Hot Topics GP Update
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PHARMACEUTICAL INFLUENCE
Live Course Webinars
Join us live for our fully interactive online course experience. All the benefits of a face to face course from the comfort of your own home
Ask as many questions as you want to our dedicated Q&A wingman and participate in polls making the whole experience as exciting and fulfilling as attending a face to face course.
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
Online Courses
Want to learn at your own pace and on your own schedule? Why not try an NB Medical pre-recorded course?
With a pre-recorded NB course, you can work your way through a course at your own leisure and at your own speed. 6 hours of learning, broken down into topics, available 24 hours a day to suit your own schedule
The Hot Topics GP Update course is the original one day course to update GPs with the latest developments in the literature and to serve as a platform for CPD and help to deliver better patient care. The course revolves around short, engaging presentations that merge recent clinical evidence with real-life clinical scenarios.
- GP
£195 - GP Trainee
£150 - Nurses & Other Allied Health Professionals
£150 - Group or third party booking
Books
The Hot Topics Course reference book accompanies the course but is also available to purchase separately
The book is fully referenced with recent summaries of the evidence commonly seen in primary care. Most of our delegates use this every day, like they use the BNF.
Blogs
Suspected OA Hip: is an X-Ray a useful investigation?
Dr Laura Darby
1st December 2022
Morning clinic brings Stan, a 48 yr old man with hip pain. ‘Doc I’ve got a dodgy hip. It’s been playing me up on and off for months. Can I have an Xray?’ Your history and examination suggest Stan has osteoarthritis...
No smoke without fire? Vaping, EVALI and respiratory health
Dr Rachel Brettell
24th November 2022
Asking a patient about their smoking habits is second nature. But when it comes to asking my patients about vaping, let’s just say I’m much less consistent. Given the growing body of evidence and public...
Cognitive bias and the importance of safety netting
Dr Rob Walker
17th November 2022
Safety netting is something that is drummed into us at a very early stage in our medical careers. It’s a recommended part of a standard consultation, and one that we all got taught to do as GP trainees,...
Overprescribing, functional dyspepsia and PPWhy’s?
Dr Rachel Brettell
3rd November 2022
Sometimes (often), it feels like us GP's can't do anything right.
Gout: Mind the (evidence) Gap
Dr Rob Walker
20th October 2022
Guidelines. Love ‘em or hate ‘em, we know they are an important tool to help us manage the massive range of problems we see in General Practice. As GPs we can’t know the ins and outs of the evidence base...
Rotator Cuff Related Shoulder Pain - New name, new evidence?
Dr Rob Walker
13th October 2022
Bob has just turned 47, and by his own admission is an impatient man. He is getting some pain again in his shoulder which is affecting his weekend games of tennis, so has booked to see you so he can get...
SGLT2 inhibitors for Heart failure with preserved ejection fraction
Dr Nick Jones
6th October 2022
The rise and rise of the SGLT2 inhibitors over the past few years has been so jaw-dropping that a recent editorial in the European Heart Journal even compared their development to that of ‘aspirin, penicillin,...
Panic disorder – do the drugs work?
Dr Simon Curtis
29th September 2022
Mike is on the phone. He has suffered from panic attacks all his life, but over the last few months they have become much more common. They are recurrent, can be unexpected and the fear that they will...
Hot Topics GP Update Autumn Preview 2022
Dr Simon Curtis
15th September 2022
Have you been too busy this year to keep up with the journals and guidelines? Do you want to practise up to date, evidence-based medicine? Do you want to be inspired thinking about the interface of patient...
A bit more Muscle to the debate on statin side effects
Dr Rob Walker
8th September 2022
Much like the grey figure of John Major from Spitting Image, the topic of muscle side effects and statins may seem both inherently boring and very ‘old news’. So when I was forwarded the latest Lancet...
Hot weather, older people, antihypertensives and low potassium
Dr Simon Curtis
18th August 2022
Like you, I’ve sweated through a few duty doctor sessions during the latest heatwave. I’ve received some ‘frank and honest’ feedback from my colleagues that scrubs plus shorts is not a good look, but hey...
It's not about the Serotonin
Dr Neal Tucker
4th August 2022
“So, it’s about serotonin. Low levels cause depression and these medications help to restore serotonin to it’s normal level.”
The Buzz Around Eczema
Dr Neal Tucker
28th July 2022
“Doctor, I’ve tried everything for my child’s eczema. Aveeno, E45, Nivea… None of it works. What can I do?”
Feeding a Fever
Dr Neal Tucker
21st July 2022
Thankfully the extreme temperatures seen around the UK and Europe this week have now eased off but many of our patients are still feeling hot – feverish in fact. Whether it’s covid, the common cold, UTI...
10 Top Tips for Safe DOAC prescribing
Dr Rob Walker
7th July 2022
Thanks to all of you for reading and commenting on my blog last week on the current push for edoxaban as the preferred choice of DOAC. It generated a few sharp responses, which is not surprising as the...
‘Ere Guv…boxes of edoxaban going cheap…’
Dr Rob Walker
30th June 2022
Brenda comes to see you in your morning surgery. One look at her expression tells you that she is not happy. No, this is not an incoming complaint about access and lack of face-to-face appointments (phew,...
OA of the hip: The HIT Trial
Dr Simon Curtis
23rd June 2022
Osteoarthritis of the hip: common, painful, hugely limiting to function and quality of life and now post pandemic we and our patients face huge delays and barriers to surgical referral. We advise patients...
Diagnosing paroxysmal Atrial Fibrillation
Dr Nick Jones
16th June 2022
It’s a duty doctor morning and you flick through the list of people waiting. You see Stella has requested a call to discuss palpitations. She’s a 76-year-old lady with hypertension who attended A&E yesterday....
Please Sir, may I have some...Evusheld
Dr Philippa Davies
2nd June 2022
Pat is one of our many solid organ transplant patients whose life depends on ongoing immunosuppression. An unfortunate side effect of this treatment can be failure to generate antibodies after vaccination, data shows...
Beware of the Chair
Dr Duncan Hill
12th May 2022
As a nation we are sitting more, as GP’s we are spending more time at our desks. How does this impact our health and risks of chronic disease and what can we do to reduce this?
It’s not what you’ve got, it’s how you use it
Dr Neal Tucker
5th May 2022
Dave has had asthma since he was a kid. He’s 45 now. He knows asthma. “You can’t teach an old dog new tricks”.
NFILD and non-antibiotic options for recurrent UTI
Dr Rob Walker
28th April 2022
Joan is 73 and comes to see you with a worsening dry cough over the past few months, and she is now feeling a bit more puffed out than usual, which is affecting her daily dog walk. Her examination is unremarkable...
GALLERI: The Holy Grail for cancer diagnosis?
Rob Walker
3rd February 2022
We all know that there are multiple challenges to the early diagnosis of cancer for us in primary care, one of the big ones being a lack of access to accurate tests for cancer. There are obviously exceptions...
Home BP monitors - reassuringly cheap and accurate
Dr Rob Walker
20th January 2022
Which blood pressure monitor should I buy doc? I hope it won’t cost too much…I’m sure all of us will have had this, or a variation of this question from patients over the past few years. There had been...
ME/CFS – Top 5 learning points from the new NICE guideline
Dr Simon Curtis
13th January 2022
In late October 2021, NICE published their new guideline on myalgic encephalomyelitis or encephalopathy/ chronic fatigue syndrome (ME/CFS) NICE NG206 2021. As could have been predicted, the guideline...
Podcasts
S4 E5: Thinking distal DVTs; High dosage in Heart Failure; Just One More Thing... Rachel Ainley discusses IBD
2nd December 2022
<p><b>Welcome to a new episode of the Hot Topics Podcast from NB Medical with Dr Neal Tucker. </b>In this podcast, we look at new research in the BMJ on optimal duration to treatment distal DVTs (wait... do we even check for these...?), and the Lancet examines the benefits of high-dose chronic heart failure therapies after acute decompensation. </p><p>In Just One More Thing... this episode we are joined by Dr Rachel Ainley, head of research and evidence at Crohn's & Colitis UK to find out what's new in Inflammatory Bowel Disease. You'll find links to the <a href="https://elearning.rcgp.org.uk/mod/book/view.php?id=12536" target="_blank" rel="noopener">RCGP IBD toolkit</a> and <a href="http://www.crohnsandcolitis.org.uk/HCPs" target="_blank" rel="noopener">C&CUK's awareness campaign</a> below. </p><p><b>References</b></p><p><a href="https://elearning.rcgp.org.uk/mod/book/view.php?id=12536" target="_blank" rel="noopener">RCGP IBD Toolkit </p><p></a><a href="http://www.crohnsandcolitis.org.uk/HCPs" target="_blank" rel="noopener">C&CUK Professional Resources</p><p></a><a href="https://www.bmj.com/content/379/bmj-2022-072623" target="_blank" rel="noopener">BMJ Distal DVT paper</p><p></a><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02076-1/fulltext" target="_blank" rel="noopener">Lancet Post-Acute Heart Failure Dosage</a></p>
S4 E4: Continuity; maternal mortality; Just One More Thing: Sarah Davies discusses diabetes
18th November 2022
<p>Welcome to the new Hot Topics podcast from NB Medical with Dr Neal Tucker. We're dealing with heavy topics today - the Autumn Statement, how losing continuity is detrimental to patient care, maternal mortality in the UK - but we've tried to keep it light in other ways including <b>our new segment: Just One More Thing</b> </p><p>In Just One More Thing we interview primary care experts across a range of specialties asking 3 questions: what one thing do we need to know about in general practice regarding your specialty, what one thing do we need to know about that's happening in secondary care, and what is pushing the boundaries of medical care in your field. This week we talk to Dr Sarah Davies about diabetes.</p><p>In research, we consider the implications of two BJGP papers on correlations between practices and patient continuity, while in the BMJ this week a new paper highlights a significant discrepancy in maternal mortality ratios between 8 European countries. Are there lessons for general practice here?</p><p><b>Resources</b></p><p><a href="https://bjgp.org/content/72/724/e773" target="_blank" rel="noopener">BJGP Continuity paper no.1</a></p><p><a href="https://bjgp.org/content/72/724/e780" target="_blank" rel="noopener">BJGP Continuity paper no.2</a></p><p><a href="https://bjgp.org/content/72/724/507" target="_blank" rel="noopener">BJGP Editorial</p><p></a><a href="https://www.bmj.com/content/379/bmj-2022-070621" target="_blank" rel="noopener">BMJ Maternal Mortality paper</p><p></a><a href="https://www.bmj.com/content/379/bmj.o2691" target="_blank" rel="noopener">BMJ MM Editorial</p><p></a></p><p></p>
S4 E3: Pension Song #1; BP meds at night?; CVD screening; "Future of General Practice" report; patient record access
21st October 2022
<p>Welcome to a new NB Hot Topics Podcast with Dr Neal Tucker. Amongst all the political turmoil, healthcare must go on. </p><p>In this episode, we look at:</p><ul><li>The new government report (someone's still working, for better or for worse) on the Future of General Practice</li><li>The implications practices need to be aware of for Patient Record Access starting 1st November</li><li>New research on the best time to take BP meds and whether cardiovascular screening using CTs & more is helpful.</li></ul><p><b>References</b>:</p><p><a href="https://committees.parliament.uk/work/1624/the-future-of-general-practice/" target="_blank" rel="noopener">Future of GP Report</p><p></a><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01786-X/fulltext" target="_blank" rel="noopener">Lancet TIME study</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2208681" target="_blank" rel="noopener">NEJM CVD Screening in Danish Men</a></p><p></p><p></p>
S4 E2: Gestational Diabetes, CVD risk & modifiable factors; roflumilast for psoriasis; bronchodilators for non-COPD smoking symptoms
30th September 2022
<p>Welcome to the new Hot Topics podcast from NB Medical with Dr Neal Tucker. After a whirlwind week where general practice has been populistically politicised on all sides, in this episode we stay on safer ground and look at new research. </p><p>The BMJ highlights the future risk of cardio- and cerebrovascular disease after gestational diabetes, even without overt diabetes, but offers some good news regarding the optimisation of risk factors. JAMA introduces roflumilast for chronic psoriasis, as a cream, not a tablet. And the NEJM explores whether there is a role for bronchodilators in people with COPD who don't have COPD - symptomatic smokers with preserved lung function.</p><p>References</p><p><a href="https://jamanetwork.com/journals/jama/article-abstract/2796306" target="_blank" rel="noopener">Best research title of the podcast award</p><p></a><a href="https://www.bmj.com/content/378/bmj-2022-070244" target="_blank" rel="noopener">BMJ GDM and CVD risk</p><p></a><a href="https://www.bmj.com/content/378/bmj-2022-070312" target="_blank" rel="noopener">BMJ GDM and modifiable risk factors</p><p></a><a href="https://jamanetwork.com/journals/jama/article-abstract/2796379" target="_blank" rel="noopener">JAMA Roflumilast for psoriasis</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2204752" target="_blank" rel="noopener">NEJM Bronchodilators for smoking Sx with preserved lung function</p><p></a></p><p></p>
S4 E1: Supplements + sweeteners aren't good for your health, autoimmune disease & CVD risk, statin & muscle pain, open source diabetes
9th September 2022
<p>Welcome back to the new series of the Hot Topics podcast from NB Medical with Dr Neal Tucker. A sober start with the death of the Queen yesterday and reflecting on the pressures of general practice and the profoundly sad story of Gail Milligan. </p><p>But the progress of medicine never stops and there is research to discuss:</p><ul><li>Papers in the BMJ on whether artificial sweeteners cause harm, and whether supplementing vitamin D really does reduce respiratory and covid infection risk.</li><li>A Lancet paper on autoimmune disease and an increase in cardiovascular risk, but in whom and how much?</li><li>Another Lancet paper on the actual rates of statin-induced muscle pain (a little but not a lot...)</li><li>And a NEJM on whether hacking diabetes monitors and insulin pumps is a safe thing to do.</li></ul><p>Plus until the 12th of September, we have our Back to School NB Plus offer which you can find <a href="https://www.nbmedical.com/" target="_blank" rel="noopener">here</a>.</p><p><b>References</p><p></b></p><p><a href="https://www.bmj.com/content/378/bmj-2022-071204" target="_blank" rel="noopener">BMJ Sweeteners</p><p></a><a href="https://www.bmj.com/content/378/bmj-2022-071230" target="_blank" rel="noopener">BMJ Vit D</p><p></a><a href="https://www.bmj.com/content/378/bmj-2022-071245" target="_blank" rel="noopener">BMJ Cod liver oil</p><p></a><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01349-6/fulltext" target="_blank" rel="noopener">Lancet autoimmune & CVD risk</p><p></a><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01545-8/fulltext" target="_blank" rel="noopener">Lancet statins & muscle pain</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2203913?query=featured_home" target="_blank" rel="noopener">NEJM Open-source automated insulin delivery systems</a></p>
S3 E15: Gout and CV events; early identification of colorectal cancer; barriers to shared decision making in multimorbidity
3rd August 2022
<p>Welcome to a new Hot Topics Podcast from <a href="https://www.nbmedical.com/" target="_blank" rel="noopener">NB Medical</a> with Dr Neal Tucker. It's the summer holidays! We hope a little pressure is off at your practices and you might even get a break yourself. </p><p>In this podcast, we discuss the latest news including whether GPs simply aren't working hard enough and debate a £10 charge for DNAs.</p><p>In research, we look at new data from JAMA suggesting patients are at increased risk of MI shortly after a flare of gout, a fantastic paper in the BJGP presenting data showing how it may be possible to improve early identification of colorectal cancer based on common symptoms and blood results, and more from the BJGP with qualitative research exploring the barriers to shared decision making in patients with multimorbidity. </p><p><b>References</b></p><p><a href="https://jamanetwork.com/journals/jama/article-abstract/2794763" target="_blank" rel="noopener">JAMA Gout and acute CVD</p><p></a><a href="https://bjgp.org/content/72/721/e556" target="_blank" rel="noopener">BJGP Early Identification of CRC</p><p></a><a href="https://bjgp.org/content/72/721/e609" target="_blank" rel="noopener">BJGP Shared decision making and multimorbidity</a></p>
S3 E14: The "Sorry, I'm Not Sorry" Song; bye bye Boris; prescribing for anxiety, bariatric surgery to reduce cancer, RSV vaccine
8th July 2022
<p>Welcome to another Hot Topics podcast from NB Medical with Dr Neal Tucker leading you through the latest news and research in general practice. Of course, we must touch on the demise of Boris Johnson and how he might still be in power if he'd just learned a thing or two from general practice. </p><p>Meanwhile, in research, we look at prescribing trends in anxiety disorders, whether bariatric surgery can reduce cancer risk in overweight people, and two papers on covid vaccination against Omicron, first on efficacy in kids, second on the relative merits of vaccination vs natural immunity, plus could a new vaccine for RSV be just around the corner?</p><p>And with hot weather finally coming to the UK, time to remind ourselves about the symptoms and signs of <a href="https://www.nbmedical.com/kiss/kiss-heat-related-illness" target="_blank" rel="noopener">heat-related illness in our KISS from NB</a>. </p><p><b>References</b>:</p><p><a href="https://bjgp.org/content/72/720/e511" target="_blank" rel="noopener">BJGP Trends in anxiety medications</a> </p><p><a href="https://jamanetwork.com/journals/jama/article-abstract/2793220" target="_blank" rel="noopener">JAMA Bariatric surgery and cancer risk</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2205011?query=featured_home" target="_blank" rel="noopener">NEJM Covid vaccine in kids</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116154" target="_blank" rel="noopener">NEJM Covid vaccination vs natural protection vs hybrid immunity</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2203965" target="_blank" rel="noopener">NEJM RSV vaccine study</a></p><p></p>
S3 E13 - "Plans for change", Panorama and Partnership; NICE Traffic Lights, internet based CBT for trauma; opioids post-surgery
17th June 2022
<p>In this new episode of the Hot Topics podcast from NB Medical. Dr Neal Tucker reflects on a busy week in the politics of UK general practice: "plans for change" from the English health secretary, but the head of primary care for NHSE says partnerships aren't going anywhere. Meanwhile, Panorama highlights the challenges for private companies running NHS GP practices. Where will it all end up? Answers on an e-consult, or email us at hottopics@nbmedical.com.</p><p>Meanwhile, there is some research! Important new data from the BJGP on the accuracy of the NICE traffic light system for fever in <5yos suggesting those old GPs might have been right all along; also can internet-based therapy for PTSD be as good as traditional therapy? And is there any role for opioids post-surgery?</p>
S3 E12 - Monkeypox song; more about monkeypox; keeping the frail mobile; preventative medicine - what is it good for?; treating mild hypertension in pregnancy - right or wrong?
25th May 2022
<p>Welcome to the latest Hot Topics podcast with Dr Neal Tucker. This week we think about monkeypox. Do we need to worry? What do we need to look out for? Can my pet rat give it to me? </p><p>Beyond a disease very few of us are likely to ever see, we look at new research on improving mobility in people with frailty and sarcopenia - can exercise classes and nutrition make a real-world difference? </p><p>We consider a BJGP paper on preventative medicine - why don't we do more, what are the barriers and what really works? </p><p>Our final piece of research examines whether treating mild hypertension in pregnancy is beneficial or detrimental to mother and baby. Are the NICE guidelines right?</p><p><b>References</b></p><p>Monkeypox info <a href="https://www.gov.uk/guidance/monkeypox#guidance-for-primary-care" target="_blank" rel="noopener">UK gov</a> & <a href="https://www.who.int/news-room/fact-sheets/detail/monkeypox" target="_blank" rel="noopener">WHO</a></p><p><a href="https://www.bmj.com/content/377/bmj-2021-068788" target="_blank" rel="noopener">BMJ Maintaining mobility in older people with frailty</a></p><p><a href="https://bjgp.org/content/72/718/237" target="_blank" rel="noopener">BJGP Prevention in practice</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2201295" target="_blank" rel="noopener">NEJM Treating mild hypertension in pregnancy</a></p><p><a href="https://www.nice.org.uk/guidance/ng133/chapter/Recommendations" target="_blank" rel="noopener">NICE Guideline on chronic hypertension in pregnancy</a></p>
S3 E11 - Self-monitoring BP in pregnancy, ezetimibe or PCSK9 inhibitors for CVD risk & a treatment for alopecia! Plus interview with Aarti Bansal & Veena Aggarwal on Improving Asthma Care & Sustainability in the NHS
6th May 2022
<p>In the latest Hot Topics podcast from NB Medical Dr Neal Tucker discusses the latest research important in primary care and interviews two experts in improving asthma care and sustainable healthcare.</p><p>In new research we examine:</p><ul><li> The role of self-monitoring of BP in women with hypertension or higher risk of pre-eclampsia - does it provide early detection?</li><li>Do ezetimibe and PCSK9 inhibitor provide additional real-world benefits over statins alone? Which is best?</li><li>Can an oral biological agent, baricitinib, provide some hope for patients with severe alopecia?</li></ul><p>We are also joined by Dr Aarti Bansal and Dr Veena Aggarwal to talk about improving asthma care with a new Asthma Toolkit from Greener Practice and healthcare sustainability in the UK. Why are our asthma outcomes poor? Can simple measures improve care? What is the NHS doing to help primary care reduce its carbon footprint?</p><p>If you want more join us for our FREE NB Clinic on Tuesday 17th May, 8pm, for <a href="https://www.nbmedical.com/clinics/hot-topics-improving-asthma-care-and-thinking-green-clinic-tuesday-17th-may-2022" target="_blank" rel="noopener">Improving Asthma Care and Thinking Green</a>.</p><p><b>Resources</b></p><p><a href="https://www.greenerpractice.co.uk/high-quality-and-low-carbon-asthma-care/" target="_blank" rel="noopener">Greener Practice Asthma Toolkit</p><p></a><a href="https://jamanetwork.com/journals/jama/article-abstract/2791695" target="_blank" rel="noopener">JAMA Self-monitoring of BP in Pregnancy</p><p></a><a href="https://www.bmj.com/content/377/bmj-2021-069116" target="_blank" rel="noopener">BMJ Ezetimibe and PCSK9 inhibitors for Reducing CVD Risk: network meta-analysis</p><p></a><a href="https://www.bmj.com/content/377/bmj-2021-069066" target="_blank" rel="noopener">BMJ Lipid-lowering medication Rapid Recommendations </p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2110343?query=featured_home" target="_blank" rel="noopener">NEJM Baricitinib for Alopecia</a></p><p><a href="https://www.fmlm.ac.uk/cfs" target="_blank" rel="noopener">Faculty of Medical Leadership and Management Fellowship webpage</p><p></a><a href="https://www.bmj.com/content/367/bmj.l6334" target="_blank" rel="noopener">BMJ Open Cost of Switching Asthma Inhalers</p><p></a></p><p></p>
S3 E10 - How racism influences guidelines: interview with Dr Dipesh Gopal; does a 4th covid vax work? acute covid complication risk, breast pain & cancer, UTI & Abx, iron supplements
8th April 2022
<p>Welcome to another <b>Hot Topics podcast with Dr Neal Tucker</b>. In this busy edition, we discuss whether national guidelines are affected by bias against race or ethnicity, potentially driving health inequalities. GP and researcher Dr Dipesh Gopal joins us for an interview to examine issues around NICE hypertension guidance. </p><p>In new research, we have papers on whether a 4th covid vaccine dose actually provides additional protection, how long patients remain at increased risk from acute covid complications after infection, whether breast pain and cancer are linked, how women feel about delayed antibiotics for UTI and what is the optimum dose schedule for iron supplementation in anaemia.</p><p>Next podcast we'll be interviewing the founder of the Greener Practice network, which has just published a new website - <a href="https://www.greenerpractice.co.uk/" target="_blank" rel="noopener">www.greenerpractice.co.uk</a> - full of useful resources to make GP more sustainable and environmentally friendly. Back after Easter.</p><p><b>References</b></p><p>1. <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00654-7/fulltext" target="_blank" rel="noopener">Lancet editorial on Ockenden report</a></p><p>2. <a href="https://www.kingsfund.org.uk/projects/public-satisfaction-nhs" target="_blank" rel="noopener">Kings Fund review of NHS Patient Satisfaction survey</a> </p><p>3. <a href="https://bjgp.org/content/72/717/e234" target="_blank" rel="noopener">BJGP Breast pain and cancer</a></p><p>4. <a href="https://bjgp.org/content/72/717/e252" target="_blank" rel="noopener">BJGP Non-antibiotic treatment of UTI</a></p><p>5. <a href="https://bjgp.org/content/72/717/188" target="_blank" rel="noopener">BJGP Iron supplementation review</a></p><p>6. <a href="https://www.bmj.com/content/377/bmj-2021-069590" target="_blank" rel="noopener">BMJ Risk of VTE/bleeding post-covid</a></p><p>7. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2201570?query=featured_home" target="_blank" rel="noopener">NEJM 4th dose covid vaccine</a></p><p>8. <a href="https://www.greenerpractice.co.uk/" target="_blank" rel="noopener">Greener Practice website</a></p>
S3 E9 - The RCGP Membership Fee Song; Working weekends; Covid in hamsters; The Triple F*** Syndrome; Child mental health; Recurrent UTIs
18th March 2022
<p>In the Hot Topics podcast, Neal Tucker discusses the latest primary care news and research.</p><p>This week:</p><ul><li>Reflecting on NHS England's PCN stipulations - general practice finds itself in a lose-lose situation. Is it a coincidence it comes just as a think tank backed by the health secretary pushes for all GPs to be salaried? </li><li>Research:<ul><li>Hamsters can give you covid. What should we do? <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00326-9/fulltext#%20" target="_blank" rel="noopener">Lancet</a></li><li>The Triple F*** Syndrome - a different way to think about personality disorder? <a href="https://bjgp.org/content/72/716/120" target="_blank" rel="noopener">BJGP</a></li><li>What do young people with mental health issues value from general practice and what helps. <a href="https://bjgp.org/content/72/716/e161" target="_blank" rel="noopener">BJGP </a></li><li>Durability of maternal COVID antibodies in infants - is natural infection or vaccination best? <a href="https://jamanetwork.com/journals/jama/fullarticle/2788986" target="_blank" rel="noopener">JAMA</a></li></ul></li></ul><p>Also, keep a look on the website www.nbmedical.com for our free Migrant Health webinar Tuesday 26th April at 7:30 pm.</p>
S3 E8: The end of covid; accuracy of lateral flow tests; new DVT algorithm; remember Zika?
25th February 2022
<p>In the latest Hot Topics podcast with Dr Neal Tucker, we reflect on the government removing covid measures and how this affects general practice. </p><p>In research, we have a look at a timely BMJ paper on the accuracy of lateral flow tests? As we prepare to stop testing, does the data provide us with some reassurance? We also have a look at a new way of assessing the risk of DVT and whether it can safely identify low-risk patients and reduce referral rates. And remember Zika? A new paper in the NEJM highlights to risks for children exposed to zika in utero.</p><p><b>References</b></p><p><a href="https://www.bmj.com/content/376/bmj-2021-066871" target="_blank" rel="noopener">BMJ Accuracy of Covid LFTs</a></p><p><a href="https://www.bmj.com/content/376/bmj-2021-067378" target="_blank" rel="noopener">BMJ Diagnosing DVT</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2101195" target="_blank" rel="noopener">NEJM Zika infant mortality</a></p>
S3 E7 - Covid blues song; racism, nationalisation, incentivisation; new covid drugs; does continuity help?
4th February 2022
<p>After not being out the house for 13 days due to him and the kids having covid, Neal Tucker uses the Hot Topics podcast for a bit of escapism.</p><p>Apart from singing the blues, in this podcast we discuss the latest medical news including reports of racism in the NHS, government calls for nationalisation of general practice and the negative effects of pandemic priorities on routine care from the National Diabetes Audit.</p><p>Meanwhile in the journals we look at two papers demonstrating the effectiveness of new acute covid treatments on non-hospitalised patients but ask the question: is it worth it? And two papers showing how continuity may be more effective than any medication in improving patient outcomes. Too good to be true? </p><p>Let us know what you think on email hottopics@nbmedical.com, twitter @gphottopics or <a href="https://www.gphorizon.com/" target="_blank" rel="noopener">GP Horizon</a>.</p><p><b>References</b></p><p><a href="https://www.pulsetoday.co.uk/news/workforce/nine-in-10-doctors-concerned-about-racism-in-medicine-finds-bma-survey/" target="_blank" rel="noopener">Racism in the NHS BMA survey report</p><p></a><a href="https://www.bmj.com/content/376/bmj.o267" target="_blank" rel="noopener">Government plans to nationalise general practice</p><p></a><a href="https://www.pulsetoday.co.uk/news/clinical-areas/diabetes/substantial-fall-in-diabetic-health-checks-as-gps-reprioritised-during-pandemic/" target="_blank" rel="noopener">National Diabetes Audit report</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116846" target="_blank" rel="noopener">Remdesivir in non-hospitalised covid patients</p><p></a><a href="https://jamanetwork.com/journals/jama/fullarticle/2788256" target="_blank" rel="noopener">Casirivimab and Imdevimab in asymptomatic covid patients</a></p><p><a href="https://bjgp.org/content/72/715/71" target="_blank" rel="noopener">What are GPs for, when the chips are down?</p><p></a><a href="https://bjgp.org/content/72/715/77" target="_blank" rel="noopener">The invisible GP</a></p><p><a href="https://bjgp.org/content/72/715/80" target="_blank" rel="noopener">A call to charity</a></p><p><a href="https://bjgp.org/content/72/715/e84" target="_blank" rel="noopener">Continuity of care in Norway</p><p></a><a href="https://bjgp.org/content/72/715/e91" target="_blank" rel="noopener">Continuity of care on dementia outcomes</p><p></a></p><p></p>
S3 E6 - Stating the obvious, treatment time after VTE and CVA; best meds for obesity
14th January 2022
<p>Happy New Year! Welcome to a new episode of the Hot Topics podcast with Neal Tucker.</p><p>In this episode, we have a look at research that states the obvious (non-covid infections went down during lockdowns) and why we feel the need to formalise it. We also look at new research suggesting a shorter duration of anticoagulation may be appropriate after provoked VTE in younger people. We have new research showing the benefits of thrombectomy after stroke for well beyond a 6-hour window. We also have research showing which drug option may be most effective to aid weight loss. </p><p>No songs today - too busy writing the Spring Hot Topics course - but a smattering of Dad jokes. Don't say I didn't warn you...</p><p>References</p><p><a href="https://www.bmj.com/content/376/bmj-2021-067519" target="_blank" rel="noopener">BMJ Infection rates during covid measures</p><p></a><a href="https://jamanetwork.com/journals/jama/article-abstract/2787908" target="_blank" rel="noopener">JAMA Duration of anticoagulation after provoked VTE in <21yo</p><p></a><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01341-6/fulltext" target="_blank" rel="noopener">Lancet Successful time limits for thrombectomy post-CVA</p><p></a><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01640-8/fulltext" target="_blank" rel="noopener">Lancet Pharmacotherapy for Obesity network meta-analysis</p><p></a><a href="https://www.gphorizon.com/" target="_blank" rel="noopener">GP Horizon</a></p>
KISSes
KISS: Inclisiran
21st October 2021
A complimentary KISS Summary from NB Medical looking at Inclisiran
KISS: Shoulder Pain
8th September 2021
A complimentary KISS Summary from NB Medical looking at Shoulder Pain
KISS - QOF Indicator Changes 2020/21
3rd September 2020
NB Medical provides a complimentary Keep It Simple Summary guide to QOF Indicator Changes for 2020/21.
KISS: Management of Migraine
7th July 2021
A complimentary KISS Summary from NB Medical looking at the Management of Migraines.
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