The FCP Podcast

Dr. David Palmer, a GPwSI in mental health, returns to discuss patient assessments in mental health. He dives into the complexities of substance use disorders and the importance of motivational interviewing to encourage self-reflection. The conversation also addresses auditory hallucinations, emphasizing careful diagnosis, particularly between schizophrenia and other issues. Additionally, David highlights the emotional toll of postnatal depression, advocating for timely referrals to perinatal services to support families in need.

Dr. David Palmer, a GP passionate about mental health, joins to discuss the vital role of mental health assessments in primary care. He shares insights on managing anxiety and depression by using tools like the PHQ-9 and emphasizes the significance of understanding patients' backgrounds. The conversation highlights real case studies, such as Naomi's anxiety and Samia's sadness, showcasing the need for strong therapeutic bonds and effective communication. Techniques for managing panic attacks, like the '7-11 breathing' method, are also introduced.

In this engaging discussion, Dr. David Lupini, a GP partner and dermatology specialist, shares his insights on assessing skin lesions in primary care. He emphasizes the importance of thorough evaluations without needing advanced tools like dermatoscopes. Listeners are guided through real cases of melanoma, squamous cell, and basal cell carcinoma, focusing on identifying red flags. Dr. Lupini highlights the necessity of detailed patient histories and timely referrals, equipping healthcare providers with essential knowledge to improve skin cancer management.

Send us a textRichard welcomes Jo Taylor a personalised care ambassador and Katie Chuter a heath and well being coach.  Within the episode we look to celebrate the new role within  heath care which is health and wellbeing coaching.  During the episode we discuss where heath and wellbeing coaching came from, who is a heath and wellbeing coach and what does the training involved.  We look to identify what the expected benefits for the patient, the service and what the future looks like in health and well being coaching.The aim of heath and wellbeing coaching awareness is to - •Raise awareness of the opportunities and benefits of health coaching by highlighting how it can increase people’s capability to self-manage major conditions.•Highlight how health coaching can support people to make more informed and conscious choices that prevent the escalation of illness and improve health outcomes.•Showcase how health coaches’ unique expertise can bring about positive changes for individuals and the health and care system, such as reducing demand on services and the need for clinical interventions.•Showcase good practice and the impact of health coaching across the NHS in primary, secondary and community care.·Highlight that health and care professionals from any specialism can learn to take a health coaching approach, with the right training.Please follow us on twitter @FCPparamedicpodAs always special thanks to Scott and Martin for your support.Coventry and Warwickshire Training Hub Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk) Personalised Care Institute personalisedcareinstitute.org.uk NHS Futures platfrom FutureNHS Collaboration Platform - FutureNHS Collaboration Platform 

Send us a textRichard welcomes FCP ambassador and MSK physio Ed Baker to the podcast . During the episode we discuss the assessment of patients with lower back pain, including red flags , pertinent history taking and investigations in general practice.  We apply this knowledge in some cases, including a patient with mechanical  back pain and inflammatory  spondyloarthropathy.Please follow us on twitter @FCPParamedicpod As always special thank you Scott and Martin for your help.Versus ArthritisBack pain | Causes, exercises, treatments | Versus ArthritisExamination of the spine | Versus ArthritisPatient infoBack and Spine Pain | Causes and Treatment | PatientCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)NICE guidelines  Sciatica (lumbar radiculopathy) | Health topics A to Z | CKS | NICEBabinski signThe Babinski Sign or Reflex | Upper Motor Neuron Lesion - YouTubeClonusClonus - YouTube Straight leg raiseStraight Leg Raise or Lasègue's Test for Lumbar Radiculopathy - YouTubeHuman leukocyte antigen B27 (HLA-B27)HLA-B27 (labtestsonline.org.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Send us a textRichard and Emma welcome back Dr Heidi Kerr who is a GPwSI in Women's Health.  Within the episode Dr Heidi Kerr discus's the assessment of Women who present with pelvic pain and vaginal bleeding. Dr Heidi Kerr has given up her free time, please feel free to give feedback, I know I enjoyed the episode and learnt lots I will use in my practice.  As always thank you to Martin and Scott for your input. Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)VHK EducationVHK Education – Delivering bespoke education in women’s healthGynaecological cancers - recognition and referralGynaecological cancers - recognition and referral | Health topics A to Z | CKS | NICEDr Heidi Kerr's 5 C's - PV bleedingConception - what are they taking?Compliance - how are they taking the medication? Chlamydia (STI's) CervixCancerConsider drug historyPrimary Care Women's Heath forumHome - Primary Care Women's Health Forum (pcwhf.co.uk)MittelschmerzMittelschmerz - Symptoms and causes - Mayo Clinic

Send us a textRichard and Emma welcome Dr Heidi Kerr who is a GPwSI in Women's Health to the podcast.  Within the episode Dr Kerr discus's her approach to patient assessments in women's health.  We then discuss common general practice presentations including breast pains and vaginal discharge.Please feel free to leave comments and follow us on twitter @FCPParamedicpod. As always special thank you to Martin and Scott for your input on the podcast. If you wish to contact Dr Heidi Kerr about training in Women’s Heath please contact - vhkwomenshealthclinic@gmail.com.VHK Education VHK Education – Delivering bespoke education in women’s healthBreast cancer reconitionhttps://cks.nice.org.uk/topics/breast-cancer-recognition-referral/diagnosis/symptoms-suggestive-of-breast-cancer/NHS Breast Cancer screening programhttps://www.nhs.uk/conditions/breast-screening-mammogram/when-youll-be-invited-and-who-should-go/ Breast cancer managing FH https://cks.nice.org.uk/topics/breast-cancer-managing-fh/Dr Kerr’s funnel questions for sexual historyWhen did you last have sexual intercourse? Was it a new or regular partner?Was it a male or female?What sort of sexual intercourse? Was protection used? Coventry and Warwickshire Training hub https://www.cwtraininghub.co.uk/

Send us a textRichard and Emma welcome back Dr David Lupini who is a GPwSI in Dermatology.  Within the episode we discuss a range of common Dermatology cases in General Practice and use his expertise to ensure an affective patient assessment.  Within the episode Dr Lupini discus's cases include systemic rash, pruritus and acne.Please feel free to leave comments and follow us on twitter @FCPParamedicpod.  Dr Lupini kindly gave up his own time for these podcasts, please join Richard and Emma thanking him for sharing his knowledge and experience.As always special thanks to Martin and Scott for your input.Some further reading and resources :-The Primary Care Dermatology SocietyThe Primary Care Dermatology Society | UK (pcds.org.uk)British Association of DermatologistsHome Page - British Association of Dermatologists (bad.org.uk)DermnetDermNet | Dermatology Resource (dermnetnz.org)PruritusItch (pruritus) without a rash (pcds.org.uk)AcneAcne vulgaris (pcds.org.uk)Acne vulgaris | Health topics A to Z | CKS | NICEMorbilliform RashMorbilliform drug reaction (maculopapular drug eruption) | DermNet (dermnetnz.org)Urticaria Urticaria | Health topics A to Z | CKS | NICEUrticaria and angioedema (pcds.org.uk)Yellow Card Reporting Yellow Card | Making medicines and medical devices safer (mhra.gov.uk)

Send us a textInternational Paramedics Day will be held on 8th July 2023 to build a better understanding of the breadth and depth of work carried out by paramedics around the world.  Paramedicine and the Paramedic, is relatively young profession but it is growing rapidly with a very wide range of paramedic roles being carried out in different fields and we want to showcase this diversity in 2023. .  Richard presents a special episode for International Paramedic Day 2023, which I based around #whatwedo.  Within the episode we showcase the work that Paramedics are undertaking in General Practice and within leadership roles.Guests include Sam Holmes from Coventry and Warwickshire GP Alliance, she is a lead Paramedic and works clinically, Sophie Delay from Leamington South and North PCN, who works as a advanced clinical practitioner, a ambulance paramedic and helps support her practices new staff and Helen Beaumont-Waters, who is the head of clinical development for the College of Paramedics. As always special thank you to Martin and Scott for your help and support developing the episode.Please feel free to contact us and follow on twitter at @FCPParamedicpod HOME | International Paramedics DayDisplay event - Primary Care and Prescribing Conference (collegeofparamedics.co.uk)Diploma in Primary and Urgent Care (collegeofparamedics.co.uk)

Send us a textRichard and Emma welcome Dr David Lupini who is a GPwSI in Dermatology.  Dr Lupini discus's his approach to patient presenting with skin complaints.  Dr Lupini then applies his assessment to a single site rash.  He discus's potential differential diagnosis and clinical reasoning in the assessment of skin presentation. Please feel free to leave comments and follow us on twitter @FCPParamedicpod.  Dr Lupini kindly gave up his own time for these podcasts, please join Richard and Emma thanking him for sharing his knowledge and experience. As always special thanks to Martin and Scott for your input. The Primary Care Dermatology Society The Primary Care Dermatology Society | UK (pcds.org.uk)British Association of DermatologistsHome Page - British Association of Dermatologists (bad.org.uk)DermnetDermNet | Dermatology Resource (dermnetnz.org)