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Join Dr. Ruth Bowen as she interviews local specialists from around Bristol, North Somerset, and South Gloucestershire on a range of topics related to primary care paediatrics -- the non-blanching rash, enuresis, the limping child, infant feeding issues, and more! This podcast is aimed at primary professionals only and does not substitute professional medical advice or consultations. Topics will be discussed with BNSSG primary care in mind, and with references to local referral pathways, but the majority of content covered will be based on national guidelines and applicable nationally.
Join Dr. Ruth Bowen as she interviews local specialists from around Bristol, North Somerset, and South Gloucestershire on a range of topics related to primary care paediatrics -- the non-blanching rash, enuresis, the limping child, infant feeding issues, and more! This podcast is aimed at primary professionals only and does not substitute professional medical advice or consultations. Topics will be discussed with BNSSG primary care in mind, and with references to local referral pathways, but the majority of content covered will be based on national guidelines and applicable nationally.
Join Dr. Ruth Bowen (CYP GP Fellow, BNSSG Training Hub) as she interviews local specialists from around Bristol, North Somerset, and South Gloucestershire on various topics related to primary care paediatrics -- the non-blanching rash, enuresis, the limping child, and more!
This podcast is aimed at primary care professionals only and does not substitute professional medical advice or consultations. Topics will be discussed with BNSSG primary care in mind and with references to local referral pathways, but the majority of content covered will be based on national guidelines and applicable nationally.
If you should have any questions or concerns please contact bnssg.training.hub@nhs.net.
Additionally, send your feedback by voice note here.
Episode resources:
Further reading and resources for each episode can be found in episode descriptions.
If you should have any trouble accessing the reading and resources linked, however, please contact bnssg.training.hub@nhs.net.
Episodes

Apr 16, 2025
#22 Eating Disorders (finale)
Apr 16, 2025
Apr 16, 2025
37 min
Speaker:
Dr Neky Sargant: Consultant Paediatrician with an interest in Eating Disorders, UHBW Clinical Lead for Eating Disorders, BNSSG Clinical Lead for Paediatric Mental Health.
Blurb
IN THIS PODCAST FINALE Neky Sargant shares her 'top tips' for assessing and managing eating disorders in Children and Young People in Primary Care. She highlights key guideline changes with the 2023 MEED guidelines and guides us through an effective assessment of potential eating disorders, safe management plans and appropriate onward referral pathways.
Episode resources
Feedback
Send your feedback for this series by emailing ruth.bowen2@nhs.net or send a brief voice note here.

Mar 16, 2025
#21 New asthma guideline
Mar 16, 2025
Mar 16, 2025
29 min
Speakers:
Dr Katy Pike: Senior Lecturer at the University of Bristol, Honorary Consultant in Paediatric Respiratory Medicine and BNSSG ICB asthma lead
Dr Deborah Marriage: Consultant nurse in Allergy and Asthma and BNSSG ICB asthma lead
Blurb:
Hot of the press: NICE, BTS and SIGN all reached agreement for new, revolutionary asthma guidelines. In this episode Katy Pike and Deb Marriage demystify the guidelines, guiding us through the changes and impacts for the diagnosis and management of asthma in Primary Care.
Episode resources:
- New NICE/BTS/SIGN Asthma guideline
- Primary Care Respiratory Society: How to calculate and interpret peak flow rate variability
- Bristol Children's Hospital: Child asthma plan
- Bristol Children's Hospital: Teenage MART asthma plan
- Bristol Children's Hospital: Teenage non-MART asthma plan
- Asthma and Lung UK: Inhaler technique

Feb 16, 2025
#20 Paediatric ENT
Feb 16, 2025
Feb 16, 2025
32 min
Speaker:
Mr Julian Gaskin -Paediatric ENT consultant at Bristol Royal Hospital for Children
Blurb:
When are sleep studies warranted for children with suspected obstructive sleep apnoea? How do we avoid missing cholesteatomas? When should we refer infants with laryngomalacia? Is there a link between gastro-oesophageal reflux and laryngomalacia? Paediatric ENT consultant Julian Gaskin answers these questions and more as GP Ruth Bowen interviews him the common Primary Care ENT scenarios of obstructive sleep apnoea, laryngomalacia and acute, recurrent and chronic supporative otitis media.
Resources:
-Bristol Royal Hospital for Children guideline: Obstructive sleep apnoea
-NICE guideline: Acute otitis media
-NICE guideline: Otitis media with effusion
-NICE guideline: Chronic supporative otitis media

Jan 16, 2025
#19 Insights from Paediatric Advice and Guidance
Jan 16, 2025
Jan 16, 2025
33 min
Speaker:
Dr Frances Hutchings -Consultant General Paediatrician at Bristol Royal Hospital for Children
Blurb
How should we assess the child with recurrent infections? When can we reassure with a diagnosis of toddler diarrhoea? How do we manage Tics and when should we be concerned? What is benign transient hyperphoshatasemia of infancy? Dr Frances Hutchings answers these questions and more, addressing common themes in Paediatric Advice and Guidance letters.
Resources
- 10 warning signs of primary immunodeficiency
- BNSSG Remedy: Dietary management of toddler diarrhoea parent information leaflet
- BNSSG Remedy: Tic and tourettes in children
- Tourettes action
- Great Ormond Street Hospital: Tics
- Happy maps
- Off the record

Dec 16, 2024
#18 Gastro-oesophageal reflux in infants
Dec 16, 2024
Dec 16, 2024
34 min
Speaker: Dr J-C Sconce: General Paediatric consultant at BRHC, co-author of the BRHC 'Gastro-oesophageal reflux in infants' guideline.
Blurb
When should we prescribe for infants with reflux? How can we help parents practically giving medications? Do dummies have a role? Are pro-kinetic agents still an option? General Paediatric consultant Dr J-C Sconce guides us through these questions and more with this systematic approach to gastro-oesophageal reflux in infant as we discuss complications, management options and red flags for serious differential diagnoses.
Resources

Nov 16, 2024
#17 Learning Disabilities
Nov 16, 2024
Nov 16, 2024
33 min
Speaker:
Dr Rachel Gaywood -GP clinical lead for Learning Disabilities and Autism in Devon
Blurb:
How do we identify learning disabilities? Why is the learning disability register import? What are the common pitfalls around learning disabilities? How can we support families? Join us as Dr Rachel Gaywood explores these questions and more.
Resources:
- NHS England: Improving identification of people with a Learning Disability
- NHS England: Finding out more about the Learning Disability Register
- Get checked out
- Mencap
- Unique
- Support group for parents of children with special educational needs Bristol Somerset Gloucestershire
- RCGP Learning Disability Special Interest Group

Oct 16, 2024
#16 Autism
Oct 16, 2024
Oct 16, 2024
33 min
Speaker
Dr Clare Sheahan: consultant in Community Paediatrics
Blurb
When should we suspect Autism? What social factors can muddy the water? Who should we refer? How can we practically support families? What is the role of the education sector? Why are the rates of Autism increasing and what is BNSSG ICB doing to tackle the increased waiting times? Join us as Consultant Community Paediatrician Clare Sheahan tackles these questions and more.
Resources
- The Autism Assessment Service for Bristol, North Somerset and South Gloucestershire
- Local offer: Bristol, North Somerset, South Gloucestershire
- Bristol Autism Support
- https://www.wtt.org.uk/page/?title=NAS+Teen+Life+Programme&pid=86Teen life
- National Autistic Society
- Neon Daisy
- Parent Carer Organisation: Bristol, North Somerset, South Gloucestershire
- Paper 1: Study of England and Northern Ireland finds 8-fold increase in autism diagnosis over the last 20 years
- Paper 2: Autism phenotype vs registered diagnosis in Swedish children: prevalence trends over 10 years in general population samples
- Accurx template
- BNSSG Neurodiversity Transformation Programme

Sep 16, 2024
#15 Precocious and delayed puberty
Sep 16, 2024
Sep 16, 2024
31 min
Speaker: Pippa Bowen - General Paediatric consultant BRHC with an interest in endocrinology.
General Paediatric consultant Dr Pippa Bowen brings the child with precocious or delayed puberty to life. She guides us through a methodical Primary Care assessment with underpinning explanations. We explore cases of delayed puberty, precocious puberty and premature adrenarche.
Resources
- Archives of disease in childhood - Fifteen minute consultation: Clinical pubertal assessment
- NHS: Early or delayed puberty
- BSPED patient information leaflets
- Bristol Royal Hospital for Children guidelines: Delayed puberty
- Bristol Royal Hospital for Children guidelines: Premature or precocious puberty
Disclaimer:
The contents of this podcast are for educational purposes, aimed at primary care healthcare professionals only. They do not substitute professional medical advice or consultations with a healthcare professional.
Information presented is the opinion of the healthcare professional interviewed, based on their interpretation of best practice and guidelines at the time of the interview. It is the listener’s responsibility to compare information given with up-to-date local and national guidelines.
BNSSG Training Hub, Ruth Bowen, and interviewees are not liable for any clinical decisions made as a result of this podcast.
