Conference programme 2019
Thursday 08.00 – 09.20
Registration, Refreshments and Exhibition
Thursday 09.20 – 10.10
Plenary
President’s Welcome: Professor Mayur Lakhani, President, RCGP
Chair’s Address: Professor Helen Stokes-Lampard, Chair, RCGP
Dame Clare Marx, Chair, General Medical Council
Thursday 10.10 – 11.00
Registration, Refreshments and Poster Viewing
Poster authors available: Adolescent Health, Clinical, Emerging Technology, International, Research
Thursday 11.00 – 11.40
Plenary
Ministerial Address (live video link): Matt Hancock, Secretary of State for Health and Social Care, England
Professor Becky Malby, Professor in Health Systems Innovation, London South Bank University
Thursday 11.45 – 12.45
Clinical Learning | A1
Simple and safe prescribing of HRT for primary care
The menopause is a natural process that occurs in all women and menopausal women have an increased risk of heart disease, osteoporosis, type 2 diabetes, osteoarthritis and dementia.But they are still not being offered HRT despite evidence to support that the benefits outweigh the risks in the majority of women. Clinical cases will be discussed to demonstrate the simplicity of safe and effective HRT prescribing in primary care, dispel myths and give practical tips.
Chair: Dr Michael Mulholland, Vice Chair, RCGP (Professional Development)
Dr Louise Newson, GP Menopause Specialist, West Midlands
Future of General Practice | A2
Modernising primary care – transforming the service across the UK
An update on the innovations and transformations being embedded in primary care across the UK to modernise, meet the healthcare demands of an ageing and growing population and ensure the NHS is sustainable. We aim to encourage debate around innovations in general practice, the role of GPs now and in the future and the best ways to introduce creative ways of working to ensure sustainable workload for GPs and their teams.
Chair: Professor Martin Marshall, Chair-elect RCGP
Dr Carey Lunan, Chair, RCGP Scotland
Dr Grainne Doran, Chair, RCGP Northern Ireland
Dr Mair Hopkin, Joint Chair, RCGP Wales
Campaigning for General Practice | A3
Championing general practice through blogging, podcasts and social media
General practice can be isolating, and the constant pressure can make even thinking about making changes difficult. Podcasts, blogging and the use of social media are building connections between GPs. Positive vision and ambition for general practice needs to be communicated and this session will share powerful examples of how GP can use social media to challenge thinking, share ideas, and promote new and innovative ways of working.
Chair: Dr Victoria Tzortziou-Brown, Joint Honorary Secretary, RCGP
Dr Jonathan Griffiths, GP Chair NHS Vale Royal CCG
Dr Hussain Gandhi, GP, owner of eGPlearning and eGPlearning Podblast
Ben Gowland, Director at Ockham Healthcare and presenter of General Practice Podcast
Research & Innovation | A4
Next Generation GP: a new generation of primary care leaders
Next Generation GP was founded by three GP trainees in 2017. It aims to energise, engage and empower future GP leaders through a six-month, fully funded programme for trainees and early career GPs, and has grown to a movement of over 950 participants in 20 cities. This session is an opportunity to learn from our experiences, join a discussion on how to engage trainees and early careers GPs in leadership, and to hear the personal perspectives of senior GP leaders.
Chair: Professor Mike Holmes, Vice Chair, RCGP (Membership & International)
Dr Rebecca Fisher, GP, National Lead, Next Generation GP
Dr William Owen, GP Trainee, National Lead, Next Generation GP
Prof Dominic Patterson MSc FRCGP, Primary Care Dean and Acting Deputy Dean, Vice-chair, COGPED, Visiting Professor, School of Medicine, University of Leeds
AiT and First5 Focus | A5
Making my appraisal something I look forward to (because of its value to me and my patients)
Next Generation GP was founded by three GP trainees in 2017. It aims to energise, engage and empower future GP leaders through a six-month, fully funded programme for trainees and early career GPs, and has grown to a movement of over 950 participants in 20 cities. This session is an opportunity to learn from our experiences, join a discussion on how to engage trainees and early careers GPs in leadership, and to hear the personal perspectives of senior GP leaders.
Chair: Professor Amanda Howe, President-elect, RCGP
Dr Susi Caesar, RCGP Medical Director for Revalidation
Dr Clare Etherington, RCGP Medical Director for MAP
Dr Sapna Agrawal, AiT Learning Lead
AiT and First5 Focus | A5
Standards: Making a digital healthcare system a reality
The Professional Record Standards Body develops standards for care records that are the backbone to digitising the NHS. This session looks at what has been achieved so far, before focusing on three key topics impacting GPs: learnings from the first wave of local health and care records, the medication reconciliation standard, and online child health records. We will also explore with GPs how online records can be made more accessible.
Chair: Professor Mayur Lakhani, President, RCGP
Professor Maureen Baker, Chair, Professional Record Standards Body, Immediate Past Chair, RCGP
Discover General Practice
Academic GP 101
Shining a light on academic general practice. Find out about academic pathways and opportunities available to students and foundation doctors.
Session intended for medical students and foundation doctors
Dr Dipesh Gopal, Honorary Clinical Research Fellow in General Practice, Queen Mary University
Dr Euan Lawson, Director of Primary Care Academic Teaching, Lancaster University
Dr Jodie Blackadder-Weinstein, Lecturer, Academic Department Military General Practice RCGP First 5 National Chair Academy Doctor, Birmingham City Football Club Education Lead, British Society Lifestyle Medicine
CPD Essentials
Academic GP 101
Dr James Burden, Named Doctor for Child and Adult Safeguarding, Coventry and Rugby CCG
Session intended for medical students and foundation doctors
Short Papers 1
Audit or Practice Survey, Clinical
Chair: Dr Mark Free, South London Faculty representative, RCGP Council
An audit of monitoring of Direct Oral Anti-Coagulants (DOACs) in primary care, Zong Xuan Lee
Too eager to test? A trust-wide audit of B12 testing indications and results, Roisin O’Kane
An Audit of the management of patients with a diagnosis of Hepatitis C in an urban GP Surgery, Katrina Watson
Pregabalin in primary care: an audit of renal dosing and substance misuse, Chloe MacInnes
GPs’ resilience in the management of NHS England complaints process and support needed to strengthen it, Olivia Jagger
Emergency Inhaled Treatment Packs for Asthma and COPD, Duncan Keeley
Short Papers 2
Research
Chair: Dr Jonathan Leach, Joint Honorary Secretary, RCGP
Achieving equilibrium: Patient perspectives on feeling ready to withdraw from long-term antidepressants, Megan Warinton
Expanding electronic health record database coverage in the UK: the CPRD Aurum research data resource, Achim Wolf
CARer-ADministration of as-needed sub-cutaneous medication for breakthrough symptoms in homebased dying patients: a UK study (CARiAD), Marlise Poolman
Educational weight loss interventions in obese and overweight adults with type 2 diabetes: a systematic review of randomised controlled trials, Asiya Maula
Shared decision making for cardiovascular health conditions, Rachel Johnson
Stroke knowledge in South Asian communities. Do they ‘Act FAST’? Dawn Coleby
Thursday 12.45 – 14.00
Lunch, Exhibition, Poster Viewing and Sponsored Symposia
Poster authors available: Education, Innovation, Quality Improvement
13.00 – 13.30
Sponsored Symposium
Webside manner: Lessons in how to deliver care in a digital age
Webside manner: Lessons in how to deliver care in a digital age (Sponsored by LIVI)
Dr. Harriet Bradley
Location: Mini Theatre 2, Exhibition Hall
13.00 – 13.45
Sponsored Symposium
“What matters to you?” The Scottish approach to GP recruitment and retention
“What matters to you?” The Scottish approach to GP recruitment and retention (Sponsored by NHS Scotland/ Scotland is now)
Join us for an informal and interactive discussion to hear directly from GP’s about the values driven approach we are taking to GP recruitment and retention in Scotland. Taking time to really listen to GP’s at all stages of their career, and using what we have heard to help shape sustainable GP and portfolio careers that matter to you, we will share our journey so far- the joys and the challenges!
Dr. Michelle Watts, Dr. Sian Tucker, Dr. Shawkat Hasan
Location: Room 11b&c
13.00 – 13.45
Sponsored Symposium
“When is the right time to start GLP1-RA treatment in people living with type 2 diabetes”
“When is the right time to start GLP1-RA treatment in people living with type 2 diabetes” (Sponsored by Novo Nordisk)
Many people living with type 2 diabetes are escalated from oral therapies to basal insulin. Approximately 87% of patients starting on basal insulin skipped the GLP-1 RA* class altogether 1 without trying a GLP-1 RA class first. GLP-1 RA therapies offer glycaemic control, have a lower risk of hypoglycaemia and are associated with reductions in body weight compared with weight gain with insulin, with the added benefit of some GLP-1 RAs allowing for once weekly injections, as opposed to daily for insulin. 2,3. Based on these considerations, international guidelines suggest to consider a GLP-1 RA before trying basal insulin for patients with type 2 diabetes who are not meeting desired targets with oral therapies. 4,5 In this symposium we shall explore the:
- extent of the burden of T2D on the NHS
- latest evidence-based recommendations in managing T2D
- the role of GLP-1 RA therapy in the multi-modal treatment of T2D
- considerations when choosing GLP-1 RA or basal insulin
Dr Nithya Nanda
Sponsored by Novo Nordisk
Location: Room 11b&c
13.00 – 13.30
Sponsored Symposium
Malnutrition to improve lives and save money
Malnutrition to improve lives and save money (Sponsored by Nutricia Advanced Medical Nutrition)
This session will review the importance of considering nutrition across the spectrum of primary care. It will highlight the importance of identifying and managing malnutrition, especially in frail older patients. It will look at the clinical and financial consequences of malnutrition and the effects on outcomes. The session will review the evidence and give practical advice and tools on identifying and managing malnutrition in a cost effective way.
Dr. Trevor Smith is a Consultant Gastroenterologist at University Hospital Southampton NHS Foundation Trust
Sponsored by Nutricia Advanced Medical Nutrition)
Location: Room 3a
13.35 – 13.50
Sponsored Symposium
PSA: Best Practice
PSA: Best Practice (Sponsored by Prostate Cancer UK)
This session will give a brief overview of the prostate cancer diagnostic pathway and provide an explanation of procedures for managing raised PSA
Professor Michael Kirby FRCP, Editor Trends in Urology & Men’s Health
Sponsored by Prostate Cancer UK)
Location: Mini Theatre 1, Exhibition Hall
13.35 – 13.50
Sponsored Symposium
Diagnosis and Management of Venous Eczema
Diagnosis and Management of Venous Eczema (Sponsored by L’Oreal)
Venous eczema is a common chronic condition which affects approximately 20% of adults over the age of 70. It has a significant impact on healthcare resources, particularly those in the community, and is often misdiagnosed and mismanaged. The points below will be addressed to try to decrease the sequelae that occur without good effective management. Key learning points will be:
Recognition
Management
Pitfalls of treatment
Sequelae
Dr. Kate London
Location: Room 3a
Thursday 16.00 – 17.00
Clinical Learning | C1
Diagnosing cancer earlier – with a focus on bowel and lung cancer
Every GP wants to catch cancer early. This session will focus on early diagnosis of cancer particularly bowel and lung cancer where there is evidence that improvements in outcomes are possible. The session will discuss an overview of cancer in the UK, focus on how we can diagnose lung cancer earlier, discuss FIT testing for screening and for symptomatic patients and the differences. Finally we will discuss new pathways including lung health checks, cancer early diagnosis and the English GP contract, and what this means for Primary Care Networks and the QOF, as well as the national cancer diagnosis audit.
Chair: Dr Jonathan Leach, Joint Honorary Secretary, RCGP
Dr Richard Roope, RCGP/CRUK Clinical Champion for Cancer
Dr Rachael Marchant, RCGP/CRUK clinical support fellow for cancer
Dr Mat Callister, Consultant Respiratory Physician, Leeds Teaching Hospital
Future of General Practice | C2
Not too big to fail: Inspecting and supporting primary care at-scale organisations
GP practices are increasingly encouraged to collaborate to realise the potential benefits of working at scale, both for patients and themselves. Following completion of the CQC pilot inspection programme for primary care at scale, this session will update delegates on some of the challenges faced by these new organisations, many of which will resonate with smaller practice teams across the UK, and how best to support them.
Chair: Professor Martin Marshall, Chair-elect RCGP
Dr Pauline Foreman, Medical Director Primary Care Development, RCGP
Dr Janet Hall, GP and CQC National Clinical Adviser for Central Region and Primary Care at Scale
Future of General Practice | C2
Hack general practice
Learn how to use your experience as a GP to influence the government… You’ll hear from former MP and campaigner Dr Evan Harris on how he went from being a doctor to a political lobbyist – and the tips he picked up on the way. You’ll also hear from the RCGP Chair on how she has tried to change things for the better in general practice. Then you’ll try hacking a hot political issue of the day, working in a team to create a plan for influencing government and presenting it back to our panel.
Chair: Professor Helen Stokes-Lampard, Chair, RCGP
Dr Evan Harris, Political consultant, former MP and Lib Dem health spokesperson
Dr Ebrahim Mulla, Vice Chair, RCGP AiT Committee
Research & Innovation | C4
Winners’ Enclosure: RCGP research award winners
Delegates will hear presentations from the category winners of the RCGP Research Paper of the Year Award and the Yvonne Carter Award for Outstanding Early Career Researcher, as well as the presentation of the RCGP NIHR Clinical Research Awards.
Chair: Professor Carolyn Chew-Graham, Chair, Scientific Foundation Board, RCGP
Toto Grunland, PPI representative on SFB
Bruce Guthrie
Maria Panagioti
Dr J Rosenthal
Emma Wallace
Dr Miriam Santer
AiT and First5 Focus | C5
How to make an irresistible peer group!
Peer groups help meet learning needs, and peer support and pastoral care is also a valuable outcome of peer groups that can help reduce the professional isolation felt by many First5 GPs. This interactive session uses insights from education theory and social media to help you create effective peer events. Be prepared to have a go at chairing a session, promoting an event, and eliciting feedback.
Chair: Dr Jodie Blackadder-Weinstein, Chair, RCGP National First5 Committee
Dr Camille Gajria, GP, teaching fellow Imperial College London, Honorary Secretary RCGP North & West London faculty
Dr Lynsey Yeoman, GP partner, undergraduate tutor Glasgow, First5 co-lead West Scotland
Dr Ula Chetty, GP, medical educator, former UK Vasco De Gama lead
AiT and First5 Focus | C5
Healthy Living: A new online platform to support self-management for people with Type 2 diabetes
The NHS Diabetes Programme is launching an online platform to provide adults with Type 2 diabetes the skills to better self-manage their condition by improving access to high quality online education. Healthy Living was evaluated in an NIHR-funded trial which demonstrated significant improvements in HbA1c levels. Delegates will learn about the new tool, how it aligns to existing structured education courses and how they can refer patients on to it – empowering patients and supporting the sustainability of the NHS.
Chair: Dr Mark Free, South London Faculty representative, RCGP Council
Professor Jonathan Valabhji, National Clinical Director for Diabetes and Obesity, NHS England, Consultant Diabetologist, Imperial College Healthcare NHS Trust, Professor of Practice (Diabetes)
Ben McGough, Digital Workstream Lead, NHS Diabetes Programme
Dr Chirag Bakhai, GP, Clinical Director at Luton CCG, Primary Care Lead for the East of England Diabetes Clinical Network, Adviser to NHS Diabetes Programme
Discover General Practice
The portfolio puzzle – assembling pieces to a portfolio career
Session intended for medical students and foundation doctors
Dr Anthony James (Chair), RCGP AiT Lead North & West London, Co-organiser, TedxNHS; Health Adviser, Pink News
Dr Sandip Pramanik, GP Director Attenborough Surgery, GP trainer, RCGP Discover GP Champion
Dr Duncan Shrewsbury, Senior Lecturer in GP, Brighton & Sussex Medical School
Dr Victoria Tzorziu-Brown, RCGP joint honorary secretary, GPwSI sports & exercise medicine, researcher at Barts & the London
Dr Becks Owen, Senior policy fellow, the Health Foundation co-founder and lead organiser of Next Generation GP
Dr Richard Ma, GP trainer, NIHR research fellow Imperial College
Dr Will Owen, GP trainee, clinical fellow at NHS England and Improvement lead organiser Next Generation GP
Dr Manpreet Bains, GP Hillingdon, GP adviser at Imperial College Health Partners
Dr Lucia Magee, Academic GP Trainee, National Medical Director’s Clinical Fellow at NHS England and Improvement
CPD Essentials
Adult safeguarding: Level 3
Dr Joy Shacklock, RCGP Clinical Champion Good Practice Safeguarding, Named GP for Child and Adult Safeguarding, Harrogate and Rural District CCG
CPD Essentials
Basic Life Support (including AED)
Jenny Aston QN Advanced Nurse Practitioner and ILS Resuscitation Council trainer.
Short Papers 5
Innovation, Emerging Technologies
Chair: Dr Mair Hopkin, Joint Chair, RCGP Wales
A Career Pathway and Competency Framework for the Non-clinical Workforce – rebalancing clinical workload and supporting patient care, Jacqueline Tavabie
Social Prescribing for Physical Activity in Primary Care settings: –exploring the impact of a London medical school core assignment, Ann Wylie
Integrated care is a reality in Islington – A proactive identification and intervention service for people with moderate frailty, Craig Seymour
Improving cacpacity and patient access in General Practice, Arfon Williams
Raising the level of consultations: The role of the standing desk for the next generation of GPs, Elizabeth James
Targeting Acute Kidney Injury (AKI) to improve patient safety: Initial steps to creating a Learning Healthcare System, Jung Yin Tsang
Short Papers 6
Research, Ethics, Education
Chair: Professor Nigel Mathers, Chair of Trustee Board, RCGP
Early diagnosis of Sepsis in an Irish General Practice Out-of-Hours (GP-OOH) service: Assessing documentation of vital signs, Diarmuid Quinlan
Ascertainment and prevalence of post traumatic stress disorder (PTSD) in people with intellectual disabilities, John Daveney
Cluster randomisation of prescribing policy for comparative effectiveness research in primary care – the EVIDENCE pilot study, Amy Rogers
Do digital interventions for parents of children with acute illnesses improve treatment seeking behaviour? Emily Donovan
A practice relevant curriculum for ethics in primary healthcare, Andrew Papanikitas
Structured educational event for patients at high risk of type 2 diabetes mellitus at Cuckoo Lane Practice, Hanwell, W. Walton
Thursday 17.15 – 18.15
Late Sessions
Your local RCGP in the primary care community
Our aim is to empower RCGP Faculties to realise their potential as the local interface of RCGP, through engaging local influencers and collaborating with and supporting the wider primary care profession.
Communication skills training for working with adults with learning disability
This demonstration session includes actors from the Hijinx Academy in Cardiff (all having a learning disability or diagnosis of autism) who will showcase good practice in relation to communication skills for GPs. www.hijinx.org.uk
Dr Robert Colgate, Consultant Psychiatrist
Making sense of young people’s use of social media: Do we all need a digital detox?
We will explore the risks and benefits of social media and provide pragmatic advice for GPs to give to parents – and to guide their own children.
Quality Improvement through resilient peer group support
How peer support can sustainably improve the quality of care of patients whilst improving the experience of health care professionals, drawing on international and UK examples.
Chair: Dr Helen Crawley, International Medical Director for SSE Asia
Felicity Knights, First5 GP
Sonny Aung, RCGP Clinical Lead Myanmar
Sonia Tsukagoshi, Chair RCGP Junior International Committee