Clinical Update

0.5 CPD hours NICE guidance on type 2 diabetes recommends a patient-centred approach, providing advice and treatment based on the individual patient’s needs. It also recommends taking action on comorbidities and making use of newer diabetes medications. GP partner and educator Dr Pipin Singh provides insights for GPs in how to implement the guidance, using a case study on changes to advice and med...

A key message about epilepsy for GPs, according to Dr Fergus Rugg-Gunn, is that the condition is increasingly a condition of advancing age and distinguishing epilepsy from other conditions is even more challenging in older age groups because there are ‘many other potential health issues that could mimic seizures’. In this episode of the Clinical Update podcast, Dr Rugg-Gunn speaks to Dawn Liz Powe...

0.5 CPD hours The bulk of childhood food allergy is dealt with in primary care, yet access to educational opportunities for GPs have been ‘limited’, according to Professor Adam Fox in conversation with MIMS Learning editor Pat Anderson. In this interview recorded in August 2026, he provides tips for GPs on spotting symptoms, conducting investigations, and advising parents. He also highlights manag...

GLP-1 medications, long-established as treatments for type 2 diabetes, are now recognised as highly effective treatments for managing obesity. In this episode of the Clinical Update podcast, Professor John Wilding talks to Dawn Liz Powell about how evidence is building for new ways to support people living with obesity. As well as the development of subcutaneous and oral GLP-1 medications and how...

0.5 CPD hours Parkinson’s disease is ‘not a condition of one person’ because the families of people with Parkinson’s are very much affected by the condition, according to Dr Alistair Church.  In this episode of the Clinical Update podcast, he talks to MIMS Learning editor Pat Anderson about the role of GPs in the management of the condition. He says GPs are ‘the spider in the middle’ of suppo...

After seeing Sophie at 28 years (first episode) and at 35 years (second episode), the third and final episode of this podcourse looks at Sophie at 40 years old. She now has multiple obesity-related comorbidities — hypertension, type 2 diabetes, dyslipidaemia, obstructive sleep apnoea and metabolic dysfunction-associated steatotic liver disease. GP Dr Patrick Holmes reviews how to reduce Sophie's r...

In the second episode of this three-part podcourse, Sophie is now 35 years old and is approaching obesity class 3. She has also developed young-onset type 2 diabetes, dyslipidaemia, and hypertension. This represents disease progression from when we first met Sophie in episode 1 where she was 28 years old and living with obesity class 1. GP Dr Patrick Holmes discusses available treatment options fo...

Sophie is 28 years old, lives with obesity, and has just discovered that she is pregnant with her second child. Prior to her pregnancy, a blood glucose test indicated that she had pre-diabetes. In this episode, the first of a three-part podcourse, GP Dr Patrick Holmes reviews how to support Sophie through pregnancy, and after delivery,how to reduce the risk of further weight gain and progression t...

‘Successful opioid deprescribing is built on trust. Listen to patients, acknowledge that their pain is real, avoid stigmatising language, and involve them in every decision. Patients are much more likely to engage when they feel supported rather than judged,’ Dr Faheem Shakur says in this episode of the Clinical Update podcast. Dr Shakur explains that while opioids do have a role in the management...

0.5 CPD hours ‘There are a lot of things the GP can do’ for transgender patients, according to GP lead for East of England gender services Dr Kamilla Kamaruddin, interviewed for the Clinical Update podcast by MIMS Learning editor Pat Anderson. She says this begins with listening to patients and using preferred names and pronouns, and develops into long-term support as patients navigate their way t...

‘Resistant hypertension is when you’re taking three or more medications and you’ve not reached target, and usually one of those medications is a diuretic,’ Professor Terry McCormack explains in this episode of the Clinical Update podcast. He adds that determining whether patients are truly resistant or just not taking their medication can be difficult. However, he recommends asking subtle question...

0.5 CPD hours If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you.  Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migr...

0.5 CPD hours If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you.  Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migr...

0.5 CPD hours If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you.  Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migr...

0.5 CPD hours A GP partner is juggling her work and parenting responsibilities - as well as arranging care for her ageing mother - and feels ‘like she is missing symptoms’. A locum GP has back pain, but fears that his relationship with those he works for might be jeopardised if he asks for suitable adaptations. A salaried GP is experiencing mental health problems, but fears that disclosure might m...

0.5 CPD hours This discussion on obesity and its management, hosted by MIMS Learning editor Pat Anderson, took place at MIMS Learning Live South in London. Former GP Dr Patrick Holmes and consultant diabetologist Dr Amar Puttanna are part of the education provider Goggledocs and provided key learning points for GPs during the discussion. Educational objectives After listening to this podcast, GPs...

Lord Heseltine tells the story of the birth of the European Space Agency. Why post-Apollo, when the US was spending £1.2 billion a year on space, the whole of Europe was spending just £200 million. Why the birth of ESA was driven by the self-interest of three major countries. Why the US general with a $29 billion budget for the Star Wars project wanted to invest in Heriot-Watt University in Edinbu...

GPs and other doctors are at risk of developing abnormal coping mechanisms including addiction, but can turn things around if they spot the signs and take action, according to GP Dr Michael Blackmore. As a recovering addict, he gives advice to patients and to other GPs about how admitting problems and seeking help and support are vital, and can enable doctors to reconnect with their practice as we...

Bloating is a common presentation in primary care and can be caused by a wide variety of conditions, including irritable bowel syndrome, food intolerances, and small intestinal bacterial overgrowth. [Main] Bloating is a key characteristic of irritable bowel syndrome (IBS), but can also be a sign of a food intolerance (such as lactose intolerance) and small intestinal bacterial overgrowth (SIBO). I...

Around a third of patients with dementia remain undiagnosed. Dr Alistair Robertson, a GP with an extended role in frailty, provides insights for GPs and other primary care professionals on how they can address  underdiagnosis and provide support for patients and their families. He covers signs and symptoms to look out for, assessments to conduct, the role of drug treatments, and the benefits...

In this episode of the Clinical Update podcast, MIMS Learning deputy editor Rhiannon and medical editor Dawn provide a comprehensive update on prostate health.  High-profile figures, such as Sir Chris Hoy, opening up about their own diagnoses have significantly increased public awareness of prostate cancer. In light of this, the editors discuss the rationale for targeted prostate cancer scree...

In this episode of the Clinical Update podcast, Dr Louise Warburton talks to Dawn Liz Powell about the effect that obesity can have on the musculoskeletal system. She explains that if adults carry excess weight for a long time, perhaps from young adulthood, this can put additional strain on weight-bearing joints and can lead to premature wear and tear — meaning that the joints may need to be repai...

In this episode of the Clinical Update podcast, MIMS Learning editors Pat and Sangeeta discuss falls in older people, highlighting tips on assessment, the benefits of exercise, and the role of deprescribing in primary care. Falls among older people cost the UK health and care system an estimated £4.4bn annually. Drawing on insights from consultant geriatrician Dr Anna Steel and NICE and British Ge...

In this episode of the Clinical Update podcast, consultant dermatologist Dr Claire Fuller talks to MIMS Learning deputy editor Rhiannon about the clinical signs of scabies – including how presentation can differ in children and older adults – and provides a detailed breakdown of effective treatment regimens for both permethrin and ivermectin. Dr Fuller goes on to discuss the issues of ‘pseudo-resi...

GPs and primary care clinicians often encounter oral and dental problems, many of which are significant indicators of underlying systemic disease. In this episode of the Clinical Update podcast, medical editors Sangeeta and Dawn discuss symptoms and signs that can suggest gastrointestinal diseases such as Crohn’s, gastro-oesophageal reflux disease or eating disorders. They also examine the two-way...