Clinics

Dermoscopy not only improves the recognition of melanoma skin cancer, but it also reduces the need for unnecessary referrals, biopsies and even excisions of benign skin lesions. This reminds us, when we look at a clinical lesion, if we’re in doubt…time to get our dermatoscope out! What the eye doesn’t see, our faithful dermatoscope sees for us!

Inflammatory bowel disease affects 1 in 300 but GI symptoms are only part of the condition. Extra-intestinal manifestations occur in up to half of people with IBD. They are many and varied - in some cases, it may be the first sign of IBD, others may occur in people years after diagnosis even when their GI symptoms are well controlled. What do we need to look out for in general practice and how can we help our patients if they occur?

Lung cancer is one of the most common cancers in the UK and survival has not markedly improved over the last 50 years. It is the cancer most strongly linked to deprivation and there have been some recent developments in targeted lung screening programmes in the UK. Join NB’s Kate Digby, guest speaker Georgia Black and the CRUK team for an update.

Join NB Medical & Prostate Cancer UK for a free clinic to update yourself on the latest guidelines on Prostate cancer for primary care clinicians. There is plenty to discuss...who is more at risk of Prostate cancer? Does having LUTS increase or reduce the likelihood of Prostate cancer? What are the latest guidelines? With the PCRMP imminently about to publish some new recommendations, this is a great opportunity to get updated on the latest advice so that we are well-informed to discuss PSAs with patients. Hope to see you there.

Bladder cancer is considered the 'Cinderella' of urological cancers - despite being one of the 10 most common cancers in the UK it has seen far less investment and research compared to many rarer types of cancer. As a result, survival has not dramatically improved over the past 30 years.

As the cost-of-living crisis bites, the number of people living in absolute poverty is projected to rise by 3 million in 2023-24. With the effects of deprivation on health being well established, we are likely to see a negative impact on many of our patients’ health and well-being. Despite this, asking about a patient’s financial situation can seem too challenging to squeeze into already overstretched appointments.

This webinar will focus on the important, challenging work we do in caring for victims of domestic abuse and their families. There will be some scenario-based learning around presentations of abuse and how to manage these in the surgery.

Health inequalities exist across the whole cancer pathway, from prevention to treatment and survival. There is evidence that eliminating inequalities would lead to better cancer outcomes - increasing screening uptake, improving early diagnosis and improving overall cancer survival.

With COVID-19 numbers and admissions starting to rise again, ongoing concern about the lack of vaccine response in immune-suppressed people and a bewildering array of new treatments available we are pleased to be able to provide you with a timely update, with a FREE one-hour live and interactive webinar on Management of Acute COVID-19 in the community on Tuesday, January 17th

Join us for this 1-hour free clinic all about Non-Alcoholic Fatty Liver disease. This is a really hot topic, especially with increasing numbers and emerging new evidence for treatments, so we will take a very primary care-orientated practical approach based on a case study. We will remind ourselves about the general management of abnormal LFTs in primary care, when and how to suspect NAFLD and how to confirm the diagnosis.

Join NB and CRUK for the next cancer clinic - a fantastic hour on urological cancers. With guest speaker Dr Richard Roope we cover the diagnostic challenge of bladder and renal cancer. Richard will spend time unpicking the challenges around prostate cancer diagnosis and the role of the PSA test. It will be an hour well spent for anyone working as part of the Primary Care team.

In this clinic, Dr Neal Tucker will be discussing some of the common clinical conundrums in IBD we see in general practice. Which is the best test to identify IBD? Can CRP be normal with active disease? Is it ok to start flare treatment in the community?

Watch this previously live session which took place on Tuesday 11th October 2022 for a FREE Hot Topics Clinic on Inflammatory Bowel Disease in conjunction with Crohn’s and Colitis UK. 

Come and join NB Medical & CRUK to discuss all things related to bowel cancer. In this clinic we will cover the latest statistics on the incidence and survival of bowel cancer, it's risks and strategies for prevention. We will look at some recent and upcoming changes in the Bowel Cancer Screening Programme as well as some exciting new research around the use of symptomatic FIT testing in Primary Care. A jam-packed and super useful hour of CPD suitable for any patient-facing role in Primary Care.

During this one hour webinar, we will discuss two fictional patient case studies, both living with type 2 diabetes at differing stages.

We will consider the new NICE guidelines in type 2 diabetes and bring these important updates alive as we discuss the management of these patients.  We will cover the extended role for SGLT2 inhibitors in early type 2 diabetes for use beyond glycaemic control and the role and place of the GLP1s.  This will be a very practical and interactive hour of primary care diabetes education hosted by Sarah Davies, GPwSI in Diabetes and Su Down, Consultant DSN.

Joint pains have increased since the pandemic with more sedentary time leading to deconditioning and posture leading to strains and pains, particularly in the shoulder. Coupled with this, waiting for physiotherapy is growing. So how can we diagnose the problem and how can we get our patients started while waiting for Physio. We will discuss all of this on June 14th, so come join us for a simple shoulder assessment.

The UK has some of the worst asthma outcomes in Europe with a rise in asthma deaths over the last decade. We are also increasingly aware of the high environmental impact of some asthma inhalers. At first, it may seem that improving either of these problems would be deleterious to the other, but in this NB Clinic, we will discuss new asthma guidance from Greener Practice, endorsed by Asthma UK, the British Lung Foundation and NHS England on how we can help both issues in a simple and mutually beneficial way.

As the war in Ukraine continues, the UK is likely to see a large number of refugees from the conflict. In this clinic, we will look at the legal situation around entitlement to NHS healthcare and GP registration for migrants; give an overview of some of the common conditions we should be considering in patients arriving from overseas; give some tips on working with interpreters; discuss a trauma-informed approach to practice and cover the recognition and management of post-traumatic stress.

Last year, new guidance was released on managing Fabricated and Induced Illness in Children, which saw a shift to the new concept of treating these highly challenging and sensitive cases as “Perplexing Presentations.”  Join James Booth, Named GP for Safeguarding Adults and Children for a free 1-hour webinar to discuss this guidance, examine case studies and lead a discussion about this and other topics in the safeguarding arena.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This FREE webinar will be a supplement and feature topics we have not presented on the main course.

In this Hot Topics clinic, Kate Digby will be presenting three topics based around Prostate Cancer to help with some of the most common presentations we see in this area within primary care.

Dermatology forms a significant part of our general practice workload, with many of these conditions being managed exclusively in primary care. Dr Will Duffin and Dr Philippa Davies are sharing their enthusiasm and passion for dermatology by providing a FREE, one-hour, highly interactive webinar on common dermatology conditions seen in primary care.

In the fourth and final part of the Cancer webinar series supported by Cancer Research UK, we will discuss how health inequality is a real challenge in delivering high-quality care for all. When it comes to cancer, inequality leads to worse outcomes for our more disadvantaged patients. Join us to find out more about the 'state of the nation' and what we can do to help our less advantaged patient populations.

General practice has done an incredible job getting the nation vaccinated, but if you are finding your brain stretched by questions about covid vaccines that would be better directed at Chris Whitty, don't worry! NB Medical has a free 1-hour webinar to help you answer the most common questions on covid vaccinations from your patients.

Managing diabetes in primary care is challenging and complicated. During the free 1-hour evening webinar we discuss two case studies of people living with type 2 diabetes. We cover “catching up” care following Covid-19 and multifactorial management thinking beyond glycaemic control. This webinar aims to leave you feeling enthused and upskilled around diabetes management in the primary care setting.

In the third of our four-part Cancer webinar series supported by Cancer Research UK we focus on diagnostic tests and safety netting, with updates on symptomatic FIT and CA125 primary care tests, focusing on the reliability and sequencing of tests and safety netting those routine referrals.

In the second of our four-part Cancer webinar series supported by Cancer Research UK we will focus on Cancer screening, with updates on FIT screening, Cervical screening and QOF.

Twelve months since the start of the Covid pandemic and we will have a chance to reflect on the impact it has had on referral rates and lung cancer diagnosis. The urgent suspected lung cancer pathway was particularly affected by Covid and has been slow to recover. In this Hot Topics Clinic supported by Cancer Research UK, Kate will be joined by Dr. Stephen Bradley to discuss the latest evidence on using CXRs to aid lung cancer diagnosis and we'll also look at the latest facts and figures for the UK as we examine the state of the nation one year later.

Jennifer is a 45 year old teacher who has recently been diagnosed with Rosacea. What are the treatment options and what advice can we offer her?

Mark is 53 years old and has low back pain with sciatica. How should we assess? What pharmacological interventions are recommended? What is the evidence for non-pharmacological treatment options?

Liz was bitten by an insect last weekend and thinks the bite is infected. What is the evidence for using antibiotics and when should we consider them?

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

Suzanne comes to see you about her eating disorder; she is not unwell enough to need urgent referral, and your local eating disorder service is only taking urgent referrals due to Covid.

How do we assess the severity of the illness? Does she need blood tests? What is the best way we can support Suzanne, and, given the long wait she will have for specialist input, what can we do meanwhile? Are there free, easily available resources we can signpost her to? Is there value in regular GP follow-up, even though we are not ‘experts’?

We cover all of this in this webinar, exploring the illness in the context of constrained mental health services, to help us support our patients in a safe and compassionate way.

In the third and final part of the CVD webinar trilogy we will be discussing cardiovascular disease management in complex cases with multi morbidity, which is of course an increasingly common situation we face in primary care.

Brought to you by NB Medical, in collaboration with Cancer Research UK, we will spend the session looking at:

Patterns in cancer diagnosis, including the impact of COVID-19, and what we have learned so far

Case-based discussion of the key learning points to improve earlier diagnosis

Introduction to QI activity in cancer for the busy GP, incl. advice on how to get started and deliver on the QOF QI requirements

Suggestions for suitable QI projects to take back to your practice/network

In the second of our three CVD webinar series, we will consider three patient stories: primary prevention of cardiovascular disease, a complex patient with suspected peripheral arterial disease and a classic situation of polypharmacy and multiple issues to address post-acute coronary syndrome. Our holistic, patient-centred evidence-informed approach in primary care is crucial in often complex clinical scenarios.

Until now we have been very focussed on the physical impact of COVID-19, but the consequences of the pandemic on mental health are now becoming increasingly clear. With input from a clinical psychologist Dr Catherine Sykes and the mental health charity MIND, join Simon and Rob for a one hour, FREE webinar on the mental health consequences of the pandemic and how best we can help our patients and also look after ourselves during these challenging times.

We know that you are all suffering from coronavirus information overload, therefore we have put together a webinar on the essentials of what we really need to know to safely and effectively manage COVID-19, keeping it simple, relevant and pragmatic.

To help support you through these difficult times, NB Medical are delighted to offer you the opportunity to watch our latest FREE WEBINAR which will help you to refresh your telephone triage skills, safely consult remotely and explain how to safety net well.

We will cover the technicalities, the pitfalls and how to stay within safe limits when managing your patients remotely.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering plaques of psoriasis, hyperparathyroidism & warts and a verruca.

In this first of three one hour webinars, we will provide you with an understanding of the big CVD picture and the scope of the problem. We will discuss current NICE CVD guidelines and the key evidence that informs them. We will present a typical case history, with Sarah and David giving their views on both the primary and secondary care challenges of management. The webinar will be fully interactive with your chance to ask questions.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering medical cannabis, restless legs syndrome & peri-ocular dermatitis.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering type 2 diabetes in remission, what next after metformin? & older people with type 2 diabetes.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering screening for sepsis during a telephone consultation, safety netting in sepsis and meningitis & what to do if the transfer of a patient with suspected sepsis to secondary care is delayed.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering pustular rash, pre-tibail laceration & painful, sore cracked lips.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering shoulder pain & knee pain.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering ulcerative colitis, low calcium levels & iliotibial band syndrome.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering hay fever, acute diverticulitis & sexual dysfunction.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering chronic constipation, recurrent thrush & otitis externa.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering hip pain, hyponatraemia & recurrent blepharitis.

There are a lot of conditions we see and problems we face in primary care which rarely appear in the literature and these will be our focus in the Hot Topics Clinics. This webinar will be a supplement to our main course and feature topics we have not presented on the main course.

In this Hot Topics clinic, we will be looking into clinical cases covering foot pain, impetigo & OCD.