Increasing ambulance wait times and patient complexity have shifted the role of primary care in managing emergencies.

In this episode of the Clinical Update podcast, GP and clinical lecturer Dr. Tim Sanders speaks to medical editor Sangeeta Krishnan about the need for extended stabilisation of a patient in primary care because of longer wait times for an ambulance, high-acuity low-occurrence (HALO) events (rare but life-threatening emergencies requiring immediate, expert intervention), and preparedness for emergencies in primary care.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Evaluate the shifting role of primary care from recognising to managing emergencies
• Implement a structured airway, breathing, circulation, disability, exposure (ABCDE) primary survey to help identify and manage deteriorating patients
• Distinguish between HALO events and more common emergency presentations
• Understand the ‘moral load’ and psychological effect of managing high-risk situations for longer durations on clinical teams
• Empower administrative and reception staff to recognise clinical red flags and trigger emergency protocols effectively
• Use cognitive aids and checklists to reduce cognitive overload during high-pressure clinical scenarios

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

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People who live with obesity can be malnourished if they are eating a high-calorie diet that has low nutritional value, president of British Obesity Society and obesity nurse specialist Jane DeVille-Almond tells Dawn Liz Powell (medical editor at MIMS Learning) in this episode of the Clinical Update podcast.

Jane adds that people on weight loss medications can also be at risk of malnutrition. She explains that as the drugs are associated with reduced appetite, people taking them may only feel like eating something small — such as a bag of crisps — and this can lead to nutritional deficiencies.

Jane and Dawn also discuss how weight loss medications work, how healthcare professionals can support people with obesity, including those on medications, to eat a healthier diet, and how to encourage people to build up their exercise levels.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Review the risk of malnutrition in a person with obesity
• Discuss with patients the potential drivers of their obesity
• Support patients living with obesity to eat a healthier diet
• Give practical advice to patients about building up their exercise levels
• Consider how to ensure that they eat a healthy diet themselves

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

Click here to vote between 14-16 January 2026 for the Learning Awards, for which MIMS Learning is shortlisted.

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Confidence in Obesity Care

Obesity in adults

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Obesity treatments

British Obesity Society

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In the first Clinical Update episode of 2026, MIMS Learning editors Dawn Liz Powell and Rhiannon Ashman look at the goals of MIMS Learning’s new editorial campaign — Confidence in Obesity Care.

One of the goals of the campaign is to help GPs and other healthcare professionals better understand the role of GLP-1 medications (also known as weight loss medications) in the management of obesity, looking at which medications can be prescribed in primary care and which patients are eligible for them.

Another goal is to promote obesity management that encompasses the whole patient and not just their BMI.

Dawn and Rhiannon also look at some of the complications of obesity, including cardio-renal-metabolic (CVRM) disease and young-onset type 2 diabetes.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Recall the prevalence of obesity and why its management is important
• Discuss what NHS programmes are available for supporting weight loss
• Recall the available management options for obesity
• State which patients are eligible for weight loss medications
• Review the connection between obesity and young-onset type 2 diabetes

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning

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Cardio-renal-metabolic disease: clinical review

Confidence in Obesity Care

Identifying and managing young-onset type 2 diabetes

Obesity in adults

Adult obstructive sleep apnoea syndrome: clinical review

MIMS

Obesity treatments

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