Women continue to experience delays in diagnosis, variation in care and unequal access to specialist services across a range of common gynaecological conditions. As more women's health is managed in primary care, GPs are often balancing diagnostic uncertainty, increasing patient expectations and limited access to specialist services. This panel will explore the barriers to delivering high-quality women's health care and discuss practical approaches to improving diagnosis, management and patient outcomes in everyday general practice.

Discussion points

• Why are women still experiencing delays in diagnosis?
• Navigating referral pathways and access to specialist care
• Supporting women while awaiting investigation or specialist assessment
• Practical changes that can improve women's health care in general practice

Obesity is now recognised as a chronic relapsing disease and one of the biggest drivers of ill health in primary care. As treatment options expand and patient demand continues to grow, GPs are increasingly managing complex conversations around lifestyle interventions, anti-obesity medicines, long-term weight management and obesity-related comorbidities. This session will explore the practical challenges of modern obesity care and how primary care can support patients using the latest evidence.

Learning objectives:

• Tailor obesity management to individual patient risk, comorbidities and treatment goals
• Support patients using anti-obesity medicines, including those receiving privately initiated treatment
• Manage long-term treatment, monitoring and common challenges, including adverse effects and muscle loss
• Integrate obesity management into the prevention and treatment of cardiometabolic disease

Diabetes management continues to evolve, with new evidence, updated guidance and an expanding range of treatment options. This session will provide a practical update on the latest developments in diabetes care, focusing on the changes most relevant to everyday general practice.

Learning objectives:

• Review the updates in diabetes management
• Apply current evidence to everyday practice
• Optimise treatment in primary care
• Recognise changes to guidance and clinical practices

Through practical case studies, this panel will examine cancer presentations that can be difficult to assess in primary care, including vague symptoms, abnormal blood results and repeat attendances. Speakers will discuss when to investigate, when to refer urgently and how to safety-net when the diagnosis is not yet clear.

Discussion points:

• Case studies of subtle cancer presentations
• Abnormal blood results and vague symptoms
• FIT, NICE pathways and urgent referral
• Safety-netting patients who do not meet clear criteria

Neighbourhood working is beginning to take shape across the NHS, but what does it mean for GP practices and PCNs? This panel will bring together speakers who are already putting neighbourhood working into practice to share what's changed over the past year, what's proving successful and where challenges remain. Through case studies and discussion, you'll hear how different neighbourhoods are working with local partners to improve care, along with the lessons others can take back to their own practices.

Discussion points:

• What neighbourhood working means for GP practices and PCNs in practice 
• Lessons learned from early implementation sites—the successes, challenges and common pitfalls 
• Building effective partnerships across primary care, community services, local authorities, education and the voluntary sector 
• Real-world case studies demonstrating how neighbourhood working is improving patient care, tackling local health challenges and strengthening collaboration across the community 
• The leadership, relationships and practical changes needed to make neighbourhood working successful

Heart failure management has changed significantly in recent years, with new evidence, evolving treatment pathways and medicines that are transforming outcomes for patients. This session will provide a practical update on recognising heart failure in primary care, optimising treatment using current evidence and understanding the GP's role in the ongoing management of patients with heart failure, plus the rationale for a holistic CVD-Kidney-Metabolic Disease (CVKD) approach to patient care.

Learning objectives:

• Recognise the key changes in heart failure management relevant to primary care
•  Develop skills to improve early diagnosis, and that this is both possible, and essential, for best patient outcomes
• Optimise treatment using a 4-pillar and 2-pillar approach
• Manage patients with a CVKM disease (cardiovascular-kidney-metabolic) approach
• Recognise when specialist review or treatment escalation is required

Rethinking where, how and by whom elective care is delivered.

An overview of urinary incontinence and pelvic organ prolapse, including diagnosis, conservative and surgical management options, and appropriate referral pathways. The session will focus on practical, evidence-based management and patient counselling, with time for questions and discussion.

As more end-of-life care is delivered in the community, GPs are increasingly responsible for coordinating care, supporting care homes and making complex decisions for patients with frailty and multiple long-term conditions. Knowing when to shift the focus of care, avoid unnecessary hospital admission and balance clinical priorities with patient and family wishes is becoming an increasingly important part of general practice. Through practical case-based discussion, this session will explore the real-world challenges of delivering high-quality end-of-life care in today's NHS.

Learning objectives:

• Recognise when changing goals of care should influence clinical decision-making
• Navigate complex end-of-life decisions using practical case-based discussions
• Use anticipatory prescribing and community palliative care services effectively
• Coordinate care across primary care, community teams and care homes to support patient’s preferences

When respiratory symptoms persist despite treatment, knowing what to investigate next isn’t always straightforward. This session will provide practical updates on respiratory management, recognising serious respiratory disease and making confident investigation and referral decisions.

Learning objectives:

• Review updates in asthma and COPD management
• Recognise red flags in persistent respiratory symptoms
• Identify patients requiring further investigation
• Recognise when specialist referral is indicated

Growing numbers of children and adults are presenting to primary care requesting assessment for ADHD, making these consultations increasingly common and often complex. This session will explore a practical approach to recognising possible ADHD, deciding when referral is appropriate, supporting patients during long waits and managing requests following private assessment. It will also examine the GP's role before diagnosis, during treatment and as part of ongoing shared care.

Learning objectives:

• Recognise when ADHD assessment should be considered and when alternative explanations should be explored 
• Navigate referral pathways and assessment criteria 
• Support patients and families while awaiting specialist assessment 
• Manage requests following private assessment and ongoing shared-care arrangements