We would like to invite you to join us for a webinar at 1-2pm on 4 November, 2021, covering:
The webinar will be aimed at all non-clinical staff (and is also relevant for HCAs and social prescribers) within your practice and will help you to meet the requirements of the new Long Covid DES:
“Practice staff are required to have the knowledge, as appropriate to their role, to identify, assess, refer and support patients with Long COVID”
The presenter is:
Rachel Byford – Regional Lead for Long Covid, NHSEI
If you would like to attend this informative webinar please click on the link to complete the Microsoft application form
The 10th annual Diabetes in Pregnancy UK Conference is taking place online on Tuesday, 16 November, from 1.30pm – 4.15pm. Professor Jonathan Valabhji OBE, National Clinical Director for Diabetes and Obesity, will open the Conference outlining Gestational Diabetes and the National Prevention programme. Other key topics being covered include a technology journey on GDM health, including the digital divide, CGM, diversity and exclusion and the National Diabetes in Pregnancy Data. This year will also focus on important role of midwifery and multi-disciplinary teams and continuity of care, and we will be linking in with the Royal College of Midwifery. There is a fee of £24 per delegate to attend and the event is CPD accredited. For further information and to register please go to https://www.diabetes.org.uk/professionals/conferences/pregnancy-2021
Men's Health: Update on Prostate Cancer - 17th June 2021 - 12.30pm to 1.30pm
Prostate cancer now most commonly diagnosed cancer in England
There were 49,029 diagnoses of prostate cancer in 2018, meaning prostate cancer overtakes breast cancer as the most common cancer in England.
Too many men are diagnosed late
(approx 20% stage 4, no longer prostate confined, 17% at latest NPCA report)
Stage 1 The tumour is contained in the prostate. The tumour is too small to be felt on DRE or to be seen on a scan.
Stage 2 The tumour is still contained in the prostate, but can be felt on DRE
Stage 3 The tumour has started to break through the outer capsule of the prostate and may be in the seminal vesicles.
Stage 4 The tumour has spread outside the prostate. It may have spread to areas such as the bladder or rectum. Or it may have spread further, for example to the bones.
One-year net survival for prostate cancer is highest for patients diagnosed at Stage 1, Stage 2, and lowest for those diagnosed at Stage 4, 100% of patients diagnosed at Stage 1 & Stage 2 survived their disease for at least one year, compared to 88% of patients diagnosed at Stage 4.
Five-year net survival decreases from Stage 3 (96%) to Stage 4 (49%), a difference of 47 percentage points.
The presentation will focus on early diagnosis, advances in treatment and dealing with complications at follow up.
The Child in Context: Could this be Arthritis?
Date: 6th July 2021
Time: 13:00 - 14:00
Suitable for GPs
Aim:
To be achieved through these objectives:
Service development by closer liaison between primary care and hospital to improve patient pathways
Opportunity to discuss difficult or interesting cases
Learning outcomes i.e. by the end of this activity, attendees should be able to:
Men's Health: Cancer and the Heart - 7th July 2021 - 12.30pm to 1.30pm
Cancer and the heart
Improvements in cancer treatment and earlier diagnosis have contributed to increased survival. Unfortunately, many cancer treatments carry an increased risk of cardiovascular disease (CVD). The CVD risk is of particular consideration in an ageing population of cancer survivors who may have co-morbidities which also exacerbate this risk, and in adult survivors of childhood cancer treatment who may present with CVD symptoms at a relatively young age. Heart disease following cancer treatment may be the result of direct CV damage, caused by the treatment or may be due to the development of cancer treatment-related CV risk factors.
Working with other professionals when necessary, GPs, community pharmacists and nurses are in a good position to follow-up people affected by cancer to ensure that CV risks are monitored, preventative action is taken, CVD is diagnosed and appropriate treatments are initiated.
Men's Health:Top Tips on PSA Testing - 13th July 2021 - 12.30pm to 1.30pm
Top tips on PSA testing
A huge topic in itself. First establish the man’s main concern. The PSA test should certainly not be done without adequate counselling. A quick summary of the facts may be as follows: large trials have shown that use of the PSA test results in fewer men dying of prostate cancer, but not fewer deaths overall. Its use can result in detection of prostate cancer cases that may never have caused any problems, with investigations and treatments that have risks of side effects (overdetection, overtreatment), though this is improving.
It can be helpful to direct men to an information leaflet from the Prostate Cancer Risk Management
The Prostate Cancer Risk Management Programme provides good advice to professionals and patients
“The PSA Test is available free to any well man over 50 who requests it”
Plus:
Younger men with high risk at the GP’s clinical judgement
Other factors influencing a high PSA
10 years’ life expectancy important to consider
Sensitivity and specificity, currently being reviewed by DOH regarding national screening programme
Men's Health: Management of Lower Urinary Tract Symptoms in Men - 14th September 2021 - 12.30pm to 1.30pm
Lower urinary tract symptoms in men
The skill is making the right diagnosis and providing the right treatment.
This course is being run as an online training course. Details of how to join the meeting will be emailed to you closer to the event.
For more information please contact devon.traininghub@nhs.net
Men's Health: Erectile Dysfunction- 5th October 2021 - 12.30pm to 1.30pm
Erectile dysfunction
Erectile dysfunction (ED) is defined as the inability to achieve or maintain an erection for satisfactory sexual performance. The prevalence of ED has been estimated as nearly 40% of men >40 years of age although these figures are contested. ED increases in frequency with age and is estimated to affect 15% of men aged 40–50 years, 45% of men in their 60s and 70% of men older than 70 years. Successful erection is a complex system involving reflex action (peripheral nerves and spinal cord), the limbic system (psychogenic stimuli) and the release of nitric oxide. Adequate levels of testosterone are required, and hence an intact hypothalamic/ pituitary/testicular axis. Hence, ED can result from disease or treatment that produces hormonal deficiency, neurological impairment, problems with penile blood flow, disorders of tissue mechanics, and psychologic issues.
Endothelial dysfunction is one of the first changes in CVD. ED and CVD share many common risk factors including age, hypertension, diabetes, insulin resistance, smoking, increased body mass index, cholesterol and low high-density lipoprotein, metabolic syndrome, sedentary lifestyle and depression. Numerous studies and meta-analyses have confirmed the association between ED and CAD. ED is associated with asymptomatic CAD. ED precedes CAD and referral for CAD by periods ranging from 2 to 5 years. Compared with controls, patients with ED have a higher risk for total CV events (44%), myocardial infarction (MI) (60%) and all-cause mortality (25%). ED also appears to be a marker of the severity of CVD with ED associated with increased risk of CVD mortality with a HR 1.48 in a large meta-analysis of 12 prospective cohortstudies.
There are many effective treatments.
This course is being run as an online training course. Details of how to join the meeting will be emailed to you closer to the event.
For more information please contact devon.traininghub@nhs.net
Men's Health: Men and COVID-19 - 2nd November 2021, 12.30pm to 1.30pm
As COVID-19 wreaks havoc across the globe, the UK has been particularly hard hit. In particular, during the SARS-CoV outbreak men had a higher case fatality rate of 21.9% as compared to 13.2% for females, and twice as many male-to-female deaths in the 0–44 year age range.
It is too soon for certainty as to why men are more at risk, but our knowledge of the biological, behavioural and socio-cultural factors involved is growing and the picture is getting clearer. This lecture will focus onto what is currently understood about the biological implications of being male on the course of the disease.
This course is being run as an online training course. Details of how to join the meeting will be emailed to you closer to the event.
Men's Health:Testosterone Deficiency- 17th November 2021 - 12.30pm to 1.30pm
Testosterone deficiency (TD)
The consensus is that:
1) TD is a well–established, significant medical condition that negatively affects male sexuality, reproduction, general health, and quality of life;
2) Symptoms and signs of TD occur as a result of low levels of testosterone, and may benefit from treatment regardless of whether there is an identified underlying etiology;
3) TD is a global public health concern;
4) T therapy for men with TD is effective, rational, and evidence-based;
5) There is no T concentration threshold that reliably distinguishes those who will respond to treatment from those who will not;
6) There is no scientific basis for any age-specific recommendations against the use of T therapy in adult men;
7) The evidence does not support increased risks of cardiovascular events with T therapy;
8) The evidence does not support increased risk of prostate cancer with T therapy;
9) The evidence supports a major research initiative to explore possible benefits of T therapy for cardiometabolic disease, including diabetes.
Men's Health: Sex and the Heart - 7 December, 2021 - 12.30pm to 1.30pm
Sex and the heart
The lecture will focus on (1) evaluation and management of cardiovascular risk in men with ED and no known CVD and (2) cardiac risk associated with sexual activity in men with known CVD.
Several prospective studies have investigated the CV response to sexual activity including intercourse, and found that it is similar to mild to moderate daily non sexual effort. Several of these studies have been performed using ambulatory electrocardiography and blood pressure monitoring comparing heart rate, electrocardiographic and blood pressure responses during sexual activity and other normal daily activities.
Casual sex may involve a greater cardiac workload because of lack of familiarity and age mismatch. Using our knowledge of METs, we can advise patients on sexual activity using a simple comparison with other activities such as walking 1 mile (1.6 km) on the level in 20 minutes
Live training session delivered virtually in Zoom. This is the first of a series of presentations on Palliative and End of Life Care, delivered by Consultants and specialists in Palliative and End of Life Care.
Objectives:
1. Scope of palliative care in the community
2. Identification of patients who may benefit from palliative care
3. What is important to patients who have an incurable diagnosis (cancer and non cancer) with short prognosis
Learning Outcomes
1.consider the scale of patients with palliative care needs in their local area
2.define the 5 key areas that are important to patients with palliative care needs
3.what palliative care can achieve for patients
Two day online course for Primary Healthcare Professionals.
18 places on this course are reserved for colleagues working in the Mendip PCNs network, who have been notified of their discount code.
Online -
Registration 08.30 onward. Course will start at 09:00 and end at 17:00, including a total of 2 hours of break-time.
Places are limited to 24 per online course - Please book early to avoid disappointment as we book up well in advance.
Any questions? Please email: courses@joineduphealth.net
Two days (same day on consecutive weeks) of engagingly presented material and discussions to us get a whole new perspective on those more complex patients, and a practical set of tools to help you respond more effectively to them.
Colleagues from Devon and Cornwall who attending in February 2020 said they would describe the course as
"Enjoyable, full of information, fun, detailed"
"A breath of fresh air! An evidenced based look at what we can do for our patients without reaching for the prescription pad."
"An eye-opening course succinctly combining "proper science" and medicine with up to date understanding of lifestyle factors on our bodys' essential functions. It will have a huge impact on how you view your own health priorities as well as help focus approach to multimorbid patients in daily practice"
This was feedback from a recent meeting run using the same innovative Zoom format "An example of how good Zoom teaching can be".
Find more information about the course: bit.ly/lostupdate
Join us for a new and exciting virtual update course from the comfort of your home (or practice)! Keeping on top of all the changes to guidelines and the latest research can be a challenge, so we’ve done all the legwork for you. Our jam-packed online course is full of brand-new updates to help change your practice straightaway!
Our GP presenters will share the most important new evidence, relating it to you, your patients and your practice.
What will I get?
An invitation to all healthcare professionals
You are invited to attend the following Primary Care programme. A Certificate of Attendance will be issued along with a Personal Development
Plan summary form, which will be supplied for your portfolio. Any lecture notes provided by the speakers will be available to download.
FORMAT: “Interactive Learning” with presentations giving ample time for face to face questions and discussion with speakers.
AGENDA 6 hours CPD
8.30am Registration & Refreshments
9.00am “AN OVERVIEW OF MEDICAL EMERGENCIES”
*Emergency Care in the Surgery to include:- Anaphylaxis, Acute asthma, Risk stratification using the Pulmonary
Embolus Rule-out Criteria *Head injuries in the elderly – who should get a CT head? *Acute complications of recreational drug use *Pancreatitis & BTS Guidelines
for oxygen in emergencies *Gunshot wounds and stabbings *Road Traffic Collisions
Dr Anna Shekhdar, Royal Cornwall Hospitals, Truro
10.30am “SUDDEN LOSS OF VISION & OTHER URGENT EYE PROBLEMS”
*Reasons for loss of vision:Vascular, Neurological, Primary eye problems *Other urgent eye problems:Red eye, Diplopia, Loss of red reflex
Speaker to confirm
11.30am Refreshments
12noon “ANXIETY, DEPRESSION & MANAGING THE SUICIDAL PATIENT: A STEPPED CARE APPROACH”
To include: *Prescribing of anti-depressants *Prevention of self harm *Hyperventilation *Stress management *Panic attacks
Dr Jane Boydell, Cornwall Partnership NHS Foundation Trust
1.00pm Lunch
2.00pm “EARLY RECOGNITION, DIAGNOSIS & MANAGEMENT OF SEPSIS”
* Early recognition is paramount – Early management improves outcome*Current Guidelines
Dr Mike Spivey, Royal Cornwall Hospitals
3.00pm “ACUTE STROKE, TIA’s & SECONDARY PREVENTION”
Dr Katja Adie, Royal Cornwall Hospitals
4.00pm Questions, Discussion - Close
(Programme may be subject to change)
https://gpforum.com/viewevent.php?id=396&delegates=1#showdetails
• This meeting carries 3 hours CPD and is free to attend
• A certificate of attendance will be available at the meeting along with a personal development plan summary form for your learning portfolio.
• GP Forum assessment forms will be given out at the meeting – we value your feedback to help us in the planning of our future meetings
• Any lecture notes provided by the speakers will be available for you to download after the meeting
• Full details including topics, timings and speakers are available for you to download below titled ‘PDF download’
• You can book online by selecting the number of delegates from the drop down menu above and select ‘Book Now’ or alternatively via post to PO BOX 234, Chesterfield, S45 9YS, please include the completed booking form found on the ‘PDF download’ below
• All educational programmes are sponsored by companies allied to medicine. The companies attending our GP Forum meetings do not have any involvement with the arrangement of the programme content. Without company sponsorship there would be a course fee, therefore your interest in the exhibition would be appreciated.
•This meeting carries 6 hours CPD and there is a fee to attend
•A certificate of attendance will be available at the meeting along with a personal development plan summary form for your learning portfolio.
•GP Forum assessment forms will be given out at the meeting – we value your feedback to help us in the planning of our future meetings
•For last minute bookings, certificates will be available after the meeting
•Any lecture notes provided by the speakers will be available for you to download after the meeting
•Full details including topics, timings and speakers are available for you to download below titled ‘PDF download’
•You can book online by selecting the number of delegates from the drop down menu above and select ‘Book Now’ or alternatively via post to PO BOX 234, Chesterfield, S45 9YS, please include the completed booking form found on the ‘PDF download’ below
•You can pay via cheque to PO BOX 234, Chesterfield, S45 9YS or via BACS, please call the office on 01246 861711 for our details. The option to pay online will be coming soon.
•All educational programmes are sponsored by companies allied to medicine. The companies attending our GP Forum meetings do not have any involvement with the arrangement of the programme content. Without company sponsorship there would be an increased cost to attendees, therefore your interest in the exhibition would be appreciated.
Ramsay Health Care UK Education Event for Healthcare Professionals
Duchy Hospital would like to invite you to an evening event taking place on Tuesday 11th February 2020.
We will be joined by Plymouth based Immunologist, Dr Lucy Leeman and her colleagues Dr Georgina Davis and Sister Christine Symons. The team will be covering some hot topics within their specialism of immunology.
Please download the agenda for timings and topics to be covered.
Arrival will be from 6:30pm where a hot buffet will be served before a prompt 7pm start for the talks.
Similarly to last year, Duchy Hospital and the Referral Management Service have organised an MSK study day to take place on Friday 6th March 2020 for all GPs in Cornwall. This is a full MSK study day which will feature talks in the morning and a joint injection workshop in the afternoon. There will be sessions provided by local specialists along with GPs with a special interest.
Content of the day:
The morning will include talks on optimisation for surgery, the management of acute knee injuries and the use of knee braces, RightCare pathways for OA of hip & knee and more.
The afternoon will include joint injection workshop stations focussing on the shoulder, foot, knee and hand.
Full agenda to follow soon.
Location: Lanhydrock Hotel & Golf Club, Bodmin
This event is at no cost to the delegates as it is being sponsored by pharmaceutical companies by the purchase of exhibition stand space.
for GPs, and other primary care professionals managing patients with complex and chronic health problems.
By approaching everything through an up-to-date understanding of the links between human cognition, emotion and physiology this course can meet many learning needs:
Your Course Tutor: Dr Andrew Morrice BSc MBBS MD DipHGP
Andrew has 20 years experience as a full-time GP, 35 years interest in diet and health, 17 years experience using the Human Givens approach, and 15 years teaching Whole Person Care at Bristol University Medical School. His courses are led with his particular brand of enthusiasm and good humour.
Devised primarily for GPs (at all stages of experience) it will also suit many nurse practitioners, particularly those dealing with chronic disease, senior community nurses, physiotherapists and primary care team leaders.
