NASGP

In this episode, Dr Richard Fieldhouse is joined by Dr Sarah Jacques to discuss her deeply personal experience with professional burnout, which led her to leave her GP partnership and re-evaluate her career. Dr Jacques details her transition to a balanced portfolio, combining a single clinical session per week with influential non-clinical roles in Doctors Association UK (DAUK) and the Medical Women's Federation (MWF). They explore the systemic issues driving GP dissatisfaction, the critical role of grassroots advocacy, and why uniting the entire Sessional workforce—locums, salaried, and partners—is essential to fight for a sustainable future for general practice against looming threats like the new GP contract and privatisation.

The biggest change to tax for self-employed GPs in decades is coming with Making Tax Digital (MTD) for Income Tax. Don't let new quarterly reporting requirements add to your administrative burden. Watch this webinar for the clear, calm, and practical guide you need to prepare your professional practice for April 2026.See slides Watch on YouTubeWhat you will learnHow to prepare for the MTD for Income Tax deadlines starting in April 2026 for Sessional GPs with self-employed earnings over £50K.The crucial role of LocumDeck as your professional toolkit in preparing seamless, MTD-compatible quarterly submissions, especially if you pension your income.Why setting up a separate business bank account now is key to creating a clean digital link and avoiding admin friction later.A breakdown of the new points-based penalty system and how to maintain workforce stability by staying compliant.Understanding the difference between the End of Period Statement and the Final Declaration (the new Self-Assessment).Contact [email protected]@honeybarrett.co.uk01424 730345https://www.honeybarrettmedical.co.uk

We are delighted to welcome Dr Toni Hazell, the accomplished Chair of Haringey LMC, to *The art of GP locuming* podcast. Dr Hazell discusses her inspiring journey into General Practice, detailing how a pivotal rotation shifted her perspective away from the "failed surgeons" trope to recognising General Practice as "proper medicine," leading to a 21-year tenure as a salaried GP in Tottenham. She offers insights into managing a portfolio career, anchored by her clinical work and extensive role as a "full stack educationalist" for the RCGP, where she develops e-learning content and contributes to the Primary Care Women's Health Society. As LMC Chair, Dr Hazell advocates fiercely for general practice, highlighting the significant challenge of the "absolute tsunami of unresourced work" from secondary care—estimating it consumes at least one to two hours per clinical day—and emphasises the fundamental need for collective action to address this burden. Finally, she provides powerful career wisdom, encouraging fellow GPs, especially women in medicine, to be open to every professional opportunity, embrace iteration, and actively challenge imposter syndrome.

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.

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.