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We welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management. During the podcast we define chronic pain, symptoms and types of pain. We discuss assessment of pain including ; onset, reviewing medications, investigations and referral. We then utilise Graham's knowledge to discuss a patient with chronic lower back pain.

As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.

Reviewing patient medication
is the medication recommended?
is it effective?
is it safe?
is it wanted ?

https://www.nice.org.uk/guidance/ng59

https://www.nice.org.uk/guidance/NG193

https://www.nice.org.uk/guidance/ng226

https://www.nice.org.uk/Guidance/CG173

Pain Concern
https://painconcern.org.uk/

Live Well With Pain
https://livewellwithpain.co.uk/

Pain Consortium
https://www.painconsortium.nih.gov/

Coventry and Warwickshire Training Hub
https://www.cwtraininghub.co.uk/

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We welcome Dr Jeff Forster who is a GP with a specialism in men's health to the podcast. We use Dr Jeff Forster's knowledge to discuss a 2 cases including testicular swelling and testosterone deficiency. We discuss pertinent history, investigations , red flags and referrals.

Hope you enjoy the episode.

Thank you as always Scott for you help!

The British Society for Sexual Medicine Guidelines on Male Adult Testosterone Deficiency
https://pubmed.ncbi.nlm.nih.gov/36876744/

NICE - Scrotal Pain and Swelling
https://cks.nice.org.uk/topics/scrotal-pain-swelling/

Testosterone Calculator
https://www.pctag.uk/testosterone-calculator/

The TIMES2 study
Testosterone Replacement in Hypogonadal Men With Type 2 Diabetes and/or Metabolic Syndrome (the TIMES2 Study) | Diabetes Care | American Diabetes Association (diabetesjournals.org)

H3 Health
https://www.h3health.co.uk/

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

College of Paramedic
https://collegeofparamedics.co.uk/

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We welcome Dr Jeff Forster who is a GP with a specialism in men's health to the podcast. During the episode we discuss what men's health is and why it is important in general practice. We then use Dr Jeff Forster knowledge to discuss a case of a patient with Lower Urinary Tract Symptoms, including pertinent history, investigation , red flags and referrals.

Thank you as always Scott for you help!

NICE guidelines LUTS
https://cks.nice.org.uk/topics/luts-in-men/


Patient UK
https://patient.info/mens-health/prostate-and-urethra-problems/lower-urinary-tract-symptoms-in-men

https://www.bmj.com/content/362/bmj.k3519.abstract

H3 Health
https://www.h3health.co.uk/

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

College of Paramedic
https://collegeofparamedics.co.uk/

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We are joined on the podcast by Dr Caroline Wrigley who is a GPwSI and personal interest in ADHD. During the episode we discuss ADHD, the importance of recognition, assessment and referral. We discuss pertinent history, referral and red flags. Caroline also gives some methods to help parents and patients with possible ADHD following her own experience and research.

As always thank you Scott for your help and support.

Please contact us if you wish
Caroline Wrigley - c.wrigley@nhs.net
Richard Tennant - richard.tennant@nhs.net

NICE Guidelines

https://cks.nice.org.uk/topics/attention-deficit-hyperactivity-disorder/

Screening tools

ASRS v1.1 for ADHD (score 4+ is significant) - https://www.mdcalc.com/calc/1730/adult-self-report-scale-asrs-adhd

Patient-generated document detailing ADHD symptoms according to diagnostic criteria, includes ASRS - https://thinkadhd.co.uk

Screening questionnaires for parents/teachers of children aged 6-18:

SNAP-IV 26 for ADHD (see results for significance of scores) - https://www.mdapp.co/snap-iv-teacher-and-parent-rating-scale-18-and-26-items-calculator-491/

Information

· Driven to Distraction by Ed Hallowell MD and John Ratey MD –

Book/Audiobook

· Taking charge of adult ADHD by Russell Barkley – Book/Audiobook

· ADHD Aha! by Understood – Podcast

· The Disruptors – Documentary film

· ADDitude magazine - https://www.additudemag.com

ADHD in women and girls:

· ADHD As Females – Podcast

· ADHD for smart ass women by Tracy Otsuka – Podcast

· Unmasked by Ellie Middleton – Book/Audiobook

· Earthed by Rebecca Schiller – Book/Audiobook

· Moodswings, Meds and Mared – Documentary (Welsh with subtitles) https://m.youtube.com/watch?v=Y4aDWG-AXCo

Send us a text

We are joined on the podcast by Dr Caroline Wrigley who is a GPwSI and personal interest in autism. During the episode we discuss autism, the importance of recognition, assessment and referral. We discuss pertinent history, referral and red flags. Caroline also given some methods to help parents and patients with possible autism follow her own experience and research.

As always thank you Scott for your help and support.

Please contact us if you wish
Caroline Wrigley - c.wrigley@nhs.net
Richard Tennant - richard.tennant@nhs.net

NICE guidelines Autism in children
https://cks.nice.org.uk/topics/autism-in-children/

NICE guidelines Autism in Adults
https://cks.nice.org.uk/topics/autism-in-adults/

The Explosive Child (book)
https://www.amazon.co.uk/Explosive-Child-Sixth-Understanding-Chronically/dp/0063092468/ref=asc_df_0063092468?tag=bingshoppinga-21&linkCode=df0&hvadid=80470608947562&hvnetw=o&hvqmt=e&hvbmt=be&hvdev=c&hvlocint=&hvlocphy=&hvtargid=pla-4584070152008036&psc=1

Autism West Midlands
Autism West Midlands | Supporting the Autistic Community

SIGN patient information booklets
https://www.sign.ac.uk/patient-and-public-involvement/patient-publications/autism/

Neurotribes by Steve Silberman – Book/Audiobook

What I want to talk about: How autistic special interests shape a life & Untypical by Pete Wharmby – Book/Audiobook

Chris Packham’s Inside our autistic minds - BBC documentary

Autism in women and girls

Autism, girls and keeping it all inside white paper by the Autistic Girls Network

https://autisticgirlsnetwork.org/wp-content/uploads/2022/03/Keeping-it-all-inside.pdf

Odd Girl Out: An autistic woman in a neurotypical world by Laura James – Book/Audiobook

Strong female character by Fern Brady – Book/Audiobook

Unmasked by Ellie Middleton – Book/Audiobook

Christine McGuinness: Unmasking my autism – BBC documentary

Screening questionnaires for adults age 16+ without intellectual disability

ASQ-10 for autism (score of 6+ meets NICE criteria for referral) - https://embrace-autism.com/aq-10/

ASQ-50 for autism (score of 26+ significant) - https://embrace-autism.com/autism-spectrum-quotient/

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Richard is joined by Dr Ayesha Mahmud who is a GP with a specialist and personal interest in learning disabilities. During the episode we discuss cases including low mood, memory loss and menopause. We use these case studies to discuss pertinent history taking, investigations and referral.

Hope you enjoy the episode.

Please feel free to contact us if you have any questions

richard.tennant@nhs.net
ayesha.mahmud@nhs.net

Thank you as always to Scott for you help and support.

EHCP and related SEN services

http://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilities

https://www.coventry.gov.uk/sendlocaloffer

https://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessment

https://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-register

https://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilities

https://www.coventry.gov.uk/coventry-send-support-service

Health

Information about annual health checks:

https://www.covwarkpt.nhs.uk/learning-disability-services

Screening

Easy to access resources to understand the screening process:

Cervical

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdf

Breast

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdf

https://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/

Bowel

https://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdf

Easy read health information

Beyond Words

https://booksbeyondwords.co.uk/resources-dl

It has resources about screening, health checks and also resources with pictures for people who are unable to read.

There are resources about dealing with grief, bullying and law.

Breast screening

Cervical screening

Colonoscopy

Bowel screening

Testicular self examination

Visiting Sexual health clinic

Bowel movement and stools

College of Paramedics
Primary and Urgent Care (collegeofparamedics.co.uk)

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub

Send us a text

Richard is joined by Dr Ayesha Mahmud who is a GP with specialist and personal interest in learning disabilities. During the episode we define learning disabilities, why it is important to clinical practice and what should be included in learning disability reviews. We then discuss a case including with Dr Ayesha of a concerned patient which includes pertinent history, investigations and referral.

Please feel free to contact us if you have any questions
richard.tennant@nhs.net
ayesha.mahmud@nhs.net

Thank you as always to Scott for you help and support.

EHCP and related SEN services

http://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilities

https://www.coventry.gov.uk/sendlocaloffer

https://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessment

https://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-register

https://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilities

https://www.coventry.gov.uk/coventry-send-support-service

Health

Information about annual health checks:

https://www.covwarkpt.nhs.uk/learning-disability-services

Screening

Easy to access resources to understand the screening process:

Cervical

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdf

Breast

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdf

https://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/

Bowel

https://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdf

8. Easy read health information

Beyond Words

https://booksbeyondwords.co.uk/resources-dl

It has resources about screening, health checks and also resources with pictures for people who are unable to read.

There are resources about dealing with grief, bullying and law.

Breast screening

Cervical screening

Colonoscopy

Bowel screening

Testicular self examination

Visiting Sexual health clinic

Bowel movement and stools

College of Paramedics
Primary and Urgent Care (collegeofparamedics.co.uk)

Coventry and Warwickshire Training Hub

Send us a text

Richard welcomes back Dr Mai Elftise to the podcast to discuss Equity, Diversity, Inclusion & Belonging (EDIB) in General Practice. During the episode Mai defines EDIB , including the legislation and what this means in General Practice. We then discuss how EDIB can affect patient assessments and how to you may consider adapting your consultations.

Thank you to Scott for your help and support as as well.

Please feel free to leave comments and suggestions or content us via email or x.

Richard Tennant - richard.tennant@nhs.net
Mai Elftise - m.elftise@nhs.net

Equality Act 2010 - Equality Act 2010 (legislation.gov.uk)

Protected characteristics
Age
Disability
Gender reassignment
Marriage and civil partnership
Race
Religion or belief
Sex
Sexual orientation

Unconscious bias
Understanding different types of bias — Conscious inclusion - Equality, diversity and inclusion - About (hee.nhs.uk)

The Weathering Hypothesis
The weathering hypothesis as an explanation for racial disparities in health: a systematic review - ScienceDirect

NHS Employers
Equality, diversity and inclusion | NHS Employers

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)