Day 2
Opening plenary
09:00 - 10:00
Welcome talks
Opening plenary - Dr Aziza Sesay, GP, Educator and Honorary Senior Clinical Lecturer
Fireside chat: 'A Fortunate Woman: A Country Doctor’s Story'
Dr Rowena Christmas, Chair, RCGP Wales
Polly Morland, Writer and documentary maker
10:10 - 10:55
10:10 - 10:55
5.1 Stop and think: enhancing clinical reasoning in practice
Health Inequalities
45 minutes
We will discuss how doctors reason in practice and share common examples of biases that affect our reasoning, the impact they have on patients, and ways to mitigate against these. We will introduce a novel framework, ‘Stop and Think’, and using authentic case-based examples, show the relevance and impact of asking ourselves questions from the framework to support clinical reasoning during a consultation (reflection in-action) as well as afterwards (reflection-on-action ). We will also discuss how we can use questions from the framework to approach challenges related to learners’ clinical reasoning in practice.
Speakers:
Dr Sian Powell, Deputy Director Undergraduate primary care education, Imperial College London
10:10 - 10:55
5.2 Can you navigate your way to a GP appointment: an escape room challenge embedded in research into GP access systems
Research & Innovation
45 minutes
We present an interactive escape room style small group activity exploring the challenges of navigating GP appointment systems, based on findings from our recent NIHR funded study of access to general practice – Access to general practice: Innovation, impact and sustainable change.
Using a series of “fiendish” puzzles, we show that while triage systems to get an appointment can seem simple they may be very difficult for some patients, especially when they are unwell. People trying to access general practice may have time constraints in addition to individual and social factors that make using access systems challenging. We reflect on potential equity and system level implications.
Speakers:
Dr Sharon Dixon, NIHR Doctoral Research Fellow and General Practitioner, University of Oxford
Professor Catherine Pope, Professor of Medical Sociology, University of Oxford
10:10 - 10:55
5.3 Advance care planning: A masterclass for frailty and ordinary dying
CPD: Clinical Topics
45 minutes
Recognising “ordinary dying” is a core skill in general practice, which often provides families with much valued care of their loved one at the end of their life and is equally rewarding for many GPs.
Primary and Community Care deliver the majority of end-of-life care outside of hospital. In this session, we will explore how fragmentation of care can threaten this important relationship, and how primary care has a role in both recognising supporting terminal care for older people in the community.
We will revisit the Gold Standards Framework evidence and provide a useful framework for recognising a deterioration due to frailty how to write an advance care plan with a difference.
Speakers:
Dr Alison Lea, Clinical Lead for Leadership Programmes, RCGP
Dr Holly Paris, Complex Care GP, Pier Health Group
Dr Deb Gompertz, GP with Extended Role in Frailty, Somerset FT and BGS
10:10 - 10:55
5.4 Child death - in conversation with a bereaved parent
Health & Wellbeing
45 minutes
While bereavement in general is a topic that all GPs will be familiar with both professionally and for many personally, bereavement following the death of a child feels different. As a GP who has experienced the death of a child I feel ideally placed to help GPs explore the issues that child bereavement brings for a parent and how they can look to support. This session will be me 'in conservation' about this topic.
Speakers:
Dr Jonathan Griffiths, GP and Associate Medical Director, NHS Cheshire and Merseyside
Dr Bryony Kendall, GP and Named GP for Safeguarding, NHS Cheshire and Merseyside
10:10 - 10:55
5.5 Session to follow
RCGP Priorities
45 minutes
10:10 - 11:10
5.6 Safeguarding: County lines, urban street gangs and child exploitation
CPD Essentials
60 minutes
During the talk we will learn what ‘County Lines’ means from a safeguarding perspective and appreciate the range of exploitation that it encompasses, including criminal, sexual and financial exploitation.
The talk will highlights how this issue affects us all, right across the UK. We will consider the role of social media increasing the vulnerability of children and young people and will reflect on how best to identify and support our patients who may be at risk.
There will be the opportunity for questions and reflection on anonymised cases at the end of the talk.
Speakers:
Dr. Rowena Christmas MBE, Chair, RCGP Wales
10:10 - 11:10
5.7 Basic life support workshop
CPD Essentials
60 minutes
Recap and refresh on BLS, CPR procedures, CPR, Adult, Child, Infant from the UK Resus Guidelines, and Agonal Gasping.
Practise CPR on Adult, Child and Infant manikins, and how to use an AED (Training Defibrillator)
On leaving the course everyone will leave with a Certificate of Attendance for the BLS session, stating that Adult, Infant and Child CPR has been included and safe use of an AED, a first aid book and a revive aid face shield.
Oral poster presentations
10:10 - 10:55
5.8 Oral poster presentations
45 minutes
10:10 - 10:55
5.9 Oral poster presentations
45 minutes
Networking break, exhibition and poster viewing
10:55 - 11:55
Sponsored sessions
11:00 - 11:15
SS.18 Sponsored Session
Sponsored Sessions
11:00 - 11:45
SS.19 Role of Digital Therapeutics in Depressive Disorder and Key Considerations for Integration in Practice
Sponsored Sessions
This Industry Satellite Symposium is organised and funded by Otsuka Pharmaceutical Europe Ltd. Information on Otsuka Pharmaceutical Europe Ltd medical devices will be presented at this meeting. This meeting is intended for healthcare professionals only.
General practitioners (GP) play a key role in mental health care and are often the first point of contact for patients with mood disorders.1 Digital therapeutics (DTx) are an emerging non-pharmacological, evidence-based intervention used to diagnose, manage or prevent diseases.2 DTx enables patients to receive treatment remotely and may help address access issues and provide continuity of care.3–5 This session will review the latest research behind CARE for MDD (CT-152) DTx’s mode of action, efficacy and safety profile, and key considerations for implementation alongside standard of care in the GP setting.
References
1. Fleury M-J, et al. BMC Fam Pract. 2012;13:19.
2. Dang A, et al. J Family Med Prim Care. 2020; 9(5): 2207–2213.
3. National Institutes of Mental Health. Technology and the Future of Mental Health Treatment. 2023. Available at: https://www.nimh.nih.gov/health/topics/technology-and-the-future-of-mental-health-treatment#part_2443. Accessed August 2024.
4. Siwicki B. How virtual reality can help address the mental health professional shortage. 2022. Available at: https://www.healthcareitnews.com/news/how-virtual-reality-can-help-address-mental-health-professional-shortage. Accessed August 2024.
5. One Mind Psyber Guide. Challenges and Opportunities of Mental Health Apps. Available at: https://onemindpsyberguide.org/resources/digital-mental-health-tools/challenges-and-opportunities/. Accessed August 2024.
OPE-DM-2400001 (V1.0) August 2024
11:00 - 11:45
SS.20 Sponsored Session
Sponsored Sessions
11:20 - 11:50
SS.21 Sponsored Session
Sponsored Sessions
11:55 - 12:40
11:55 - 12:40
6.1 The role of primary care in genetically informed personalised medicine: A tool for tackling health inequalities
Research & Innovation
45 minutes
This session will introduce participants to simple genetic concepts and genetic research relevant to primary care. We will focus on research being undertaken by the session facilitators: how genetic markers indicative of red blood cell conditions, more common in minority ethnic communities, are associated with underestimation of blood glucose by HbA1c. Following this, in small groups, we will use case vignettes to facilitate discussions around proposed pathways to incorporate pharmacogenomics and personalised medicine into primary care. We’ll discuss the opportunities and pitfalls of personalised medicine; as well as how genomics has the potential to both tackle and exacerbate health inequalities.
Speakers:
Dr Miriam Samuel, Doctoral Research Fellow and General Practitioner, Queen Mary University of London, The Mission Practice, Tower Hamlets
Dr VEline Lesperance, Senior Clinical Advisor and Academic GP, NHS Race and Health Observatory, Queen Mary University of London
11:55 - 12:40
6.2 Toys and tech - using innovative technology and gamification to develop and implement new teaching for undergraduate medical students
Medical Education
45 minutes
A fun interactive session looking at ways to introduce toys, technology and games into primary care undergraduate medical education. This session will look at how the community clinical lecturing team collaborated with the learning and teaching academy at Cardiff University, to implement a new teaching day. The day was developed to be an engaging and authentic learning experience to meet the needs of third year undergraduate medical students in helping them to prepare them for their community placements. It includes hands-on demonstrations of 3 components of this day using Lego, a Mr Potato head and Virtual Reality (VR) goggles.
Speakers:
Dr Claire Campbell, Community Clinical Lecturer, Cardiff University - School of Medicine
Dr Mary Robathan, Phase 2 Lead for Community Medicine, Cardiff University - School of Medicine
Dr Kate Hilson, Phase 1 Lead for Community Clinical Medicine, Cardiff university
Owen Crawford, Digital Learning Manager, Cardiff Teaching and Learning Academy
Michael Hackman, Learning Director. Cardiff Teaching and Learning Academy
11:55 - 12:40
6.3 Effective consultations for gender identity and sexuality
Equality, Diversity & Inclusion in General Practice
45 minutes
This session aims to discuss, offer appropriate advice and help people learn about the GP role in the care of people, of all ages, with concerns about their gender identity or sexuality.
This is not intended to be a debate over the current polarised views that exist with respect to gender identity. This workshop is a pragmatic workshop for GPs and other healthcare professionals seeing people with these issues. A practical, case based, approach to the ten minute consultation and follow up within an healthcare system that is constrained by limited resources and reduced access to services.
Speakers:
Prof Mark Rickenbach, GP, Park and St Francis Surgery
Dr Richard Ma, GP Islington and NIHR Academic Clinical Lecturer, University of Bristol
Dr Kamilla Kamaruddin, GP Lead clinician, East of England Gender services
11:55 - 12:40
6.4 Transforming NHS cancer screening engagement: leveraging multilingual resources to improve outcomes – A high-yield session for primary care professionals!
Health Inequalities
45 minutes
This session will focus on my project aimed at increasing uptake of the NHS Cancer Screening Programme using multilingual resources. Based on work within an inner-city multi-ethnic Birmingham practice, I will share key findings and demonstrate why these resources are being utilised across the city and reversing negative trends. Attendees will learn strategies for engaging patients from diverse linguistic backgrounds and receive practical tools for implementation in their practice. The session will provide insights on how in primary care, on how primary care professionals can innovate and leverage existing resources to enhance accessibility and care, particularly for non-English speaking communities.
Speakers:
Dr Haroon Ali Shah, GP Registrar, The St.Clements Surgery
11:55 - 12:40
6.5 How general practice can save the Welsh NHS - Our 2026 senedd election manifesto launch
Health & Wellbeing
45 minutes
Our RCGP Conferences are vibrant hubs of discussion about the challenges and opportunities in general practice. When RCGP prepares an election manifesto, we aim to harness those ideas. general practice in Wales is in crisis. The number of GPs and practices has been falling. Despite these challenges, we believe that with reform and resourcing general practice can not only thrive, but it can be at the forefront of alleviating pressures in the wider NHS.
Hear how RCGP Cymru Wales is making the case that general practice is a big part of the solution to a sustainable Welsh NHS.
Speakers:
Derek Walker, Future Generations Commissioner, Office of the Future Generations Commissioner for Wales
Jenny Rees, Health Correspondent, BBC Cymru Wales
11:55 - 12:55
6.6 Safeguarding in Affluence
CPD Essentials
60 minutes
Children and adults who live in affluent families can also experience abuse and neglect but this is often vastly under-recognised. In addition, there can be numerous challenges working with affluent, professional families when there are safeguarding concerns. As a result, children and adults who are victims of abuse and neglect in these families, may go unseen and not receive the safeguarding help and support they need. In this session, we will explore how to effectively safeguard in affluence through case-based scenarios (child and adult).
Speakers:
Joy Shacklock, Clinical Policy Representative for Safeguarding, RCGP
11:55 - 12:55
6.7 Basic life support workshop
CPD Essentials
60 minutes
Recap and refresh on BLS, CPR procedures, CPR, Adult, Child, Infant from the UK Resus Guidelines, and Agonal Gasping.
Practise CPR on Adult, Child and Infant manikins, and how to use an AED (Training Defibrillator)
On leaving the course everyone will leave with a Certificate of Attendance for the BLS session, stating that Adult, Infant and Child CPR has been included and safe use of an AED, a first aid book and a revive aid face shield.
Oral poster presentations
11:55 - 12:40
6.8 Oral poster presentations
45 minutes
11:55 - 12:40
6.9 Oral poster presentations
45 minutes
Lunch, exhibition and poster viewing
12:40 - 13:55
Sponsored Sessions
12:50 - 13:20
SS.22 Sponsored Session
Sponsored Sessions
12:50 - 13:35
SS.23 Sponsored Session
Sponsored Sessions
12:50 - 13:20
SS.24 Sponsored Session
Sponsored Sessions
13:30 - 13:45
SS.25 Sponsored Session
Sponsored Sessions
13:30 - 13:45
SS.26 Sponsored Session
Sponsored Sessions
13:55 - 14:40
13:55 - 14:40
7.1 Teaching with tech: Can artificial intelligence help or hinder general practice education?
Medical Education
45 minutes
This session delves into the intersection of traditional educational methods and the rise of AI in planning learning activities for GP trainees and medical students. Dr. Rebecca McConnell and Dr. James Waldron will share insights from their extensive experience in education, exploring the quality, effectiveness, and ethics of AI-assisted educational planning. Participants will compare AI-driven approaches with conventional methods and assess their potential impact. Through interactive activities, attendees will create an educational plan with AI’s assistance and engage in a lively discussion about its risks, benefits, and future implications.
Speakers:
Dr Rebecca McConnell, GP & Clinical Associate Professor in Medical Education, Erewash Health Partnership
13:55 - 14:40
7.2 The power of debate to promote meaningful inclusion
Equality, Diversity & Inclusion in General Practice
45 minutes
Debate creates a platform where individuals from varied backgrounds can express their viewpoints. By allowing everyone to participate, it ensures that voices from marginalized or underrepresented groups are heard. Structured debates often require participants to explore opposing views, challenging biases and fostering mutual respect. As a result, participants build empathy, which is foundational to inclusive practices with significant benefits for education, workplace culture and policy. Despite its importance, we are not taught how to debate well and there are no fora that encourage this. This session will explore ways of supporting informed debate within our profession and more widely.
Speakers:
Dr Selva Selvarajah, GP, Bromley By Bow Centre
Dr Toyosi Adeniji, GP, First 5 Chair RCGP
Dr Victoria Tzortziou Brown, Vice Chair for External Affairs, RCGP
13:55 - 14:40
7.3 Ask the chairs
RCGP Priorities
45 minutes
Session details to follow
13:55 - 14:40
7.4 A debate: should injectable weight loss medications be prescribed by GPs to those patients who are eligible?
CPD: Clinical Topics
45 minutes
Currently we are in a new era where weight loss medications, such as GLP1 agonists like Semaglutide are being promoted and made available to the general public.
These medications have been described as safe, effective and transformative for health by some experts.
This session with be in the form of a debate between members of the RCGP ethics committee, with one team for and one against the motion.
Speakers:
Dr David Mummery, GP, RCGP ethics committee
Dr Sapna Agrawal, GP, RCGP ethics committee
13:55 - 14:40
7.5 Tyfu: growing hidden leadership talent in general practice trainees in Wales
Leadership & MDT
45 minutes
Our session will provide an overview of the bespoke leadership programme, Tyfu, that we have designed for women GP trainees in Wales who have been identified as requiring additional educational support. We will cover the origins of the programme as well as the content, initial feedback and results.
Speakers:
Dr. Faye Stockton, GP Associate Dean North Wales, Health Education and Improvement Wales (HEIW)
Dr. Shallini Subbu, GP Associate Dean Cardiff, Health Education and Improvement Wales (HEIW)
13:55 - 14:40
7.6 Sharing best practice to reduce health inequalities by engaging ‘deep end’ GP Practices in health research
Health Inequalities
In GP practices in areas of blanket deprivation (by Index of Multiple Deprivation), there are several areas of demand and resource mismatch resulting from seeking to serve these areas. It’s difficult to deliver both healthcare and research in these areas but it is essential that practitioners and their patients are given the opportunity to participate in research so that our research is inclusive, diverse and can meet the healthcare needs of underserved populations
This session will explore how engaging and supporting GP practices in these areas to participate in research can reduce health inequalities.
Speakers:
Dr Emma Tonner, Trust-grade SHO, Leeds Teaching Hospitals Trust NHS
Professor Caroline Mitchell, Professor of general practice research and general practitioner, Keele University
13:55 - 14:55
7.7 Basic Life Support Workshop
CPD Essentials
60 minutes
Recap and refresh on BLS, CPR procedures, CPR, Adult, Child, Infant from the UK Resus Guidelines, and Agonal Gasping.
Practise CPR on Adult, Child and Infant manikins, and how to use an AED (Training Defibrillator)
On leaving the course everyone will leave with a Certificate of Attendance for the BLS session, stating that Adult, Infant and Child CPR has been included and safe use of an AED, a first aid book and a revive aid face shield.
Winning posters
13:55 - 12:40
7.8 Winning posters
45 minutes
Break
14:40 - 15:40
Sponsored Session
14:45 - 15:15
SS.28 Sponsored Session
Sponsored Sessions
14:45 - 15:15
SS.29 Get to know ‘Good Medical Practice 2024'
Sponsored Sessions
- The GMC recently published an updated version of Good Medical Practice, the set of standards medical professionals need to follow when working in the UK.
- The new standards are a shared understanding of what good practice looks like, for patients and for the professionals the GMC regulate.
- Healthcare leaders have a key role in helping to create the respectful, fair and supportive workplaces that Good medical practice is aiming to drive.
- Join colleagues from the GMC’s Outreach Team to discuss:
- The kind of cultures Good Medical Practice aims to promote
- The challenges of establishing and fostering positive, inclusive work cultures in healthcare
- The practical strategies healthcare leaders can use to overcome these challenges, and the opportunities they have to do so.
14:45 - 15:00
SS.30 Clinical Indemnity: Training and Guidance
Sponsored Sessions
1. Outcome of the DOH survey in Feb 2023
2. Understand your own risk
3. Training and guidance about clinical indemnity
15:20 - 15:35
SS.31 Sponsored Session
Sponsored Sessions
15:20 - 15:35
SS.32 Inhalers made easy - getting the basics right in primary care.
Sponsored Sessions
15:20 - 15:35
SS.33 Sponsored Session
Sponsored Sessions
15:40 - 16:25
15:40 - 16:25
8.1 Social supermarkets: providing a dignified way forward for food insecurity and what general practice should know
Health Inequalities
45 minutes
There is growing acknowledgement of Food Insecurity as an important social determinant of health. Food Banks, initially set up for emergency food provision, are now relied on regularly by many people, including those in paid employment. Linked with this are concerns about the provision of nutritional food for those suffering from Food Insecurity. In response, various social enterprises “Social Supermarkets” have developed throughout the UK, providing discounted foods with an emphasis on dignity for their users. General Practitioners are often unaware of what local Social Supermarkets offer, including their provision of holistic allied services linked to user wellbeing.
Speakers:
Dr Meghan Deery, GPST3 Trainee, NIMDTA
Mr Andrew Forsay, National Director, Feeding Britain
15:40 - 16:25
8.2 Improving cross-sector working - recommendations from the national confidential enquiry into patient outcome and death (NCEPOD)
Leadership & MDT
45 minutes
Robust cross-sector working is crucial to support the provision of good quality healthcare.
The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has published over 60 reports on a variety of clinical topics with recommendations to improve both clinical care and the organisation of care. Many of these reports have specifically addressed the importance of a multi-disciplinary team (MDT), which includes primary care, to improve the quality of care provided to patients.
The purpose of this session would be to explore NCEPOD recommendations relevant to primary care, and to discuss ways to increase local implementation.
Speakers:
Marisa Mason, Chief Executive, NCEPOD
Heather Freeth, Senior Clinical Researcher, NCEPOD
15:40 - 16:25
8.3 Loud and proud about learning medicine in general practice: how primary care holds the keys to the future of undergraduate medical education in the UK
Medical Education
45 minutes
For two hundred years, hospitals have been the place to learn medicine in the UK. Not so primary care, which was late to the party, but has recently become a key factor in undergraduate medical education. This talk starts by charting the long march of general practice towards increasing legitimacy as a place to learn medicine. We consider why recent times have seen GP become an increasingly prominent factor in medical education. We then explore what general practice has to offer to medical schools, the challenges we face in delivering student placements - and how we might overcome these.
15:40 - 16:25
8.4 Improving diagnosis of common dermatological conditions in skin of colour
CPD: Clinical Topics
45 minutes
Dermatology developed as a specialty in Europe in the 19th Century, so the first descriptions of skin conditions were based on their appearance on white skin. However, 200 years later, our textbooks and teaching at every stage of medical education are still lacking in representation of all skin tones. This results in under diagnosis and under treatment of people of non-European ethnicity.
In this session we will explore the different presentations of common conditions in skin of colour, learning how to recognise and treat people from diverse backgrounds, taking into account lifestyle factors and cultural preferences.
Speakers:
Dr Catherine Fernando, Salaried GP, Orchard Medical Practice, Haddington
15:40 - 16:25
8.5 Improving general practice through intelligent use of AI
Research & Innovation
45 minutes
General practice plays a key role as the primary entry point to the health care system, diagnosing diseases, treating both chronic and acute conditions and coordinating patient care. But general practice is facing many challenges. More people are suffering from multiple conditions, medical records are becoming more extensive and it’s difficult for doctors to identify patterns indicating serious illness. Timely and individualised treatment for each patient is crucial to treat, manage risk and prevent disease in the population.
Speakers:
Prof. Jens Søndergaard, Director, professor, MD, PhD, GP, Clinical Pharmacologist, research unit for general practice, Department of Public Health, University of Southern Denmark, Odense, Denmark
Dr Kathrine Stjernholm Nielsen, MD, PhD student, research unit for general practice, Department of Public Health, University of Southern Denmark, Odense, Denmark
15:25 - 16:25
8.6 Climate leadership in primary care
Sustainability
60 minutes
Greener Practice has undertaken a number of initiatives to support low carbon and sustainable healthcare. We plan to offer practical examples of climate leadership in primary care from the work we have undertaken.
Speakers:
Dr Guy Pilsworth, General Practitioner, Denbridge Medical Practice
Dr Munro Stewart, General Practitioner
15:25 - 16:25
8.7 Basic life support
CPD Essentials
60 minutes
Recap and refresh on BLS, CPR procedures, CPR, Adult, Child, Infant from the UK Resus Guidelines, and Agonal Gasping.
Practise CPR on Adult, Child and Infant manikins, and how to use an AED (Training Defibrillator)
On leaving the course everyone will leave with a Certificate of Attendance for the BLS session, stating that Adult, Infant and Child CPR has been included and safe use of an AED, a first aid book and a revive aid face shield.
Closing plenary
16:25 - 17:30
16:30 - 17:30
Closing talks