Podcast | The Sessional GP Magazine June 2018

In our 101st edition, Richard kicks off about blame in the NHS, Judith shows how health evidence is changing a culture and protecting the environment, Liz on working less but earning more, Kate on why we should unplug, Louise on menstruation and Rachel on how to say sorry. Richard gives a brief 10-minute run-through. Read…
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Gauging stress before the crash

Ever had that feeling that you have too many things to do, all of them important, that you don’t quite know where to start? Kate Little looks at ways of recognising when your stress levels are getting too high. That feeling that if someone asks you to do one more thing, you are not sure…
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ADHD

This is a guideline from NICE on ADHD. It was written in 2008, then updated in March 2018. The changes are relatively subtle, so I shall outline the changes, then give a bit of a summary of the guideline. Changes: Severity They have taken out the idea of grading patients into 'mild', 'moderate' and 'severe'.…
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The war on GP workload

When everyone around you is working at full pelt and beyond, what do you do if you feel your whole way of working is unsustainable, especially when you feel forced to work in this unsustainable way? Sonia Hutton-Taylor helps explain what you should do if the early signs of burnout start to emerge. This is…
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Will you get your death in service benefit?

Locums are becoming a vital part of increasingly pressurised general practices, yet the NHS benefits they’re entitled to are not always as fair as they could potentially be. While locums can contribute to the NHS pension scheme, one critical benefit is not always available: death in service. If we were all clairvoyants with a crystal…
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Podcast | Sin City – the redemption

Judith Harvey is recently back from Colombia, which is slowly recovering from decades of violence brought about by its illegal manufacture and export of cocaine. Twenty-five years ago Medellín in Colombia was the murder capital of the world. The city was in the grip of Pablo Escobar’s drugs cartel. His teenage sicarios – hitmen –…
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Otitis Media – when to use antibiotics

This is a new guideline from NICE on when to use antibiotics for otitis media (March 2018). It doesn't change common practice, but I found some of the statistics really helpful for explaining why we prescribe in some groups and not others. There is an excellent patient leaflet explaining things too. Some background info: Most have…
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Podcast – Interview with Professor Mayur Lakhani, RCGP President

Podcast notes 00.55 Presidential superpowers 03:24 Largest Royal college, 66 years old 04:07 Listening exercise - "How do we need to change?" 07:19 co-producers; working with the people you serve 08:00 talktopresident@rcgp.org.uk 09:15 "The future of general practice" 09:52 "We're working in a broken system" 10:23 What's the scale of the change we need? No…
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The case for 
GP locum chambers

There are many benefits to being part of a chambers if you are a GP locum, but what can you do if there is no chambers in your local area? Dr Richard Fieldhouse provides some advice. The concept of GP locum chambers was first pioneered by the NASGP in 2002, and are generally small locally…
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