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The Lincolnshire LMC Hot Topics Podcast

The Lincolnshire LMC Hot Topics Podcast

By @iamlucygp
Designed with primary care in mind. A place to chat, explore, connect and learn.
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Episode 26: Abnormal Liver Function Tests (Raised ALT, Hepatitis pathway)
Welcome back to the final episode in our liver pathways series on abnormal liver function tests. Today we will be joined again by Dr Sreedharan Gastroenterologist from ULHT to discuss the new pathway and flowcharts created to improve identification and management of patients with a hepatitis presentation on their liver biochemistry (predominantly raised ALT).  All the new pathways are incorporated into your clinical systems and we encourage you to play around with them, reading the explanatory notes and using the flowcharts with your patients. We will also summarise some of the key points from the liver pathways series. Thanks for listening!
22:48
December 01, 2021
Episode 25: Abnormal Liver Function Tests (Raised ALP, Cholestasis pathway)
Welcome back to the penultimate episode in our liver pathways series on abnormal liver function tests. Today we will be joined again by Dr Sreedharan to discuss the new pathway and flowcharts created to improve identification and management of patients with a cholestasis presentation on their liver biochemistry - predominantly raised alkaline phosphatase (ALP) which may occur with a raised gamma GT (GGT) as well. This podcast will talk you through the new pathway and what investigations and actions are necessary when you encounter a patient with raised ALP. Thanks for listening!
12:03
December 01, 2021
Episode 24: Non-Alcoholic Fatty Liver Disease
Thank you for joining us today to discuss Non-Alcoholic Fatty Liver Disease (NAFLD) and the new Lincolnshire referral pathway and flow chart for patients with this disease.  Join us as we discuss risk factors, investigations and management of Non-Alcoholic Fatty Liver Disease (NAFLD) with Dr Aravamuthan Sreedharan - Consultant Gastroenterologist at ULHT. This is the next instalment of our podcast series on liver pathways so keep your eyes peeled for future episodes on hepatitis and cholestasis presentations. Thanks for listening!
15:08
December 01, 2021
Episode 23: Using EPACCS in primary care
We are joined today by Dr Clive Cole MacMillan GP in Lincolnshire who will be talking today about the importance of the Electronic Palliative Care Coordination System (EPaCCs) We will cover: What is EPaCCs? Why is it important? How is it used and how can we download the tools? How is it of benefit to patients, clinicians and practices? How can it help with QOF and practice audits? How can it be used for MDT meetings. Here are the resources we discussed in the podcast - mini tutorials and helpful hints to utilise in your practice  EPaCCs :: Lincolnshire end on life (eolc.co.uk) Thanks for listening!
28:03
December 01, 2021
Episode 22: Joining the LMC Committee
I am joined today by Dr Jaishri Teckchendani - new member of the Lincolnshire LMC Committee.  The Lincolnshire LMC Committee is the statutory representative body for GPs and practices in Lincolnshire. We meet (almost) every month to discuss issues affecting general practice. Each area of Lincolnshire is represented on the Committee. Have you ever considered standing for election as an LMC representative for your area? Would you be interested to attend a meeting as an observer? You would be very welcome. We are also able to co-opt members onto the Committee outside of election periods if required. The LMC Committee meet most months of the year, usually virtually or face to face over a delicious hot curry. The LMC Committee is an important link between the LMC Secretariat and local practices. As part of the Committee you have chance to represent your region and influence decision making.  Jaishri is a Lincolnshire GP and newly elected Committee member. In today's podcast she shares her experiences of being on the LMC Committee and how she got involved. It was great to chat with Jaishri about why she values being a representative on the LMC Committee and how she benefits from it as a GP. If you are a local GP who would like to attend a Committee meeting as an observer please get in touch here Lincolnshire LMC: Contact us (lincslmc.co.uk) or you can visit our social media pages for more information. Find us on Facebook, Instagram and Twitter. Thanks for listening!
13:12
December 01, 2021
Episode 21: High Ferritin Levels (new pathway)
Thank you for joining us today to discuss developments within the Gastroenterology/Hepatology service - namely referral pathways for patients with high ferritin levels or suspected Haemochromotosis.  Join us as we discuss the ins and outs of Hyperferritinaemia with a brand new pathway explained by Dr Aravamuthan Sreedharan - Consultant Gastroenterologist at ULHT. You can find all the new liver pathway forms and flow charts embedded within your clinical systems (where you usually find your referral forms). Thanks for listening!
13:58
December 01, 2021
Episode 20: Alcohol-Related Liver Disease and Fibroscans
Thank you for joining us today to discuss developments within the Gastroenterology service - namely referral pathways for patients with Alcohol-Related Liver Disease (ARLD) and how/when to request a Fibroscan.  Join us as we discuss the ins and outs of ARLD and the ULHT Fibroscan service with Dr Aravamuthan Sreedharan - Consultant Gastroenterologist at ULHT. Thanks for listening!
16:55
December 01, 2021
Episode 19: Abnormal Liver Function Tests (Isolated Bilirubin, ALP and GGT)
Thank you for joining us once again to continue our discussions with Dr Aravamuthan Sreedharan Consultant Gastroenterologist on the new liver pathways in development.  Are you stuck on LFTs? Befuddled by bilirubin? Getting headaches about GGT?  This is the next instalment in our liver pathway series where we will be talking about abnormal liver function tests - namely single marker abnormalities like an isolated rise in bilirubin - does that require action or not? What about an isolated raised ALP, should I worry? This podcast is for GPs, GP Registrars, ANPs and anyone working in primary care clinical setting who looks after liver patients and wants to improve their knowledge.  Tune in and all will be revealed. Thanks for listening!
10:06
December 01, 2021
Episode 18: Introduction to new liver pathways at ULHT
Thank you for joining us today to discuss developments within the Gastroenterology service - namely the new referral pathways for patients with liver diseases. It is a really exciting time for the Gastroenterology team who have been working with primary care clinicians to update the liver pathways and streamline care for patients. There are changes to the open access endoscopy service to be discussed plus the effect of the pandemic on referral waiting times. Join us as we introduce the changes to the Gastroenterology service locally, the use of Advice and Guidance and also shed some light on ELF tests and FIB4 tests in Non-Alcoholic Fatty Liver Disease (NAFLD) with Dr Aravamuthan Sreedharan - Consultant Gastroenterologist at ULHT. This is the start of a podcast series on liver pathways so keep your eyes peeled for future episodes - this is only the beginning! Thanks for listening!
20:41
December 01, 2021
Episode 17: Rheumatology Referral Forms & Pathways
We are joined today by Dr Batsi Chikura Consultant in Rheumatology at United Lincolnshire Hospitals. This episode we discuss changes to the Rheumatology service. There are now a number of new referral forms in place which can be accessed within your practice clinical systems - EMIS or System One. You will find the new referral forms in exactly the same place you are used to finding referral forms within your clinical system. Please use them and share them with your colleagues. New referral pathways are now in place for patients with Ankylosing Spondylitis, Early Inflammatory Arthritis, Polymyalgia Rheumatica, Gout, Connective Tissue Diseases and Giant Cell Arteritis. There is also updated referral guidance being developed for patients with Fibromyalgia and Ehler's Danlos Syndrome. The service has been changed to streamline and improve the care of these patients. There is also much increased use of the Advice & Guidance route so GPs can get timely advice from specialists regarding their patients. Thank you for listening!
42:06
December 01, 2021
Episode 16: The Admiral Nurse Service Update
This weeks episode features a chat with Tom Rose Clinical Lead for the Lincolnshire Admiral Nurse service. This service is going through a period of review so we discuss what that means, the current service and expected changes. We also discuss the use of virtual consultations and a research project the team have been undertaking looking into this new field. Below you can find the link to the published work from the team: Madden G, Rose T, Crystal L (2021) Using video consultations to support family carers of people living with dementia. Nursing Older People. doi: 10.7748/nop.2021.e1346 and link Using video consultations to support family carers of people living with dementia (rcni.com) You can find the referral form for the Lincolnshire Admiral Nurse Team within System One and EMIS. For any queries you can call the Admiral Nurse Service Co-ordinator on 01522 551 250. Specialist support to families facing dementia | Dementia UK  Here you will find the link to the Dementia UK website, which has the information about the helpline, lots of advice for carers and professionals and a free e-learning module about working with families with dementia here = Working with Families and Dementia: an introduction - Overview (dementiauk.org) As you may be aware Lincolnshire has launched a new Dementia pathway so we are really keen to open up the conversation around life with dementia. It is in fact World Alzheimer's Day is on the 21st of September. The focus this year is on 'Journey through the diagnosis of Dementia'. The national diagnosis rate has dropped to 62.1% over the last 18 months; internationally, 90% of cases are undiagnosed - in Lincolnshire the aim is to change this through active working through the new pathway. One of the challenges for people and families affected by dementia is getting a diagnosis in the first place. They struggle because they feel they aren't being listened to or having concerns dismissed. Diagnosis isn't just about access to medication. It is about recognition and giving people the support they desperately need to deal with the challenges they face. Please take the time to listen to this podcast, as well as checking out the Dementia pathway webinar on the Lincolnshire LMC website here Lincolnshire LMC: Dementia Webinars (lincslmc.co.uk) Thanks for listening
18:12
October 07, 2021
Episode 15: Palliative Emergencies End of Life Bleed
Welcome back to another episode from Lincolnshire LMC's Hot Topics. This episode I am delighted to be joined by the fantastic Kerry Bareham Nurse Consultant from St Barnabas Hospice talking about one of the new palliative emergencies care plans. Join us as we discuss what an end of life bleed is, how to identify patients with risk factors and how to support our patients who may be at risk.  We also discuss Project Echo - you can find out more information here Project ECHO: Healthcare goes digital in Lincolnshire (stbarnabashospice.co.uk) You can find out more about how St Barnabas support patients in Lincolnshire here and where their charity shops are by clicking here: St Barnabas Hospice | Your local hospice service | Lincoln The end of life care website is a fantastic local resource where you can find advice on RESPECT forms, gold CD1 forms and much more Professional Resources | End of life care (eolc.co.uk) Terminal haemorrhage in palliative care patients can be distressing for professionals and patients. Do not hesitate to contact St Barnabas Hospice telephone advice 24 hours a day on 01522 511 566 or refer to Palliative Care Coordination centre (PCCC) for any aspect of holistic care with wellbeing or clinical support 0300 020 0694. Bereavement services are available for family, carers and health professionals affected by sudden terminal haemorrhage. Find out more from St Barnabas directly or contact the PCCC as above.
27:10
September 02, 2021
Episode 14: How to become a GP trainer
We are joined today by Bevis Heap from Health Education England. Bevis explains the new trainers course, why GPs should consider becoming trainers and details the pros and cons for practices.  This open and honest discussion aims to inspire the next generation of GPs to get into training and signposts to the correct resources to get started. If you have a listen and want to find out more you can email bevis here: bevis.heap@hee.nhs.uk You can also have a look on the website by clicking here GP New Trainers' Courses | Health Education England East Midlands (eastmidlandsdeanery.nhs.uk)
25:48
July 20, 2021
Episode 13: The Take-30 Service Part 2
Have you heard of Take-30? Have you considered it but not quite ready to take the plunge and call? It this week's episode we will continue to walk you through what Take-30 is and why it is so vital as general practice faces unprecedented levels of demand. You are not alone. If you are struggling please reach out and contact Lincolnshire LMC's Impact Lincs service to access Take-30. You can find all the details on our website here Lincolnshire LMC: Impact Lincs (lincslmc.co.uk) Tune in to hear more from Dr Sue Marris and Dr Lucky Rajput - two of the pioneers of this fantastic free service. For more information about wellbeing, coping with general practice and where to get help have a look at the Lincolnshire LMC wellbeing page Lincolnshire LMC: Wellbeing (lincslmc.co.uk)
09:30
July 13, 2021
Episode 12: The Take-30 Service Part 1
Have you heard of Take-30? Have you considered it but not quite ready to take the plunge and call?  It this week's episode we will walk you through what Take-30 is, how to works and what to expect step by step. Tune in to hear from Dr Sue Marris and Dr Lucky Rajput - two of the pioneers of this fantastic free service. For more information about wellbeing, coping with general practice and where to get help have a look at the Lincolnshire LMC wellbeing page Lincolnshire LMC: Wellbeing (lincslmc.co.uk)
15:46
June 22, 2021
Episode 11: Performance Matters - Travelling abroad with medications
This episode features another discussion on a 'performance matters' article from Lincolnshire LMC on prescriptions for patients travelling abroad.  We are joined by Dr Kieran Sharrock Medical Director of Lincolnshire LMC. Here is a link to full article that we are discussing today Lincolnshire LMC: Medication for patients travelling abroad (lincslmc.co.uk) Thanks for listening!
05:11
June 03, 2021
Episode 10: Performance Matters - Interruptions
Are you CONSTANTLY interrupted at work? Do you worry about forgetting things or losing your train of thought? Are you concerned interruptions could lead to complaints? This weeks 'hot topic' is INTERRUPTIONS - why they are annoying, why they are risky and what to do about it. We are joined again by Dr Kieran Sharrock Medical Director of Lincolnshire LMC to chat about a change his practice made following identifying a problem with interruptions.  Here is the link to the full article on the Lincolnshire LMC website Lincolnshire LMC: Interruptions (lincslmc.co.uk) Contact us to get a copy of a generic interruptions policy. Lincolnshire LMC: Contact us (lincslmc.co.uk)
12:14
June 01, 2021
Episode 9: Performance Matters - Medication Reviews
What constitutes a good medication review? Are you aware of your responsibilities and what is required when undertaking a medication review? This podcast episode is another feature in our 'performance matters' series which looks at areas where clinicians can improve their practice.  The full article appears on the Lincolnshire LMC website, which you can find here:  Lincolnshire LMC: Medication Reviews & Repeat Prescribing of Potentially Harmful Drugs (lincslmc.co.uk)
08:29
May 25, 2021
Episode 8: Performance Matters - Filing Blood Test Results
Kicking off season 2 of The Lincolnshire LMC Hot Topics Podcast with a series called 'performance matters' featuring Dr Kieran Sharrock Medical Director of Lincolnshire LMC.  This episode of performance matters discusses the importance of accuracy when filing pathology results.  How do you manage abnormal results?  How do you safety net and follow up patients when you request blood tests? Click here to read the full article from Lincolnshire LMC Lincolnshire LMC: Blood Test Results (lincslmc.co.uk)
11:10
May 18, 2021
Episode 7: The RESPECT Form
Are you confident in communicating with patients and their families about the RESPECT form? Would you like some tips on starting the conversation? Do you want to improve your RESPECT forms? This podcast will give you some tips on what the RESPECT form is, how to approach it and provide a discussion around some of the difficulties doctors and patients find around RESPECT.  Have a look at these wonderful additional videos produced by the palliative care team at ULHT. ReSPECT on Vimeo Here is a link to loads on information on RESPECT from the Resuscitation Council UK ReSPECT | Resuscitation Council UK You can access the end of life care website by clicking here Lincolnshire / COVID-19 | Prof. Categories | End of life care (eolc.co.uk)    Also there is a fantastic 5 step resource for having difficult conversations, providing a framework for communication. Find it by clicking here: Discussing Unwelcome News - Covid-19 (eolc.co.uk) For more information on primary care in Lincolnshire and further educational resources check out the Lincolnshire LMC website here: Lincolnshire LMC: Working for GPs in Lincolnshire (lincslmc.co.uk).
31:13
May 06, 2021
Episode 6: The Power of A Collaborative Practice
The Power of A Collaborative Practice Listen to this podcast from Lincolnshire LMC's Dr Kieran Sharrock talking with Kay and Dave from Alvanley Family Practice. Would you like to hear more about a practice who went from being in a "rut" to inspiring patients and team-members to become health champions? Do you want to be inspired about how your practice could support frequent attenders and reduce workload? Listen to this podcast which focusses on collaborative practice, practice management, wellbeing and social prescribing. Links to the Alvanley Family Practice websites are provided below: https://www.alvanleyfamilypractice.co.uk/ Alvanley Family Practice | Facebook Alvanley Practice (@Alvanleyfp) / Twitter Altogether Better If you feel you would like to talk to someone about any problems you may be having in your workplace including the impact of Covid-19 please get in touch with Take-30 from Impact Lincs. Take-30 is a free service to provide confidential peer support for busy GPs, practice managers, nurses and other practice staff members as they work through daily challenges. Make contact with the Take-30 team today for a call back within 24 hours. One of the Take-30 professionals will schedule a one-off 30 minute chat at a mutually convenient time that suits your busy lifestyle. The phone line is open 10am-4pm Monday to Friday to talk about you. Email info@lincslmc.co.uk or call 01522 576659.
38:16
April 01, 2021
Episode 5: Time Management For Primary Care Part 3/3
Thank you for joining us and listening to the final part in our new podcast series on time management in primary care. Today we will be talking about primary care technology, digital wellbeing and how to make your duty doctor days run more smoothly! We are joined again by the Work Well Doctors.  You can find out more about how they help individuals and teams at the following links: Instagram• The WorkWell Doctors @theworkwelldoctors The WorkWell Doctors  If you would like to find out more about The WorkWell Doctors or the workshops they offer please visit their website via the link above. You can find out more about Lincolnshire LMC by visiting the website here Lincolnshire LMC: Working for GPs in Lincolnshire. Lincolnshire LMC have a wealth of information on life in Lincolnshire, job vacancies as well as support and wellbeing advice. If you would like to explore primary care workplace mentoring check out Lincolnshire LMC: Impact Lincs  If you are suffering from stress burnout or struggling in any other way please consider our Take-30 service by clicking here for more information Lincolnshire LMC: Wellbeing 
26:42
March 23, 2021
Episode 4: Time Management For Primary Care Part 2/3
Thank you for joining us and listening to the second part in our new podcast series on time management in primary care. We are joined again by the Work Well Doctors. You can find out more about how they help individuals and teams at the following links: Instagram• The WorkWell Doctors @theworkwelldoctors The WorkWell Doctors  You can find out more about Lincolnshire LMC by visiting our website here Lincolnshire LMC: Working for GPs in Lincolnshire we have a wealth of information on life in lincolnshire, job vacancies as well as support and wellbeing advice. If you would like to explore primary care workplace mentoring check out Lincolnshire LMC: Impact Lincs  If you are suffering from stress burnout or struggling in any other way please consider our Take-30 service by clicking here for more information Lincolnshire LMC: Wellbeing 
15:10
March 11, 2021
Episode 3: Time Management For Primary Care Part 1/3
Thank you for joining us and listening to the first part in our new podcast series on time management in primary care.  We are joined by the Work Well Doctors. You can find out more about how they help individuals and teams at the following links: Instagram• The WorkWell Doctors @theworkwelldoctors The WorkWell Doctors  You can find out more about Lincolnshire LMC by visiting our website here Lincolnshire LMC: Working for GPs in Lincolnshire we have a wealth of information on life in lincolnshire, job vacancies as well as support and wellbeing advice. If you would like to explore primary care workplace mentoring check out Lincolnshire LMC: Impact Lincs  If you are suffering from stress burnout or struggling in any other way please consider our Take-30 service by clicking here for more information Lincolnshire LMC: Wellbeing 
23:06
February 23, 2021
Episode 2: Self-Harm Awareness for GPs
Thank you for tuning in to the second episode of the hot topics podcast from Lincolnshire LMC. This podcast is aimed at clinicians working in primary care in Lincolnshire. This episode features the fantastic Naomi Watkins-Ligudzinska from Lincolnshire's NW Counselling Hub talking about how to deal with consultations involving self-harm, spotting self-harm and how to risk assess our patients. There is a wealth of advice on communication challenges, showing empathy and keeping our patients safe. Check out Naomi's team over at NW Counselling Hub and please consider following them on Twitter, Facebook and Instagram.  The following resources are provided to complement your learning: Talking about self-harm | NHS - YouTube Dr Brené Brown, "The Power of Empathy" - YouTube Dr Brené Brown - "The Power of Vulnerability" TED talk The Lincolnshire LMC website will soon be providing a video version of this podcast with a PowerPoint presentation and additional resources. 
44:47
February 08, 2021
Episode 1: Experiencing Burnout
Are you fed up? Worn-out? Overwhelmed? Anxious? Isolated? Do you struggle to sleep? Have you just stopped caring? This could be burnout. Listen to this talk by Dr Lucy Dodington-Boyes & Dr Lucky Rajput.  Click here for an article from Lincolnshire LMC on burnout.  Have a look on the Lincolnshire LMC website for articles on resilience, mindfulness, physical activity, keeping connected, kindness and giving.  Take-30 is a free service to provide confidential peer support for busy GPs, practice managers, nurses and other practice staff members as they work through daily challenges. Make contact with the Take-30 team today for a call back within 24 hours. One of the Take-30 professionals will schedule a one-off 30 minute chat at a mutually convenient time that suits your busy lifestyle. The phone line is open 10am-4pm Monday to Friday to talk about you. Email info@lincslmc.co.uk or call 01522 576659. You can also contact NHS People who provide a confidential support line phone 0800 0696 222 (7am-11pm seven days a week) or for bereavement support 0300 303 4434 (8am-8pm). NHS People also offer 24/7 support by text message just text ‘FRONTLINE’ to 85258. If you are struggling to relax after work or having disturbed sleep there are some self-help apps you could try. Did you know NHS staff can get free access to the Headspace and Sleepio apps by signing up with your NHS email? SilverCloud can help to ease stress, improve sleep and resilience. These programmes are self-help, confidential and secure. Use the code NHS2020 for access. Thinking Pitstops is an additional resource which provides an effective peer-to-peer support matrix during the Covid-19 crisis There is also a brilliant service from NHS Practitioner Health available to any qualified doctor or you can email prac.health@nhs.net Additionally, if you are worried about the wellbeing of your staff or would like to promote some positive training in your team consider NHS People React Training.
29:48
February 02, 2021