RCP Medicine Podcast

In this episode of RCP Medicine podcasts, Dr Rebecca Kuruvilla discusses Sustainability in Quality Improvement,  also known as the SusQI Framework with Dr Ayoma Ratnappuli. Ayoma is an HIV/Genitourinary Medicine specialist registrar working in South London has an out of programme experience with the Centre for Sustainable Healthcare as an Education Fellow, a role she now continues with alongside her clinical training. The Centre for Sustainable Healthcare works to embed and spread SusQI into undergraduate and postgraduate education as well as healthcare delivery organisations The SusQI Framework aims to deliver the best possible health outcomes with minimal financial and environmental costs whilst adding positive social value at every opportunity. This framework has been pioneered by the Centre for Sustainable Healthcare. During their conversation Ayoma breaks down the steps of the SusQI framework, explains the benefits of using this alongside traditional QI methodology, and explores an example of one of Rebecca’s own QI projects and how it could be adapted to add more sustainable value.Resources CSH Courses Courses | Centre for Sustainable Healthcaree-learning for Health – Environmentally Sustainable Healthcare Environmentally Sustainable Healthcare - elearning for healthcare (e-lfh.org.uk)SusQI.org (step by step guide) Step-by-step guide | Centre for Sustainab (susqi.org)Greener NHS Greener NHS (england.nhs.uk)CSH Resource Library Resource library | Sustainable Healthcare Networks HubCSH Networks Networks | Sustainable Healthcare Networks HubThis episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had the opportunity to suggest the topic of this episode, however, all views and opinions expressed by the presenter and guests are solely their own.Music: bensound.com

In this episode of RCP Medicine podcasts, Dr Rebecca Kuruvilla discusses e-cigarettes and vaping with the RCP’s special advisor on Tobacco, Professor Sanjay Agrawal. It is an area that many physicians are unclear on how to advise their patients on. In this episode, Sanjay aims to shed a light on e-cigarettes and their role on health and he will also discuss the recent report he has co-authored “E-cigarettes and harm reduction: an evidence review” (can link) for the RCP. Sanjay will explain how we should be advising our patients on e-cigarettes looking at the current evidence.  Sanjay is a Consultant in Respiratory and Critical care medicine at the University Hospitals of Leicester NHS Trust. He has a specialist interest in treatment of tobacco dependency and NHS financial management, alongside clinical care for patients with interstitial lung disease, lung cancer and patients with critical illness. Sanjay Chairs the RCP Tobacco advisory group and is the National Speciality Advisor on Tobacco to NHS England.  This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.Music: bensound.com

In this episode of the RCP Medicine podcast's Health Inequalities series, Dr. Rohan Mehra delves into the commercial determinants of health—how private sector activities influence health outcomes and deepen inequalities. This episode focuses on the food industry, examining how corporate actions like product design, marketing, and lobbying can negatively impact public health.Joining Rohan is Dr. Chris Van Tulleken, an infectious diseases consultant at the Hospital for Tropical Diseases in London, associate professor at University College London, and an acclaimed researcher and BAFTA wining broadcaster. Chris’ work, including his bestselling book Ultra-Processed People, shines a light on how corporations, particularly in the food industry, affect health, especially in the context of child nutrition. Together, they explore the pressing issue of corporate influence on health and discuss practical ways to address these challenges. Resources:Lancet commercial determinants of health series: https://www.thelancet.com/series/commercial-determinants-healthCommercial determinants of health- WHO fact sheethttps://www.who.int/news-room/fact-sheets/detail/commercial-determinants-of-healthLSHTM research on commercial determinants of health (CDRG workgroup)https://www.lshtm.ac.uk/research/centres-projects-groups/cdrg  Music: www.bensound.com

OsteoporosisListen along to Dr Sagen Zac-Varghese, Dr Amy Purohit and Dr Elinor Roderick as they discuss osteoporosis. They discuss identifying people with osteoporosis, investigating for causes of falls and secondary causes of osteoporosis, use of FRAX, understanding bone mineral density, and, management to reduce fracture risk, including diet, exercise and medications. Sagen Zac-Varghese is a consultant in diabetes, endocrinology and general internal medicine and lead for undergraduate students at the East and North Herts NHS Trust. She is the RCP education representative for the RCP Advisory Group on Nutrition Weight and Health.Elinor Roderick is an academic foundation doctor at the East and North Herts Trust. Amy Purohit is an academic foundation doctor at the East and North Herts Trust.LinksRoyal Osteoporosis Society https://theros.org.uk/  National Osteoporosis Guideline Group https://www.nogg.org.uk/ FRAXhttps://frax.shef.ac.uk/FRAX/music: bensound.com