Conference Programme 2018

Friday 08.00 – 09.30

Registration, Refreshments and Exhibition

08.30 - 09.15 Sponsored Symposium: A practical guide on the National Shingles Immunisation Programme

Session Information

A practical guide on the National Shingles Immunisation Programme

Sponsored by MSD

Pauline MacDonald ARRC, MSc, BSc (Hons), FRSPH Independent Nurse Consultant

Location: Lomond Auditorium

Book session

Friday 09.15 – 10.30


NHS Question Time

Our version of the BBC’s topical debate show brings together stakeholders from across the healthcare spectrum to answer all the big questions of the day.

Chair: Professor Martin Marshall Joint Vice Chair (External Affairs) RCGP
Professor Helen Stokes-Lampard Chair, RCGP
Dr Carey Lunan Chair, RCGP Scotland
Dr Vish Ratnasuriya Chair, Our Health Partnership
Professor Laura Serrant, Professor of Nursing, Sheffield Hallam University
Owen Jones, Columnist, Author
Stephen Dorrell, Political Activist, Chair NHS Confederation, former Secretary of State for Health

Friday 10.30 – 11.30

Refreshments, Exhibition and Poster Viewing

10.40 - 10.55 Sponsored Symposium: Managing adult malnutrition in the community

Session Information

Managing Adult Malnutrition in the Community. Cases in malnutrition – who is responsible in practice?
Using case-based discussions, this session will explore common dilemmas in general practice regarding the identification and successful management of malnutrition. As a growing issue, affecting around 11% of people attending GP practices, it will highlight the need to integrate nutrition into holistic care and why malnutrition can be both a cause and a consequence of chronic disease and frailty. The session will also address cost-prescribing pressures, facilitate mindful prescribing of oral nutritional supplements, indicate when to refer patients to a dietitian and the new and emerging roles of prescribing support dietitians to help GP practices.

Sponsored by Nutricia Advanced Medical Nutrition

Dr Anita Nathan, GP, member of the GPs interested in Nutrition Group and of ‘Managing Adult Malnutrition in the Community’ expert panel
Anne Holdoway, Consultant Dietitian and Chair of the ‘Managing Adult Malnutrition in the Community‘ expert panel

Location: Mini Theatre 1, Exhibition Hall

Session fully booked

10.40 - 10.55 Sponsored Symposium: Auscultation skills

Session Information

Heart valve disease: auscultation skills
This presentation will offer guidance on how to spot the signs and symptoms of aortic stenosis, including a deep dive into auscultation skills and how you can play your part, as a GP, to ensure heart valve disease patients receive optimal treatment.

Sponsored by Edwards Lifesciences

Dr Yassir Javaid, GP, Primary Care Cardiovascular Lead, East Midlands

Location: Mini Theatre 2, Exhibition Hall

Book session

11.05 - 11.20 Sponsored Symposium: Key principles for the diagnosis and management of dry skin and eczema

Session Information

Key Principles for the Diagnosis and Management of Dry Skin and Eczema
The key learning objectives for the session are the following:
1. To understand the pathophysiology of dry skin and eczema
2. To review the key principles of eczema diagnosis
3. To review the key principles for the management of dry skin and eczema
The structure and function of the skin barrier will be reviewed, including a discussion of recent advances in understanding how to best repair the skin barrier and the clinical implications.

Sponsored by L’Oreal

Dr Natalia Spierings, BSc (Hons) MBBS MRCP(UK) MBA, Consultant Dermatologist, Dermatological & Mohs Micrographic Surgeon, Chapel Allerton Hospital, Leeds Teaching Hospitals NHS Trust

Location: Mini Theatre 2, Exhibition Hall

Session fully booked

Friday 11.30 – 12.30

Quality Improvement | D1

Promising approaches to Quality Improvement
This session will set out evidence for what works in quality improvement, both at practice and inter-practice levels. It will bring together promising approaches from all four nations of the UK and draw out elements that are common to successful interventions, and also highlight approaches that attendees should treat with caution.


Chair: Dr Imran Rafi Joint Medical Director, RCGP CIRC

Dr Helen Booth, Senior Researcher, Clinical Practice Research Datalink
Professor Bruce Guthrie Professor of Primary Care Medicine, University of Dundee Medical School
Dr Rebecca Fisher Policy Fellow, The Health Foundation 

Clinical Learning | D2

Confident in your skin? A dermatology update
Three short updates on recent developments in dermatology will focus on psoriasis, actinic keratoses and when to use antibiotics in skin infection. Each update will include an interactive quiz from the relevant sections of the RCGP’s GP SelfTest and the expert panel will take questions about their specialist areas of dermatology.


Chair: Dr Victoria Tzortziou Brown Joint Honorary Secretary, RCGP

Dr Tim Cunliffe, RCGP National Accreditation Lead for GPwER in Dermatology and Skin Surgery
Dr Ruth Murphy, Consultant Dermatologist and President Elect of the British Association of Dermatologists
Dr Tamara Griffiths, Consultant Dematologist and Chair, Special Advisory Committee, Joint Royal Colleges of Physicians Training Board


Medical Education | D3

Challenging assumptions and cultivating compassion: Reducing stigma when working with marginalised patients
Caring for marginalised and vulnerable populations presents complex challenges. This session will explore approaches to GP education which aim to develop insightful and empathic GPs through challenging stigma and developing a deep understanding of the lived experience of disadvantaged patients.


Chair: Dr Dominic Patterson Chair, Director of Postgraduate GP Education, HEE Yorkshire and the Humber
Dr Sarah Soar, GP Health Equity Fellow, HEE Yorkshire and the Humber
Dr Austin O’Carroll, Programme Director, North Dublin GP Training Programme

New Models of Care across the UK | D4

What can group consultations do for my patients and me? A potential solution to the GP workforce crisis
This new approach to delivering care will be outlined from the clinical and patient perspectives, so that delegates can understand the critical factors for success and potential efficiency gains. Small group discussions will get you thinking how to deliver group consultations in your practice and a planning template will be provided for each delegate.


Chair: Dr Rob Lawson Chair, British Society of Lifestyle Medicine
Dr Emily Symington, GP member of governing body, Croydon CCG
Alison Manson, National Training Lead, Group Consultations
Dr Fraser Birrell, Consultant and Senior Lecturer in Rheumatology, Northumbria Healthcare NHS Foundation Trust

Campaigning for General Practice | D5

‘Doctors and druggists wash each other’s hands, and always have’ – A history of conflicts of interest in medicine, from Chaucer to the age of Trump
All GPs are required by the GMC to declare conflicts of interest in financial and commercial dealings, yet there is no formal place where such interests can be recorded. This session will explore the history of medical conflicts of interest and explain why the present situation needs to be improved, featuring an interactive ethical quiz.


Chair: Professor Nigel Mathers Chair-elect, RCGP Trustee Board

Dr Pete Deveson, GP, Derby Medical Centre
Dr Margaret McCartney Glasgow GP and author

Healthcare Technology | D6

Bringing genomes to life: translation of genomic variants into clinical impact and into everyday language for your patient
With the cost of genomic sequencing technology tumbling and the mainstreaming of genomic medicine within the NHS, GPs will become increasingly exposed to genomic information in routine clinical care. This session aims to de-mystify this new era and help delegates with the communication of genomics to their patients.


Chair: Professor Mayur Lakhani President, RCGP

Dr Jude Hayward, GPwSI in Genetics, Primary Care Adviser to HEE Genomics Education Programme, RCGP Clinical Champion for Genomics
Dr Imran Rafi, RCGP Clinical Champion for Genomics, Joint Medical Director, RCGP CIRC
Dr Michelle Bishop, Education Development Lead, HEE Genomics Education Programme

Short Papers D: Research and Ethics

Guidelines in clinical commissioning – soft recommendations or hard rules? Imran Sajid
Diagnosis of heart failure in primary care – are we following NICE guidelines? Dani Kim
Should I stay or should I go? Keeping women GPs working. An international study Alice Shiner
Older people’s perspectives on the management of hypertension in primary care – unexpressed concerns Emma van Bussel
Perceptions of the National Bowel Cancer Screening Programme in primary care Katherine Taylor
How do Dutch primary care providers overcome barriers to advance care planning with older people? A qualitative study Jolien Glaudemans

CPD Essentials: Child Protection Level 3

RCGP Innovation Presents... Bright Ideas Award Winners: 11.40 - 12.20

Friday 12.30 – 13.45

Lunch, Exhibition, Poster Viewing and Sponsored Symposia

12.45 - 13.30 Sponsored Symposium: Exploring the role of technology-based fertility awareness in contraception and family planning

Session Information

Exploring the role of technology-based fertility awareness in contraception and family planning
This session will present some of the evidence on user attitudes to modern contraceptive methods, in particular the concerns expressed by some users about hormonal side-effects, and about intrauterine contraception. In this context, it will consider traditional fertility awareness methods, their method of action and their failure rates, and introduce the NaturalCycles app, which makes use of fertility awareness to aid contraception. It will explain the method of action of the app, present data from published studies on the efficacy of the app, and consider its place in the choice of contraceptive methods in the 21st Century.

Sponsored by Natural Cycles

Dr Susan Walker, Senior Lecturer in Sexual Health, Angela Ruskin University

Location: Lomond Auditorium

Book session

12.45 - 13.30 Sponsored Symposium: Are you fit to tackle multimorbidity?

Session Information

Are you fit to tackle multimorbidity?

Chair Dr Rachel Pryke, RCGP Multimorbidity Champion

Talking the Talk

Prof Paul Aveyard Can effective health and behaviour change advice fit into a 10-minute consultation? The BWel study suggests YES! Paul will outline acceptable and effective brief interventions for weight control.

Walking the walk – Physical activity interactive session

Alan Skirving Engaging people with complex health or mobility issues in increasing physical activities is a challenge. The greatest benefits arise from helping inactive people to start moving. Finding activities that people can do and enjoy is key. Social prescribing of activities such as Tai Chi may encourage physical activity in those who struggle with more vigorous activity. Come and try it in this interactive session.

Reaching the hardest to reach

Dr Carly Hughes How can you improve diabetes control, reduce osteoarthritis pain, treat liver disease and improve quality of life? Carly – a GP who also runs a specialist weight management service, managing complex patients with multimorbidity and severe obesity, will update us on treatments and clinical pathways for complex patients.

Sponsored by Novo Nordisk

Location: Aish 

Session fully booked

13.10-13.25 Sponsored Symposium: The PSA test: Can the balance between harm and benefit be shifted?

Session Information

The PSA test: Can the balance between harm and benefit be shifted?
The PSA test has its challenges. Can a mpMRI before biopsy diagnostic pathway, and the growing use of active surveillance for low-risk prostate cancer, reduce the potential for over-diagnosis and over-treatment that is often associated with the test? This session explores whether the PSA test now has the chance for a new lease of life.

Sponsored by Prostate Cancer UK

Professor Michael Kirby, Visiting Professor to the Faculty of Health & Human Sciences, University of Hertfordshire and the Prostate Centre, London

Location: Mini Theatre 1, Exhibition Hall

Friday 13.45 – 14.30


Host’s Introduction: Professor Mayur Lakhani, President, RCGP
Professor Jason Leitch, Clinical Director, Healthcare Quality and Strategy, Scotland
Lord Victor Adebowale, Chief Executive of Turning Point

Friday 14.30 – 14.45

Comfort Break

Friday 14.45 – 15.45

Quality Improvement | E1

‘I am that QI sceptic… Convince me!’
Everyone will have experienced services under pressure but while we all aspire to deliver care that is safe, effective, patient-centred, timely, efficient and equitable, the methods by which we might meet that aspiration is less clear. This session will use stories, questioning and real data to challenge the dogma.


Chair: Dr Victoria Tzortziou Brown Joint Honorary Secretary, RCGP

Dr Nigel Hart, Associate Director, NIMDTA and Senior Lecturer, Queen’s University Belfast
Dr Joanna Bircher, Clinical Director Greater Manchester GP Excellence Programme
Dr Caren Walsh GP, Belfast
Laura Collins, Q Community Member, The Health Foundation

Clinical Learning | E2

Cancer early diagnosis: Guidance, pitfalls and safety netting
A key focus of this session will be the importance of and evidence for safety netting, which is only recorded in 44% of cases. A safety netting system will be demonstrated that uses existing practice administrative and clinical systems to create a consistent approach, reducing the potential for human error.


Chair: Dr Mike Holmes Joint Vice Chair (Membership) RCGP Council

Dr Rachael Marchant, RCGP/CRUK clinical support fellow for cancer, RCGP/Marie Curie clincal support fellow for end of life care
Dr Richard Roope, RCGP/CRUK Clinical Champion for Cancer
Dr Pawan Randev, CRUK Primary Care Strategic GP Lead East Midlands

Medical Education | E3

So many PUNs, so little time: How to address DENs and demonstrate reflective practice for revalidation in one go
Every day, every member of the primary care team will encounter new facts, figures, treatments or diseases, often triggered in a consultation, that reveal knowledge gaps. This session will explore various methods of identifying, managing and meeting professional learning needs, both traditional and using new technology.


Chair: Dr Colin Hunter Chair, RCGP Trustee Board

Dr Dirk Pilat, RCGP Medical Director for e-Learning
Dr Clare Etherington, Clinical Lead, RCGP Membership by Assessment of Performance
Dr Susi Caesar, RCGP Medical Director for Revalidation

New Models of Care across the UK | E4

Ask the Chairs of the Devolved Councils: Put your questions on the new GP contracts and more…
With the landscape of general practice changing dramatically across the UK, this is a chance to seek the views of the three RCGP devolved council chairs on the new and proposed models of care, or indeed any topic affecting the working lives GPs and their patients.


Chair Professor Helen Stokes-Lampard Chair, RCGP Council
Dr Carey Lunan, Chair, RCGP Scotland
Dr Mair Hopkin, Joint Chair, RCGP Wales
Dr Grainne Doran, Chair, RCGP Northern Ireland

Campaigning for General Practice | E5

How to revitalise the GP partnership model
A summary and discussion of the work commissioned by NHS England and the Secretary of State for Health and Social Care to review the GP partnership model. What relevance does this work have for the future of general practice across the UK? Join chair of the review Dr Nigel Watson to discuss the findings of its interim report, due in September 2018.


Chair: Professor Martin Marshall Joint Vice Chair (External Affairs) RCGP Council

Dr Nigel Watson, Chief Executive, Wessex LMCs

Discovering General Practice | E6

Encouraging general practice as a positive career choice
A whole-system approach has been adopted in Leicestershire to promote general practice as a positive career choice to all. Their work with sixth form students, the local medical school and wider collaborative initiatives including an innovative Primary Care Elective Placement Programme, will provide an inspirational example for other regions to follow.


Chair: Dr Steve Mowle Honorary Treasurer, RCGP

Dr Anil Sood, GP, Reader in Medical Education, Leicester Medical School
Dr Mohammed Saqib Anwar, GP, Associate Medical Director, NHS England (Central Midlands)

Short Papers E: Research and Clinical

Chair: Dr Jonathan Leach Joint Honorary Secretary, RCGP

Risk of suicide after a cancer diagnosis in England. A population-based study Rachael Brock
Experiences of managing perinatal anxiety from the perspective of healthcare practitioners. A qualitative study Victoria Silverwood
Pharmacists in primary care – a solution to workload and workforce pressures? Benedict Hayhoe
Facilitators and barriers to the implementation of social prescribing. A qualitative study Julia Pescheny
Goal-setting in primary care for people with multimorbidity Nicholas Steel
Optimising access to general practice – understanding problems before determining solutions Jennifer Voorhees

CPD Essentials: Basic Life Support - Adult and Paediatric

Session fully booked

Friday 15.45 – 16.30

Refreshments, Exhibition and Poster Viewing

Friday 16.30 – 17.30

Quality Improvement | F1

The effective interface: an interactive session on improving the functioning of the GP-hospital interface
Issues at the interface will be tackled in this session using the RCGP Scotland toolkit and fun, innovative new methods. These include improving communication through drawing, and using granny’s forthcoming birthday to demonstrate the need for process mapping to understand whole system working.


Chair: Dr Carey Lunan Chair, RCGP Scotland

Dr Katherine McKenzie, Glasgow GP, Facilitator, RCGP Effective Interface Group
Mary Freel, Practice Manager, Glasgow
Dr Ken McLean, Retired GP, Forth Valley, Scotland

Clinical Learning | F2

Getting the most out of LFT testing: Knowing when to test and how to interpret and act on the results
Liver blood tests can be challenging to interpret. They may be normal even in advanced liver disease, and when abnormal the degree of abnormality may not reflect disease severity. Conversely they may be abnormal when there is no significant liver disease. This session will brief delegates on the latest guidance relevant to primary care.


Chair: Dr Steve Mowle Honorary Treasurer, RCGP

Dr Jeremy Thompson, Clinical Fellow, RCGP/British Liver Trust Liver Clinical Priority Programme
Dr Helen Jarvis, Clinical Fellow, RCGP/British Liver Trust Liver Clinical Priority Programme

Medical Education | F3

Balint – where are we? Looking at the present, divining the future
Balint groups help doctors to develop, using their evoked feelings in the service of the patient, by taking them seriously as clinical data. Delegates will hear about Balint’s work and how the groups function. Case studies will explore how the experience of supervision and leadership in Balint groups can have positive outcomes for GPs as they focus on the therapeutic relationship.


Chair: Professor Martin Marshall Joint Vice Chair (External Affairs) RCGP Council

Dr Suni Perera, GP, Balint Society Leadership Team
Dr Caroline Palmer, Retired GP, President, Balint Society
Dr Doris Blass, Retired GP, Psychoanalytic psychotherapist

New Models of Care across the UK | F4

How GPs in the four nations are transforming patient care with multi-disciplinary team working
This session will offer a UK perspective on the use of different healthcare professionals in the general practice team, with a focus on innovative work being undertaking in Wales. The discussion will cover the use and employment of paramedics, clinical pharmacists, physiotherapists and occupational therapists.


Chair: Dr Susan Gibson-Smith Medical Adviser, MDDUS

Elizabeth Czaban, Chair, RCGP Wales Patient Group
Dr Brendan Lloyd, Medical Director, Welsh Ambulance Services Trust
Andrew Evans, Chief Pharmaceutical Officer, Welsh Government

Campaigning for General Practice | F5

Would Einstein have made a good GP?
Specialist medicine is based on a mechanistic ‘Newtonian’ view of science, which disadvantages general practice. However, the revolution in scientific thought led by Einstein suggests that contemporary medicine should also reflect ideas from relativity and quantum mechanics. This session will explore how general practice already incorporates such ideas.


Dr Terry Kemple Immediate Past President, RCGP

Dr Roger Neighbour, Past President RCGP, author and communications expert

Discovering General Practice | F6

How we can all be the David Attenboroughs of the GP world: Role modelling in medical training
Role models play an important part in shaping the career choices of students. Using the example of Sir David Attenborough as an aspirational role model, this session provides an opportunity to share ideas, experiences and best practice of how good role modelling can be realised in the formal, informal and hidden curriculum of medical schools.

Session fully booked


Chair: Dr Colin Hunter Chair, RCGP Trustee Board

Dr Anna Ballinger, GP, University Community Clinical Teacher, Deputy Director of Quality, University of Liverpool
Dr David Longford, GP, Theme Lead for Patient in the Community Setting, University Community Clinical Teacher, University of Liverpool

CPD Essentials: Adult Safeguarding

Friday 17.45 – 18.45

Late Sessions

New curriculum topic: Long Term Conditions (including Cancer) – what does this mean for me and my practice?
The updated GP curriculum will include a new topic guide on Long Term Conditions (including Cancer), with teaching due to start in August 2019. It will include components on Care and Support Planning and in this session two training practices will show how they have adapted to introduce new GP registrars to the proactive social model of care for LTCs. Led by Dr David Paynton, Clinical lead for Commissioning, RCGP

Graphic design in general practice
Could primary care benefit from a focus on user experience from a design approach? From the usability of patient information leaflets and practice websites to the layout of workspaces, good design can make patients better informed, more at ease, promote self-care, and improve staff morale. This session will showcase examples of design in healthcare and discuss evidence-based healthcare design. Led by Dr Camille Gajria and Dr Claire Rees-Sewak

Adolescents’ health in vulnerable populations
Dr Marian Davis presents a reflection on the lives of young people in a variety of settings: a camp for Syrian refugees in Greece, a remote rural part of Uganda, and among the Rohingya in Bangladesh. She will also touch on the health challenges faced by looked-after children in the UK and how the GP can be a significant adult and improve outcomes in this group.

Welcome to international primary care
Ten RCGP International exchange delegates will present posters describing an aspect of their healthcare system or an interesting medical case, providing invigorating insights into primary care from across Europe and an opportunity to network with colleagues.

Friday 18.30 – 23.00

Conference Dinner and AiTs/First5 Reception

Both events take place at the Glasgow Science Centre and join together for a Ceilidh.
Full details and booking here