• Recognise chronic insomnia as a clinically important factor that can contribute to, worsen, or complicate common comorbid conditions seen in primary care.
• Understand how identifying and improving sleep may support better overall management of patients with comorbid conditions.
• Review practical treatment options for chronic insomnia, including behavioural approaches and pharmacological considerations, to support improved sleep outcomes in primary care.

• Air therapy and addressing SABA overuse
• Escalation of treatment as per guidance
• Managing pregnant asthmatic

• Recognise when asthma is not well controlled and take action early.
• Use guideline-based assessment to support treatment decisions.
• Optimise the basics before stepping up treatment.

This session will take an overview of this serious condition and include:

• Diagnostic pitfalls - what to look out for
• Why weight loss injections can be the cause
• The pros and cons of blood tests in this diagnosis

• A practical run-through of symptoms, examination and the primary-care test panel — what to actually do in a 10-minute consultation, not just what the textbook says
• Medications broken down by mechanism, benefit and downside, including the combinations that genuinely help (and the interactions worth watching, like α-blockers with PDE5 inhibitors)
• A clear-eyed look at the modern procedural landscape — from TURP and HoLEP to Aquablation, UroLift and PAE — with honest guidance on which patient suits which option

Unexplained physical symptoms are common in primary care. Sitting at the interface between physical and mental health, they include persistent pain, fatigue syndromes and functional neurological symptoms. They are often a source of mutual frustration for patient and doctor. This talk offers ‘top tips’ for the management of both mild and moderate/severe presentations, within the context of three guiding principles: take the symptoms seriously; focus on symptom management and improving function; and offer continuity of care.

• Exacerbations as the driving force of poor outcomes in COPD
• COPD Burden and the risk of premature mortality
• Guidance on COPD pharmacotherapy

Join Professor Anthony Hobson as he discusses the clinical impact of chronic constipation, the role of the gut microbiome and emerging evidence from a new study.

• Identify the unmet clinical need in chronic constipation and review the guidelines for management of symptoms
• Understand the role of the gut microbiome in constipation and probiotic mechanism of action
• Explore new research investigating the role of probiotics in mild-to-moderate chronic constipation

• The role of psychological support in weight management interventions
• How psychological care is integrated into Oviva's weight management programme, with every patient asked about their psychological health so support can be tailored to their needs
• How combining technology with human expertise helps people making lasting changes and work towards their own personal goals

• Understand the bidirectional relationship between ADHD and sleep, and why poor sleep can worsen core ADHD symptoms
• Explore practical sleep hygiene strategies specifically for patients with ADHD
• Consider the impact of ADHD medication, and the role of medication and supplements in supporting sleep