An estimated 10 million people (6 million women, 4 million men) in the UK have osteoarthritis, with an estimated 5.4 million people affected osteoarthritis in the knee and 3.2 million in the hip. An estimated 350,000 people are diagnosed with osteoarthritis each year with a median age of symptom onset of 55 years.

In this podcast Dr Thomas Round, a GP and EKU Clinical Lead, talks with Dr Louise Warburton, a GP with a special interest in musculoskeletal care and rheumatology, Honorary Senior Lecturer at Keele University and Co-president of the Primary Care Rheumatology and Musculoskeletal Medicine Society, about osteoarthritis including risk factors, presentation, clinical history, examination, diagnosis and treatment/self management.  

Sponsored by Pfizer Limited. Pfizer has had no involvement in the editorial component of this educational material. Editorial and content decisions were made solely by the RCGP.

Respiratory syncytial virus (RSV) is an RNA virus which causes respiratory infections; the most significant clinical effects are in infants and people who are elderly and have chronic medical conditions or immunosuppression. In this podcast, Professor Simon de Lusignan from the RCGP’s Research and Surveillance Centre discusses the new RSV vaccination programme, which offers a one-off vaccine to everyone at the age of 75, with an initial catch-up programme between the ages of 75 and 80. He also touches on monoclonal antibodies and antivirals, which are given in secondary care to children who are at high risk of serious complications if they contract RSV.

In this series of two podcasts, Dr Dirk Pilat, the medical director for professional development of the RCGP, discusses the resurgence of measles in the United Kingdom. In the first part, Dr Michael Mulholland, the honorary secretary of the RCGP, reminds us of the severity of the disease, the efficacy of the MMR vaccine and how to prepare for a potential increase of cases in the community. In the second part, Dr Tehseen Khan, a GP in North East London, the Population Health & Health Inequalities Lead at North East London ICS and a Clinical Advisor for NHS England, shares his experiences on how to increase immunisation coverage within communities where coverage has traditionally been below average and how to address lack of vaccine confidence in the consultation.

This podcast was produced by RCGP Learning. Editorial and content decisions were made solely by the RCGP.

Non-alcoholic fatty liver disease (NAFLD) presents as a disease spectrum. Fatty change is a common and frequently benign condition, present in 20-30% of the population and up to 90% of the morbidly obese.

This Essential Knowledge Update (EKU2017.1) podcast explores the NICE guideline on non-alcoholic fatty liver disease. It discusses epidemiology of the condition as well as assessment, diagnosis (including severity) and management in primary care. 

The mean age of women who have a natural menopause is 51 years, although there is wide variation between women.

This Essential Knowledge Update (EKU18) podcast explores the diagnosis, treatment and management of the menopause. It also discusses the peri-menopause, primary ovarian insufficiency (POI), symptoms of the menopause and more. 

Alcohol use disorders are most common among those in young adulthood (18-29 years), a group that are relatively low at consulting primary care.

This Essential Knowledge Update (EKU18) podcast discusses the global burden of the disease and the main groups at risk of alcohol use disorder. It explores the diagnostic terms, identification, investigations, interventions and management in primary care and also highlights the area of driving and the DVLA.

Statistics for England in 2011 showed approximately 320,000 adults with epilepsy were receiving anti-epileptic drugs (AED), but it is estimated that only two thirds of these adults have it adequately controlled.

This Essential Knowledge Update (EKU17) podcast explores history taking including eye witness accounts of seizures, differential diagnoses, support from and referral to secondary care including diagnosis in hospital settings. It also discusses the treatment of seizures, driving and epilepsy and epilepsy in pregnant women and people with learning disabilities. 

Recent research (Ahmad 2015) has shown an increase in lifetime cancer risk from approximately 1 in 3 for those born in 1930 to 1 in 2 for those born after 1960. 

This Essential Knowledge Update (EKU17) podcast provides information on the NICE guideline in which the EKU module was based including the recommendations for site specific cancers and also by symptom/findings of primary care investigations in both adults and children. It also discusses the referral criteria and how to explain the reasoning for the referral to a patient.

Multiple Sclerosis (MS) is the most common disabling neurological disease of young adults in the UK. Over 100,000 people in the UK have MS and it effects over 2,000,000 more. It is not considered a terminal illness and it is not contagious.
This Essential Knowledge Update (EKU16) podcast discusses the prevelance, presentation and assessment, symptom relief, relapses and exacerbations, referral and management (including ongoing information, advice and support) of MS. It also highlights MS in pregnancy.

It is estimated that patients with MUPS represent up to 20% of GP contacts, and 30% of patients presenting with physical symptoms.

This Essential Knowledge Update (EKU16) podcast explores the pharmacological and non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS).

In this podcast, RCGP Clinical Champion for veterans' healthcare Dr Emily Brookes talks with Beth Lambert, National Service Lead for Op RESTORE, and Mr Shehan Hettiaratchy, National Clinical Director for Op RESTORE, about their specialist service designed to improve physical healthcare for Armed Forces veterans.

Become veteran friendly at rcgp.org.uk/veterans

Services mentioned in the podcast:
Blesma - charity that supports limbless veterans
Blind Veterans UK - charity that supports vision-impaired ex-Servicemen and women to rebuild their lives after sight loss
Op RESTORE - the NHS Veterans Physical Health and Wellbeing Service (formerly the Veterans Trauma Network)

Depression is both under-recognised and under-treated. Only 60% of people with symptoms of depression consult a GP and of these only 60% are diagnosed. It causes significant morbidity and mortality. Mental health problems are the cause of 10% of all certified sickness episodes and depression leads to more than 3,000 deaths by suicide each year in the UK. In this podcast Dr Thomas Round, a GP and EKU Clinical Lead, talks to Professor Carolyn Chew-Graham, a Professor of General Practice Research at Keele University and a GP in Manchester, about the treatment and management of depression in adults.

In the second podcast in this series, Dr Emma Ryan discussed how a GP might notice that a patient is experiencing gambling harms, and what they could do about it. The podcast covers the four tiers of treatment, from local voluntary services up to residential care, as well as the rating scales which are used in both primary and secondary care, and the issues to consider if a patient who is being treated for gambling disorder suffers a relapse. The podcast goes on to talk about how practices could develop their knowledge in this area, if it was something that they wanted to learn more about, and what services they could offer, including how to obtain RCGP accreditation.

An educational grant was received from GambleAware for the production of the podcast. Editorial and content decisions were made solely by the RCGP. 

In this podcast, Dr Emma Ryan introduces the concept of gambling related harms, starting with background information on gambling in the UK and how it affects adults and children. She goes on to discuss the definition of gambling disorder, which populations are at particularly high risk, and the recent gambling white paper. The second podcast in this series will deal with the issue in more detail, giving practical information about how a GP can spot a patient who is affected by gambling, and what to do about it.

An educational grant was received from GambleAware for the production of the podcast. Editorial and content decisions were made solely by the RCGP. 

In this podcast, Dr. Anne Connolly discussed endometrial and cervical cancers, with a focus on early diagnosis. The podcast covers the different risk factors for the two cancers and how knowledge of these risk factors can help with diagnosis and prevention. As part of this the cervical screening programme is discussed, including the recent change to primary HPV screening and the possibility of a future in which the first test is a self-taken HPV swab. The symptoms that should raise concern about endometrial cancer are discussed, as well as the referral pathways and what to do when you are concerned about someone but they don’t exactly meet referral criteria. 

In this podcast, Dr Emma Nash talks to Professor Tony Avery, GP, Professor of Primary Health Care at the University of Nottingham, and National Clinical Director for Prescribing. Key points from the two prescribing safety modules are touched on, in the context of the Medicines Safety Improvement Programme (MedSIP) and there is discussion of how medication safety has progressed over the years. Current priorities, national drivers for change, optimising safer systems and safer use of high-risk medicines, are described as well as potential developments on the horizon. 

Financial support for this programme was provided from Pfizer Limited. Editorial and content decisions were made solely by the RCGP.

Diagnosing cancer in primary care is difficult. Many patients present with non-specific symptoms and the positive predictive value of even the ‘red flag’ symptoms is low. In this podcast, Dr Thomas Round and Professor Willie Hamilton discuss the issues around cancer diagnosis in primary care, including the positive predictive value of symptoms, the increasing number of two-week wait referrals and the usefulness of tests such as Ca125. 

Financial support for the project was provided as an Independent Medical Education Grant from Pfizer Limited. Editorial and content decisions were made solely by the RCGP.

In this podcast, Dr Emma Nash talks to Professor Derek Connolly about cardiovascular disease and lipid management. Measuring and interpreting lipid profiles and when to initiate treatment are discussed. Professor Connolly takes us through the various treatment options and their respective benefits, in light of the updated lipid pathway, and illustrates the benefits that they can have on cardiovascular risk, both in terms of primary and secondary prevention.

Dr Emma Nash DOI: https://elearning.rcgp.org.uk/bio/teacher.php?id=4205
Prof Derek Connolly DOI: https://elearning.rcgp.org.uk/bio/teacher.php?id=168787

An educational grant was received from Amarin UK Limited for the production of this resource. Editorial and content decisions were made solely by the RCGP.

To learn more about Irritable Bowel Disease (IBD) please access the newly designed RCGP Inflammatory Bowel Disease Toolkit, which allows users to learn about IBD through different formats including three bite-sized NUBs - New Useful Bits, a 30 minute module and a recorded podcast. The toolkit provides tips to help those working in Primary Care suspect, investigate, and refer patients for appropriate investigations. It also summarises key information to consider when supporting patients living with IBD.

A person’s risk of developing cancer depends on many factors, including age, genetics, and exposure to risk factors (including some potentially avoidable lifestyle factors). 

In this podcast Dr Thomas Round, a GP and EKU Clinical Lead, talks with Dr Nicola Weaver, a GP and Clinical Cancer Lead in Southwark, Southeast London about familial breast cancer including the recent changes to the NICE guideline. 

Inflammatory bowel disease is a lifelong condition which can impact on many areas of a person’s life. In this podcast, Dr Toni Hazell and Dr Kevin Barrett discuss how we can diagnose inflammatory bowel disease at an earlier stage and make logical use of the tests available to us. They then go on to discuss the management of flares of the disease and holistic care for patients with IBD, at all stages of life. 

This podcast was funded by Crohn's & Colitis UK. Editorial and content decisions were made solely by the RCGP eLearning.

In this podcast we talk to Dr David Kernick about migraine treatments and the availability of newer medications to help manage uncontrolled symptoms. Both preventative and therapeutic options are explored, in conjunction with discussion about the roles of primary and secondary care. 

In this podcast we talk to Dr David Kernick about the relationship between women's health and migraine. The effect of hormones and changes to the pattern of migraines throughout life are explored, and the relevance of migraines in the prescription of contraception and hormone replacement therapy is also discussed.

In this podcast, Dr Nicholas Jones, GP cardiologist, academic GP and Wellcome Trust Doctoral Research Fellow, discusses heart failure with preserved ejection fraction (HFpEF). Left ventricular function in HFpEF is normal, or near normal - that is, 50% or greater - but with symptoms that we recognise as being of heart failure. He talks about recognising and diagnosing the syndrome, along with potential treatment options and emerging evidence on effective therapies for symptoms control and prognostic benefit.

Despite the apparent simplicity in the two options available, the combined oral contraceptive pill (COCP) and the progestogen-only pill (POP), choosing the right oral contraceptive pill can be challenging. In this podcast, Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Sally Higginbottom, a GP in Camden with a special interest in health inequalities, the rational use of medication and women’s health on prescribing the oral contraceptive pill in primary care.

It's estimated that between one and two in every 100 people in the UK are affected by gout. It mainly affects men over 30 and women after the menopause. In this podcast, Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Louise Warburton, a GP, Clinical Lead for Telford Musculoskeletal Service (TEMS) and Primary Care Rheumatology and Musculoskeletal Medicine Society Executive Member about the causes, diagnosis, treatment and management of gout.

Practices are well into the flu vaccination season by now, but how often do we actually stop and think about what is in the vaccinations that we give, and how we know when flu is circulating? Dr Toni Hazell talks to Professor Simon de Lusignan of the RCGP Research and Surveillance Centre (RSC). They discuss the strains of flu that are in the vaccine, our expectations for uptake this year and why we have moved to a quadrivalent vaccine. Simon also talks about the work of the RSC, who are always looking for more practices to be part of their network. If you would like to enquire about joining the RCGP Research and Surveillance Centre, please email practiceenquiries@phc.ox.ac.uk

You can view the RSC's Virology Dashboard here: https://tinyurl.com/34p2xjbb

CSL Seqirus has funded these podcasts and has been involved in discussion for the topic of this podcast. The content has been prepared independently by the RCGP without any input from CSL Seqirus. This podcast is intended for healthcare professionals and is disseminated by media determined by the RCGP.

This podcast was recorded in November 2022, reflecting guidance for the 2022/23 flu season. The general principles will still be relevant, but for exact information reflecting the latest guidance for the 2023-24 season please go to the RCGP's Influenza eLearning modules.

Atrial fibrillation (AF) is a very common problem. In England alone, approximately 835,000 people have AF. This number is rising rapidly, and prevalence is predicted to double by 2050. This reflects the rising prevalence of risk factors, such as hypertension and obesity as well as being a consequence of population ageing. In this podcast, Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Nicholas Jones, a GP and GP cardiologist in Oxford, with an active interest in cardiovascular disease and atrial fibrillation about the diagnosis and management of atrial fibrillation.

Chronic primary pain occurs without a clear underlying condition or when the pain - including associated emotional distress and functional disability - is disproportionate to observable injury or condition. These conditions, including fibromyalgia, chronic primary headache, and chronic primary pelvic pain, affect between 1% and 6% of people in England.1 The underlying pathophysiology is poorly understood. In this podcast, Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Adam Harvey-Sullivan, an Academic trainee GP (who recently co-authored a BJGP paper on Chronic pain), about this topic. For further learning on chronic pain, please access the RCGPs eLearning courses on 'Chronic Pain in Adults' and 'Chronic Pain in Children and Young People' as well as the RCGPs EKU2021.3 module on 'Chronic pain (primary and secondary) in over 16s'.

Both the combined and progestin-only pills are highly effective with perfect use, with a failure rate of less than 1%. However, the failure rate with “typical use” is 9%, which accounts for inconsistent or incorrect use.

In this podcast Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Toni Hazell, a GP with an interest in women's health and the RCGP Deputy Medical Director for eLearning about the types of combined oral contraception, risk assessment tools e.g. UKMEC, contraindications, individualising pill taking regimes, missed pill rules and common myths. 

The menopause marks the permanent end to the reproductive phase of life and happens at an average age of 51. Symptoms can be significant and affect many body systems. In this podcast, Dr Anne Connolly discussed contraception in the perimenopausal years, the management of a woman who has had some relief with HRT but continues to have symptoms of the menopause, and when the use of testosterone might be indicated. 

There continues to be questions raised around flu vaccination during pandemic times, including eligibility and whether multiple vaccinations can be given at the same time. In this podcast, Dr Dirk Pilat talks to Dr George Kassianos about the latest guidance for the 2022/2023 flu season. They cover eligibility for different age groups, vaccine hesitancy and the guidance around co-administration.

CSL Seqirus has funded these podcasts and has been involved in discussion for the topic of this podcast. The content has been prepared independently by the RCGP without any input from CSL Seqirus. This podcast is intended for healthcare professionals and is disseminated by media determined by the RCGP.

This podcast was recorded in August 2022, reflecting guidance for the 2022/23 flu season. The general principles will still be relevant, but for exact information reflecting the latest guidance for the 2023-24 season please go to the RCGP's Influenza eLearning modules.

The 2022/23 flu season is fast approaching, bringing with it all the usual questions about who gets which vaccine and how to best organise a vaccination programme. In this podcast, Dr Toni Hazell talks to Dr. Sally Higginbottom, author of our eLearning module on influenza. Sally will delve into some of the practicalities of running a successful vaccination programme including which vaccine for which patient, what to do if patients are concerned about egg allergy or have religious concerns and which vaccines can be given at the same time as the flu vaccination.

CSL Seqirus has funded this podcast and has been involved in discussion for the topic of the podcast. The content has been prepared independently by the RCGP without any input from CSL Seqirus. These podcasts are intended for healthcare professionals and are disseminated by media determined by the RCGP.

This podcast was recorded in July 2022, reflecting guidance for the 2022/23 flu season. The general principles will still be relevant, but for exact information reflecting the latest guidance for the 2023-24 season please go to the RCGP's Influenza eLearning modules.

The National Review of Asthma Deaths (NRAD) was a groundbreaking publication which reviewed 195 UK asthma deaths, adult and child, that took place over one year. In this podcast, Dr Toni Hazell talks to Dr Shuaib Nasser who contributed to the report. They cover the different phenotypes of asthma, how this is relevant for clinical management, the findings of the NRAD and how we can apply these in practice to make asthma care safer.

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

Reviewed and updated: February 2025

In this podcast, Dr Emma Nash talks with consultant paediatric gastroenterologist Peter Gillett to examine common presentations in general practice and paediatric outpatient departments that can be attributed to functional GI disorders. Recognition and diagnosis are considered, along with management, and the important conditions to exclude are touched upon.

Here is a list of resources relating to the content of this podcast:
Refractory Constipation: What is the Clinician to Do?
Gut-focused hypnotherapy for children and adolescents with irritable bowel syndrome
Dietary and pharmacological treatment of abdominal pain in IBS
Guidelines on management of cyclic vomiting syndrome in adults by the American Neurogastroenterology and Motility Society and the Cyclic Vomiting Syndrome Association
Managing cyclic vomiting syndrome in children: beyond the guidelines
Paediatric functional abdominal pain disorders
Fifteen-minute consultation: Childhood rumination syndrome
Functional abdominal pain in adolescents: case-based management
Practical management of functional abdominal pain in children
Chronic nausea and vomiting: evaluation and treatment
Fifteen-minute consultation on the healthy child: Bowel habit in infants and children

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

In this podcast, Professor Pali Hungin and Dr Emma Nash discuss functional gastrointestinal disorders. The podcast explores the nature of functional GI disorders, the evolving understanding of the pathophysiology behind them, and how this knowledge can help GPs manage the conditions. There is a focus on irritable bowel syndrome, including how it may be positively differentiated from other conditions, rather than made as a diagnosis of exclusion.

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

Primary care clinicians need a clear and structured approach to the diagnosis and treatment of people with gastroesophageal reflux disease (GORD). This can help clinicians to identify the small proportion of people who need urgent investigation or long-term surveillance, whilst offering holistic treatment aimed at symptom improvement for the larger population with symptomatic but benign GORD. In this podcast, Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Kevin Barrett, a GP and member of the Primary Care Society of Gastroenterology about the advances in the diagnosis and management of gastroesophageal reflux.

In medicine we talk about the upper and lower airway, but in fact these two tracts are continuous with each other, lined with the same epithelium and affected by the same disease processes. In this podcast, Dr Toni Hazell and Professor David Price discuss how this knowledge affects the management of asthma and allergic rhinitis. Patients with asthma are more likely to have allergic rhinitis than the general population, and vice versa. By proactively asking about symptoms of allergic rhinitis in those with asthma, and vice versa, we can personalise our care and help patients to gain better control of both conditions. 

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

Lung cancer is common and the cause of a fifth of all cancer deaths. Early detection in primary care is key in improving survival rates by enabling curative treatment. In this podcast, Dr Sally Higginbottom and Dr Steve Holmes discuss the role of imaging and screening for lung cancer.

This episode was updated in October 2022, to reflect recent guidance. 

An educational grant was received by AstraZeneca for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.

Eczema is often seen as purely a skin disease, but it is associated with other allergic conditions and can cause significant stress for patients and their families. In this podcast, Dr Toni Hazell and Dr Angelika Razzaque discuss the links between eczema and other allergic illnesses, the management of hand eczema, psychological stress due to eczema and how to manage children with disturbed sleep due to eczema. 

An educational grant was received by Sanofi for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.

In this podcast Dr Emma Nash talks to Dr Pranav Sharma about gender bias in pain. They discuss what gender bias in pain is, and what evidence there is that it exists. Dr Sharma goes on to explain the possible reasons why it came about and what we can do to address it in our own practice.

GPs and other NHS clinicians are often pressed for time, but there is a lot to talk about in the first consultation for a patient with eczema. In this podcast Dr Toni Hazell talks to Dr Angelika Razzaque about what should ideally be covered, whether in one appointment or split over more than one. This includes how to break the news of a chronic condition, whilst still giving some hope for effective management, how to manage steroid phobia and how to safely deal with a patient who wishes to use alternative medicine to manage their eczema. 

An educational grant was received by Sanofi for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.

In this podcast, Dr Toni Hazell discusses the diagnosis and management of heart failure with Ahmet Fuat, honorary professor of primary care cardiology at Durham University, and Sarah Worsnop who shares her experiences of being diagnosed with heart failure at an early age. They cover the importance of the use of NT-proBNP test in patients with symptoms such as fatigue and shortness of breath, and of keeping an open mind if a patient presents at a younger age than would usually be associated with heart failure. The podcast goes on to cover the basics of heart failure management and the issues that are important to patients, including different consultation styles and open access to heart failure nurses when needed.

This podcast was funded by Roche Diagnostics Limited. Final editorial and content decisions were made by the RCGP. The views and opinions expressed in this podcast are those of the podcast participants and do not necessarily represent the views of Roche Diagnostics Limited.

Every year approximately 2% of adults seek medical attention for moderate to severe dizziness. In this podcast, Dr Thomas Round, EKU Clinical Lead, talks to Dr Devina Maru, a GP Speciality Registrar in Greenwich with a special interest in ENT and audiology and RCGP National Clinical Champion for hearing loss, about sudden onset dizziness and vertigo. Their discussion includes the definition of dizziness and its associated symptoms, how common it is, causes of dizziness and vertigo, testing (such as the HINTs, Dix Hallpike, Romberg's, Weber's and Rinnes tests and the Epley manoeuvre) and management.

There are many urban myths which circulate in the world of allergy. In this podcast, Dr Toni Hazell and Professor Adam Fox attempt to put the record straight regarding some of them. We will cover vaccination and egg allergy, progression of allergic reactions, the use of adrenaline auto-injectors and allergy tests which are available to buy online.

Reviewed and updated: June 2024

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

In the UK over 3 million people are estimated to have osteoporosis and there are estimated to be over 500,000 fragility fractures that occur in the UK each year. In this podcast Dr Thomas Round, EKU Clinical Lead talks to Dr David Stephens, a locum and OOH GP in Scotland, and a member of the SIGN Guideline Development Group, concerning osteoporosis and the prevention of fragility fractures including the challenges faced by GPs, changes in the latest guidelines, the importance of diagnosis, the use of FRAX and QFracture tools, treatment recommendations and ongoing management.

Approximately 4 million people in the UK have an autoimmune disease, many of whom have been affected by COVID-19, by either contracting the disease itself or negotiating the rapidly changing rules regarding shielding. In this podcast Dr Sam Robinson talks to Dr Kevin Barrett about the interaction between COVID-19 and autoimmune diseases, the concerns these patients may have regarding COVID vaccination, and whether there could be any positive outcomes from the COVID-19 pandemic.   

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

Reviewed and updated: December 2024.

Further listening: 

• RCGP podcast: Perspectives on... black women in health
• RCGP podcast: Perspectives on... being a South Asian GP

Coeliac disease affects 1% of the population, however it remains under diagnosed. In a disease which is mainly managed by diet, why do we need to investigate and make a formal diagnosis? In this podcast Dr Sam Robinson talks to Professor David Sanders, Professor of Gastroenterology at the University of Sheffield and a consultant at The Royal Hallamshire Hospital, about why a diagnosis is important, which non-gastroenterological symptoms patients may present with, and what the future of coeliac disease might look like. 

Financial support for the project was provided as a sponsorship from Thermo Fisher Scientific. Editorial and content decisions were made solely by the RCGP.

Reviewed: December 2024.

Aspergillus is a mould which is found in soil, organic matter and sometimes in air conditioning units. Its size means that it can easily be breathed in and can cause respiratory disease, as well as pathology in other body systems including the skin and the eye. This podcast focuses on allergic bronchopulmonary aspergillosis, a condition which is present in 13% of adults and up to 50% of children with severe asthma. The podcast discusses when to suspect aspergillosis and the investigations which might be useful in primary care, as well as outlining an approach to the patient who comes to see you with concerns about mould in their home.