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NASGP

National Association of Sessional GPs
NASGP
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  • Early detection of prostate cancer in primary care
    This episode offers a detailed clinical update on the early detection and diagnosis of prostate cancer, tailored for the primary care setting. Dr Bunmi Olajide, a GP with a special interest in cancer services and a Prostate Cancer UK Clinical Champion, presents an evidence-based review of the significant changes to the diagnostic pathway. The discussion highlights how the integration of multi-parametric MRI has led to a 79% reduction in the risk of harm and 90% fewer cases of post-procedure sepsis.Dr Olajide provides a nuanced analysis of risk stratification, addressing the significant health inequalities that result in a doubled risk for Black men. The discussion covers the clinical application of NICE guidelines, the interpretation of PSA results in the context of confounding factors, and the diminishing role of the DRE as a screening tool. This is an essential briefing for clinicians seeking to align their practice with the latest evidence in prostate cancer management.Key topics discussed in this episode:An overview of the current epidemiology of prostate cancer in the UK.A review of key risk factors, including the 1-in-4 lifetime risk for Black men.Practical application of the NICE NG12 guidelines and age-specific PSA thresholds.The Prostate Cancer Risk Management Programme for managing asymptomatic men.The evolution of the diagnostic pathway and the role of multi-parametric MRI.A critical appraisal of the digital rectal examination (DRE) in screening for prostate cancer.An introduction to the large-scale Transform screening trial, which is examining approaches beyond PSA testing.Professional resources and educational opportunities for healthcare professionals.
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  • Dr Lisa Harrod-Rothwell - One GP's journey to leadership
    Dr Lisa Harrod-Rothwell, Chief Executive Officer of Londonwide LMCs, reflects on her career trajectory from a salaried GP to prominent leadership roles in NHS commissioning and Londonwide LMCs. The discussion explores the formative experiences that shaped her commitment to holistic patient care and the challenges faced by general practice, including safe working conditions, continuity of care, and workforce retention. * Contact London LMCs https://www.lmc.org.uk/find-your-local-lmc/Dr Harrod-Rothwell also offers insights into the evolving landscape of the NHS, particularly in the context of the 10-year plan, advocating for clinical autonomy and the active involvement of sessional GPs in shaping future healthcare models.
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  • Managing leukaemia in general practice with Professor Steven Knapper
    An informative discussion on acute leukaemia for general practitioners, led by consultant haematologist Steve Knapper. This episode provides an overview of acute leukaemia, its diagnosis, and management, with a focus on presentations encountered in primary care. Case studies illustrate the varied clinical manifestations and the importance of a low threshold for full blood count assessment. The discussion also covers referral pathways and the rapid progression of cases to definitive treatment in secondary care.
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  • Dr Shana Tam – From local experience - building support for Cheshire's sessional GPs
    In this episode, we feature an insightful conversation with Dr Shana Tam, a GP based in Cheshire and a key representative on Cheshire LMC, where she also serves as Vice Chair.* YouTube – https://youtu.be/KKjXlJbB9mYRichard discusses Dr Tam's career progression, from an initial interest in palliative care to discovering her passion for general practice, driven by a desire to be 'embedded in the community' and a commitment to 'health promotion'. She shares her experiences, including GP training in Chester, her initial 'baptism of fire' as a maternity locum, navigating two distinct partnerships in Wales and England, and ultimately transitioning to a sessional GP role in late 2019.Dr Tam offers valuable insights on 'professional risk' and the significance of 'self-reflection' in career development. The conversation highlights her extensive work as the sessional GP representative and chair of the education group for Cheshire LMC. She explains how surveys have been instrumental in identifying challenges faced by sessional GPs, such as underemployment and unemployment, noting that some responses were 'one of the hardest things' she had to read. Her initiatives aim to equip GPs with essential skills, including marketing, CV writing, interviewing, and complaints handling, addressing crucial gaps often not covered in standard GP training.The discussion also covers the vital role of LMCs in supporting all GPs, regardless of contractual status, by providing confidential advice and signposting. Dr. Tam shares recommendations for other LMCs, emphasizing the 'valuable' contribution of sessional GPs and the 'fundamental' importance of professional unity for a secure future of general practice.Finally, Dr Tam provides a forward-looking perspective on the future of general practice, advocating for a clear vision, understanding 'our why,' embracing new developments like AI, and prioritizing 'safe working' supported by adequate funding. This serves as a powerful reminder that 'Everyone Counts' and 'Everyone has a voice' within the profession.We invite you to listen to this insightful discussion.Timestamps:00:00 - Introduction to Dr. Shana Tam00:57 - Shana's journey into General Practice02:32 - First steps as a qualified GP: The locum years05:19 - Navigating different partnerships and professional growth07:40 - The art of professional risk and self-reflection10:30 - Joining Cheshire LMC as a Sessional GP Rep12:31 - Understanding and addressing Sessional GP needs17:00 - The vital role of LMCs and supporting all GPs18:27 - Advice for other LMCs20:22 - Wisdom for GPs in 2025: Vision, Unity, and Embracing Change24:49 - Conclusion and thank youIf you find this episode beneficial, please consider subscribing and sharing it with your GP colleagues.
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  • Post-traumatic growth and the power of self-compassion a conversation with Dr Amrita Sen Mukherjee
    In this powerful and deeply personal episode of the NASGP podcast The art of GP locuming, Richard talks to Dr Amrita Sen Mukherjee — GP, wellbeing advocate, and founder of Your Wellbeing Doctor — about her extraordinary journey through medicine, motherhood, illness, and identity.Amrita shares how the challenges she faced during her GP training, including living with a hidden disability, ultimately led her to discover the concept of post-traumatic growth — transforming adversity into a purposeful new direction. She speaks candidly about the systemic pressures within general practice, the cultural barriers to self-compassion in medicine, and how she now supports other doctors through coaching, advocacy and education.This wide-ranging conversation offers GPs a moving reminder that it’s not weakness to struggle — and that growth often begins with self-kindness.YouTube – https://youtu.be/OZtFFWo8R7AInstagram – https://www.instagram.com/yourwellbeingdoctorX – https://x.com/YourwellbeingdrLinkedIn – https://www.linkedin.com/in/dr-amrita-sen-mukherjee/Website – https://www.yourwellbeing.doctorTEDx Talk entitled “Invisible disability: Challenging bias to enable change” – https://www.youtube.com/watch?v=Ro3SbU95qwcPublication – https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12642
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About NASGP

One in four general practitioners - fully qualified doctors specialising in family medicine - in the UK work as freelance locum GPs. We're the most professionally isolated of all workers in the National Health Service NHS, and the NASGP exists to support both locum GPs and salaried GPs to improve patient care and make their work more fulfilling and enjoyable.
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