Talking General Practice

• Why GPs could 'go nuclear' in escalating dispute, neighbourhood threat, 10 years of GP workforce promises

  The GPonline team discusses the key news stories affecting general practice’Nick, Emma and Kimberley look at what went on at last week’s England LMCs conference, including the results of some key votes on balloting the profession on industrial action and the types of action GPs might take. They discuss whether GPs would vote in favour of such measures and some of the other key concerns raised at that conference.Nick explains how the GP workforce has changed over the last decade now we’ve reached the landmark point of having 10 years worth of GP workforce statistics.And Kimberley highlights this week’s good news story which is about a practice in Glasgow whose staff entered this year’s Great Scottish Run.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksLMCs demand ballot on action including 'full-day walkouts'GP leaders threaten mass resignation from practice contractsBoycott neighbourhoods unless they are GP-led, say LMCsLMCs back 'non-compliance' with online access contract requirementsGovernment accuses GPs of 'standing in the way of change'ARRS driving 'two-tier' GP job market and low pay, warn LMCsHow has the GP workforce changed after 10 years of promises? Hosted on Acast. See acast.com/privacy for more information.

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• Improving care for veterans in general practice

  Emma speaks to Royal College of GPs veterans clinical champion Dr Emily Brookes, about the health needs of military veterans and their families, and what general practice can do to support these groups of patients.Emily talks about the specific health challenges veterans are more likely to face, from physical conditions like hearing loss and musculoskeletal issues to a higher prevalence of mental health conditions - and the common barriers that prevent veterans from seeking help.She explains how the RCGP’s Veteran Friendly Accreditation scheme can help practices improve care for these patients and some of the services and support that is available to veterans.Emily has 20 years of experience as a military GP in both the Army and the RAF and she also talks about what these roles involved and why she followed this career path.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksRCGP veterans’ health hubRCGP veterans elearning moduleBecome a veteran friendly accredited practiceOp COURAGEOp RESTOREFull list of resources and organisations that support veterans from gov.uk Hosted on Acast. See acast.com/privacy for more information.

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• Will online access row trigger industrial action, Scotland agrees GP contract, Premises funding

  Emma and Nick discuss the key news stories affecting general practice. They talk about how the GP contract change that requires practices to keep their online consultation systems on throughout core hours is affecting workload in general practice, as well as the increasingly bitter war of words between the government and the BMA about this issue.They look ahead to next week’s England LMCs conference, where GP leaders will debate next steps on industrial action as a result of the dispute over online access.They also discuss the latest NHS planning guidance and what that means for GPs, some good news from Scotland on the GP contract there and Nick’s recent analysis on how GP premises funding is being spent in England.This week’s good news story is about practices delivering award-winning end of life care.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links● 'No progress' on GP contract reform as BMA frozen out of Carr-Hill review● Government plans new target for GPs to offer urgent patients same-day appointments● GPs in Scotland end dispute as £531m funding deal agreed● Practices forced to hire extra staff to manage online consultation workload● LMCs to vote on major escalation of GP industrial action● Most GP practices say £1.1bn contract has not eased financial pressure● How are ICBs spending the £102m GP premises fund?● GPs and practices recognised for providing outstanding end-of-life care● RCGP/Marie Curie Daffodil standards - more details Hosted on Acast. See acast.com/privacy for more information.

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• The importance of promoting physical activity in primary care

  Emma speaks to GP Dr Callum Leese about the importance of physical activity and how primary care professionals can promote it to their patients.Callum is a GP in Aberfeldy, Scotland, and also works at the University of Dundee, where his research focuses on physical activity promotion and implementation in primary care. He is also the Royal College of GPs co-lead for physical activity.In this conversation, Callum talks about his research, including work with the WHO looking at physical activity promotion in policy across Europe, and RCGP initiatives like the Active Practice Charter and parkrun practices and how these can benefit both patients and staff.He offers advice for GPs on how to raise the issue of physical activity in consultations and discusses the importance of tailoring exercise advice to patients with specific health conditions.He also talks about a fantastic initiative he’s involved with, which is aiming for his home town of Aberfeldy to become the healthiest town in Scotland, and his work with the British Society of Lifestyle Medicine, where he leads the physical activity special interest group.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksRCGP physical activity hubRCGP parkrun practicesMoving Medicine - website from Faculty of Sports and Exercise MedicineBritish Society of Lifestyle MedicineCallum’s Movement Prescription podcastAberfeldy healthiest town website Hosted on Acast. See acast.com/privacy for more information.

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• How will genomics change medicine in general practice?

  This week we look at the rapidly advancing field of genomics, which is becoming increasingly relevant to everyday primary care. Emma speaks to Dr Jude Hayward and Dr Imran Rafi, who are the Royal College of GPs’ joint clinical representatives for genomics. Jude is a GP with an extended role in genomic medicine and Imran is a reader in primary care and genomics at St. George's University in London.Jude and Imran discuss the most significant changes genomics is set to bring over the next decade, including its potential use in predicting risk for common conditions, rise of pharmacogenomics and whether the government’s 10-year plan’s vision for the role of genomics is realistic.They also talk about some of the practical challenges facing GPs, such as how to handle patients presenting with results from direct-to-consumer genetic tests, the ethical considerations around data and consent, and the importance of ensuring advances in genomics help to narrow rather than widen health inequalities.And they also explore the opportunities for GPs to develop an extended role in this fascinating area of medicine.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksGeNotes - genomics notes for cliniciansGP with extended role in clinical genetics/genomics - RCGP frameworkRCGP eLearning - Genomics toolkitRCGP position statement on direct to consumer genomics testing Hosted on Acast. See acast.com/privacy for more information.

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