RCPCH Podcasts
Members and guests chat about a wide range of child health topics - from health inequalities to climate change, from paediatric training to quality improvement.
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Understanding the RCPCH Assessment Review - changes to workplace-based assessments
06/29/2026
Understanding the RCPCH Assessment Review - changes to workplace-based assessments
Want to know more about the RCPCH’s Assessment Review particularly what, why, when and how it’s going to affect you? This podcast episode aims to do just that by bringing together some of the College faculty who have been involved through the planning, development and pilot stages. Dr Cathryn Chadwick, outgoing Vice President for Training and Assessment, Dr Josh Hodgson, Chair of the RCPCH Trainee Committee and Dr Sarah Hallett, Trainee Representative for Assessment at the RCPCH, discuss proposed changes to workplace-based assessments which are designed to better reflect real clinical practice. Cathryn has been leading the work to review the assessment programme within the Progress+ curriculum for doctors in postgraduate paediatric training. After two pilots and a consultation on the new workplace-based assessments, the proposed changes have been submitted to the General Medical Council for approval. Drawing on insights from trainees, trainers and College teams, the review marks a significant step towards embedding assessment within everyday clinical work. In this conversation, Cathryn, Josh and Sarah outline the Assessment Review process, proposed changes, and predicted timeline for implementation, and address concerns that have come up along the way. About Cathryn Cathryn is the outgoing RCPCH Vice President for Training and Assessment, a post she has held since 2021. She is a General Paediatric Consultant at Northampton General Hospital where she has a neonatal interest. Cathryn is excited by the opportunities in the new curriculum for trainees to develop capabilities to provide holistic, joined up care for children and young people. About Josh Josh is the Chair of the RCPCH Trainee Committee and a Paediatric Intensive Care Medicine trainee based at the Evelina London Children's Hospital. He is an Associate Fellow of the Faculty of Medical Leadership and Management (FMLM and a member of the Academy of Medical Educators and an Instructor for the Resuscitation Council (UK). About Sarah Sarah is the trainee rep for Assessments at RCPCH and an ST6 (S1) in General Paediatrics in the East Midlands. She has provided trainee input throughout the Assessment Review and also sits on the Training Quality and START Boards, as well as the SPIN Working Group.
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Leading the Way 12: The quiet power of SAS doctor leadership, with Dr Kumar Swamy
06/17/2026
Leading the Way 12: The quiet power of SAS doctor leadership, with Dr Kumar Swamy
Representing around 30% of the medical workforce in the NHS, SAS doctors are essential to delivering high-quality care. Yet their role is still evolving in terms of recognition and development. In this episode, Dr Jonathan Darling, who has recently completed tenure as RCPCH Vice President for Education and Professional Development, speaks with Dr Kumar Swamy, neonatology specialist and RCPCH SAS Joint Chair about how the RCPCH SAS committee works to amplify the impact and recognition of SAS doctors through consistent and persuasive messaging. The two discuss how leadership rarely begins with a title but with curiosity, involvement, and a willingness to contribute. Kumar reflects on his journey to developing leadership skills organically by stepping forward in areas he cared about and learning along the way. Emphasising the benefits of shared leadership, he explains the co-leadership model he follows as RCPCH SAS Joint Chair. This is persistent, collaborative and meaningful leadership in action. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Kumar Kumar Swamy is a Specialist in Neonatology at Nottingham University Hospitals NHS Trust. He has been involved with the RCPCH SAS committee for over ten years, working first as a regional representative. As a Joint Chair, part of his responsibility is to represent the SAS interests of the College on the Academy of Medical Royal College's SAS meetings. He is also a SAS Tutor for Nottingham University Hospitals and aims to support SAS doctors both locally and nationally.
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Child health research 1: Digital health technologies, with Professor Paul Dimitri
06/11/2026
Child health research 1: Digital health technologies, with Professor Paul Dimitri
How can we use digital technology to address children's physical and mental health needs and shift from reactive to anticipatory, personalised care? This episode is the first of a series on research and child health and discusses the role of technology in transforming child health. Professor Paul Dimitri, Director of Research and Innovation at Sheffield Children’s NHS Foundation Trust and paediatric endocrinology consultant talks with Nish Talawila Da Camara, Head of Research and Evidence. Paul outlines how digital tools, data and artificial intelligence can be used to build a more proactive and humane system for addressing children and young people’s health. There are many exciting advancements in the world of digital health technology, from new infrastructure like the incoming National Centre for Child Health Technology to advancements like remote monitoring, digital twins and AI. But we now face new challenges: Paul emphasises the need for child-focused digital standards and safeguarding measures. As children and young people's physical and mental needs are rising, 'the real opportunity isn't the technology itself. It's what we choose to do with it.' The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Paul Professor Paul Dimitri is a Consultant in Paediatric Endocrinology and the Director of Research and Innovation at Sheffield Children’s NHS Foundation Trust. He has been working in the field of Paediatrics since 1998 and Paediatric Endocrinology since 2004. Paul took office as Vice President for Science and Research at the Royal College of Paediatrics and Child Health in early 2022 and is leading on the development of the National Centre for Child Health Technology, aiming to bring together industry, universities, healthcare professionals, children and young people and their families to develop the most advanced healthcare technologies for children worldwide.
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Influencing the Children’s Wellbeing and Schools Act
06/03/2026
Influencing the Children’s Wellbeing and Schools Act
How does the College combine paediatric and policy expertise to influence legislation? Professor Andrew Rowland, Officer for Child Protection, talks about our work with colleagues from RCPCH and NSPCC. The UK Government introduced the Children’s Wellbeing and Schools Bill in 2024. This proposed measures to improve information sharing between services, strengthen safeguarding, reform children’s social care and raise standards and protections in schools. This received Royal Assent in early May 2026. Andrew invites Elizabeth Collin, RCPCH Public Affairs and Campaign Manager and Joanna Barrett, NSPCC Associate Head of Policy, to discuss the work of the College and the NSPCC in influencing this piece of legislation and reflections on the joint campaign for equal protection from assault across the UK. He then speaks with Grace Hastie, RCPCH Policy Manager for Child Protection and Ethics, on the long-term engagement and policy work surrounding the bill. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Andrew Professor Andrew Rowland is the RCPCH Officer for Child Protection and a consultant in paediatric emergency medicine. He has worked nationally and internationally in child protection, advocating for and with children and young people and safeguarding vulnerable groups. About Elizabeth Elizabeth Collin is the RCPCH Public Affairs and Campaign Manager. She works with College Officers, staff and members to make the case to Parliament and government for policies to support the paediatric workforce and improve child health outcomes. About Joanna Joanna Barrett is the Associate Head of Policy at the National Society for the Prevention of Cruelty to Children (NSPCC). She was heavily involved in the successful campaign to end the physical punishment of children in Scotland and is leading NSPCC's work on this campaign in England. About Grace Grace Hastie is the Policy Manager for Child Protection and Ethics at RCPCH. She works closely with the Officer for Child Protection to improve child protection and safeguarding across the UK.
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Leading the Way 11: Trust, courage and diversity in medical leadership, with Dr Erum Jamall
05/20/2026
Leading the Way 11: Trust, courage and diversity in medical leadership, with Dr Erum Jamall
How can we overcome the transition from clinical practice to managerial roles? In this episode, Dr Jonathan Darling, RCPCH Vice President for Education and Professional Development, speaks with Dr Erum Jamall, a consultant paediatrician and currently the Divisional Medical Director for Women's, Children and Core Services at Dartford and Gravesham NHS Trust. The two discuss leadership within NHS trusts and the crucial role of medical management. A key theme was the importance of viewing medical management as an essential part of trust leadership, particularly by building networks and collaborating across stakeholders. Erum shared her experiences of leading during the COVID‑19 pandemic, highlighting how even the toughest environments can offer an opportunity for meaningful growth. Erum pointed to the difficulty in balancing clinical and managerial roles, and cites self-belief, coaching and supportive networks as essential in navigating such challenges in senior leadership roles. Finally, she emphasised the importance of diverse and inclusive leadership, noting how varied perspectives strengthen teams and improve outcomes. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Erum Erum is a consultant paediatrician, with sub-specialty accreditation in paediatric emergency medicine. She is currently the Divisional Medical Director for Women's, Children and Core Services at Dartford and Gravesham NHS Trust. Her previous leadership roles include Divisional Clinical Director for Children and Young People Services and Associate Medical Director for Quality & Clinical Effectiveness at Whittington Health NHS Trust. She is passionate about diverse representation and clinical expertise in leadership roles across Health Care Organisations and equitable access to healthcare for all. She firmly believes that we can shape better outcomes for Children and Young People through better leadership.
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Leading the Way 10: Leading through advocacy and collaboration, with Dr Kay Tyerman
04/22/2026
Leading the Way 10: Leading through advocacy and collaboration, with Dr Kay Tyerman
How can we be firm, fair, and tenacious in standing up for our teams and those we serve? In this episode, Dr Jonathan Darling, RCPCH Vice President for Education and Professional Development, speaks with Dr Kay Tyerman, a paediatric nephrologist. Kay’s approach to leadership is rooted in advocacy and collaboration, qualities that are essential in shaping effective health systems. Kay and Jonathan talk about how hard knowledge has helped her build a valid argument to invest in child health, how she’s been encouraged by a simple thank you, and how she’s learned when to hand over a role to someone else. Because leadership is about being genuine and curious and building trust. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Kay Kay is a paediatric nephrologist in Leeds, current Head of School for Yorkshire and Humber and Officer for Workforce Planning. Over her consultant career, she has undertaken a variety of portfolio posts and voluntary roles. Her proudest achievement is her family and feeling as enthusiastic about paediatrics now as when she undertook her first post at the Norfolk & Norwich.
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Leading the way 9: Compassionate leadership in challenging times, with Will Clement
03/18/2026
Leading the way 9: Compassionate leadership in challenging times, with Will Clement
We are working in a period of sustained challenge. Many colleagues across the health system are stretched, fatigued and, in some cases, bordering on burnout. In this episode, Will Clement, a leadership consultant, executive coach and facilitator who has worked across the NHS and with RCPCH, tell us how compassionate leadership offers more than kindness; it delivers measurable improvements in wellbeing, team cohesion and outcomes. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Will Clement Will Clement is an experienced leadership consultant, executive coach, and facilitator, with a background spanning public, private, and not-for-profit sectors. He is the founder and Managing Director of Clement Leadership Development, a values-led consultancy specialising in leadership development, executive coaching, and organisational culture. With over 20 years of experience, including several senior leadership roles with Royal Mail, The AA, NHS and other large complex organisations, Will brings a grounded, practical approach informed by contemporary leadership thinking, coaching psychology, and systems leadership. His style is purposeful, challenging, and human, helping leaders lead with clarity, courage, and care in high pressure environments. Clement Leadership Development has delivered impactful programmes for national bodies, including NHS Trusts, Royal Colleges, universities, police leadership teams, and local authorities. Will also leads the design and delivery of bespoke leadership frameworks, awaydays, and cultural diagnostics. A qualified Level 7 executive coach and MBA graduate, Will is passionate about helping drive purpose and professionalism in leaders.
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Leading the way 8: Strategic leadership in safeguarding, with Dr Vicki Walker
02/18/2026
Leading the way 8: Strategic leadership in safeguarding, with Dr Vicki Walker
All child health professionals, no matter their role, must have knowledge and skills in safeguarding. As a designated doctor in child protection, Vicki has particular leadership experience in this area and has recently led the redevelopment of intercollegiate competencies for safeguarding and children in care. Vicki speaks with host Dr Jonathan Darling about her career, which often took an unconventional path; she worked as a teaching fellow, got involved with the RCPCH trainees’ committee and became head of service of a growing community paediatrics team. Leadership often starts with saying “yes” to opportunities that challenge us. But, as Vicki and Jonathan discuss, we can also ask for help, building collaboration. Prioritising self-care is also important, and Vicki has a simple strategy: three minutes of music to reset (in her case, some 1980s soft rock!). The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual. About Vicki I am a Consultant Paediatrician in Mansfield and the Designated Doctor for Looked After Children in Nottinghamshire. I work in the community paediatric service and with children in care. I’ve held leadership, management and supervision roles within the Trust. I was appointed to the RCPCH Child Protection Standing Committee in February 2019 working with the College to support paediatricians, progress training and improve health outcomes for children in care, with an interest in education and migrant health. I was appointed as the Assistant Officer for Child Protection (Education) in April 2022, developing and delivering courses and working as the clinical editor for the eLfH level three safeguarding children and young people eLearning. I was project lead for the recent update of the intercollegiate safeguarding children and children in care competencies. A multi-partner undertaking which took two years to complete. I was also co-lead for the development and publication of initial health assessment (IHAs) standards for children in care. I regularly teach on national courses and author journal articles.
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Leading the way 7: Stepping up when opportunities arise, with Professor Steve Turner
01/21/2026
Leading the way 7: Stepping up when opportunities arise, with Professor Steve Turner
Failure, Steve tells us, is a good teacher, and when you get involved in leadership, expect to make mistakes (and learn from them). In this episode of our monthly series of leadership conversations, Dr Jonathan Darling, RCPCH VP for Education and Professional Development, speaks with Steve about how his academic and leadership roles evolved, starting with a thin CV and stepping up as opportunities arose. He became involved in child health research, first in small groups, and then collaborating with colleagues across the UK and globe. His route to RCPCH President began with other College roles, including Scottish Officer and Registrar. Steve and Jonathan talk about his leadership values: realistic communication, a flat hierarchy and a culture of respect.
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Leading the way 6: Helping others thrive, with Dr Jonathan Darling
12/17/2025
Leading the way 6: Helping others thrive, with Dr Jonathan Darling
This month, it's our usual podcast host Jonathan in the spotlight! He's interviewed by Arnab Seal, who featured in our previous episode. How to pinpoint the start of Jonathan’s leadership journey? Perhaps when he was a senior registrar and helped set up a junior doctors' committee to come up with realistic proposals to resolve some of the things that weren't working as well as they could - like rotas. "That was leadership, but I didn't really realise it at the time," he says, "I was just doing what I felt needed to be done to make a difference." It's a reminder that leadership often starts with small but meaningful actions. Jonathan went on to become a consultant and senior lecturer in Leeds, and engaged in medical education and safeguarding. Now Vice President for Education and Professional Development at the College, where he enjoys learning from others' expertise and perspectives, he's been at the helm of the RCPCH Thrive Paediatrics programme, which supports paediatricians to promote wellbeing in their work. As Arnab says in his reflections on the episode, "the best leaders are those who lift others up and help them thrive".
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Leading the way 5: Dreaming big, with Dr Arnab Seal
11/19/2025
Leading the way 5: Dreaming big, with Dr Arnab Seal
Arnab's story is ambitious and inspiring: he helped establish a new hospital and introduced a pioneering approach to healthcare in India. That's not something many of us can say we've done. What dreams do we hold, and how can we create space to pursue them? In the fifth episode of 'Leading the way', our monthly series of leadership conversations, Dr Jonathan Darling, RCPCH Vice President for Education and Training, speaks with Dr Arnab Seal, a retired paediatrician in Leeds who worked in both general and community paediatrics (as he loved doing both). His special area of interest is neurodevelopmental paediatrics and he became the lead paediatrician for the service in Leeds. Arnab shares his insights with us on pursuing dreams, developing leadership qualities and "leaning in" to adversity.
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Leading the way: Layers of learning, with Dr Dal Hothi
10/15/2025
Leading the way: Layers of learning, with Dr Dal Hothi
What's at the heart of leadership? For Dal, it's about being authentic - to be self-aware and grounded in our values. But it's also about learning to be vulnerable - to admit when we don’t have the answers and to let go of our “armour”. It’s not easy, but it’s powerful. In the fourth episode of 'Leading the way', our monthly series of leadership conversations, Dr Jonathan Darling, RCPCH Vice President for Education and Training, speaks with Dr Dal Hothi, consultant paediatric nephrologist at Great Ormond Street Hospital for Children in London and recent Officer for Lifelong Careers at RCPCH. There are many layers of learning. Dal explains how her journey has been about "going from a space of knowing to learning". She's become a leader because she is "willing to learn and be open to experiences and trying to understand". The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual.
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Leading the way: Seizing opportunities as a resident doctor, with Dr Josh Hodgson
09/17/2025
Leading the way: Seizing opportunities as a resident doctor, with Dr Josh Hodgson
Josh’s story began with a simple but powerful moment—he took an opportunity that came his way. In the third episode of 'Leading the way', our monthly series of leadership conversations, Dr Jonathan Darling, RCPCH Vice President for Education and Training, speaks with Dr Josh Hodgson, new Chair of the Trainee Committee about his journey into leadership. They consider how leadership so often starts with recognising the right opportunity and having the courage to take it. Leadership development doesn't have to be formal, and finding mentors and taking time for reflection can be just as impactful as structured training. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual.
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Leading the way: Bloom where you grow, with Dr Emma Dyer
08/13/2025
Leading the way: Bloom where you grow, with Dr Emma Dyer
Step out of your comfort zone, encourage others, simply show up with integrity... leadership doesn’t always mean taking centre stage. In this second episode of 'Leading the way', our monthly series of leadership conversations, by Dr Jonathan Darling, RCPCH Vice President for Education and Training, speaks with Dr Emma Dyer as she completes her tenure as Trainee Committee Chair. Emma used to think of leaders as charismatic, sociable, the ones who always put their hands up in a meeting. But as an introvert, she's brought her own way of being an effective - and collaborative - leader to the workplace and College. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual.
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Leading the way: Finding joy in leadership, with Dr Simon Broughton
07/16/2025
Leading the way: Finding joy in leadership, with Dr Simon Broughton
Leadership isn’t about titles - it’s about action, passion and impact. And it's for everyone working in child health. From clinical academia to national leadership in education and training... Dr Simon Broughton, General Paediatrician and RCPCH Officer for Recruitment, shares how mentorship, joy in work and early succession planning have shaped his career. This is our first episode in 'Leading the way', our monthly series of leadership conversations, hosted by Dr Jonathan Darling, RCPCH Vice President for Education and Training. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other group or individual.
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Our blueprint for transforming child health services - six months on
04/25/2025
Our blueprint for transforming child health services - six months on
Dr Ronny Cheung, Officer for Health Services, joins Alison Firth, Head of Health Policy, and Bruce Warwick, Public Affairs Manager, for a lively discussion on how our landmark report – a blueprint for transforming child health services in England, published last autumn - has helped secure commitments to deliver care equitably for children at a national and local level. Together, they take a close look at what these national commitments over the past six months mean for elective and community services. The trio also reflect on some of the challenges along the way as well as the opportunities to come. Looking ahead, Ronny, Alison and Bruce consider the next six months for child health services. There's a focus on the Long-Term Workforce Plan and 10 Year Health Plan refresh and how the recommendations in our blueprint have helped focus the College’s approach to these major opportunities. As ever when working in influencing, events often overtake us no matter how hard we plan. As such, it is worth noting that this episode was recorded before the College heard the news that NHS England would be abolished. In this episode, you'll get a rare insight into how staff and members produce policy and then use this to influence decision makers at a national level.
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Child health and climate change: Nepal
10/16/2024
Child health and climate change: Nepal
In this final episode of our podcast series on the changing climate, this mountainous country is seeing extreme temperature fluctuations, landslides and air pollution, endangering communities and impacting healthcare. But, there are some lessons around adaptation, as our guests who work or have volunteered in Nepal explain. Dr Bernadette O’Hare hosts a fascinating and wide-ranging conversation with Dr Jamun Singh, a Nepalese paediatrician, and Dr Rashmi D’Souza, a UK-based paediatrician and Heather Watson, a UK-based paediatric nurse, who volunteered with Dr Singh in our Global Links programme. Dr Singh gives a powerful account of the dramatic effects climate change is having in Nepal, from extreme temperature fluctuations to the indirect dangers posed by cooking on indoor fires. He highlights the impact of floods, which have triggered landslides, further endangering communities and disrupting daily life. Despite these challenges, Dr Singh shares how Nepal is adapting, including changing school schedules to cope with climate extremes and harnessing the country's hydropower potential as a sustainable energy source. In a separate conversation, Bernadette caught up with Dr Camilla Kingdon in her last weeks as RCPCH President to find out more about the impacts of air pollution, as well as find out about her experiences visiting Nepal over the years. This episode not only sheds light on the specific challenges faced by children in Nepal due to climate change but also underscores the importance of global cooperation and local adaptation strategies. Tune in to hear these compelling stories and learn how communities are striving to protect their children and future in the face of a rapidly changing environment. Resources:
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Child health and climate change: Canada
10/09/2024
Child health and climate change: Canada
Floods, heatwaves and wildfires have become increasingly common across Canada. And as retired paediatrician Dr Julian Pleydell-Pearce explains in this episode of our climate change series, this makes a profound impact on the lives of children and young people - and the way health services are delivered. In episode two of this three-part series, Professor Bernadette O’Hare speaks with guest Julian, who worked as a paediatrician in Canada before his recent retirement. Julian shares his firsthand experiences of how shifting weather patterns has had a drastic impact on the lives of children and young people in Canada. Julian explains how heatwaves are causing widespread damage, leading to devastating wildfires that have displaced communities, destroyed vast areas of forest and severely degraded air quality. Beyond the physical dangers, Julian shares the personal challenges he faces in a region increasingly affected by climate change. Drawing from our , this series aims to deepen our understanding of the risks posed by climate change, particularly for the world’s most vulnerable population: children. We hope this podcast series deepens your understanding of the serious impacts climate change has on children's health. There's an urgent need for action, so tune in to hear about how we can all contribute to creating a safer, healthier future for children everywhere. Resources:
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Child health and climate change: Uganda
10/02/2024
Child health and climate change: Uganda
Less predictable weather in the past several years in this east African country have made it increasingly difficult to grow crops, leading to food shortages and skyrocketing prices. There are broader consequences for children's health, too, as Eva Odongpiny, a pharmacist in Uganda, discusses with us. These include an increased vulnerability to diseases like HIV and cholera, air pollution and water scarcity. This is the first episode in our three-part series on the impacts of climate change on children's health around the word. Host, Dr Bernadette O’Hare, chair of the international workstream of the RCPCH climate change working group, speaks with Eva who has firsthand experience of the environmental challenges children - and health services - face. Eva explains how the imbalance between supply and demand of food has resulted in widespread hunger and malnutrition. She talks too about how forced migrations due to flooding interrupts normal life routines. And that can impact adherence to medicines, such as antiretrovirals. And, Eva and Bernie explore the mental health toll on children, as the environmental challenges contribute to rising levels of eco-anxiety. Drawing from our , this series aims to deepen our understanding of the risks posed by climate change, particularly for the world’s most vulnerable population: children. We hope to inspire action to tackle climate change to protect children in Uganda and around the globe. So, tune in to learn more about how we can all contribute to creating a safer, healthier future for children everywhere. Resources:
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Patient safety 5 – The impact of healthcare inequality on patient safety
02/07/2024
Patient safety 5 – The impact of healthcare inequality on patient safety
Health inequalities are widening in paediatrics. Those that are more disadvantaged experience more safety issues whilst in health care. If we can make our healthcare systems more equitable for the children and young people we can for, they will be safer in our care. In episode 5 of our series on paediatric patient safety, we speak with Dr Helen Stewart, Dr Cian Wade and Dr Mimi Malhotra to explore how patient safety and health inequalities are inextricably linked. Tackling healthcare inequalities can improve safety and vice versa. Dr Stewart shares her knowledge and experience as the RCPCH Officer for Health Improvement as to how our children are impacted by health inequalities. Dr Wade and Dr Malhotra discuss their BMJ paper, Action on patient safety can reduce health inequalities, and explore some of the improvement avenues that are available to clinicians and service providers. Thank you for listening. Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber, RCPCH Head of Quality Improvement | Produced by 18Sixty Please be advised that this podcast series contains stories relating to child death and harm. All views, thoughts and opinions expressed belong to the guests and not necessarily to their employer, linked organisations or RCPCH. About the Patient Safety series As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated and energised to make strides in improving the safety of the children that you care for. The has lots of resources, including a wealth of learning about paediatric patient safety. The RCPCH health inequalities programme of work can be found on our . It is imperative to turn this knowledge into action through improvement activities. About the speakers Dr Helen Stewart is a Consultant in Paediatric Emergency Medicine at Sheffield Children’s Hospital. She also has an interest in public health and health inequalities, which has led to her becoming the Officer for Health Improvement at RCPCH. Dr Cian Wade completed a National Medical Director Clinical Fellowship with NHS England. He is a Fulbright Scholar who recently completed a Master of Public Health at Harvard University and now consults for health systems and healthcare providers. Dr Mimi Malhotra completed a National Medical Director Clinical Fellowship with the Health Foundation. Dr Malhotra continues to work as a respiratory trainee in London with ab honorary clinical lectureship at UCL. Topics/organisations/papers referenced in this episode
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Patient safety 4 - Involving children, young people and their families in making healthcare safer
01/31/2024
Patient safety 4 - Involving children, young people and their families in making healthcare safer
It is imperative that children and young people are central to the co-design and co-production of our patient safety improvement interventions. In this episode, we speak with Dr Jane Runnacles, consultant paediatrician at St. George's Hospital, and Dr Victoria Dublon, paediatric diabetes consultant at the Royal Free Hospital. Both are champions of improvement work that puts the young person and their needs first. As Jane and Victoria describe, involving children, young people and their families in improvement work improves the experience and outcome for all involved. There are fantastic examples of co-creating and co-producing safety improvements in healthcare. We discuss the practicalities of how to do this and who to involve in your healthcare setting, and we hear about some of Jane and Victoria’s successes. Thank you for listening. Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber RCPCH Head of Quality Improvement Produced by 18Sixty Please be advised that this podcast series contains stories relating to child death and harm. All views, thoughts and opinions expressed belong to the guests and not necessarily to their employer, linked organisations or RCPCH. About the patient safety series As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated and energised to make strides in improving the safety of the children that you care for. The has lots of resources. And our can help you get started on your engagement journey to effectively work with children and young people to improve their healthcare. Dr Victoria Dublon is based at the Royal Free Hospital and part of the Trust-wide diabetes team. She has been a paediatric diabetes consultant for eight years, working primarily at the Royal Free Hospital as well as running clinics at Barnet Hospital and Chase Farm Hospital. As a registrar, she trained in adolescent health as well as endocrinology and diabetes and this continues to be a big part of her work. Victoria is involved in improvement work within the department as well as being a champion of ‘Me First’, striving to put the young person and their needs first. Dr Jane Runnacles is a consultant in ambulatory paediatrics at St George's hospital NHS Foundation Trust, London and clinical governance lead for her department. She has an interest in acute paediatrics, simulation and quality improvement. During her postgraduate training in London, she was awarded distinction in her MA in clinical education and spent a year as a Darzi clinical leadership fellow at Great Ormond Street Hospital. Jane is a Training Programme Director for the London School of Paediatrics and leads their leadership and QI education programmes. Topics/organisations/papers referenced in this episode
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Patient safety 3 - How do we improve how we learn from harm?
01/24/2024
Patient safety 3 - How do we improve how we learn from harm?
It is not enough just to collect data on harm occurring to children in healthcare settings. We need the data to be robust, comparable across the NHS and for it to be transformed into effective, meaningful changes in outcome. In episode 3 of our series on paediatric patient safety, we speak with Dr Damian Roland, a paediatric emergency medicine clinician scientist and head of service for the Children's Emergency Department at Leicester Royal Infirmary. As Damian discusses on the podcast, in order to learn from harm and prevent it occurring again we need to collect data and investigate what is occurring across the healthcare system rather than looking to individuals. Removing the individual, more punitive approach to harm investigations could improve the quality of how we record and report harm. There is already a wealth of learning available from a range of sources including national reports, coroner’s findings described in regulation 28 reports to prevent future death and large-scale reviews like those of the Health Services Safety Investigations Body. We can investigate whether the causes of harm identified in these reports are occurring where we work and make proactive steps to avert it. Damian also shares the progress of the SPOT programme (System-wide Paediatric Observation Tracking). This looks to reduce harm and improve how we learn from harm by creating a standardised common language to identify and discuss children whose health is deteriorating. Thank you for listening. Hosted by Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber RCPCH Head of Quality Improvement | Produced by 18Sixty Please be advised that this series contains stories relating to child death and harm. All views, thoughts and opinions expressed in this podcast series belong to the guests and not necessarily to their employer, linked organisations or RCPCH. About the Patient Safety series As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated and energised to make strides in improving the safety of the children that you care for. The RCPCH Patient Safety Portal at has lots of resources. It includes a wealth of information summarising reports and investigations that identify what puts children at risk of harm. It is imperative to turn this knowledge into action through improvement activities. More about Dr Damian Roland Damian is a paediatric emergency medicine clinician scientist and is head of service for the Children's Emergency Department at Leicester Royal Infirmary. Among his many achievements, Damian has been focused on addressing the challenges of identifying deterioration in health in children. He created the Paediatric Observation Priority Score for Children's Emergency Care and currently he is instrumental in the NHS England SPOT programme. Topics/organisations/papers referenced in this episode
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Patient safety 2 - If we are psychologically safe, children are safer in our care
01/17/2024
Patient safety 2 - If we are psychologically safe, children are safer in our care
Psychological safety in healthcare settings is the condition in which you feel included, safe to learn, safe to contribute and safe to challenge the status quo - without fear of being embarrassed, marginalised or punished. And it's an essential foundation in building a safety culture. Individually, feeling psychologically safe improves performance and innovation, while feeling unsafe reduces productivity and harms retention. In a highly productive team, it is about feeling safe to take risks, to learn from each other and to feel resilient and able to tackle the difficult and varying challenges of healthcare with a healthy mindset. This is the second episode in our patient safety series and features Dr Dal Hothi and Dr Jess Morgan. Learn how you can reflect on your own behaviour, champion effective communication and create a psychologically safe space within your team. Hosts: Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber, RCPCH Head of Quality Improvement Produced by 18Sixty Please be advised that this podcast series contains stories relating to child death and harm. All views, thoughts and opinions expressed belong to the guests and not necessarily to their employer, linked organisations or RCPCH. If you are a healthcare professional and you are worried that you are suffering with burnout please speak to your team, your GP or . About the speakers Dr Dal Hothi is a paediatric nephrologist at Great Ormond Street Hospital. She's also a Director of Leadership Development at the Faculty of Medical Leadership and Management, as well as being an Officer for Lifelong Careers at the RCPCH. Dr Jess Morgan is a paediatric doctor and Dinwoodie RCPCH Fellow who leads on the RCPCH Thrive Paediatrics Project along with Dal. About the patient safety podcast series As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated, and energised to make strides in improving the safety of the children that you care for. To learn more, visit the and begin your journey in improving your own psychological safety and that of those you work with. Links for topics/organisations/papers referenced in this episode
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Patient safety 1 - How can we build a culture of safety in paediatric healthcare?
01/10/2024
Patient safety 1 - How can we build a culture of safety in paediatric healthcare?
Healthcare is inherently risky and so as child health professionals we need to make patient safety a priority in all our actions. We need to think about safety all the time. In episode 1 of our series on paediatric patient safety, we speak with Dr Peter Lachman, who develops and delivers programmes for clinical leaders in quality improvement at the Royal College of Physicians in Dublin. As Peter explains on the podcast, we healthcare professionals need to know patient safety theory - but, more importantly, we need to know how to apply it, drive improvement and create a workplace culture that fosters safe working practices. Everyone - from the most junior member of the team to the most senior paediatric clinical leader - needs to think about patient safety all day every day. A safe culture takes time to build. Shared activities such as handover, huddles and debrief can model good behaviour and benefit performance. Repeating behaviours that represent a safe culture can create a virtuous cycle which can change deeply held attitudes and beliefs, then ultimately the safe culture overall. Thank you for listening. Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber RCPCH Head of Quality Improvement Produced by 18Sixty Please be advised that this series contains stories relating to child death and harm. All views, thoughts and opinions expressed in this podcast series belong to the guests and not necessarily to their employer, linked organisations or RCPCH. About the Patient safety podcast series As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated, and energised to make strides in improving the safety of the children that you care for. There are lots of resources that expand on this on the RCPCH Patient Safety Portal, including the theory of patient safety culture and examples of how people across the UK are doing this well. Visit at . More about Dr Peter Lachman Dr Peter Lachman develops and delivers programmes to develop clinical leaders in quality improvement at the Royal College of Physicians in Dublin. He works with HSE Global in Africa, and he was Chief Executive Officer of the International Society for Quality in Healthcare (ISQua) from 1 May 2016 to 30 April 2021. Peter was a Health Foundation Quality Improvement Fellow at IHI in 2005-2006 and then went on to be the Deputy Medical Director with the lead for Patient Safety at Great Ormond Street Hospital 2006-2016. Peter was also a Consultant Paediatrician at the Royal Free Hospital in London specialising in the challenge of long-term conditions for children. Peter is the lead editor of the OUP Handbook on Patient Safety published in April 2022; Co-Editor of the OUP Handbook on Medical Leadership and Management published in December 2022; and Editor of the OUP Handbook on Quality Improvement to be published in 2024. Topics/organisations/papers referenced in this podcast (what now what so what)
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The state of digital child health today - an interview with Professor Sam Shah
11/15/2023
The state of digital child health today - an interview with Professor Sam Shah
Richard Burley, Executive Director of Digital talks with Professor Shah about how digital technology can support child health, and how paediatricians can embrace it - with a dose of healthy scepticism. Professor Sam Shah is Chief Medical Strategy Officer at men's health company, Numan, and Honorary Lecturer at University College London's Global Business School for Health. He spoke at RCPCH Conference 2023 with a session titled, 'Could healthcare technology address the challenges in child health? Richard Burley here at the College was fortunate to be in the audience and invited Sam to discuss further. As Sam notes on the podcast, there is no shortage of technology from mobile apps to wearables. But, he says there's a challenge, especially as we look to reduce anxieties: "...how we try and make the environment of child health - really, the treatment end - more accessible to children, young people and their families. And also less imposing, less scary. Especially that moment when families will be scared about accessing treatment, when children will be in unfamiliar environments." Sam and Richard talk about examples where digital technologies, particularly augmented and virtual reality, are making a real difference. They consider the unique experiences of children and young people as patients, and the differing needs of communities around language, culture and digital maturity. They step into the thorny issues on privacy, security and safety - and how digital tech intersects with real-life clinical care. Sam finishes with practical advice on how paediatricians can identify, evaluate and use digital technology in their practice.
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Shift the dial on climate change and health inequalities
10/17/2023
Shift the dial on climate change and health inequalities
Climate change poses an existential risk to child health and is exacerbating health inequalities. But, paediatricians can play an important role in sharing information and advocating for action. Dr Helen Stewart and Dr Alex Lemaigre introduce the College’s new toolkit for paediatricians. Our first tool helps you understand how climate change impacts on children and young people’s health and exacerbates health inequalities. And our second equips you to influence climate change policy locally, regionally and nationally. Alex and Helen talk about why paediatricians have a role in addressing health inequalities impacted by climate change. And they provide advice on how to start conversations with key decision makers to address this. "With climate change affecting food production globally plus the energy crisis and everything else, those households who have more limited income are going to really struggle to maintain the same level of food quality and/or quantity. And that brings all of its own health problems – be that malnutrition, obesity... Familiarise yourself with things locally - you know, if there are food banks or third sector kind of organisations that might be able to help support a household with getting food on the table." - Dr Alex Lemaigre In this episode, Alex and Helen refer to a condition called eco-anxiety. We now use a preferred term, eco distress. You can listen to other RCPCPH Podcasts episodes on this topic:
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How to build a paediatrician
08/08/2023
How to build a paediatrician
Talking about the intentionality behind what the College does to train and support paediatricians: RCPCH Vice President for Training and Assessment, Dr Cathryn Chadwick interviews Trainees Committee Chair, Dr Emma Dyer. Our outlines four strategic aims to support our mission of improving health outcomes for children and young people. In this series we look at our College Strategy in action. Hearing stories from clinicians, children and young people and staff about the impact our work has made on the community and within paediatric clinical practice. In this episode we learn about what it takes to build a paediatrician. The intentional decisions that have been made to train members and set them up for a long and rewarding career. The new and our initiative and learning hubs are some of the examples of the work being done to support trainees at each level of their career.
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Wellbeing as paediatricians - creating environments where we can thrive at work
07/25/2023
Wellbeing as paediatricians - creating environments where we can thrive at work
Two paediatricians share thoughts around vulnerability, compassion and belonging at work. Jess and Anna talk about brave spaces, the importance (and limits) of self-care and those "small moments of human connection". Dr Jess Morgan is a paediatrician and working as a Dinwoodie RCPCH Fellow on an exciting new project, Thrive Paediatrics, which aims to create meaningful change in the working lives of paediatricians. She speaks with Dr Anna Baverstock, a consultant paediatrician at Somerset NHS Foundation Trust. Find out more about Thrive Paediatrics on the RCPCH website at . We're creating Wellbeing and Innovation Networks (WINs), communities where paediatricians come together and, using our newly published roadmap, draw from each other’s experiences to activate change. We’re organising some Thrive 'listening events', so look out for those soon. And if you're a College member and interested in this project, email us at . Links to people mentioned in the podcast:
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Conversations with policy makers - with Dame Andrea Leadsom MP
07/19/2023
Conversations with policy makers - with Dame Andrea Leadsom MP
In a first for our podcasts, we delve into the world of government and parliament. RCPCH President Camilla Kingdon speaks with Dame Andrea Leadsom MP, Conservative Member of Parliament for South Northamptonshire about her experiences of advocating for infant and child health. Dame Andrea wants every baby to have the best start in life - a message shared by the College. She chaired the Government's Early Years Healthy Development Review and its March 2021 report, The best start for life, a vision for the 1001 critical days, outlines areas for action to improve the health outcomes of all babies in England, including new Family Hubs. She now chairs the Start for Life Unit, a team of civil servants tasked with implementing the review's recommendations. Dame Andrea talks with Camilla about her experiences of championing infant and child health in Parliament, and why she's so passionate and focused on this early period of life. Camilla asks how paediatricians can use their voice to support policy change, particularly where there are competing priorities, and how to consider poverty's impact on child health outcomes. Ensuring decision-makers introduce the best public policy for children and young people is an important part of our work at RCPCH. We engage regularly with Ministers, senior civil servants, MPs, Lords and advisers on a wide range of matters. On some occasions, like this one, that will mean engaging with individuals from specific political parties. However, we never endorse political parties or movements, and work with representatives of all parties equally and that remains the case with this podcast. We are grateful to Dame Andrea for sharing her views as someone with a central role in government policymaking on early years. Do keep an eye out on our podcasts for future conversations with policymakers from across the political spectrum. Links from the podcast
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Child health inequalities part 2 - interviews with two quality improvement projects
05/09/2023
Child health inequalities part 2 - interviews with two quality improvement projects
We hear from two teams doing innovative work to better understand the impact of poverty on children and young people’s health, and design NHS services that provide targeted support for families. RCPCH Officer for Health Improvement Dr Helen Stewart interviews the two teams. First, two trainee paediatricians in Belfast, Dr Naomi Kirk and Dr Anne-Marie McLean, tell Helen about their observational study. This looked at the effects of the cost-of-living crisis on the home and social environment and the health of primary school-aged children in Northern Ireland. "We really wanted to identify which children and families are most vulnerable to poor health due to financial strain in the hope that we could then raise awareness and offer support." Next is a team in Birmingham that's put child health care services right in the heart of the community – to better access the families who need support most. Dr Fran Dutton, a General Practitioner, and Dr Caroline Wolhuter. Head of Innovation, Impact and Early Help at GreenSquareAccord, a national housing and care provider, explain how they have introduced health promotion at every opportunity, liaising with multidisciplinary health professionals and local community services. "Think about health promotion in whichever department you're in, be that the community or in the hospital. Think about the experience for the family...Do you offer them a solution?... We need to be helping families access the support that is there for them." Interested in learning more about child health inequalities? Take a look at the . This includes advice on how to run your own quality improvement project around the topic, as well as speaking with families about poverty and doing advocacy at a local level. You’ll also find more written case studies. Summary 00:00 Start and introduction from Helen 02:02 Understanding the effecs of the cost-of-living crisis on primary school children in Belfast - interview with Naomi and Anne-Marie 16:24 Putting child health care services in the heart of this Birmingham community - interview with Fran and Caroline 37:31 Concluding remarks and how to learn more about child health inequalities Contacts for our speakers Naomi and Anne-Marie's study: Naomi's email: Anne-Marie's email: Fran and Caroline's project: Twitter: Email:
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