GP Deep Dives

In the first episode of our series on providing care for people who use drugs in general practice, Samuel and Cat are joined by Barry Chapman, Lead Pharmacist for Substance Use in NHS Lothian. Together, they explore current drug trends in Scotland, the principles of opiate substitution treatment, harm reduction approaches, and the vital role of general practice in providing holistic, person-centred care for people who use drugs.
Access a written transcript of the Providing care for people who use Drugs: Clinical overview episode.
The information contained in this podcast is current at the point of publication, with no guarantee of future relevance. 
We would love your feedback! Share your thoughts on the podcast by completing our short feedback questionnaire. Your ideas help us improve our channel and shape our content!
Recommended resources
National Trauma Transformation Programme
Scottish Drugs Forum - Naloxone (e-Learning)
Scottish Families Affected by Drugs and Alcohol - Naloxone
UK Guidelines: Drug use and dependence
RCGP Certificate in the Management of Problem Drug Use
Medication Assisted Treatment (MAT) standards: access, choice, support - gov.scot
Content tags
#SubstanceUse #DrugUse #OST #ORT #OpiateSubstitutionTherapy #OpiateReplacementTherapy #MedicationAssistedTreatment #MATstandards #Methadone #Buprenorphine  #Addiction #OpiateDependence #DrugDependence #SubstanceDependence #Recovery #HarmReduction #Overdose #Naloxone #DrugDeaths #PeopleWhoUseDrugs #HealthInequalities #GeneralPractice #PrimaryCare

In this episode Samuel and Cat introduce the series. They give a brief overview of terminology relating to transgender healthcare, they explore pronoun use and they outline current socio-political circumstances relating to the trans community.
Access a written transcript of the Transgender Healthcare: Introduction episode.
The information contained in this podcast is current at the point of publication, with no guarantee of future relevance. 
We would love your feedback! Share your thoughts on the podcast by completing our short feedback questionnaire. Your ideas help us improve our channel and shape our content!

In this episode Cat speaks to Eli, a trans masculine person living in Scotland. They explore Eli’s journey from recognising and expressing their gender identity as well as their experience accessing transgender healthcare in Scotland.
Access a written transcript of the Transgender Healthcare: Lived experience with Eli episode.
The information contained in this podcast is current at the point of publication, with no guarantee of future relevance. 
We would love your feedback! Share your thoughts on the podcast by completing our short feedback questionnaire. Your ideas help us improve our channel and shape our content!
Recommended resources
Eli recommends Scottish Trans website as a useful resource for clinicians and patients.

In the final episode of our series on Providing care for people who use drugs in general practice, Samuel is joined by David and John, who both have lived experience of substance use and now work with Change, Grow, Live, an organisation which supports people affected by drug and alcohol use. Drawing on their personal experiences, they discuss what good healthcare looks like for people who use drugs, the barriers that can make accessing care difficult, what recovery looks like and how GPs can build trust, reduce stigma, and provide compassionate, person-centred support.
Access a written transcript of the Providing care for people who use Drugs: Learning from Lived Experience episode.
The information contained in this podcast is current at the point of publication, with no guarantee of future relevance. 
We would love your feedback! Share your thoughts on the podcast by completing our short  feedback questionnaire. Your ideas help us improve our channel and shape our content!
Recommended resources
Substance Use, Mental Health and Adverse Child Experiences | Turas | Learn  -New to Turas? Creating a Turas Learn account is quick and free.
UK Guidelines: Drug use and dependence
RCGP Certificate in the Management of Problem Drug Use
Medication Assisted Treatment (MAT) standards: access, choice, support - gov.scot
Content tags
#SubstanceUse #DrugUse #OST #ORT #OpiateSubstitutionTherapy #OpiateReplacementTherapy #MedicationAssistedTreatment #MATstandards #Methadone #Buprenorphine  #Addiction #OpiateDependence #DrugDependence #SubstanceDependence #Recovery #HarmReduction #Overdose #Naloxone #DrugDeaths #PeopleWhoUseDrugs #HealthInequalities #GeneralPractice #PrimaryCare

In the second episode of our series on Providing care for people who use drugs in general practice, Samuel and Cat are once again joined by Barry Chapman, Lead Pharmacist for Substance Use in NHS Lothian. Through a series of simulated clinical cases, they discuss practical approaches to common substance use presentations in primary care.
Access a written transcript of the Providing care for people who use Drugs: Case-Based Discussions episode.
The information contained in this podcast is current at the point of publication, with no guarantee of future relevance. 
We would love your feedback! Share your thoughts on the podcast by completing our short feedback questionnaire. Your ideas help us improve our channel and shape our content!
Recommended resources
Crew 2000
UK Guidelines: Drug use and dependence
RCGP Certificate in the Management of Problem Drug Use
Medication Assisted Treatment (MAT) standards: access, choice, support - gov.scot
Content tags
#SubstanceUse #DrugUse #OST #ORT #OpiateSubstitutionTherapy #OpiateReplacementTherapy #MedicationAssistedTreatment #MATstandards #Methadone #Buprenorphine  #Addiction #OpiateDependence #DrugDependence #SubstanceDependence #Recovery #HarmReduction #Overdose #Naloxone #DrugDeaths #PeopleWhoUseDrugs #HealthInequalities #GeneralPractice #PrimaryCare

In this episode Cat speaks to Dr Hannah Barham-Brown, a career start GP and equity, diversity and inclusion lecturer at the University of Dundee. They discuss referrals, how to support trans patients whilst they are on the waiting list, including ‘DIY hormones’, and bridging prescriptions. They also explore how to deliver high quality primary care to this demographic including contraception, applying decision aids,  supporting patients to access cancer screening and navigating IT systems.
Access a written transcript of the Transgender Healthcare: The role of the GP - Tying it all together episode.
The information contained in this podcast is current at the point of publication, with no guarantee of future relevance. 
We would love your feedback! Share your thoughts on the podcast by completing our short feedback questionnaire. Your ideas help us improve our channel and shape our content!
Recommended resources
Hannah signposts to the BAGIS Practical guide for GPs PDF