Conference Programme 2019

Thursday 08.00 – 09.20

Registration, Refreshments and Exhibition

Thursday 09.20 – 10.10


President’s Welcome: Professor Mayur Lakhani, President, RCGP
Chair’s Address: Professor Helen Stokes-Lampard, Chair, RCGP

Followed by Q&A with Professor Stokes-Lampard

Thursday 10.10 – 11.00

Refreshments, Exhibition and Poster Viewing

Poster authors available: Adolescent Health, Clinical, Emerging Technology, International, Research

Thursday 11.00 – 11.40


Dame Clare Marx, Chair, General Medical Council

Ministerial Address: Matt Hancock, Secretary of State for Health and Social Care, England

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

Professor Nick Harding, Senior Clinical Adviser to NHS England for Integrated Care Systems


AiT and First5 Focus | A5

Making my appraisal something I look forward to (because of its value to me and my patients)

We all want to be the best doctors we can be, and annual appraisal is one mechanism that should be supporting all doctors in achieving this because it reaches everyone. The transition from the trainee e-portfolio to the post-CCT world of appraisal can be confusing. Come to this session to learn simple tips and tricks to make demonstrating your continued competence proportionate and easy.


Chair: Professor Amanda Howe, President-elect, RCGP

Dr Susi Caesar, RCGP Medical Director for Revalidation

Healthcare Technology | A6

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

CPD Essentials

Child safeguarding: Level 3

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

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


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

Thursday 14.00 – 15.00

Clinical Learning | B1

Respiratory Update 2019

Since the RCGP Annual Conference in 2018 there have been new GOLD and NICE guidelines for COPD; new bronchiectasis guidelines and there will be BTS SIGN asthma guidelines by the 2019 conference. Expert GP speakers will provide key clinical tips to improve the care of people with respiratory problems based on the guidelines. They will also highlight differences between guidance and how this can be managed in clinical practice.


Chair/Speaker: Dr Steve Holmes, Severn Faculty representative, RCGP Council, Education Lead, Primary Care Respiratory Society (PCRS)

Dr Stephen Gaduzo, GP with Specialist Interest Respiratory (Stockport), Past Chair PCRS

Future of General Practice | B2

Care at the interface: restoring, refining and redesigning

Many of us will have experienced a culture of fragmented, sometimes antagonistic working across the interface between primary and secondary care. In this session we will scope the case for improvement and showcase examples of excellence from across the UK. Finally, a group discussion will highlight participants’ own experiences of the interface, while our patient representative and ‘expert by experience’ will enrich all of these discussions with commentary throughout.


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

Campaigning for General Practice | B3

New and emerging roles in general practice across the UK

What are the challenges, cautions, and opportunities arising from the key emerging roles in general practice across the UK, such as occupational therapists, link workers, social prescribers and advanced clinical practitioners? We will showcase examples of successful integrations, taking into account the views of patients, and discuss what needs to be done to ensure they have a positive impact on general practice overall.


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


Research & Innovation | B4

Consulting with vulnerable patients, from evidence base to real-world practice

A brief review of the evidence base of ‘what works in inclusion health’ will be followed by group work on real-world examples – discussing the challenges faced in providing care for marginalised groups and how we can better deliver primary care for such patients. Participants will be encouraged to bring their own cases, and can develop their own action learning sets or practice QI activities.


Chair: Dr Carey Lunan, Chair, RCGP Scotland

Dr Emily Clark, GP, Norwich clinic for hard to reach groups

Dr Hannah Fox, GP

Professor Nicholas Steel, Clinical Professor in Public Health, Norwich Medical School

AiT and First5 Focus | B5

Immersive simulated learning in GP training

In military GP training, immersive, hi-fidelity simulated learning has been used to recreate and teach battlefield care for decades, and is now being applied to civilian scenarios. The session will discuss how one VTS have introduced this as part of a “finishing school” for soon to qualify GP trainees, before discussing the benefits, challenges and limitations of this style of immersive learning.


Chair: Dr Jodie Blackadder-Weinstein, Chair, RCGP National First5 Committee

Surgeon Commander Kate King, Senior Lecturer in General Practice, Royal Centre for Defence Medicine

Professor Michael Smith, Professor Defence General Practice

Tom Evans, First Aid Response Course Lead

Healthcare Technology | B6

Debate: Will AI support new approaches to health which will empower patients within the next five years?

This workshop will be in the Socratic dialogue style, with ‘for’ and ‘against’ speakers outlining their experience of initiating AI in clinical settings. A series of positions and supportive evidence will be explored, including safety, moral and ethical considerations, while a patient/carer representative will provide a commentary on both sides and electronic voting will gauge audience opinion.


Chair: Professor Kamila Hawthorne, South West Wales Faculty representative, RCGP Council

Dr Philip Webb, Associate Director Planning Performance and Innovation, Velindre NHS University Trust, Cardiff

Dr Mark Taubert, Clinical Director, Consultant Physician & Honorary Senior Lecturer in Palliative Medicine, Cardiff University

Ms Debbie Murphey, Patient Leader

Discover General Practice

How to practice

What type of GP are you? Locum, salaried, partner…? What do these titles mean and what do they do? Learn more about the impact each role can make in the workplace and discover the best fit for you.

Session intended for medical students and foundation doctors

CPD Essentials

Basic Life Support

Jenny Aston QN Advanced Nurse Practitioner and ILS Resuscitation Council trainer

Short Papers 3


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

Street Medics: An innovative learning opportunity for medical students in a primary care outreach setting, Deirdre Walsh
Learning Together to Care Better – A web-based tool to deliver the Frailty curriculum to multi-professional teams by teaching Comprehensive Geriatric Assessment, Nasrin Razzaq
Current statistics, research and resources for sudden unexplained death in childhood, Nikki Speed
Learning Together in Primary Care Mental Health, Raquel Williams
An innovative use of the arts in education to challenge thinking about diversity and professionalism, Anna Hammond

Short Papers 4


Chair: Dr Mair Hopkin, Joint Chair, RCGP Wales

Exploring the impact of weather variations, sporting events and health media on patient demand in primary care, Hussain Al-Zubaidi
Prospective pilot study to evaluate the validity of functional capacity assessments in primary care, Anthony Dann
Health Experiences of Asylum seekers and Refugees (HEAR): findings and recommendations from a survey across Wales, Ian Russell
Usefulness of C-reactive Protein Testing in assessing acute abdominal pain in a GP population, Ao-Hin Tang
What is the value of test-guided dietary advice for children with eczema? Matthew Ridd
A machine learning-developed classification system of GP practices, and its relationship to antibiotic prescribing, H Reichell

Thursday 15.00 – 16.00

Refreshments, Exhibition and Poster Viewing

Poster authors available: Audit, Ethics, Service Development

Ask the RCGP Chair and Chair Elect 15:15-15:45

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

Campaigning for General Practice | C3

Hack general practice

We will ask delegates to solve a topical problem in general practice. The profession is at a turning point and there are many areas that could be improved in our working lives. Participants will work in teams to solve the problem and offer their ideas in elevator pitches. The audience can then discuss the merits of each idea and guest judges will decide which proposal is best. The chosen topic will be announced nearer the conference so that it is politically relevant.


Chair: Professor Helen Stokes-Lampard, Chair, RCGP

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



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

Healthcare Technology | C6

HeLP: A new online platform to support self-management for people with Type 2 diabetes

The NHS Diabetes Programme is preparing to launch a new online platform called HeLP to provide adults with the skills to better self-manage by improving access to high quality online education. In a randomised controlled trial, HeLP demonstrated significant improvements in patients’ HbA1c levels. GPs will learn how the tool works and how they can refer patients.


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

Discover General Practice

In conversation with… the ultimate portfolio GP

An informal ‘live’ interview with a notable portfolio GP. Learn more about what it means to have a portfolio career in general practice; how to get an extended role and how to maintain commitment to a range of medical interests.

Session intended for medical students and foundation doctors

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.


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