Primary Care NEL Munir Adam

IN THIS EPISODE Munir Adam speaks with two professionals who are very involved with self-management in Long Covid.  The reality is that large numbers of people are left with the effects of this condition and empowering them with the right tools to help them better manage the condition is key.  There are things the specialist clinics do, and there are things that each of us can do to help.  This is our fourth and final episode in the Long Covid series, at least for a while. 

SPECIAL THANKS to the guest speakers: 
Andrew Cook, Long COVID Lead for Newham and Tower Hamlets 
Dr Chetna Patel, Long Covid GP 

USEFUL LINKS: 
Sleeping Well- https://www.yourcovidrecovery.nhs.uk/i-think-i-have-long-covid/your-road-to-recovery/sleeping-well/nhs.uk/
Eating Well- https://www.yourcovidrecovery.nhs.uk/i-think-i-have-long-covid/your-road-to-recovery/eating-well   
Mindfulness- https://www.nhs.uk/mental-health/self-help/tips-and-support/mindfulness  
Low Mood- https://www.yourcovidrecovery.nhs.uk/i-think-i-have-long-covid/effects-on-your-mind/dealing-with-your-mood-and-frustration-after-covid    
Managing Daily Activities- https://www.yourcovidrecovery.nhs.uk/i-think-i-have-long-covid/your-road-to-recovery/managing-daily-activities

FEEDBACK:  This Podcast is brought to you by North-East London Training Hubs.  Feedback, suggestions and comments are encouraged, and can be sent to: https://forms.office.com/r/zgN5wajhr6

DISCLAIMER:  This podcast is aimed at specified categories of clinical staff working in the specified geographical area, and it is important to note that the content provided is both time and location specific.  The aim is to ensure information is accurate at the time of publication, but no guarantee is provided in this regard.  The host, presenters, other contributors, and North-East London Training Hubs do not accept any liability for any actions, consequences or effects that result either directly or indirectly from the information provided.
Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking medical advice.  
Furthermore, views expressed, advice given and any other information provided is the opinion of the speakers.  Whilst any advice given is as accurate and comprehensive as possible, it is only general advice and should not be used as a substitute for the individual advice that may be provided by an appropriate specialist.  Healthcare professionals accessing information from the podcast should use their own professional judgement when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.
 

IN THIS EPISODE we discuss the MDT approach for patients suffering with the persistent, yet unexplained symptoms of long Covid, with the aim of helping them to live with them.  Munir Adam is joined by Louise Ross to understand this better.

SPECIAL THANKS to:  Louise Ross - Cognitive Behavioural Therapist; City & Hackney COVID Rehabilitation (CoRe) Service; Homerton University Hospital NHS Foundation Trust
 
USEFUL LINKS: 
Post COVID-19 Patient information pack Helping you to recover and manage your symptoms following COVID-19: 
https://gp-website-cdn-prod.s3.amazonaws.com/downloads/1589364822-a2ac4f0d54141da323f4087888276478.pdf
Further information about the service and details/links on how to refer:
https://gps.cityandhackneyccg.nhs.uk/service/post-covid-assessment-and-rehabilitation-services
Please note that the information requested on the referral form is essential for the referral to be accepted and includes:
•        Clinical Assessment – including current symptoms, date of suspected/confirmed COVID-19 infection, rationale for referring to post-covid syndrome pathway
•        Investigations – CXR, Bloods – FBC, CRP, U&Es, LFTs, Vitamin D levels, Ferritin, COVID Serology.  If indicated – BNP (non-respiratory associated breathlessness), Cortisol (severe fatigue) Creatine Kinase (muscle pain); ECG (if chest pain/palpitations).  Bedside investigations:  (desaturation test – 1 min sit to stand test or 40 step test if not able to do a sit to stand test; oxygen saturations;  Heart rate;  BP – lying and sitting;  Yorkshire COVID Rehabilitation Questionnaire


FEEDBACK:  This Podcast is brought to you by North-East London Training Hubs.  Feedback, suggestions and comments are encouraged, and can be sent to:
https://forms.office.com/r/zgN5wajhr6

DISCLAIMER:  This podcast is aimed at specified categories of clinical staff working in the specified geographical area, and it is important to note that the content provided is both time and location specific.  The aim is to ensure information is accurate at the time of publication, but no guarantee is provided in this regard.  The host, presenters, other contributors, and North-East London Training Hubs do not accept any liability for any actions, consequences or effects that result either directly or indirectly from the information provided.
Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking medical advice.   
Furthermore, views expressed, advice given and any other information provided is the opinion of the speakers.  Whilst any advice given is as accurate and comprehensive as possible, it is only general advice and should not be used as a substitute for the individual advice that may be provided by an appropriate specialist.  Healthcare professionals accessing information from the podcast should use their own professional judgement when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

IN THIS EPISODE Munir Adam talks to Sharon Christy about Net Zero, a policy which the NHS has signed up to, and which will affect all of us in due course.

We'll cover:  What Net Zero is; why it is relevant to us in Primary Care, and what we can do about it.
SPECIAL THANKS to the guest speaker:  Sharon Christy, GP in Tower Hamlets, North-East London Primary Care Net Zero Clinical Co-Lead 

USEFUL LINKS: 
 To join Greener Practice North London:  https://www.greenerpractice.co.uk/join-our-network/local-groups/north-london/
 To find out more about the North East London Green Plan (with the link for the primary care guide to be added shortly):  https://www.eastlondonhcp.nhs.uk/ourplans/green-plan.htm
To contact the North East London Primary Care Net Zero Leads please contact greenerpracticenorthlondon@gmail.com
To sign up for the Green Impact for Health Toolkit:  https://www.greenimpact.org.uk/giforhealth

FEEDBACK:  This Podcast is brought to you by North-East London Training Hubs.  Feedback, suggestions and comments are encouraged, and can be sent to:
https://forms.office.com/r/zgN5wajhr6

DISCLAIMER:  This podcast is aimed at specified categories of clinical staff working in the specified geographical area, and it is important to note that the content provided is both time and location specific.  The aim is to ensure information is accurate at the time of publication, but no guarantee is provided in this regard.  The host, presenters, other contributors, and North-East London Training Hubs do not accept any liability for any actions, consequences or effects that result either directly or indirectly from the information provided.
Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking medical advice.  
Furthermore, views expressed, advice given and any other information provided is the opinion of the speakers.  Whilst any advice given is as accurate and comprehensive as possible, it is only general advice and should not be used as a substitute for the individual advice that may be provided by an appropriate specialist.  Healthcare professionals accessing information from the podcast should use their own professional judgement when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

IN THIS EPISODE  we continue our journey into Long Covid as GP Covid Lead Uzma interviews Consultant Dr Ainley, to explore, amongst other things, the initial assessment and management, when to refer, and current thinking about the vaccination.    
This is second episode in our Long Covid series, and follows a webinar series of the same theme.

SPECIAL THANKS to the guest speakers:   Dr Adam Ainley, Consultant Respiratory Physician (Barking, Havening and Redbridge University Hospitals NHS Trust) and Dr Uzma Haque, (General Practitioner, Barking & Dagenham CCG).

 USEFUL LINKS: 
Yorkshire recovery screen:  https://licensing.leeds.ac.uk/product/c19-yrs-covid-19-yorkshire-rehabilitation-scale#:~:text=The%20C19-YRS%20%28COVID-19%20Yorkshire%20Rehabilitation%20Scale%29%20is%20an,score%2C%20functional%20disability%20score%20and%20global%20health%20score.
 MRC Score for breathlessness: https://www.pcrs-uk.org/mrc-dyspnoea-scale
 Post-Covid functional scale:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236834/
 GAD Anxiety score:  https://patient.info/doctor/generalised-anxiety-disorder-assessment-gad-7

Long Covid Webinars:  https://www.newhamtraininghub.org/programmes/nel-long-covid-community-of-practice/long-covid-training/


FEEDBACK:  This Podcast is brought to you by North-East London Training Hubs.  Feedback, suggestions and comments are encouraged, and can be sent to:
https://forms.office.com/r/zgN5wajhr6


DISCLAIMER:  This podcast is aimed at specified categories of clinical staff working in the specified geographical area, and it is important to note that the content provided is both time and location specific.  The aim is to ensure information is accurate at the time of publication, but no guarantee is provided in this regard.  The host, presenters, other contributors, and North-East London Training Hubs do not accept any liability for any actions, consequences or effects that result either directly or indirectly from the information provided.
 Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking medical advice.  
 Furthermore, views expressed, advice given and any other information provided is the opinion of the speakers.  Whilst any advice given is as accurate and comprehensive as possible, it is only general advice and should not be used as a substitute for the individual advice that may be provided by an appropriate specialist.  Healthcare professionals accessing information from the podcast should use their own professional judgement when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

In this episode Munir Adam is joined by Cancer Clinical Lead GP Dr Shaz Kang, who has been interviewing a Professor passionately leading the way in the all-important, yet poorly known Rapid Diagnostic Centre. The episode covers:
Scale of the problemThe role of Primary CareEarly detection of cancerMaking effective use of the RDCTake home messagesSPECIAL THANKS to our guest speakers:  Professor Finbarr Cotter, Consultant haem-oncologist at Barts Health NHS Trust  & Dr Shaz Kang, General Practitioner and Clinical Cancer Lead in Waltham Forest. 

USEFUL LINKS: 
Cancer research UK - HP section.  Health professional | Cancer Research UK
NICE guidance on cancer:  Overview | Suspected cancer: recognition and referral | Guidance | NICE
NHS.uk:  Cancer - Signs and symptoms - NHS (www.nhs.uk)

FEEDBACK:  This Podcast is brought to you by North-East London Training Hubs.  Feedback, suggestions and comments are encouraged, and can be sent to:
https://forms.office.com/r/zgN5wajhr6
 
DISCLAIMER:  This podcast is aimed at specified categories of clinical staff working in the specified geographical area, and it is important to note that the content provided is both time and location specific.  The aim is to ensure information is accurate at the time of publication, but no guarantee is provided in this regard.  The host, presenters, other contributors, and North-East London Training Hubs do not accept any liability for any actions, consequences or effects that result either directly or indirectly from the information provided.
Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking medical advice.  
Furthermore, views expressed, advice given and any other information provided is the opinion of the speakers.  Whilst any advice given is as accurate and comprehensive as possible, it is only general advice and should not be used as a substitute for the individual advice that may be provided by an appropriate specialist.  Healthcare professionals accessing information from the podcast should use their own professional judgement when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.

IN THIS EPISODE Munir Adam speaks with Laura Graham, part of the Community of Practice, to understand Long Covid.  The episode is the first in the Long Covid series, and covers definition, demographics, symptomatology, red flags and reference to resources.
SPECIAL THANKS to the guest speaker:  Laura Graham, Specialist Respiratory Physiotherapist, Homerton University Hospital; HEE Clinical Transformation Fellow
USEFUL LINKS: (Everything included within the site below)
https://www.newhamtraininghub.org/programmes/nel-long-covid-community-of-practice/
FEEDBACK:  This Podcast is brought to you by North-East London Training Hubs.  Feedback, suggestions and comments are encouraged, and can be sent to:
https://forms.office.com/r/zgN5wajhr6
DISCLAIMER:  This podcast is aimed at specified categories of clinical staff working in the specified geographical area, and it is important to note that the content provided is both time and location specific.  The aim is to ensure information is accurate at the time of publication, but no guarantee is provided in this regard.  The host, presenters, other contributors, and North-East London Training Hubs do not accept any liability for any actions, consequences or effects that result either directly or indirectly from the information provided.

Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking medical advice.  

Furthermore, views expressed, advice given and any other information provided is the opinion of the speakers.  Whilst any advice given is as accurate and comprehensive as possible, it is only general advice and should not be used as a substitute for the individual advice that may be provided by an appropriate specialist.  Healthcare professionals accessing information from the podcast should use their own professional judgement when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.