Guidance

Alphabet of Red Flags

Clinicians working in an extended role are now offering ‘on the day’ appointments for people with acute illness. Although these are often referred to as minor illness clinics or ‘triage’ a key element of these appointments is to assess for, identify and/or exclude any red flags which might indicate serious illness requiring immediate action or referral. For example:

A is for arrythmias

B is for bleeding

C is for … and so on!

Trainer: Bev Bostock, RGN, BSc, MSc Nurse Practitioner & Clinical Lead, Education for Health, Warwick. Bev is a nurse practitioner/ prescriber working in a rural practice and also as a clinical lecturer in respiratory and cardiovascular disease and diabetes at Education for Health. Following this presentation, you can reach Bev by email to follow up on any points necessary: bev@godivapct.co.uk

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Anxiety and depression: why doctors are prescribing gardening rather than drugs

Many GPs are now prescribing growing and other green activities, and evidence suggests that this can be as effective at treating anxiety and depression as medication, and sometimes more so.

Dr Anne Hayden founder of the Grown your own Rainbow Gardens initiative explains how the project helps address physical and mental wellbeing and food insecurity.

The initiative is about empowering people to take control of their lives by coming together as a supportive community, better able to cope with life’s challenges.

Lawrence Camilleri, founder of Forever More Food works in partnership with the project which has been steadily gowning in popularity.

To find out more and get involved, email yourplanetdoctors@gmail.com or take a look at https://sustainabilitypractitioners.org/grow-your-own-rainbow-gardens-your-planet-doctors/

Listen to the podcast here

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ENT Essentials for the Primary Care Practitioner

In this interactive session, our expert speaker, Mr Afroze Khan, Consultant ENT Surgeon at Basingstoke and North Hampshire Foundation Trust, will present the latest advice and guidelines on how to safely manage ear, nose and throat conditions commonly seen in Primary Care.

Mr Khan will also cover:

  • Sudden hearing loss – a medical emergency?
  • Common ENT conditions – Tinnitus, recurrent ear infections, globus
  • Newer ENT treatments options available and when to refer.

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FeNO testing in Primary Care

Learn how to use FeNO testing to improve asthma diagnosis and management within primary care – practical advice and real world examples for the jobbing GP and AHP.

FeNO is a safe, fast and non-invasive measure of airway inflammation characteristically seen in asthma. It can help provide a more accurate diagnosis of asthma in adults and children/young people. With poor asthma outcomes across the UK and a misdiagnosis rate of 30%, it is essential that we reduce the amount of guesswork that we currently rely on in the care of our patients with asthma and suspected asthma.

This session will help bridge the gap between national guidelines and clinical practice by providing applied practical information on how to best use FeNO testing in primary care, offering case studies, real world examples, resources and access to national training.

  • Challanges of diagnosing Asthma
  • What is FeNO testing and why should we use it?
  • How to do a FeNO test
  • QOF and FeNO
  • Case Studies

This recording is delivered by National FENO experts in conjunction with Wessex Academic Health Science Network

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Group A Streptococcus Infections – Diagnosis and Management

An update for GPs and their teams on the diagnosis and management of Group A Streptococcus Infections (December 2022)

Dr Andy Purbrick, Joint Chief Executive of Wessex LMCs & a Dorset GP, discusses the current Group A Streptococcal situation with Dr Sanjay Patel, paediatric infectious diseases & immunology consultant at Southampton Childrens’ Hospital

Home :: Healthier Together (what0-18.nhs.uk)

Strep A and scarlet fever :: Healthier Together (what0-18.nhs.uk)

Download the Healthier Together app :: Healthier Together (what0-18.nhs.uk)

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Group A Streptococcus Infections – where are we now?

Dr Sanjay Patel, paediatric infectious diseases & immunology consultant at Southampton Childrens’ Hospital, joins Dr Will Howard, Medical Director at Wessex LMCs to give us an update on the current situation with the Group A Strep outbreak. (January 2023)

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Lyme Disease Awareness

In this podcast we explore Lyme disease, its prevalence and presentations. Lyme disease symptoms may be non-specific and difficult to recognise. Raising awareness amongst primary care clinicians will increase the likelihood of patients receiving early and effective treatment.

Dr Camilla Janssen talks to infectious disease and microbiology consultant, Matthew Dryden, from the Rare and Imported Pathogens Laboratory (RIPL), Porton Down. 

Matthew explains:

  • Lyme presentation and manifestation – thinking about the three stages of Lyme disease
  1. early localized phase
  2. early disseminated phase (Neuro dissemination / radiculopathy)
  3. late stage Lyme disease.
  • what tests and treatment may be appropriate including asymptomatic prophylaxis following a tick bite.
  • A look at serology and interpretation in the context of the clinical setting.
  • Chronic fatigue triggered by Lyme disease

The RCGP have produced this user friendly Lyme Disease Toolkit for medical professionals and patients.

Listen to the podcast here

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Management of Chronic Pain & Deprescribing

Recent NICE guidance on the management of chronic pain and shortly on deprescribing drugs of dependency have brought the issues of both pain and prescription painkiller dependency to the fore. The PCN prescribing incentive scheme this year also makes it clear that the expectation is that the vast majority of these drugs are tapered off where appropriate.

The purpose of this interactive one hour webinar is to cover the “how to” as it usually isn’t easy. Tips to improve your practice systems, practice pearls and how to move your patients away from medical dependency to a more self reliance will be covered.

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Ophthalmology, Remote Consulting & Red Flags in Eyes

We are pleased to welcome Neil Constantine-Smith MCOptom, for this recorded webinar aimed at GPs, Nurses and Allied Health Professionals in Primary Care. Neil is an Optometrist Director at Specsavers, Lymington, Senior Assessor & OSCE examiner College of Optometrists, and Faculty member at Johnson & Johnson Institute.

We will be looking at:

  • Common eye problems presenting to GPs – what to look out for and how to manage these
  • Where to refer patients for further investigation or management.
  • What is the role of the Optometrist?
    • How can they support us in a community setting?
    • What do patients have to pay for?
  • Red Flags
    • Sudden loss of vision
    • Flashers and floaters
    • Visual distortion
    • Halos
    • Contact lens wearers
    • Binocular diplopia
  • Eye Problems in Children – Eye screening and what not to miss.

Loss of Vision Guidance for GPs

Red Eye Guidance for GPs

Flashes and Floaters Guidance for GPs

LOC website for information of local service provision www.hampshireloc.org.uk

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Pertussis (Whooping Cough) in Primary Care

Pertussis – the latest infectious disease to make the headlines, but also to cause real risk to the most vulnerable patients in our population. Listen to Dr Sanjay Patel, Consultant in Infections disease at Southampton Hospital talk Dr Will Howard, a Wessex LMCs Medical Director, about pertussis, what’s going on, how to recognise and treat it, and how we might minimise its future impact through prevention by immunisation.

Listen to the podcast here

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Respiratory Care & Paediatric Asthma

In this podcast our Nurse Advisor Zoe Tobin is joined by Emma Ray (Respiratory Nurse Specialist in General Practice & Clinical Practice Educator: Children and young people with Asthma HIOW) to discuss all things respiratory. They talk through effective paediatric asthma care in primary care, staff training and development, and resources and support for the practice team in the delivery of respiratory services.

Useful links

Primary Care Respiratory Society 

Association of Respiratory Nurses

National Paediatric Respiratory and Allergy Nurses Group- NPRANG

Find a local peer support network | Primary Care Respiratory Society (pcrs-uk.org) – Please note– you will be able to find local groups and forums but in order to contact them membership is required.

Contact for Emma Ray- Emma.ray@uhs.nhs.uk

Listen to the podcast here

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Update on Shingles Vaccine & Shingles Programme

This training update is designed for registered practice nurses and HCAs that are already trained and experienced in the delivery of the shingles vaccination programme.

This Webinar will set out the changes to the Shingles Programme, being introduced from 01 September 2023, following the recommendations of the Joint Committee on Vaccinations and Immunisation (JCVI).

Julia O’Mara will lead this session with  Zoe Tobin who is the Nurse Advisor at Wessex LMCs and works in Practice at St Melor House Surgery in Wiltshire

Contents

  • An update on the key planned changes to the schedule from 1st September 2023
  • An update and further information on the Shingrix vaccine
  • Key changes to national guidance, such as the Green book, PGD and other relevant resources available to HCP / patient information.
  • Legal framework for HCAs, including competency and updated protocol.

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Last Reviewed Date
08/12/2023