Thursday 9:00 - 10:00
Conference Chair’s welcome: Dr Michael Mulholland, Vice Chair, Professional Development
President’s welcome: Professor Amanda Howe OBE, President, Royal College of GPs
Chair’s address: Professor Martin Marshall, Chair, Royal College of GPs
Dr Mark Britnell, Global Chairman & Senior Partner, Healthcare, Government & Infrastructure, KPMG
Thursday 10:05 - 10:50
Patient care at the centre: A1
Supporting primary health care teams to deliver personalised care at scale
Personalised care is a cornerstone of the NHS Long Term Plan to transform health outcomes in England. The Personalised Care Institute is a virtual organisation that sets the standards and quality assures training for the whole primary care team. This session aims to introduce the Comprehensive Model of Personalised Care and the associated evidence base for improved health outcomes, explore what works in terms of multidisciplinary team training and development, and facilitate a group discussion on how best to support primary healthcare teams to deliver personalised care at scale.
Future of general practice: A2
Rapid update on infections : incorporating NICE/PHE common infections guidelines into daily general practice
This session identifies the key issues and updates in prescribing guidance for common infections, particularly impetigo, bites, cellulitis, leg ulcers and diabetic foot infection, based on NICE/PHE updated guidance 2019/20. We will address the challenge for prescribers in antimicrobial stewardship and risk management, and aim to reduce decision fatigue by increasing confidence in prescribing decisions. Short presentations will cover the clinical topics using quiz questions and clinical scenarios where possible. Key messages for prescribers will be identified by volunteers from the NICE common infections committee.
Clinical Learning: A3
The Broken Plate: Why we Can and Should tackle Childhood Obesity in Primary Care
It only takes one extra calorie a day to become overweight by the end of primary school. This now affects one in three Year 6 children and is reaching epidemic levels. These children are more likely to develop chronic disease as well as medical and psychosocial complications, and children from deprived areas and minority groups are disproportionately affected. This session will cover initiating conversations about weight with families, clinical updates that can alter how you manage children with co-morbidities, referrals, resources and gaps.
Future of the Consultation: A4
The GP Consultation Reimagined: A Tale of Two Houses
This session introduces a new model for GP consulting which reduces the consultation to two key objectives: Working out what matters and deciding with the patient what to do about it. These objectives are the House of Discovery, where we are invited by the patient to work out what matters, and the House of Decision is to be explored with the patient as we consider the options before us. The session presents this new, patient-centred model in a creative way and introduces the accompanying series of free consultation guides for specific scenarios.
Thursday 11:10 - 11:55
Clinical Learning: B1
Symptomatic heart valve disease patients have a greatly reduced life expectancy if left untreated. Symptoms can go unnoticed or blamed on the ageing process so early diagnosis is important and auscultation is the first step. For this reason, GPs play a crucial role in early detection and timely referral of heart valve disease. Join Professor Ahmet Fuat for an engaging session including auscultation skills refresher!
Future of general practice: B2
Persistent Physical Symptoms: Finding the Solution in Primary Care
PPS are physical symptoms, with or without an organic cause, which are chronic and distressing. Over a fifth of GP contacts concern physical symptoms without clear underlying cause. This session builds understanding of the issues around PPS, including the growing concern around long and chronic COVID-19, and how we can address them. It will develop the idea of clinician as intervention (often the only intervention that is required). It will help primary care teams collaborate with people and their carers to develop a whole practice approach and care plan, emphasising continuity and building on people’s strengths.
Clinical Learning: B3
Dying well: End of life care
This session will be a clear clinical update on end of life care. It will provide information in line with NICE guidance about Personalised Care of the dying adult in the last days of life including shared decision making, legal discussions and documentation of hydration and nutrition, diagnosing dying and symptom management. It will also discuss opportunities to work collaboratively, developing integrated services, the possibilities of having specialists within networks, staff learning needs assessments for EOLC and the training and awareness opportunities which networks present. The session will also promote learning from the RCGP Daffodil Standards, QOF, new personalised and anticipatory care DES.
CPD Essentials: B4
Child Safeguarding: Level 3
This session aims to improve awareness and knowledge relating to the safeguarding of vulnerable children at risk, in health care and social care settings.
Thursday 12:00 - 12:45
Patient care at the centre: C1
Management of anxiety and depression in older people – the role of antidepressants and talking therapies.
Anxiety and depression in older adults have historically been under-recognised and under-treated. Anxiety and depression are often comorbid with physical long-term conditions leading to worsening quality of life and outcomes, including mortality, for the individual, and increased health and social care costs.This workshop will focus on the identification and management of anxiety and depression in older adults, raising the profile of self-harm in older adults, evidence for the use of antidepressants, and the role of psychological therapies.
Clinical Learning: C2
Spinal Muscular Atrophy: Opportunities for earlier identification and referral
10-minute presentation and round table discussion with Prof. Laurent Servais, Professor of Child Neurology in Oxford, highlighting three signs not to miss in identifying babies with Spinal Muscular Atrophy (SMA) and the “Think 3 for SMA” campaign including when to refer urgently to secondary care using a practical case study. The round table discussion with GP, Dr Richard Pratt and Health Visitor, Diane Massey, will focus on leveraging existing opportunities to identify potential SMA signs in Primary Care and ways of working together to shorten time taken to diagnose babies with this rare disease, limiting irreversible motor neuron damage.
Dr Richard Pratt, RCGP Digital Therapeutics Clinical Champion, Three Spires Medical Practice
Prof Laurent Servais, Professor of Paediatric Neuromuscular Diseases & Child Neurology, MDUK Oxford Neuromuscular Centre; Liège University Belgium
Diane Massey, Professional Services lead, Institute of Health Visiting
Clinical Learning: C3
The novel application of Virtual Reality apps using interactive videos to support international GPs integration into the NHS
The GMC, NHS England and Moseley Multimedia Ltd collaborated to develop an interactive 360˚ virtual reality app called ‘The patient journey to GP practice’ initially for international GPs. Delegates will be shown illustrative clips of this immersive app which transports users into life as a GP. Using this innovative technology, users learn about the doctor-patient relationship, working in multi-disciplinary teams and the real differences GPs make to patients’ lives. It is hoped the app will both support international GPs and local GP recruitment by inspiring the next generation to consider a future career in primary care.
Thursday 13:30 - 14:15
Patient care at the centre: D1
Common dilemmas in respiratory medicine
Respiratory symptoms are the commonest presenting problems to primary care and this session will provide updates in the key respiratory topics. Clinical cases will highlight and cover dilemmas such as diagnosis of asthma in under five years of age; the problem of exercise induced breathlessness management; what is the issue with overuse of reliever therapy in asthma?; common catches in diagnosing COPD and CXR and imaging reports in the clinical setting; management of post Covid-19 and issues around breathlessness assessment.
Future of general practice: D2
Generating research from the front-line: GPs and AHPs pitch ideas from every-day practice in the Dragons’ Den to find the ‘PACT research idea of the year 2020’
This sessions will champion research questions from practice that must be answered. The Primary Care Academic CollaboraTive (PACT) is a UK-wide network of primary care professionals who collectively design and collect data for high quality research from ideas generated by frontline GPs and AHPs. Following a national call for projects, five practitioners will pitch their research ideas to a panel of expert ‘Dragons’ and the voting audience. The winning project, which will receive PACT support to develop, apply for funding and deliver the project.
Dr Sam Hodgson, NIHR Academic Clinical Fellow in Primary Care
Dr Carolyn Chew-Graham, Professor of General Practice Research, Keele University
Professor Joanne Reeve, Professor of Primary Care Research, Hull York Medical School
Dr Polly Duncan, GP and NIHR In-Practice Fellow, University of Bristol
Dr Victoria Silverwood, Academic General Practitioner and Wellcome Trust PhD Fellow, School of Medicine
Future of general practice: D3
Ask the Chairs
As the pandemic continues to accentuate the differences between the health systems of the four nations of the UK, it also brings us together. This is your chance to meet the chairs of the RCGP Councils for Scotland, Wales and Northern Ireland, and to put your questions directly on all the key issues of the day, with Professor Martin Marshall chairing proceedings.
Thursday 14:20 - 15:05
Patient care at the centre: E1
The GP and the Veteran
Veterans are men and women who have served in the Armed Forces and have re-joined civilian life. There are around 2.2 million veterans in the UK (similar to the number of diabetics). Half of veterans have some long-term illness or disability and often this attributable to their Service. Most GPs don’t know if their patient is a veteran, even though they are likely to have 30 or 40 on their list. This interactive session aims to make GPs aware of the special healthcare needs of veterans, the help available with new referral pathways, and how a practice can be accredited as ‘Veterans Friendly’.
Future of general practice: E2
GPs as Navigators – The Govan SHIP Project
General practice is at the frontline of the NHS but the workload intensity in deprived areas means that its full potential is rarely reached. The basic building blocks of this RCGP award-winning project were innovative, structured, face-to-face working between health and social care, funded additional GP capacity, GP protected time, longer GP consultations, review of case records, embedded link and social care workers in practices and supported multidisciplinary team-working. Vulnerable adults and children with the most complex health and social care needs were prioritised for care-planning and the project evaluation demonstrated both a reduction in GP workload and in ED attendance.
Future of general practice: E3
Examining the Future: General practice training and assessment beyond Covid-19
Over the past year training and assessment have been significantly impacted by the Covid-19 pandemic. This panel session will discuss what the long-term impact of this might be on training and assessment, on the patient consultation and how the assessment of general practice may change as a result.
Clinical Learning: E4
Cannabis, cannabinoids and cannabis-based products: an expert discussion
While there is an increase in scientific and public interest in the potential therapeutic benefits of cannabis and cannabinoids, there is still much we need to explore and understand. This expert-led session will address key questions often raised by healthcare providers on this topic. Our experts will provide clarity on cannabis-based products, explain the function of the endocannabinoid system and share their thoughts on the future potential of cannabis, cannabinoids and cannabis-based products in the clinic and wider community.
Thursday 15:25- 16:10
Winners Enclosure: F1
Delegates will hear presentations from the Overall Winner and category winners of the RCGP Research Paper of the Year Award and the Yvonne Carter Award for Outstanding Early Career Researcher.
Professor Amanda Howe OBE, President, Royal College of GPs
Professor Carolyn Chew-Graham, Professor of General Practice Research, Keele University
Dr Julie Pattinson, Postgraduate research Associate, University of Lincoln
Professor Christopher Butler, Clinical Director, University of Oxford Primary Care and Vaccines Clinical Trials Collaborative
Professor Nick Francis, Professor of Primary Care Research, University of Southampton
Dr Sarah Mitchell, GP and Senior Research Fellow
Dr Andrea Williamson, Deputy Director GP teaching, Glasgow Undergraduate Medical School
Future of general practice: F2
Creating Creative Portfolios
There is now good evidence that diversifying a primary care career will not only benefit the mental health of practitioners, but also will improve patient outcomes. To improve outcomes for patients and resilience of practitioners we should encourage creativity, personal renewal and learning, greater geographical and career mobility. Portfolio careers, or doing different things at various career stages, should be promoted. In this session we will discuss the benefits of having a portfolio career and champion general practitioners who have combined their love of primary care and associated roles.
Clinical Learning: F3
Tailoring medicines – Enabling Living. [Research underpinning clinical practice]
Medication is one of the common interventions in modern healthcare, yet 40% of people taking five-plus medicines a day report feeling burdened. Tailoring the use of medicines to individual needs and circumstances is core to generalist, whole-person healthcare but research highlights significant barriers to doing so. This session will offer you practical, evidence-informed solutions to unlocking those barriers, considering how we can safely and robustly work with patients and carers to generate tailored approaches to medication use.
CPD Essentials: F4
Basic Life Support (Including AED)
This session aims to increase knowledge and understanding in managing and participating in emergency situations in the surgery.
Thursday 16:15 - 17:00
Clinical Learning: G2
Telemedicine and remote consulting: Understanding and addressing GP concerns
Medical Protection Society Medical Director, Rob Hendry addresses some of the recent changes in general practice in relation to telemedicine. He highlights some of the concerns Medical Protection members have reported, and the guidance and support available to them, and considers where the increasing use of telemedicine in general practice may take us in future.
Speakers for this session will be announced shortly
Clinical learning: G3
Getting the most from the new Trainee Portfolio and Workplace Based Assessment
The new Trainee Portfolio looks and works considerably differently to the old ePortfolio and also includes the new Work Place Based Assessments (WPBAs). This interactive session will look in more detail at the new Portfolio, how to use some of the new features and how to get the most out of it. We will also investigate the new WPBAs, looking at how these differ from the old assessments and how best to use these.
FRIDAY 12 FEBRUARY
Friday 9:00 - 10:00
PLENARY 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.
Friday 10:05 - 10:50
Patient care at the centre: H1
Low carbon inhalers – what every GP should know
This session will provide an introduction on why reducing the carbon footprint of healthcare matters and relevant NHS, UK and global policy. It will go on to describe what is known about the carbon footprint of inhalers and how to include environmental consideration in inhaler choice, informed by the BTS/SIGN asthma guidance (2019) and NICE patient decision aid (2019). We will then discuss what is known about variation in prescribing of inhalers by examining local prescribing and local prescribing guidance. A case study will be used to share personal experience of implementing a shift to low carbon inhalers at practice, PCN, and CCG level.
Future of general practice: H2
Making sense of skill mix in general practice: an overview and discussion of where and how a changing workforce is delivering health care in GP practices
Recent health policy changes have promoted increasing diversity in the range of practitioners delivering primary care. This generates opportunities for working in different ways and challenges in discovering how to work together in a multidisciplinary team. Our speakers have been researching the scale, scope and impact of increasing skill mix employment in general practice, and propose to ask delegates to identify aspects of skill mix that they wish them to address in this session.
Clinical Learning: H3
Emollient Therapy: Top tips for your Dermatology patients on handwashing and COVID-19
Emollients are the ‘unsung heroes’ for our dermatology patients and an essential part of managing dry skin conditions. The terms emollient and moisturiser are often used interchangeably in every day practice and used appropriately will reduce the clinical signs of dryness, scaling, lichenification and reduce the itch. It is important that patients should find an emollient product that they find cosmetically acceptable, otherwise it won’t be used. The Covid-19 pandemic has meant that handwashing and sanitising has become a part of all our lives in this session we will explore how to manage the impact of frequent washing of the skin.
Future of the Consultation: H4
Relational continuity in general practice; passé or possible?
Are you missing face to face contact with your patients? Relational continuity with GPs has been declining and the Covid pandemic has had even more impact on this. The evidence is that continuity of care does improve health, reduces morbidity, mortality and service use. We discuss this and the Health Foundation programme, which has funded five sites across England, to develop ways to improve relational continuity of care. The impact on half a million patients is being tracked by local and national evaluation. Continuity can be improved, and a toolkit on how to do this is emerging. Results from the first site to complete the programme will be presented along with options for all of us in primary care to consider. Continuity of care can be for all, frequent attenders or targeted groups. For individuals, GPs or microteams.
Dr Rebecca Rosen, GP partner; Senior Fellow, Valentine Health Partnership; The Nuffield Trust
Professor Philip Evans, Academic GP; Associate Prof of General Practice and Primary Care, St Leonards Practice Exeter; University of Exeter Medical School
Professor Mark Rickenbach, Clinical Champion for Continuity of care RCGP; PCN Director Chandlers Ford, University of Winchester Park and St Francis surgery
Friday 11:10 - 11:55
Patient care at the centre: i1
Changing chronic pain management doesn’t have to be painful! Moving from painkillers to pain management – how to help your patients self manage with confidence
This session offers an overview of chronic pain – prevalence, health inequalities, impact on patients lives, on general practice, the NHS and society. We will review the work across Scotland to implement the Scottish Access Collaborative findings, provide consultation tips and advice from de-prescribing GP practices and suggest clinical resources and patient educational resources to support self management. We will also outline the nuts and bolts of building a pain team and give advice on referrals, and offer ongoing support for practices in pain management.
Dr Kieran Dinwoodie, GP, Calderside Medical Practice
Emma Mair, Clinical Lead Chronic Pain (Primary Care), Modernising Patient Pathways Programme (Scottish Government) and Pain Management Physiotherapist, NHS Ayrshire and Arran
Professor Blair H. Smith, Professor of Population Health Science, University of Dundee
Clinical learning: i2
Differential diagnosis of skin lesions
Dr Catherine Borysiewicz will highlight the importance of UV, its risks and how to protect skin using appreciate sunscreens available with difference in their SPF and UVA protection. After completing this session, Healthcare professionals will be able to:
– Understand the impact of each sunlight radiation ranging from UV to visible light on the skin
– How to educate patients on skin protection and watch out for skin lesions using the ABCD rule
– Differentiate between common skin lesions and when to refer
– Learn the current practice during pandemic in managing referred skin lesions
Health Inequalities: i3
Deprivation Medicine as a Career Choice: Why delivering quality primary care where it’s needed most isn’t just challenging but interesting rewarding and fun too
The most deprived communities, with the highest levels of physical and mental illness, remain consistently under-doctored. Whilst high levels of pathology and social challenge can seem daunting they are also a huge opportunity for people to re-ignite the passion and vigour that got them into healthcare and to genuinely achieve life-changing impact on an almost daily basis. This session will make it clear why working in deprivation is highly rewarding and discuss the variety of careers and ways to get involved through lively speaker discussion and audience Q&A.
CPD Essentials : i4
Adult Safeguarding: Level 3
A whistle-stop tour through the unique challenges of Adult Safeguarding. We will cover Safeguarding Principals & the Care Act 2014, the Mental Capacity Act, Deprivation of Liberty & the new Liberty Protection Safeguards, Enduring Power of Attorney & will finish up discussing some of the different forms of abuse. I will provide plenty of anonymised cases throughout, to hopefully make it more interesting & clinically relevant.
Friday 12:00 - 12:45
Future of general practice: J2
General Practice – a global profession
The Covid-19 pandemic has emphasised the crucial role of global collaboration and understanding. During their career, many GPs undertake short international projects or placements while others relocate to work in another country. During the pandemic, RCGP projects have pivoted to Covid-19 support, and are being delivered remotely. This workshop, run by RCGP International and its Junior International Committee (JIC), highlights opportunities and challenges in global health and the impact this can have personally and professionally. The workshop is designed to provide opportunities for networking.
Health Inequalities: J3
How to make the most of Social Prescribing in Primary Care. A workshop to help integrate social prescribing into GP’s practice
This interactive session will cover four key questions on social prescribing: What is the value of social prescribing in primary care? How is social prescribing best dealt with, within consultations? How can you work with the link worker or other models of social prescribing in your area? How to encourage the most vulnerable/hard to reach populations, such as the homeless, refugee/asylum seekers, the elderly, youth, and those with complex medical and psychosocial issues, or chronic pain, to access social prescribing? Special consideration will be given to the expanded use of technology for consultations, with regards to bringing up and making social prescribing referrals.
Friday 13:30 - 14:15
Patient care at the centre: K1
Deafness and hearing loss in primary care
This year the RCGP chose deafness and hearing loss as a Spotlight Project and have developed a toolkit of educational resources. This session will help to improve understanding and raise awareness, highlighting the importance of effective communication in light of the significant challenges brought by the pandemic. GPs will be supported to implement latest NICE Guidelines and meet the terms of the Accessible Information Standard inspected by the CQC, improve the identification of deafness and hearing loss in primary care and understand how and when to refer.
Clinical learning: K2
PSA: best practice and diagnostic pathway
This session will provide a brief overview of the prostate cancer diagnostic pathway and the procedures for managing raised PSA. This session will also address the significant reduction in referrals for urological cancers and explore how we can work together with primary care to increase referrals for suspected prostate cancer.
Health Inequalities: K3
Come out for
Come out for #PrideRCGP
We will use available literature to illustrate prevalence of individuals who identify as LGBTQ+; prevalence of same sex attraction and sexual activity; experiences of LGBTQ+ people at work and from health services; prevalence of health needs in this population such as mental health and substance misuse. We will illustrate examples of discrimination, assumptions, micro-aggression, homophobic and transphobic attitudes by use of language and how they can be changed. We will also discuss ways to make practice environment more LGBTQ+ friendly to both staff and patients using resources such as RCGP e-learning, LGBT Foundation’s Pride in Practice initiative, NHS Rainbow badge, and the myths and misconceptions around sexual orientation monitoring.
Thursday 14:20 - 15:05
Patient care at the centre: L1
Supporting patients with Inflammatory Bowel Disease: managing flares, iron-deficiency anaemia, fatigue, contraception, and long-term complications
Emerging data suggests that IBD affects around 1 in 125 people in the UK. The symptoms overlap with those of many gastrointestinal and gynaecological conditions. The peak age for diagnosis is in early adulthood; often when patients are completing education, establishing careers or families. GPs are pivotal in managing the holistic long-term care of the patient. Access to support from clinical nurse specialists varies across the UK. This session will use patient speakers’ own stories to provide GPs with the tools to help support their patients’ nutritional, mental health, and contraceptive needs and facilitate the delivery of person-centred care.
Future of general practice: L2
Beyond ACEs-trauma informed developmentally appropriate healthcare for young people
Adverse Childhood Experience is common – around half of adults in England – and pervasive, occurring across all population, social and cultural groups. Covid-19 has exacerbated these inequalities in ways which will affect young people disproportionally. In this session we will look at how, by making our practices trauma-informed and developmentally appropriate, we can make a difference in young peoples’ lives. We will present a template to aid in such consultations, consider the impact of virtual consulting on this age group, and how to ensure equality of access to backgrounds and ethnicities.
Future of General Practice: L3
Helping the good get better – appreciative enquiry in medical education
Covid-19 has had a dramatic effect on our patients, our colleagues and ourselves, both at home and at work. As we question our experiences, let’s start asking about what we do well, and how we can do more of it. Appreciative Enquiry (AE) can highlight peak experiences and identify common factors that contribute to transformational educational interventions. Delegates will discover the ‘best of what is’, dream together about how to enhance ‘what could be’ and start the process of co-constructing designs for ‘what will be’ to be shared after the event.