Speaker

Dr David Capehorn - GP partner and Honorary Associate Specialist in Paediatrics.

Blurb

Should we always investigate lymphadenopathy in children and how worried should we be? Is fever a predictor of illness? When should we investigate intermittent abdominal pain? How do we interpret investigations in children? GP and Honorary Associate Specialist in Paediatrics tackles these questions and more, challenging us with common myths and pitpalls in Primary Care Paediatrics.

Resources

• Bristol Children's Hospital: chronic abdominal pain in children (https://uhbw.mystaffapp.org/diliboards/46/diliboard_contents/12401/document_view.pdf)
• Park: Evaluation of neck masses in children (https://pubmed.ncbi.nlm.nih.gov/7762481/)

Speaker

Dr Anirban Majumdar: consultant Paediatric Neurologist

Blurb

Join GP Ruth Bowen exploring the challenging topic of chronic headaches with consultant Paediatric Neurologist Dr Anirban Majumdar. We discuss management of migraines and tension headaches including alternative medicines and supplements, the often challenging overlap between headache phenotypes in CYP, red flags and indications for referral.

Resources

• Headsmart (https://www.mybrainfirst.org/)
• Migraine trust (https://migrainetrust.org/)
• Bristol Children's Hospital: Paediatric headache for Primary Care (https://uhbw.mystaffapp.org/diliboards/46/diliboard_contents/307/document_view.pdf)
• British Paediatric Neurology Association: CHaT (Children's Headache Training) (https://courses.bpna.org.uk/index.php?page=childrens-headache-training)

Speaker

Dr Nick Sargant: consultant in Paediatric Allergy and Paediatric Emergency Medicine at Bristol Royal Hospital for Children.

Nick Sargant breaks down CMPA, guiding our Primary Care assessment, management and referral criteria as well as helping us distinguish CMPA from commonly confused differentials.

Resources:

• Allergy UK -cow's milk allergy
• Anaphylaxis UK
• British society of allergy and clinical immunology
• ICON

Speaker

Helen Tapson -South Gloucestershire Public Health Consultant. Lead for health inequalities in CYP.

"We are all in the same storm but we are not all in the same boat".

What local and national projects are striving to tackle health inequalities in Children and Young People? What part do we play in Primary Care?

Play on to find out more as South Gloucestershire Public Health consultant Helen Tapson guides us through the challenging topic of CYP health inequalities: highlighting exciting current national and local projects and using cases to explore practical tips and resources to empower us in Primary Care.

Resources

• South Gloucestershire Director of Public Health Report: Giving Children the Best Start in Life
• One stop shop (South Gloucestershire)
• Virtual hub for financial support (North Somerset)
• Citizens advice (Bristol, South Gloucestershire, North Somerset)
• Cost of living advice (South Gloucestershire)
• Cost of living advice (North Somerset)
• Cost of living support (Bristol)
• Healthy start vouchers
• NHS stop smoking app
• The Haven (BNSSG)

Speaker:

Dr Dinesh Giri, consultant Paediatric Endocrinologist (Bristol Children's Hospital)

With rates of obesity in Children and Young people on the rise, consultant Paediatric Endocrinologist Dr Dinesh Giri gives tips on approaching this tricky subject, what we can do in Primary Care to support and appropriately manage these children and onward referral, including the new government commissioning of severe obesity in CYP clinics.

Resources

• NHS: fussy eaters
• BeeZees bodies: top tips to tackle fussy eating
• Change4life (renamed 'healthier families')
• Live well: advice for parents of overweight children
• Healthy start (money for healthy food for 0-4s with a carer on benefits)
• Health Education England Childhood Obesity elearning

Speakers:

Dr Anthony Crabb: Associate Clinical Director for CAMHS in Devon and founder of Held Health Limited, a private healthcare provider of assessment and intervention for CYP with neurodiversity or mental health needs.

In this episode Dr Anthony Crabb explores common Primary Care presentations of CYP non-school attendance. He shares knowledge and experience helping families navigate school support, community resources and thresholds for CAMHS input.

Episode resources

• www.nhs.uk: ADHD
• www.nhs.uk: Autism
• ADHD UK
• National Autistic Society
• The Autism Education Trust
• Ambitious About Autism
• ADHD foundation
• Papyrus
• Great Ormond Street: ADHD
• Great Ormond Street: Autistic Spectrum Disorder
• Bristol Autism Support
• Bristol syndiass
• Bristol.gov.uk: EHCPs
• Bristol.gov.uk: parenting courses
• Addressing Education and Health Inequality: Perspectives from the North:

In this episode Paediatric Allergy and Respiratory Clinical Nurse Specialist Deb Marriage shares essential learning from her 6 month Paediatric Asthma outreach clinic pilot. Deb Marriage and Respiratory Paediatric consultant Katy Pike then explore the challenging topic of asthma, guiding us through common pitfalls in asthma diagnosis, the role of objective testing, red flags, Personalised Asthma Action Plans and management options including MART regimes.

Episode resources

• NRAD report: Why asthma still kills
• Asthma and Lung UK: Personalised Asthma Action Plan
• Bristol Children's Hospital: Child asthma plan
• Bristol Children's Hospital: Teenage MART asthma plan
• Bristol Children's Hospital: Teenage non-MART asthma plan
• Allergy UK: House dust mite
• Asthma and Lung UK: Inhaler technique

In this episode ERIC Paediatric continence nurse Brenda Cheer guides us through the systemic assessment of nocturnal enuresis, effective promotion of healthy bladder and bowels and targeted further management. Dr J-C Sconce explores nocturnal enuresis in children with complex needs, highlights red flags and guides us through appropriate referral routes.

Episode resources

• ERIC 'Advice for children with night-time wetting
• ERIC 'Advice for children with constipation'
• ERIC 'Advice for children with daytime bladder problems'
• ERIC 'Children's continence pathway'
• ERIC 'Night-time diary'
• ERIC 'How to use macrogol laxatives'
• ERIC 'A parent's guide to disimpaction'
• ERIC 'Guide for children with additional needs'
• Bladder and bowel UK 'Understanding bedwetting in children with Down's Syndrome and other learning disabilities
• Sirona CCHP: Neurodiversity advice and signposting