CRB or “Disclosure and Barring Service” checks

There have been a number of queries about Disclosure and Barring Service (DBS) checks (or what used to be CRB checks).  It does appear that it is the responsibility of individuals to pay for their own DBS checks (See Slide 6 of this presentation from Health Education West Midlands) where as in the past this was paid for by the Employer.  More information about DBS checks for Doctors in training can be found on the NHS Employers website.  It looks as though you may update your DBS check rather than repeat the process of applying for a new check and this can be done via the website (thank you Matt).

Communication skills and Improv

Thank you to Ryan Offutt who came to do a session on how the art of Improvisation can highlight communication skills and hopefully improve them too.  Ryan helps organise and run a group called MB Improv (based in Sheffield) and it struck me at the recent South Yorkshire GP Conference earlier this year what a fresh and innovative method improvisation was for teaching communications skills.


Improvisation is steadily gathering an evidence base to support its use in medical education (see the following link from pubmed) and hopefully the feedback from today’s session will further support our decision to include it as part of the GP training programme.


This clip is of one of Ryan’s warm up games – enjoy!

Neutropaenic Sepsis

The topic of neutropaenic sepsis was central to one of the SEAs we covered today at the half-day release session.  For those trainees who would like to read and learn a bit more about this potentially fatal condition I have attached the following links.


Although NICE guidance on the condition with regards management in Primary Care is limited to just four lines the advice is quite succinct and easy to follow:


“suspect neutropaenic sepsis in patients having anticancer treatment who become unwell…refer immediately for assessment in secondary or tertiary care.”


The Map of Medicine pathway highlights clinical signs that patients with neutropaenic sepsis may present with and once again stresses the importance of immediate referral to hospital.  Finally, the following YouTube clip (North West London Cancer Network) offers a patient’s first hand experience of neutropaenic sepsis and other good clinical advice.


One day conference: Practice Management

A big thank you to everybody who made today’s conference so enjoyable.  There was a real buzz and it was good to see and hear trainees getting involved with the different scenarios.  Hopefully you now appreciate the joy of agreeing annual leave between colleagues, sorting out planning for the impending Winter crisis and can balance the books of the Practice where you work!  Special thanks and mention to Dr Pete Lane who organised and ran today’s conference.  Pics are now up on the Gallery page.