RCGP 2019

Conference programme

Friday 08.00 – 09.20

Registration, Refreshments and Exhibition

Friday 09.20 – 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.

Host: Professor Martin Marshall, Chair-elect, RCGP

Professor Helen Stokes-Lampard, Chair, RCGP
Dr Krishna Kasaraneni, Workforce Lead, GP Committee, BMA
Dr Rosie Benneyworth, Chief Inspector of General Practice
Dr Austin O’Carroll, Dublin GP, pioneer of care for homeless and GP training in deprived areas
Dr Jodie Blackadder-Weinstein, Chair, RCGP First5 Committe

Friday 10.30 – 11.30

Registration, Refreshments and Exhibition

Poster authors available: Audit, Education, Ethics, International, Quality Improvement

10.35 – 11.05 
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

Sponsored by LIVI

Location: Mini Theatre 1, Exhibition Hall

11.10 – 11.25
Sponsored Symposium
Safeguarding men with a raised PSA who have been ruled out of biopsy

Safeguarding men with a raised PSA who have been ruled out of biopsy (Sponsored by Prostate Cancer UK)

With the addition of mpMRI to the prostate cancer diagnostic pathway many men do not go on to have a biopsy when the mpMRI rules out a diagnosis. But how can we manage care for men who have a raised PSA and no diagnosis? This session will look at the guidelines produced by NICE and the ongoing work to determine how we can best safeguard men ruled out of biopsy on the prostate cancer diagnostic pathway.

Mr William (Bill) Cross, Consultant Urological Surgeon, Leeds Teaching Hospitals NHS Trust

Sponsored by Prostate Cancer

Location: Mini Theatre 2, Exhibition Hall

11.10 – 11.25 
Sponsored Symposium
How can we best help women with heavy menstrual bleeding (HMB)

How can we best help women with heavy menstrual bleeding (HMB) (Sponsored by Hologic)

– How HMB impacts women

– Applying NICE guidance

– Ensuring informed choice

Dr Anne Connolly, GPSI gynaecologist in Bradford, chair of the Primary Care Women’s Health Forum (PCWHF) and RCGP Clinical Champion for women’s health

Sponsored by Hologic

Location: Mini Theatre 1, Exhibition Hall

Friday 11.30 – 12.30

Clinical Learning | D1

Does what matters to patients matter to me?

The 2018 GP Survey included a new question for patients: if you live with long-term conditions, were you able to talk to a healthcare professional about what is important to you? Just under 40% said ‘yes’, suggesting that understanding what matters to patients is not yet common practice. In this session we will demonstrate the impact that shared decision-making, personalised care, support planning and health coaching, has had on interactions with patients and on outcomes.

Chair: Dr Victoria Tzortziou-Brown, Joint Honorary Secretary, RCGP

Professor Alf Collins, Clinical Director, Personalised Care Group, NHS England

Future of General Practice | D2

Primary Care Networks 1: Developments on the ground so far

PCNs are the latest structural development in primary care in England and this session will look at how the implementation is progressing, exploring what has happened since the NHS Long-Term Plan and GP contract framework were published, and the subsequent guidance and details. (See also the related session on PCNs at E2).

Chair: Professor Mike Holmes, Vice Chair, RCGP (Membership & International)

Ben Milton, PCN Clinical Director

Sam Khan, PCN Clinical Director

Raj Patel, NHSE

Richard Vautrey, BMA GPC

Medical Education | D3

Using the new RCGP curriculum to realise your potential through GP training

The new RCGP Curriculum will be launched in 2019 and this session will show its potential for enhancing and enthusing GP trainees and supervisors. Using practical examples, we will explore the new clinical material, structure and content to reflect the work of a modern GP, the curriculum as a flexible resource for new ways of learning, and how the curriculum aligns to workplace-based assessment, AKT, and CSA.

Chair: Dr Michael Mulholland, Vice Chair, RCGP (Professional Development)

Dr Steve Walter, RCGP Medical Director for Curriculum and Education

Dr Doug Hing, RCGP Curriculum Editor

Health and Wellbeing | D4

Five ways to wellbeing at work: Practical solutions to ‘relight your fire’

This energetic, positive and fun workshop will utilise music, humour and audience interaction to demonstrate evidence-based, practical tips and tools to prevent burnout and improve wellbeing in the GP workplace. These will focus on the five key ways to wellbeing (connect, take notice, be active, learn and give) and the audience will be facilitated to identify wellbeing goals to take forward for themselves and their team.

Chair: Professor Mayur Lakhani, President, RCGP

Dr Helen Garr, GP Health Service Clinical Lead. GP-S mentor. Nottinghamshire LMC Wellbeing Lead. PHE Clinical Champion Physical Activity.

Dr Lucy Loveday, GP Training Programme Director & Associate Research Fellow Regional Director for The British Society of Lifestyle Medicine

Health and Wellbeing | D4

Greener practice: Engaging general practice to improve the health of patients and planet

This session will consider how the climate crisis is a health issue and link action on climate change with tackling lifestyle-related illness, air pollution, de-prescribing and mental health. We will encourage you to consider how activated you feel in terms of environmentally sustainable practice and what may help you move forward. We will discuss our experience of developing the Greener Practice grassroots movement to support your ideas for action. Delegates will also be able to add a leaf pledge to a climate tree sculpture.

Chair: Dr Carey Lunan, Chair, RCGP Scotland

Dr Aarti Bansal, GP, Chair of Greener Practice, Clinical Teacher, University of Sheffield, NIHR In-Practice Fellow, HYMS

Dr Honey Smith, GP, member of Greener Practice, GP undergraduate tutor

Dr Ollie Hart, GP, NHS Sheffield lead for person-centred care and physical activity

Quality Improvement | D6

How we have maintained quality of care in Scotland without QOF – or have we?

The session will explore the different methodologies of quality improvement in healthcare and compare these to how we have created quality improvement systems in Scotland without QOF. Does the format created hold true to what quality doctrine would suggest is the best method? Does it matter that we don’t have QOF? We will assess the pros and cons of a non-QOF driven method for quality improvement.

Chair: Dr Scott Jamieson, RCGP Scotland Executive Officer (Quality Improvement)

Discover General Practice

Finding your Inner Leader

Leadership, like chicken pox, is best caught young. In this session with Dr Roger Neighbour, participants near the start of their careers will explore the overlap between good doctors and good leaders, and draw encouragement to develop their own leadership potential.

Session intended for medical students and foundation doctors

Dr Roger Neighbour, GP Communication Expert

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

Jenny Aston QN Advanced Nurse Practitioner and ILS Resuscitation Council trainer

Short Papers 7

Service Delivery

Chair: Dr Jonathan Leach, Joint Honorary Secretary, RCGP

Developing an integrated epilepsy service in primary care – initial 12 month outcomes, David Kerbel

Demands of life as a General Practitioner in 2017: An exploratory qualitative interview study, Catherine Neden

Deteriorating Patients: An introduction for GP reception staff, Simon Stockley

Innovation Labs in General Practice, Talac Mahmud

What do GPs identify as support and resource needs when caring for communities affected by FGM? A qualitative research study, Sharon Dixon

Short Papers 8

Quality Improvement, International

Chair: Dr Mark Free, South London Faculty representative, RCGP Council

How Quality Improvement methods can be used to deliver productive workflows at-scale for the Five Year Forward Plan, using Document Management as a case study, Omar Din

Improving the Risk Identification of Type 2 Diabetes in High Risk Population, Eshen Ang

Increasing sign-up rates to the Faecal Occult Blood test in patients aged over 60 in general practice, Ekta Sharma

Newham Improvement Champions – An Interdisciplinary Collaborative Approach to Improvement in Primary Care, Zenobia Sheikh

Am I a door opener or a gatekeeper? What can we learn from Primary Care in Austria & Germany to improve cancer outcomes in the UK? Emma Hirons

Developing quality general practice in Myanmar, Sonny Aung

Friday 12.30 – 13.45

Lunch, Exhibition, Poster Viewing and Sponsored Symposia

Poster authors available: Adolescent Health, Clinical, Emerging Technology, Innovation, Research, Service Development

12.40 – 12.55 
Sponsored Symposium
Acne management in the era of antimicrobial stewardship

Acne management in the era of antimicrobial stewardship (Sponsored by L’Oreal)

This presentation outlines the recognition of the sub-types of acne and lesion recognition in order to treat appropriately in the era of antibiotic resistance avoidance. Cases will be discussed with participation from the audience on how best to treat the different presentations of acne with relevance to primary care guidelines.

Dr. Aysha Javed

Sponsored by CeraVe and La Roche-Posay

Location: Mini Theatre 2, Exhibition Hall

12.40 – 13.25
Sponsored Symposium
COPD – Making it Personal

COPD – Making it Personal (Sponsored by Chiesi)

What’s new in the management of COPD. Update on latest guidelines. Personalising management of COPD.

Stephen Gaduzo

Sponsored by Chiesi

Location: 11 b&c

13.05 – 13.20
Sponsored Symposium
How can we best help women with heavy menstrual bleeding (HMB)

How can we best help women with heavy menstrual bleeding (HMB) (Sponsored by Hologic)

– How HMB impacts women
– Applying NICE guidance
– Ensuring informed choice.

Dr. Anne Connolly, GPSI gynaecologist in Bradford, chair of the Primary Care Women’s Health Forum (PCWHF) and RCGP Clinical Champion for women’s health

Sponsored by Hologic

Location: Mini Theatre 1, Exhibition Hall

Discover General Practice

Enhancing undergraduate general practice

12:45 – 13:30, Room 3b

Discuss how general practice can best contribute to the undergraduate medical curriculum and find out about recent guidance on teaching general practice in medical schools produced in collaboration between the RCGP and the Society for Academic Primary Care (SAPC).

Prof. Joe Rosenthal, Chair of SAPC Heads of Teaching Group

Dr. Ben Jackson, Director of Primary Care Teaching, Sheffield Medical School

Prof. Amanda Howe, RCGP President-Elect

Friday 13.45 – 14.45

Clinical Learning | E1

Spot diagnosis: Skin lesions and inflammatory dermatoses

The first half of this session will be an overview on lesions to assist in the diagnosis of skin cancer. The second half will focus on case presentations of inflammatory skin conditions, which will aid clinicians in both diagnosis and management. The speakers will also direct the audience to useful dermatological learning resources.

Chair: Dr Mark Free, South London Faculty representative, RCGP Council

Dr Timothy Cunliffe, GPwER in Dermatology and Skin Lesion Management

Dr Ruth Murphy, President of the British Association of Dermatology, and Consultant Dermatologist

Future of General Practice | E2

Primary Care Networks 2: How do PCNs fit into the wider system?

This second session on PCNs (see D2) will examine how the new networks are working within the wider health and care landscape, using examples from integrated care systems. For example, we will discuss how relationships and engagement were facilitated across the system, how needs were identified, and how community engagement informed developments.

Chair: Professor Helen Stokes-Lampard, Chair, RCGP

Nina Pearson 

Professor Mike Holmes

Karen Kirkham

Medical Education | E3

Sharing understanding with patients – challenges and new approaches

Much has been said about the barriers to shared decision-making, including the need for new consultation skills and a lack of time, continuity and tools. This session will concentrate on practical approaches for learning and increasing the involvement of patients, exploring the challenge of applying theory to practice, and delegates will be invited to join an email group to take forward this work.

Chair: Professor Nigel Mathers, Chair of Trustee Board, RCGP

Professor Richard Lehman, Professor of the Shared Understanding of Medicine, University of Birmingham

Professor Neal Maskrey, Honorary Professor of Evidence-informed decision making at Keele University

Dr Sam Finnikin, GP and Clinical Research Fellow, University of Birmingham

Health and Wellbeing | E4

Supporting staff, student and trainee mental wellbeing

The Health Education England Staff and Learners’ Mental Wellbeing Commission identified practical steps that can help support wellbeing and sustainable careers. This session includes a brief summary of the issues and their scale, enabling delegates to identify with the causes and effects of distress and mental ill-health, and will then move onto practical solutions focused on improving work and the working environment.

Chair: Dr Carey Lunan, Chair, RCGP Scotland

Dr Teresa Hewitt-Moran, GP and Deputy Medical Director, HEE

Dr Hatim Abdulhussein, National Medical Director’s Clinical Fellow, HEE

Simon Gregory, GP and Deputy Medical Director, HEE

General Practice Communities | E5

Dragon’s Den: The RCGP International global health competition

Like the popular BBC TV series of the same name, this fun session sets up a quickfire pitching of global health projects to be judged by ‘dragons’ from the RCGP international executive and community. There will be a call for submissions prior to conference and the top five submissions will compete for the title of ‘Best Global Health Project’.

Chair: Dr Cemal Kavasogullari, Deputy Chair, Junior International Committee, RCGP

Sonia Tsukagoshi, Chair Junior International Committee

Aya Ayoub, Secretary Junior International Committee

Quality Improvement | E6

Dragon’s Den: The RCGP International global health competition

What do young people say about their lives and the effect of living with violence? Hear them speak in this session from the Liverpool Youth Violence Intervention programme, where a panel will present the steps taken to address this growing problem, including basing a youth worker in A&E. Learn about a psycho-social health model shown to positively impact on the cycle of serious violence, and a road map to support development in other localities.

Chair: Dr Steve Mowle, Honorary Treasurer, RCGP

Dr Jane H Roberts, GP, Liverpool CCG Clinical Lead Mental Health

Lisa Cooper, Director Children & Young People Community & Mental Health Division Alder Hey Children’s NHS Foundation Trust

Alan Walsh, Senior Youth Worker, Anfield Boxing Club

Discover General Practice

Generation Innovation

How can innovation and technology improve general practice for tomorrow’s GPs? Join an illustrious panel of GPs to debate and discuss how the specialty can take advantage of innovations to better equip the GPs of the future.

Session intended for medical students and foundation doctors

Chair: Dr Anthony James, RCGP AiT Lead North & West London, Health Adviser, Pink News

Dr Michael Mullholland, RCGP Vice Chair for Professional Development

Professor Martin Marshall, RCGP Chair-Elect

CPD Essentials

Basic Life Support

Jenny Aston QN Advanced Nurse Practitioner and ILS Resuscitation Council trainer

Short Papers 7

The Winning Posters 2019

Chair: Dr Grainne Doran, Chair, RCGP Northern Ireland

The authors of this year’s winning posters give short presentations on their work and methods.

Friday 14.45 – 15.00

Comfort Break

Friday 15.00 – 16.00

Clinical Learning | F1

Rapid update on common infections: incorporating NICE/PHE guidelines into daily practice

This session aims to provide a rapid update and empower prescribers when managing common infections, based on NICE/PHE guidance. It will identify the key issues and updates in prescribing guidance, including those for ENT, respiratory and urinary tracts. The session will start by exploring the challenge for prescribers in risk management and antimicrobial stewardship, highlighting some of our cognitive biases.

Chair: Dr Jonathan Leach, Joint Honorary Secretary, RCGP

Dr Tessa Lewis, GP, medical adviser, chair NICE Managing Common Infections Committee

John Morris, Lay member NICE Managing Common Infections Committee

Dr Caroline Ward, GP, member NICE Managing Common Infections Committee

General Practice Communities | F5

Safe Surgeries Initiative: Improving access for vulnerable migrants

The Safe Surgeries Initiative grew out of a study in which 1,717 patients, mostly asylum seekers and undocumented migrants, attempted to register at practices in England. We will discuss the findings of the study, address entitlement to primary care and the barriers encountered by marginalised groups in accessing NHS care.

Chair: Dr Steve Mowle, Honorary Treasurer, RCGP

Dr Karishma Singh, GP, former Safe Surgeries Champion (Manchester)

Dr Katherine Taylor, GP, Health adviser at Doctors of the World UK and former Safe Surgeries Champion (London)

Dr Elizabeth Bates, GP, Safe Surgeries Champion (Birmingham)

Quality Improvement | F6

The Daffodil Standards: A QI tool for end of life care in general practice

The RCGP/Marie Curie Daffodil Standards are an evidence-based QI tool for general practice to improve the quality of care for those with advanced serious illness and end of life care needs, and those close to them. The session will demonstrate practical ways to get started in what can seem a daunting area, helping practices to deliver step-by-step improvements in patient care.

Chair: Professor Mayur Lakhani, President, RCGP

Dr Catherine Millington-Sanders, RCGP/Marie Curie Clinical Champion End of life care

Dr Rachael Marchant, RCGP/Marie Curie clinical support fellow for end of life care

Discover General Practice

In conversation with the ultimate portfolio GP

Session intended for medical students and foundation doctors

Dr Jodie Blackadder-Weinstein, Lecturer Academic Department Military general Practice, RCGP First 5 National Chair

CPD Essentials

Child safeguarding: Level 3

Dr James Burden, Named Doctor for Child and Adult Safeguarding, Coventry and Rugby CCG

Friday 16.00 – 16.45

Refreshments, Exhibition and Poster Viewing

Friday 16.45 – 17.30


The John Hunt Lecture
‘Social Justice, Health Equity and the Social Determinants of Health’

Professor Sir Michael Marmot, Director of the Institute of Health Equity (UCL Department of Epidemiology & Public Health)

Host: Professor Mayur Lakhani, President, RCGP

Friday 17.45 – 18.45

Is declaring interests sufficient to address potential conflicts?

This session will explore conflicts of interests, their declaration and management. The new College policy on DOI will be launched and issues around its practical application will be discussed. Delegates will have an opportunity to debate and shape the way the policy is implemented.

Dr Victoria Tzortziou-Brown, RCGP Joint Honorary Secretary

Dr Margaret McCartney, RCGP Overdiagnosis Group and member, Ethics Committee

Dr Jane Wilcock, Chair RCGP Overdiagnosis Group

Prof Simon Gregory, Chair RCGP Committee of Medical Ethics

Patient voice: How patients across the UK work with RCGP to tackle workload, contract change and more

We will use the work of the RCGP’s patient engagement groups to show how the voices of patients and GPs can come together to tackle the challenges facing the profession.

GP Consultant Exchange

More than 200 GPs and consultants have been paired in Wessex to better appreciate the different challenges they face, resulting in local quality improvement and innovation in patient care.

Dr Pritti Aggarwal, Southampton City Clinical Commissioning Group Board Member, UK; Primary Medical Care Module Lead, University of Southampton, UK; GP Partner, Living Well Partnership, Southampton, UK

Dr Sally Ross, NHSE GP Clinical Advisor, UK, GP Facilitator for Wessex, UK, Portfolio GP UK.

Early career research opportunities for GP trainees and First5s

This interactive workshop promotes early career research opportunities available in general practice to inform, inspire and empower delegates.

Dr Ebrahim Mulla, Academic Clinical Fellow, University of Nottingham

Dr Asiya Maula, In-Practice Research Fellow, University of Nottingham

Dr Bernadeta Bridgwood, Academic Clinical Lecturer, University of Leicester

International Perspectives: Insights into primary care in Japan

As part of an established conference exchange programme between the UK and Japan, you will hear presentations from three Japanese doctors about examples of practice from Japanese primary care. As an emerging new system of primary care, this session provides an exciting opportunity to compare and contrast our primary care systems and promote learning.