviceshttp://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilitieshttps://www.coventry.gov.uk/sendlocalofferhttps://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessmenthttps://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-registerhttps://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilitieshttps://www.coventry.gov.uk/coventry-send-support-serviceHealth Information about annual health checks:https://www.covwarkpt.nhs.uk/learning-disability-services ScreeningEasy to access resources to understand the screening process:Cervicalhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdfBreasthttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdfhttps://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/Bowelhttps://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdf8. Easy read health informationBeyond Wordshttps://booksbeyondwords.co.uk/resources-dlIt has resources about screening, health checks and also resources with pictures for people who are unable to read.There are resources about dealing with grief, bullying and law.Breast screeningCervical screeningColonoscopyBowel screeningTesticular self examinationVisiting Sexual health clinicBowel movement and stoolsCollege of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Send us Fan MailRichard welcomes back Dr Mai Elftise to the podcast to discuss Equity, Diversity, Inclusion & Belonging (EDIB) in General Practice.  During the episode Mai defines EDIB , including the legislation and what this means in  General Practice.  We then discuss how EDIB can affect patient assessments and how to you may consider adapting your consultations.Thank you to Scott for your help and support as as well.Please feel free to leave comments and suggestions or content us via email or x. Richard Tennant - [email protected] Elftise - [email protected] Act 2010 -  Equality Act 2010 (legislation.gov.uk)Protected characteristicsAgeDisabilityGender reassignmentMarriage and civil partnershipRaceReligion or beliefSexSexual orientationUnconscious bias Understanding different types of bias — Conscious inclusion - Equality, diversity and inclusion - About (hee.nhs.uk)The Weathering Hypothesis The weathering hypothesis as an explanation for racial disparities in health: a systematic review - ScienceDirectNHS EmployersEquality, diversity and inclusion | NHS EmployersCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Send us Fan MailRichard is joined by regular MSK specialist - Ed Baker, FCP Physio and ambassador for the episode. During the episode Ed discus's the assessment of patients with  possible shoulder pathology.  This includes history taking, physical examination , investigations, red flags and referral.  Ed then discus's cases in including subacromial impingement syndrome and frozen shoulder. As always thank you Scott for your help and support.Please feel free to leave comments and contact us about the show.Shoulder Pain NICE guidelines Shoulder pain | Health topics A to Z | CKS | NICECollege of ParamedicsHome (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)Limb Examination DayLimb Examination Day - 16 August 2024 - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Send us Fan MailRichard welcomes back consultant cardiologist Professor Derek Connolly to the podcast. During the episode we discuss cases including patients presenting with leg swelling / orthopnea, and patients with palpitations.  Derek give us he's specialist knowledge on how to assess's these patient presentations including history, red flags, investigations and referral.Please follow us on X @FCPParamedicpod and Derek @DrDerekConnolly As always special thank you to Scott for your help.British Society For Heart FailureBritish Society For Heart Failure (bsh.org.uk)Primary Care Cardiovascular SocietyPrimary Care Cardiovascular Society (pccsuk.org)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)CHADVAS ScoreCHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk (mdcalc.com)HAS-BLED ScoreHAS-BLED Score for Major Bleeding Risk (mdcalc.com)

Send us Fan MailRichard welcomes Professor Derek Connolly to the show who is a consultant cardiologist at Birmingham City Hospital.  During the episode, Derek discus's how he assesses patients with possible cardiac pathology's.  We discus, history taking , red flags, investigation and referrals.  We then discus a case of a patient presenting with chest pain in general practice, which includes when to refer, what is involved in the rapid access to chest pain clinic and perinate history which could increase the likely of cardiac pathology. As always thank to Scott for your help and support.  This podcast was brought to you with collaboration between Coventry and Warwickshire Training Hub, Primary Care Cardiovascular Society and the College of Paramedics. Follow Derek on X at @DrDerekConnollyPrimary care Cardiovascular Society Primary Care Cardiovascular Society (pccsuk.org)Know your numbersBlood Pressure UKNICE guidelines - Chest Pain Chest pain | Health topics A to Z | CKS | NICEIschaemia with Non-Obstructive Coronary Arteries INOKACoronary artery spasm: What it is and the treatment options - BHFNONSTEMI Angiography researchComparison of Acute Versus Subacute Coronary Angiography in Patients With NON-ST-Elevation Myocardial Infarction (from the NONSTEMI Trial) - ScienceDirectLipoprotein(a)Lipoprotein(a) and Major Adverse Cardiovascular Events in Patients With or Without Baseline Atherosclerotic Cardiovascular Disease | Journal of the American College of Cardiology (jacc.org)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedics Home (collegeofparamedics.co.uk)

Send us Fan MailRichard and is joined by guest presenter Sophie and Dr Mai Elftise to discuss respiratory assessment.  During the episode we discus's the assessment of patient cases including wheezing, prolonged cough and sleep apnea.  This includes history taking, red flags, investigations and referrals for these patient presentations.As always thank you Scott for your input.  GINA guidelinesGlobal Initiative for Asthma - Global Initiative for Asthma - GINA (ginasthma.org)Primary Care Respiratory Society Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)Asthma ToolkitNHS RightCare » Asthma toolkit (england.nhs.uk)RightbreatheRightBreatheAsthma NICE guidelinesAsthma | Health topics A to Z | CKS | NICENICE guidelines lung and pleural cancers Lung and pleural cancers - recognition and referral | Health topics A to Z | CKS | NICECoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of ParamedicsHome (collegeofparamedics.co.uk)

Send us Fan MailRichard welcomes Dr Mai Elftise to the podcast who is a GPwSI in respiratory medicine.  During the episode we discuss the assessment of patients who present with protentional respiratory pathology.   This includes history taking , red flags, investigations and referrals.  We use Dr Mai's knowledge to introduce a case of a patient with possible COPD to assess and arrange appropriate investigations and referrals when needed. As always thank you to Scott for your help and support.Please follow us on X @FCPParamedicpodcastPrimary Care Respiratory Society Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)GOLD guidelinesGlobal Initiative for Chronic Obstructive Lung Disease - Global Initiative for Chronic Obstructive Lung Disease - GOLD (goldcopd.org)NICE gudielinesChronic obstructive pulmonary disease | Health topics A to Z | CKS | NICEMRC Dyspnoea ScaleMRC Dyspnoea Scale | Primary Care Respiratory Society (pcrs-uk.org)SpirometrySpirometry | Primary Care Respiratory Society (pcrs-uk.org)Spirometry Interpretation | Obstructive vs Restrictive | Geeky MedicsDiagnosis - COPD | Diagnosis | Chronic obstructive pulmonary disease | CKS | NICECoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)PCRS respiratory conferencePCRS Respiratory Conference | Primary Care Respiratory Society (pcrs-uk.org)

Send us Fan MailRichard and Emma welcome back FCP ambassador and physio Ed Baker to discuss hip pain assessment.  Ed discus's his assessments of patients that present in his clinics with hip pain.  Ed discus's history taking , physical examination and potential pathology's of the hip joint.  Ed, then discus's a case of hip osteoarthritis and how he applies his assessment skills to this case.  As always thank to Scott and Martin for your help and support. Please follow us on X @FCPParamedicpod and leave comments and reviews.Red FlagsTraumaUnexplained weight lossNeurological systemsAgeFeverIV drug useSteroidsHistoryConsideration for referral Walking aid Sleep Walking distance Hip Quadrant testHip Quadrant Test | Clinical Physio (youtube.com)Great trochanter joint syndrome Greater trochanteric pain syndrome | Health topics A to Z | CKS | NICEFemoroaceabular impingement Diagnosis and management of femoroacetabular impingement | British Journal of General Practice (bjgp.org)Osteoarthritis of the hipOsteoarthritis (OA) of the hip | Hip pain | Versus Arthritis

Send us Fan MailRichard and Emma welcome back Ed Baker who is a FCP - MSK physio in general practice and a FCP ambassador at Coventry and Warwickshire Training Hub.  During the episode we discuss the approach to patients that present with knee pain and how to carry out a effective knee assessment.  Including, history taking, common examination findings and knee pathology.  Ed discus's when we should be investigating knee pain and what investigations should requested.  Ed then relates his assessment to discuss a case related to osteoarthritis presenting in general practice. Please feel free to rate the podcast and comment, follow us on twitter @FCPParamedicpod.As always thank you to Scott and Martin for you input on developing the podcast.Coventry and Warwickshire Training hubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)PhysiopediaPhysiopedia - universal access to rehabilitation knowledge (physio-pedia.com)PhysiotutorsPhysiotutors | Online Learning for PhysiotherapistsThessaly Testhttps://www.youtube.com/watch?time_continue=13&v=ebraZ4jM36A&embeds_referring_euri=https%3A%2F%2Fwww.bing.com%2F&embeds_referring_origin=https%3A%2F%2Fwww.bing.com&source_ve_path=Mjg2NjIsMjg2NjY&feature=emb_logo Anterior Drawers Testhttps://www.youtube.com/watch?time_continue=2&v=X2sDFK76xNo&embeds_referring_euri=https%3A%2F%2Fwww.bing.com%2F&embeds_referring_origin=https%3A%2F%2Fwww.bing.com&source_ve_path=Mjg2NjY&feature=emb_logo

Send us Fan MailRichard and Emma welcome back Dr David Palmer, who is a GPwSI in mental health.  During the the podcast we discuss patient presentations including substance abuse, psychosis and post natal depression.  David give us his incite into mental health assessments including history taking , investigations and appropriate referrals. As always special thank you to Scott and Martin for your support in the podcast and for David for giving up his time to record the episode.Please rate and subscribe to the podcast, we are also on twitter @FCPparamedicpod Psychosis NICE guidelinesPsychosis and schizophrenia | Health topics A to Z | CKS | NICEPostnatal depression NICE guidelinesDepression - antenatal and postnatal | Health topics A to Z | CKS | NICEAlcohol abuse NICE guidelineAlcohol - problem drinking | Health topics A to Z | CKS | NICEEdinburgh scoring tool EDPS_text_added.pdf (stanford.edu)Coventry and Warwickshire Training Hub Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedics Home (collegeofparamedics.co.uk)

Send us Fan MailEmma's back and we are discussing mental health assessment with Dr David Palmer, who is a GP with a keen interest in mental health.  During the episode we discuss the importance of mental health assessment, David give his guidance of how he approach's mental health assessment.  We they apply his knowledge to two cases including depression and anxiety. Thank you to Martin and Scott for you help as always.Please feel free to rate the podcast and follow us on @FCPParamedicpod on twitter. Basic Human needsMaslow's Hierarchy of Needs (simplypsychology.org)PHQ9PHQ-9 Depression Test Questionnaire | PatientGAD7GAD7 Anxiety Test Questionnaire | PatientDepression Depression | Health topics A to Z | CKS | NICE Anxiety Generalized anxiety disorder | Health topics A to Z | CKS | NICE Talking therapies NHS talking therapies - NHS (www.nhs.uk)  

Send us Fan MailRichard welcomes back Dr David Lupini who is a GP partner and GPwSI in dermatology.  During the episode we discuss the assessment of skin lesions.  Dr Lupini discus's how he started to assess skin lesions in primary care without the use of a dermatoscope.  We apply the assessment to 3 cases including melanoma , squamous cell carcinoma and basal cell carcinoma.  Within the cases we discuss red flags in skin lesions and the correct referral pathway for these patients.Please feel free to leave us comments and rate the podcast.  We are on twitter @FCPParamedicpod.As always special thanks to Scott and Martin for your help and Dr Lupini for giving up your time to record the episode.Skin Lesion AssessmentDermoscopic assessment (pcds.org.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedic - Primary and Urgent CarePrimary and Urgent Care (collegeofparamedics.co.uk)MelanomaMelanoma (pcds.org.uk)Squamous Cell CarcinomaSquamous cell carcinoma (pcds.org.uk)Basal Cell Carcinoma Basal cell carcinoma (pcds.org.uk)Actinic KeratosisActinic (solar) keratosis (pcds.org.uk)Bowen diseaseBowen's disease (pcds.org.uk) Gateway C - Skin Cancer Early DiagnosisNew course: Skin Cancer – Early Diagnosis - GatewayCFitzpatrick Skin TypeSkin phototype (Fitzpatrick skin type) | DermNet (dermnetnz.org)

Send us Fan MailRichard welcomes Jo Taylor a personalised care ambassador and Katie Chuter a heath and well being coach.  Within the episode we look to celebrate the new role within  heath care which is health and wellbeing coaching.  During the episode we discuss where heath and wellbeing coaching came from, who is a heath and wellbeing coach and what does the training involved.  We look to identify what the expected benefits for the patient, the service and what the future looks like in health and well being coaching.The aim of heath and wellbeing coaching awareness is to - •Raise awareness of the opportunities and benefits of health coaching by highlighting how it can increase people’s capability to self-manage major conditions.•Highlight how health coaching can support people to make more informed and conscious choices that prevent the escalation of illness and improve health outcomes.•Showcase how health coaches’ unique expertise can bring about positive changes for individuals and the health and care system, such as reducing demand on services and the need for clinical interventions.•Showcase good practice and the impact of health coaching across the NHS in primary, secondary and community care.·Highlight that health and care professionals from any specialism can learn to take a health coaching approach, with the right training.Please follow us on twitter @FCPparamedicpodAs always special thanks to Scott and Martin for your support.Coventry and Warwickshire Training Hub Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk) Personalised Care Institute personalisedcareinstitute.org.uk NHS Futures platfrom FutureNHS Collaboration Platform - FutureNHS Collaboration Platform 

Send us Fan MailRichard welcomes FCP ambassador and MSK physio Ed Baker to the podcast . During the episode we discuss the assessment of patients with lower back pain, including red flags , pertinent history taking and investigations in general practice.  We apply this knowledge in some cases, including a patient with mechanical  back pain and inflammatory  spondyloarthropathy.Please follow us on twitter @FCPParamedicpod As always special thank you Scott and Martin for your help.Versus ArthritisBack pain | Causes, exercises, treatments | Versus ArthritisExamination of the spine | Versus ArthritisPatient infoBack and Spine Pain | Causes and Treatment | PatientCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)NICE guidelines  Sciatica (lumbar radiculopathy) | Health topics A to Z | CKS | NICEBabinski signThe Babinski Sign or Reflex | Upper Motor Neuron Lesion - YouTubeClonusClonus - YouTube Straight leg raiseStraight Leg Raise or Lasègue's Test for Lumbar Radiculopathy - YouTubeHuman leukocyte antigen B27 (HLA-B27)HLA-B27 (labtestsonline.org.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Send us Fan MailRichard and Emma welcome back Dr Heidi Kerr who is a GPwSI in Women's Health.  Within the episode Dr Heidi Kerr discus's the assessment of Women who present with pelvic pain and vaginal bleeding. Dr Heidi Kerr has given up her free time, please feel free to give feedback, I know I enjoyed the episode and learnt lots I will use in my practice.  As always thank you to Martin and Scott for your input. Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)VHK EducationVHK Education – Delivering bespoke education in women’s healthGynaecological cancers - recognition and referralGynaecological cancers - recognition and referral | Health topics A to Z | CKS | NICEDr Heidi Kerr's 5 C's - PV bleedingConception - what are they taking?Compliance - how are they taking the medication? Chlamydia (STI's) CervixCancerConsider drug historyPrimary Care Women's Heath forumHome - Primary Care Women's Health Forum (pcwhf.co.uk)MittelschmerzMittelschmerz - Symptoms and causes - Mayo Clinic

Send us Fan MailRichard and Emma welcome Dr Heidi Kerr who is a GPwSI in Women's Health to the podcast.  Within the episode Dr Kerr discus's her approach to patient assessments in women's health.  We then discuss common general practice presentations including breast pains and vaginal discharge.Please feel free to leave comments and follow us on twitter @FCPParamedicpod. As always special thank you to Martin and Scott for your input on the podcast. If you wish to contact Dr Heidi Kerr about training in Women’s Heath please contact - [email protected] Education VHK Education – Delivering bespoke education in women’s healthBreast cancer reconitionhttps://cks.nice.org.uk/topics/breast-cancer-recognition-referral/diagnosis/symptoms-suggestive-of-breast-cancer/NHS Breast Cancer screening programhttps://www.nhs.uk/conditions/breast-screening-mammogram/when-youll-be-invited-and-who-should-go/ Breast cancer managing FH https://cks.nice.org.uk/topics/breast-cancer-managing-fh/Dr Kerr’s funnel questions for sexual historyWhen did you last have sexual intercourse? Was it a new or regular partner?Was it a male or female?What sort of sexual intercourse? Was protection used? Coventry and Warwickshire Training hub https://www.cwtraininghub.co.uk/

Send us Fan MailRichard and Emma welcome back Dr David Lupini who is a GPwSI in Dermatology.  Within the episode we discuss a range of common Dermatology cases in General Practice and use his expertise to ensure an affective patient assessment.  Within the episode Dr Lupini discus's cases include systemic rash, pruritus and acne.Please feel free to leave comments and follow us on twitter @FCPParamedicpod.  Dr Lupini kindly gave up his own time for these podcasts, please join Richard and Emma thanking him for sharing his knowledge and experience.As always special thanks to Martin and Scott for your input.Some further reading and resources :-The Primary Care Dermatology SocietyThe Primary Care Dermatology Society | UK (pcds.org.uk)British Association of DermatologistsHome Page - British Association of Dermatologists (bad.org.uk)DermnetDermNet | Dermatology Resource (dermnetnz.org)PruritusItch (pruritus) without a rash (pcds.org.uk)AcneAcne vulgaris (pcds.org.uk)Acne vulgaris | Health topics A to Z | CKS | NICEMorbilliform RashMorbilliform drug reaction (maculopapular drug eruption) | DermNet (dermnetnz.org)Urticaria Urticaria | Health topics A to Z | CKS | NICEUrticaria and angioedema (pcds.org.uk)Yellow Card Reporting Yellow Card | Making medicines and medical devices safer (mhra.gov.uk)

Send us Fan MailInternational Paramedics Day will be held on 8th July 2023 to build a better understanding of the breadth and depth of work carried out by paramedics around the world.  Paramedicine and the Paramedic, is relatively young profession but it is growing rapidly with a very wide range of paramedic roles being carried out in different fields and we want to showcase this diversity in 2023. .  Richard presents a special episode for International Paramedic Day 2023, which I based around #whatwedo.  Within the episode we showcase the work that Paramedics are undertaking in General Practice and within leadership roles.Guests include Sam Holmes from Coventry and Warwickshire GP Alliance, she is a lead Paramedic and works clinically, Sophie Delay from Leamington South and North PCN, who works as a advanced clinical practitioner, a ambulance paramedic and helps support her practices new staff and Helen Beaumont-Waters, who is the head of clinical development for the College of Paramedics. As always special thank you to Martin and Scott for your help and support developing the episode.Please feel free to contact us and follow on twitter at @FCPParamedicpod HOME | International Paramedics DayDisplay event - Primary Care and Prescribing Conference (collegeofparamedics.co.uk)Diploma in Primary and Urgent Care (collegeofparamedics.co.uk)

Send us Fan MailRichard and Emma welcome Dr David Lupini who is a GPwSI in Dermatology.  Dr Lupini discus's his approach to patient presenting with skin complaints.  Dr Lupini then applies his assessment to a single site rash.  He discus's potential differential diagnosis and clinical reasoning in the assessment of skin presentation. Please feel free to leave comments and follow us on twitter @FCPParamedicpod.  Dr Lupini kindly gave up his own time for these podcasts, please join Richard and Emma thanking him for sharing his knowledge and experience. As always special thanks to Martin and Scott for your input. The Primary Care Dermatology Society The Primary Care Dermatology Society | UK (pcds.org.uk)British Association of DermatologistsHome Page - British Association of Dermatologists (bad.org.uk)DermnetDermNet | Dermatology Resource (dermnetnz.org)

Send us Fan MailRichard and Emma welcome back Dr Ian Allwood who is a GPwSI in gastroenterology.  We would highly recommend listening to episode one where Ian discus's his process to assess abdominal pain. Dr Ian Allwood discus's gastroenterology patient presentations which include perinate history taken, appropriate examination and investigations.  The cases include :- Change in bowel habit,Nausea / vomitingand rectal bleeding.  Please follow us on twitter for updates @FCPParamedicpodAlways great to here comments about the episodes.  Our guests give up their time to record these episodes so please feel free to leave feedback on the episode.As always special thanks to Martin and Scott for your assistance.Primary Care Society for GastroenterologyPCSG – The Primary Care Society for GastroenterologyIngest podcast - from the PCSGIngest Podcasts – PCSGCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk) Rome Criteria Rome IV Diagnostic Criteria for Irritable Bowel Syndrome (IBS) - MDCalcNICE DG30 for Quantitative Faecal Immunochemical Test Overview | Quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care | Guidance | NICENG12 Guideline for suspecting cancerRecommendations organised by site of cancer | Suspected cancer: recognition and referral | Guidance | NICEOffer testing with quantitative faecal immunochemical tests NICE diagnostics guidance on quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary careRecommends to assess for colorectal cancer in adults without rectal bleeding who:are aged 50 and over with unexplained:abdominal pain orweight loss, orare aged under 60 with:changes in their bowel habit oriron-deficiency anaemia, orare aged 60 and over and have anaemia even in the absence of iron deficiency.Joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG)Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) | Gut (bmj.com)Patient advice for FIT fit_symptomatic_patient_leaflet_feb2022.pdf (cancerresearchuk.org)

Send us Fan MailRichard and Emma welcome Dr Ian Allwood who is a experienced GP with a specialist interest in gastroenterology.Dr  Ian Allwood discusses the assessment of patient's presenting with gastroenterology complaints including a overview of taking abdominal pain history, epigastric pain and distension.Please follow us on twitter for updates @FCPParamedicpodAlways great to here comments about the episodes.  Our guests give up their time to record these episodes so please feel free to leave feedback on the episode. As always special thanks to Martin and Scott for your assistance. Primary Care Society for GastroenterologyPCSG – The Primary Care Society for GastroenterologyIngest podcast - from the PCSGIngest Podcasts – PCSGCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Abnormal Liver FuctionGuidelines on the management of abnormal liver blood tests - The British Society of Gastroenterology (bsg.org.uk)

Send us Fan MailThis is the first episode of the FCP podcast.During the podcast Emma and Richard discuss the FCP roadmap, specially for Paramedics with Lily Dixon.Lily discusses the FCP roadmap in depth including the role of a FCP - Paramedic, the FCP roadmap, including stage one and stage two, clinical supervision and how to get started.Please feel free to leave any feedback and to follow us on twitter @FCPParamedicpod Coventry and Warwickshire training hubCommunity Paramedic - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk) The FCP roadmaps to practice First Contact Practitioners & Advanced Practitioners - Roadmaps to Practice | Health Education England (hee.nhs.uk)Fourteen Fish e-portfolioFourteen Fish e-Portfolio for Primary Care Paramedics (collegeofparamedics.co.uk)BNSSG Training HubFirst Contact Paramedics – BNSSG Training HubCollege of Paramedics - Primary and Urgent CarePrimary and Urgent Care (collegeofparamedics.co.uk)Personalised Care ModulesYour learning options (personalisedcareinstitute.org.uk)Primary Care E-learning Module'sMusculoskeletal Primary Care - elearning for healthcare (e-lfh.org.uk)