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. 
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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

In this episode Cat speaks to Oliver Wain, a Senior Healthcare Improvement Specialist at NHS Highland. They explore barriers and enablers for the trans community accessing healthcare in Scotland and discuss Oliver’s recent research project on exploring the experiences of transgender patients who live in remote and rural locations of Highland and Argyll and Bute and their experience of GP care – a single centre study.
Factual correction at 5 mins and 4 seconds: Trans & Non-Binary and GP surveys received 68 and 37 responses respectively, with 38 and 29 responses valid for inclusion in the research.
Access a written transcript of the Transgender Healthcare: Equality and accessibility in Primary Care 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
Oliver recommends the following resources:
Scottish Trans website
LGBT Youth Scotland website
If you would like more information on Oliver’s research, please do get in touch with him via NHSH research and development team. Contact details can be found on the NHS Scotland Research and Development Contacts web page.

In this episode Cat speaks to Zander, a trans masculine person living in Scotland. They explore Zander’s journey from recognising and expressing his gender identity as well as his experience accessing transgender healthcare in Scotland.
Access a written transcript of the Transgender Healthcare: Lived experience with Zander 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 
Zander recommends the following resources for more information for clinicians and their patients.
Scottish Trans website
LGBT Youth Scotland website

In this episode Cat speaks to Mike Ng, consultant plastic surgeon for NHS Tayside and Fife. They discuss masculinising and feminising surgical options, the associated risks and benefits or surgery and how GPs can support their patients before and after gender affirming surgery.
Access a written transcript of the Transgender Healthcare: Surgical therapies 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 Josh Farrell, specialist clinical pharmacist at Sandyford Gender Identity Clinic. In this episode they discuss masculinising hormonal therapies for transgender patients. They explore initiation and titration, expected physiological changes as well as risks and benefits of these therapy options.
Access a written transcript of the Transgender Healthcare: Hormonal therapies: Part 2 Masculinising hormones 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 
Josh recommends the following websites for more information.
The National Gender Identity Clinical Network for Scotland website which is mentioned in this episode is currently under review so the contents many not be accessible from the link provided. The link will be shared here once the website is active again.
Managing patients with gender dysphoria
PDF resource - TRANScribing: Clinical considerations for safe and inclusive prescribing for transgender and non-binary patients v1
Gender identity healthcare services standards

In this episode Cat speaks to Josh Farrell, specialist clinical pharmacist at Sandyford Gender Identity Clinic. In this episode they discuss feminising hormonal therapies for transgender patients. They explore initiation and titration, expected physiological changes as well as risks and benefits of these therapy options.
Access a written transcript of the Transgender Healthcare: Hormonal therapies: Part 1 Feminising hormones 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 
Josh recommends the following websites for more information.
The National Gender Identity Clinical Network for Scotland website which is mentioned in this episode is currently under review so the contents many not be accessible from the link provided. The link will be shared here once the website is active again.
Managing patients with gender dysphoria
PDF resource - TRANScribing: Clinical considerations for safe and inclusive prescribing for transgender and non-binary patients v1
Gender identity healthcare services standards

In this episode, Cat speaks to Dr Fiona Clunie, a consultant psychiatrist working at Chalmers gender identity clinic. They discuss the initial appointment at a gender identity clinic and follow up, diagnosis of gender incongruence and gender recognition certificates.
Access a written transcript of the Transgender Healthcare: Role of the Gender Identity Clinic 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 
Fiona signposts to the UK Government website for more information on gender recognition certificates. Direct links to this and the gender recognition medical report proforma can be found below.
Medical Report Proforma for Gender Recognition PDF
Apply for a gender recognition certificate - UK Government website