Finally we end with Dr Andrew Tressider - a Somerset GP - with a specialist interest in health and self care.

Very often, we care for others, but we rarely care for ourselves.

#SWPiPC It is important to take a minute, and put a dose of calm into the system.

Sitting up straight, feet flat on the floor and taking some deep breaths can activate the parasympathetic nervous system.

Look at the difference between sympathetic and parasympathetic drive.

#SWPiPC

Final lightening season of the day for me, @AAndybrereton - EoL Case Studies and working as a Paramedic in EoL care.

Andy opens by explaining his route to becoming a specialist EoL paramedic.

Paramedic > EoL HCA > B5 ‘nursing role’ > Training role > Specialist role

#SWPiPC A remainder before we start from @AAndybrereton - this could be emotive, if you need to take a minute, please do, remember to be kind to yourself.

#SWPiPC

Headaches and Neurology with Dr Peter Miller.

Possibly the most popular presentation of the conference so far.

Starting with some hard hitting facts:

Headache = brain tumour = 1:1,000
Likelihood of migraine diagnosis being right = 9/10

#SWPiPC PT with a headache? Some 🚩

🚩>50
🚩 Pregnancy
🚩Thunderclap
🚩Hx of malignancy or immunosuppressives

Any of these could be concerning.

Thunderclap, need to be asking speed of onset and is this the worst headache ever?

Onset is likely 0 > 10 in <5 mins.

#SWPiPC

Up next:

Dr Bridget Carne - Consultation Skills

What are they?

Communication skills
- creating a relationship
- sharing information
- picking up cues
- working out a plan together

#SWPinPC “Consultation skills is a massive subject, so let’s focus on some some tools”

Patients often rehearse what they want to say - try introducing yourself and NOT asking a question - give the patient time to speak first.

#SWPiPC

@HosznyakRachael talking about NHS@Home and her work around keeping the frail at home.

#SWPiPC The challenge with NHS @ Home is we are not currently working to keep patients at home.

In the #BNSSG area:

84% of patients could have left hospital earlier. With an average of 16 extra bed days per patient.

The keynote panel of @SarahToddPara @helenbeau1 @Kirsty_LLR, Simon Robinson and Dr Bridget Carne are talking about pre and post registration training for Paramedics in the next 5 years.

#SWPiPC @Kirsty_LLR mentions they are already talking about pre reg training changing in the 5th iteration of the curriculum to incorporate a larger focus on urgent care including long term condition management.