GPs: Behind Closed Doors – Series 5


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Channel 5



Channel 5’s landmark documentary series enters its fifth series, moving to the West of England and Horfield Health Centre in Bristol.

This is the only series on British TV to be filmed inside a working general practice, offering a disarmingly honest and often entertaining look at the stresses, strains and joys of working in, and using, the NHS in modern Britain. 

The 18 doctors and 11 Health Care Professionals at Horfield Health Centre in Bristol have 17,600 patients on their books, with problems ranging from sore feet to self-harming. But with GP surgeries receiving less than 10% of the total NHS budget whilst handling 90% of its workload, can this vital community service survive? 

UK PREMIERE: Wednesday 26th July on Channel 5

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Episode 1

Episode 1

The first episode of Series 5 of ‘GPs: Behind Closed Doors’ paints a dramatic picture of ‘front line’ health care in the UK.

GPs are increasingly being asked to fill the gap created by overstretched hospital A&E departments and in this opening episode the staff at the exceptionally busy Horfield surgery need to respond to a number of urgent care cases.

Baby Naya has been rushed into the surgery by her parents because she has been vomiting for the past two days. Even before examining her, Dr Helen Thomas is concerned - Naya has not had a wet nappy for over 15 hours and is at risk of becoming dehydrated.

Speedy action is also required with patient Yasir, a chef who has come to the surgery after accidentally slicing his finger with a knife. As Dr Alison Bolam checks for damaged tendons, Yasir collapses on the desk and the rest of the team rushes in to help. Luckily Yasir soon comes round and he is sent to A&E for further investigations.

Francelia needs help from Dr Jane Ghosh to relieve her symptoms of menorrhagia (heavy menstrual bleeding), which is causing shortness of breath and preventing Francelia from working. She needs to see a gynecologist but previous appointments have been cancelled for more urgent patients. Dr Ghosh contacts the gynecologists to make sure the appointment does not get moved again.

Joshua has come to talk to Dr Amanda Ramshaw about his chronic back pain. Joshua has been doing his own research on the internet and wants to find out if Dr Ramshaw thinks he might be a suitable candidate for the latest trials of medical marijuana.

Urgent Care Clinician Lizzie Harris sees schoolboy Reagan who can’t stop biting his fingernails. Reagan is mostly biting them at school when he is bored in class and the nails are now so damaged that his fingers are risk of infection. In a bid to help Reagan, Lizzie suggests that he speaks to his teachers about moving up a set, where he will be more challenged.

Pauline is suffering from a nasty bout of impetigo on her lips which is exacerbated by an underlying blood condition. Last night she accidentally knocked a scab off and soaked a bath towel with blood. Dr Alison Bolam needs to examine her lips but Pauline is nervous. With reassurance from Dr Bolam and her husband the examination goes ahead and antibiotics prescribed to clear up the infection.

Episode 2

Episode 2

In this, the second episode of series 2 we meet more of the doctors, nurses, support staff and patients at Horfield Health Centre - a large, busy practice, that cares for a diverse array of patients with health issues ranging from ‘minor’ to ‘life threatening’.

The first patient through the GPs doors in Series 5 is Sophia – a toddler who has been scheduled for a heart valve operation in a week’s time but who has unfortunately developed a nasty head cold that is threatening to delay the procedure. Sophia has Downs Syndrome and it’s important that the operation goes ahead as planned. It’s down to her GP – Dr Andrew Cordell – to see if he can get Sophia back to full fitness in time for her all-important appointment with the surgeons.

Dr Tom Pelly studied medicine in Bristol and is now serving the local community there. In this episode he meets Laura, a young woman who is struggling with anxiety and insomnia. This vicious cycle of issues has begun to spiral out of control and Laura has started to develop an unhealthy obsession with the Suspension Bridge - Bristol’s most famous landmark and sadly a place where many people have committed suicide. Thankfully for Laura, Dr Pelly is on hand to offer her ongoing support and she leaves the consulting room in a much better place than when she arrived.

There are plenty of colorful characters amongst the regular patients at Horfield Health Centre. One of these is Colin who has a range of health problems including recurring gout; a painful back; smelly feet and an inability to lose weight. It’s a lot of ground for his GP – Dr Alison Bolam – to cover in a ten-minute consultation but somehow she manages to get a word in edgeways and Colin leaves with a new plan of action.

Later Dr Alison Bolam treats Sheralyn – a patient who was bitten by her cat a few months ago. The injury required stitches but subsequently became infected with cellulitis for which two operations were required. To make matters worse, Sheralyn’s joints have now begun to swell up – an agonising condition that has left her struggling to move.

One of the many skills GPs possess is an ability to listen to their patients – in the absence of expensive technical equipment it’s perhaps their main tool for diagnosing patients. In her consultation with patient Debbora, Dr Farida Ahmad provides an exemplary example of this skill. Debbora has come in primarily because she’s worried about a lump on her finger, but simply by listening attentively, Dr Ahmad soon establishes that Debbora’s real problem lies deeper. She recently lost a relative to cancer and, secretly, has been struggling to cope.

Also tonight Dr Anna Graham meets Christine, an older lady who is concerned she may have angina.

And Practice Nurse Linda Wilcox treats surgery regular Michael who has recently had several toes amputated as a result of diabetes. The dressing on Michael’s foot requires changing and throughout the procedure he remains chipper, regaling Nurse Wilcox with tales of his colorful past when he used to play keyboards for none other that Wales’ answer to Elvis himself – Shakin’ Stevens.

Episode 3

Episode 3

Dizzy spells, falls and their related injuries keep the GPs at Horfield Health Centre, Bristol on their toes this week.

Glenys is an older lady who has been brought in to see Dr Andy Cordell by her daughter. Three weeks ago, Glenys was at work and all was well. Today she is suffering dizzy spells, is falling over and is struggling to walk. Her GP is shocked at her rapid decline and, after a lengthy examination, suspects his patient may have fallen prey to a rare muscle wasting disease….

Meanwhile, Dr Farida Ahmed is trying to get to the bottom of why her patient, Frederick, has also been falling over. Most recently, he tripped while hanging out his washing and hit his head on the concrete. Careful questioning by the GP reveals Frederick has a number of underlying health conditions including a narrowing of his spinal chord...

Later, Dr Ahmed meets Stanley who is also struggling to get about. In his own words Stanley’s “body is dead, from knees to the feet” and he “can hardly feel the floor”. He’s also suffering with fatigue and chronic pain. It’s a devastating mix that has left him extremely depressed. Can his GP offer Stanley any glimmer of hope?

Also tonight, Dr Liz Lee meets Iris, a schoolgirl who has come out in a mysterious rash that has her parents baffled.

And Dr Holly Hardy treats Rachael, a young woman who has noticed blood in her urine and who is understandably alarmed.

Also, Dr Tom Pelly meets Tom for a medication review but is concerned by his patient’s level of drinking.

And later, Dr Tom Pelly meets Owen, a young boy whose, “tummy is not telling me when I need to go to the toilet”.

Episode 4

Episode 4

Patients in pain – both physical and mental – seek help from the GPs and Nurses at Horfield Health Centre in Bristol this week.

Patient Valentine is undergoing male-to-female gender reassignment. It’s proving to be a long and arduous journey that has been exacerbated by the fact that she suffers from some mental health and substance abuse issues. Fortunately, Valentine has her GP - Dr Alison Bolam - firmly in her corner, helping her to navigate a path through the various medical and logistical obstacles she is encountering.

Across the corridor, Dr Tom Pelly is treating an older patient - Vera - in physical pain. Vera has been soldiering on with her bad shoulder but it’s got to the point where she’s worried it might be something really serious. Her sister-in-law had a pain in her back that turned out to be cancer and Vera is very concerned her pain may be a sign of the same thing. Over to Dr Pelly to try to get to the bottom of things.

Meanwhile, Dr Alison Bolam is treating David – a visually impaired patient who is suffering with pain in his eyes and face. The reason for David’s discomfort? A couple of nights ago, whilst attempting to light his oven, he misjudged how long the gas had been switched on. Boom! In Dr Bolam’s words, David has had a lucky escape.

Also tonight Dr Jane Edge meets Agnese, a lady who has developed a large red patch on her forehead. What began as a small spot has grown into something much more prominent almost overnight and Agnese is understandably concerned. Luckily Dr Edge is able to make a quick diagnosis – impetigo – a common infection that a course of antibiotics should clear up.

And Dr Elizabeth Barnard treats Hannah who has come in with terrible abdominal pain. This could be a simple case of gastroenteritis but, after examining her patient,
Dr Barnard has feeling that this could be something much more serious and potentially life threatening – appendicitis. She sends Hannah straight to hospital for further tests….

Episode 5

Episode 5

It's another busy week at Horfield Health Centre, with screaming kids, painful injections, extreme anxiety and mystery illnesses. 

The sun has been shining in Bristol and Carl, a local builder, has noticed some dodgy looking spots on his face. Not an avid sunscreen user, he’s come to see Dr Thomas to make sure it’s nothing serious. The doctor gives Carl some very valuable advice on staying safe in the sun.

Dr Cordell comforts Lynda, an older lady who's been suffering from excruciating headaches over the past 9 weeks. Could it be pain-killers themselves which are causing the pain?

Anxiety affects a huge number of people in the UK - Jess is a young patient who suffers from many health anxieties and is in to see Dr Ahmad for some reassurance with her ‘crunching neck’! 

Lisa is suffering from extreme abdominal pains. After chatting to Dr Edge it becomes clear the issue may not just be due to her physical health. Lately she’s been struggling to provide food for her family, let alone herself, but luckily Dr Edge is on hand to offer her some much needed help.  

Dr Pelly meets little Edith, a lovely baby girl with a birthmark that's causing her problems with her eye. What are birthmarks? Why do they form? The doctor explains.

Abigail has been vomiting every day for a year without explanation. Today she’s very concerned after another terrible bout of unexplained sickness that's worrying not only her, but her sister too. Dr Bolam investigates to try and get to the bottom of this mystery illness, but is all not what it seems with Abigail?

Over the hallway Dr McLaren meets Stuart, a young man who’s come in with his family support worker Nisha. Stuart’s had a rough time lately with the death of multiple family members and trying to cope with caring for his son who suffers with a heart defect. He's been having suicidal thoughts and even set himself on fire. Can Dr McLaren get him back on the right path? 

Next up is Abdalle, a lovely young boy who comes in with an unusual facial paralysis that’s worrying him and his family, luckily Dr Bolam can explain what’s going on. 

Episode 6

Episode 6

The GPs at Horfield Health Centre make some potentially worrying discoveries this week.

First, Dr Tom Pelly meets Rohini, a woman who has lost her voice and can barely speak. The GP is not overly concerned by her symptoms, assuring Rohini that her voice will return. But, during a routine examination he does discover something that does ring alarm bells – his patient has a heart murmur that could indicate a far more serious condition.

Meanwhile Dr Helen Thomas is treating Gemma, a 22-year-old woman who thinks she may have injured her neck by carrying a heavy back pack during a recent Duke of Edinburgh Award expedition. Again not a huge cause for concern but while examining Gemma the GP discovers something that does concern her – a lump in her patient’s neck that warrants further investigation.

Also tonight, Dr Alison Bolam meets Chris who injured his spine in a vehicle accident strangely related to the 9/11 attacks. Chris was driving his lorry that day when he was rear-ended by another vehicle. It turned out that the driver who hit him had just received a phone call informing her that a relative had been caught up in the attacks on New York. Since then Chris has been unable to work and remains in constant pain. His GP tries to offer some help.

Later, Dr Tom Pelly meets with newly diagnosed epilepsy sufferer Riley and his mum Georgina. Riley has been complaining of having pain in his eye and during the consultation shows signs of having a type of epileptic fit that he hasn’t had before.

And Dr Farida Ahmad sees a man suffering with blood in his vomit and stools. John has had a stomach ulcer before and he’s worried it’s rearing its ugly head again. Hopefully that’s all it is, but with a history of stomach cancer in the family, Dr Ahmad wants to make sure there’s nothing more sinister at play.

Down the corridor, asthma sufferer Ria is in to see Dr Thomas as her asthma has worsened since she has found out she was pregnant. The GP gives her some essential advice.

And, Dr Alison Bolam has a concerning consultation with Craig, a man who has been struggling since he witnessed his friend suffer a heart attack at work. Blighted by sleep problems and an attempted suicide, Craig is desperate for help.

Episode 7

Episode 7

In this episode of ‘GPs: Behind Closed Doors’ Sheralyn needs help from Dr Tom Pelly to relieve her symptoms of joint pain, which is causing her great distress. Sheralyn tearfully explains she can’t cope anymore with the pain and even doing simple tasks like brushing her own hair has become incredibly painful. After reassuring her, Dr Pelly saves the day and prescribes her a low dose of morphine, in the short term, to help manage her acute pain levels.

Simon has come to talk to Dr Anna Graham following a nasty bike accident the week before, where he was hurled over the bonnet of a car. He’s woken up that morning feeling light headed and has left shoulder pain which is causing him discomfort. After a careful examination, Dr Graham thinks he’s not done any major damage and advises him to work through the shoulder and neck exercises she demonstrates to him.

Abigail has come in to see Dr Helen Thomas as she’s suffering from dizzy spells and nausea. She is very anxious she won’t feel better for her sister’s wedding the next day. After a detailed physical examination Dr Thomas diagnoses viral labyrinthitis and prescribes her anti-sickness tablets. She hopes it will help Abigail be able to fulfill her bridesmaid duties the next day without feeling dizzy.

Also tonight, Dr Farida Ahmad sees toddler Nathaniel who has been vomiting for the last few days and has a poor appetite. His parents are concerned he doesn’t generally eat as much as he should. Dr Ahmad offers great advice about how to structure his meal times and some top tips to encourage him to eat more of a healthy diet.

Meanwhile, Charlie needs help from Dr Helen Thomas with a painful rash over her face, which turns out to be acne. However once the matter is dealt with, Dr Thomas asks how she is coping following the death of her mother. Charlie reveals she’s finding it much harder to cope now than when her mother first passed away. Fortunately there’s plenty that her doctor can do to help her and Charlie is given some local organisations to contact to help her cope with her bereavement.

Episode 8

Episode 8

This week at the surgery, the doctors and medical staff attend to a number of young patients who have come in with their parents.

Daniel and his Dad have come to see Dr Andrew Cordell about Daniel’s agoraphobia. Daniel finds leaving his house very stressful - the mere thought of going out gives him the shakes and an upset stomach. He’s also having trouble sleeping at night. Later it’s revealed that Daniel’s agoraphobia has come about as a result of him being the victim of a violent assault months before.
Dr Cordell suggests a change to Daniel’s medication and recommends that he explores counselling options too.

Rosie was sent home from school when she developed a rash on her arms that did not fade when pressed with a glass. She and her Mum have come to see Dr Pelly, who is puzzled by the uniform distribution of the rash and wants to rule out meningitis. After checking Rosie over he calls the hospital for a second opinion.

Dr Pelly sees Willis who suffered a Deep Vein Thrombosis last year. Seven months on, Willis still experiences pain in his leg and is concerned that he’s been taking too much ibuprofen. Dr Pelly assesses his medication and examines Willis’s leg before reassuring him that he’s taking all the right steps towards recovery.

HCA Julie Walker has a challenging patient who needs a set of bloods taken. Ella not only has a fear of needles, but her veins are notoriously difficult to find. She needs constant reassurance from Julie who has two attempts before finally getting the bloods she needs.

Yvonne has come to see Dr Ahmed because she is worried about breathlessness and chest pains. She’s terrified her symptoms mean she is going to have a heart attack. Dr Ahmed gives Yvonne a thorough examination and recommends further tests to assess her heart.

Dee has a bad case of conjunctivitis, which is causing pain in her eye along with large amounts of sticky discharge. She is particularly concerned because she is blind in one eye - if the infection spreads she is worried that she won’t be able to see. UCC Lizzie Harris advises Dee on how to minimize the spread of infection.

Episode 9

Episode 9

A GP’s day is always a varied one – as Dr Farida Ahmed illustrates perfectly in this week’s episode.

Jeffery is a middle-aged man with an eye watering problem – a tight foreskin. In fact, it’s getting tighter by the day and he’s starting to have difficulty passing urine. Desperate for help, Jeffery’s come to see his GP, Farida Ahmed, who, after a thorough examination, diagnoses her patient with Lichen Sclerosus – a rare condition that causes thickening of the foreskin. There are a few treatments on the table – the last resort being a circumcision – no picnic for a man in his fifties.

The next patient through Dr Ahmad’s consulting room door is David whose problems are psychological rather than physical. David recently arrived at his mother’s house to discover her lying on the floor in the hallway. She passed away shortly afterwards and David has been left understandably traumatized and grief stricken as a result. Thankfully his GP is on hand to offer support during this difficult time.

Across the hallway Urgent Care Paramedic, Lizzie Harris is treating Laura, a young lady who is suffering from abdominal pains. During the consultation Laura explains that she has suffered from bulimia for the past ten years. Lizzie suspects her patient’s pain is related to her eating disorder and offers some practical advice as to how she might turn things around.

Meanwhile Dr Anna Graham is treating Anna whose cat has given her a nasty whack across the eye. Anna’s eye has swollen up and she has excruciating pain all down the side of her face. Dr Graham suspects the cat scratch has become infected and takes prompt action to clear things up.
Surgery regular Valentine is back in to see Dr Bolam this week. The gender reassignment patient is still frustrated about the treatment she’s receiving from the various health providers assigned to her case and so it’s down to Dr Bolam to
manage Valentine’s expectations.

Also tonight, 10-year-old Breanne is suffering from a mysterious rash on the back of her neck. Her mum is mystified as to what’s causing it – Urgent Care Team member Claire Fry less so. She’s convinced the rash is being caused by flea bites and the prime culprits are the two family cats that share Breanne’s bed.

Episode 10

Episode 10

Cancer comes under the spotlight in this episode of GP’s Behind Closed Doors. From mouth cancer to Hodgkins Lymphoma; patients who have beaten cancer to patients with cancer fears; the doctors of Horfield Health Centre have their work cut out.

Dr Tom Pelly sees regular patient David who is suffering from the repercussions of mouth cancer, Dr Pelly offers a sympathetic ear as David confesses to getting through 3 bottles of vodka a week.

Elsewhere Dr Alison Bolam is concerned about cancer when she meets an elderly woman who is throwing up her food.

And Dr Amanda Ramshaw meets a patient with a jaw-popping party trick who is worried about a lump in her throat. After she also admits to feeling tired, Dr Ramshaw ups her investigations.

Dr Jane Edge meets with physiotherapist Stephen whose mild arm tremor has recently got worse. With a family history of MS, Dr Edge investigates further.

Down the corridor Dr Tom Pelly sees Alan, a man who thinks he may have had a heart attack and has also lost everything in a house fire. Dr Pelly checks him over and is forced to issue a stark warning.

Dr Amanda Ramshaw is full of compliments for patient Jane who comes in with a nice top and a nice hair colour along with strong cold symptoms and a potential case of MRSA in her nose. Dr Ramshaw checks her over.

Elsewhere, Dr Tom Pelly meets a mother who is worried about her son’s sudden head movements. Worried it might be something serious she has turned to Dr Pelly for help.

There’s an emotional consultation for Dr Farida Ahmad who sees anxiety sufferer Harriet who wants to reduce her medication after realising how reliant she has become on it. With the fear that she may suffer with anxiety for the rest of her life, Dr Ahmad gives her some other options.

Episode 11

Episode 11

In tonight’s episode, Dr Andy Cordell treats David, a regular patient who’s been experiencing problem with his memory. David’s wife is concerned about dementia. David thinks she’s being overly dramatic. To get to the bottom of things, Dr Cordell puts his patient through a battery of tests. The dramatic results give him cause for concern….

Across the corridor, Dr Alison Bolam meets Anna-Maria, who has been experiencing pain under her right arm and in her right breast. Dr Bolam decides a thorough examination is required.

Also tonight, Dr Amanda Ramshaw meets Mary and her husband, and carer, Patrick. The pressure of looking after his wife whilst holding down a full-time job have sent Patrick’s stress levels through the roof and he’s desperate for some help. With both her patients in tears, Dr Ramshaw decides some respite is desperately required and signs Patrick off work so he can recharge his batteries.

Meanwhile Dr Jewell’s is learning all about his patient John’s problematic hearing. Time for the veteran GP to whip out some old school, low fi medical equipment from his doctor’s bag – a tuning fork and a sheet of A4 paper. Watch in amazement as Dr Jewell uses only these basic tools to reach to a solid diagnosis.

Meanwhile, Dr Pelly discovers his patient Donna has been getting pain in her shoulder. Examining the problem area, Dr Pelly gives Donna the answer – it’s a muscular issue that can be treated with anti-inflammatories and an unusual exercise that she can do at home.

Later, Dr Pelly meets Sandy, a lady who has extreme pain in her stomach. Dr Pelly talks her through what medication she’s on and decides to increase it so she can sleep at night.

And Dr Pelly also meets Peter, an older gentleman who’s worried about his eyes constantly being tired. Dr Pelly wonders if it could be linked to Peter’s diabetes and decides to give him some eye-drops. Peter leaves a happy patient.

Episode 12

Episode 12

The Horfield Health Centre GPs leap into action this week, providing front line care to the people of Bristol.

Two days prior to her consultation with Dr Liz Lee, Kerry was knocked off her bicycle. She was lucky to survive the accident, having been thrown dozens of feet through the air before landing on the tarmac. Following the incident, Kerry was treated in A&E, but she’s come in to see Dr Lee because (in addition to being covered in cuts and bruises) she’s worried about her shoulder which is looking far from normal. A quick glance from the GP is enough to confirm that the A&E clinicians have missed something rather obvious. Kerry has a broken collarbone that is going to require urgent treatment….

Meanwhile, Dr Anna Graham is in consultation with Donna, a recovering addict who suffers from chronic pain in her legs. The cause of Donna’s pain is unclear. What is obvious though is that she is in agony and struggling to cope. To complicate things further, Donna has children at home that require her constant attention and for whom she is the sole carer - her partner is currently in prison. Fortunately Dr Graham is on hand to offer her help and support.

Across the hall, Dr Jane Edge is treating a tiny patient, Coco, who is not one yet one year old. Coco is displaying symptoms normally associated with hay fever, but hay fever is extremely rare in babies Coco’s age. Mum is understandably concerned. It’s a real puzzler for Dr Edge…

Also tonight, Dr Tom Pelly sees Peter to review his diabetes medication. The GP is considering starting Peter on a new drug, but it is not without risks. Possible side effects include an increased risk of urine infections and thrush. On the plus side Peter’s diabetes will be better controlled and he should feel less up and down. Decisions, decisions.

Baby Max has had a gummy eye for a few days and his dad David is worried it might be getting worse. Enter Dr Alex MacLaren who gets rewarded with a giggly Max's smiles. 

And Katie’s got a spot inside her nose that “smells wrong”. Is it infected? Dr Amanda Ramshaw investigates.

Episode 13

Episode 13

The Horfield Health Centre welcomes a celebrity patient this week in the form of former world champion bantamweight boxer, Lee Haskins.
Haskins lost his IBF belt in a prize fight just two days previously and has come in to see his GP Dr Amanda Ramshaw as a result of the injuries he sustained. In addition to facial bruising, he has a lack of sensation in his upper arm and a pain running down his neck. After giving the athlete a thorough examination, Dr Ramshaw is concerned he may have suffered some neurological damage and sends him to hospital for an urgent scan.

Alan is a longstanding patient at the surgery who underwent a heart operation a few years ago. Recently Alan has developed a tight chest and is struggling to breathe, particularly when he sleeps. His wife Elaine is concerned these symptoms are similar to the ones Alan experienced before his heart operation. Dr. Farida Ahmad shares her concerns and decides to call an ambulance to take Alan to hospital.

Later Dr. Anna Graham meets Jenny, a patient who was disabled from the neck down a few years ago following an accident. Amazingly, mobility has returned to Jenny’s legs and arms and she is now able to walk and move normally again. Unfortunately, Jenny has started to experience pins and needles in her arms and she is worried her paralysis might be returning.

Meanwhile, Dr. Hardy and Dr. Cordell are examining patients with possible signs of cancer, and Dr. Cordell sees a man with suspicious marks on his head.

Also tonight, Dr. Anna Graham sees long-term patient Julie who, on top of fibromyalgia and arthritis, has a mysterious illness causing swelling of the face and chronic headaches. She is fed up with the pain and discomfort and discusses her desire to register for a Do Not Resuscitate order with her GP.

Across the corridor, schoolgirl Georgia comes is in with recurring nosebleeds. Dr Tom Pelly reassures her and explains the correct way to stop the bleeding.

Dr. Ramshaw sees gorgeous baby Hugo and his mum Nadtaya. Hugo has had suspected conjunctivitis for a few months now and Dr. Ramshaw gives him some antibiotic eye drops.

Later on, Dr. Ahmad treats an ICU nurse who has a flare up of eczema and then sees Karl who has Spina Bifida and osteomyelitis among other complications.

Episode 14

Episode 14

It's action stations at Horfield Health Centre when Dr Liz Lee welcomes a new patient to the practice…

Mihai (who is half Greek and half Belarus but a Danish citizen) is quick to inform Dr Lee that he used to be a special-forces operative and a member of a police SWAT team. Whilst carrying out his duties, Mihai was shot several times and he’s got the scars and bullet wounds to prove it.

Dr Anna Graham also meets a new patient tonight, Heather, who is struggling to breathe even though she’s hooked up to a portable oxygen tank. Upon further questioning, Dr Graham discovers Heather also has a heart condition, diabetes and polymyalgia. It’s quite a list of health issues for an elderly patient but Heather is in good hands….

Also tonight, Dr Tom Pelly meets a young man, William, who suffers from varicose veins so severe that they actually bleed. William also suffers from depression and he’s worried that the stress his varicose veins are putting him under may send him down a dark road. As usual, Dr Pelly handles the situation with empathy and understanding.

Sean has just crashed his motorcycle into the side of a Volvo. After getting thrown across the road, he’s badly bruised his hip and the whole of the right-hand side of his body. The bruise is massive, but what’s worrying Sean is that it’s started spreading to many other parts of his body, including his genitals - interfering with his sex life. Urgent Care Team member, Lizzie Harris is on hand to take a look and give him the best advice, which includes refraining from sex for a while.

Later, Dr Liz Lee treats Abigail who suffered a second-degree tear whilst giving birth to her baby, who is now six seeks old. The GP enquires as to whether or not Abigail and her partner have started having sex again – a question that sends her patient into fits of laughter. Sex is the farthest thing from her mind right now.

Meanwhile, schoolboy Rio is in to see Dr Anna Graham with his mum. He’s been suffering up to three nosebleeds a day and his mum is at a loss as to what’s to be done.

Urgent Care Team member, Lizzie Harris’ last patient of the day is Kirsty who woke this morning with no voice. She can barely speak - a potential disaster as she’s going to a wedding tomorrow where she’s expected to sing….

Episode 15

Episode 15

GPs are trained to diagnose and treat a vast range of illnesses and health issues – and the doctors at Horfield Health Centre need to put all that training into practice in this week’s episode.

Dr Farida Ahmad’s patient, George, is HIV positive and also suffers from a range of other health problems. This morning, George is feeling totally exhausted and is tired all the time. His cluster headaches have returned; he feels as though his skull is “changing shape” and he has started smoking again – even though he is at risk of COPD. For Dr Ahmad it’s a case of where to begin…..

Meanwhile Dr Ahmad’s colleagues are trying to help patients suffering with chronic pain.

Dr Amanda Ramshaw’s patient Ray has a history of cellulitis – a potentially serious skin infection. Ray has shooting pains in his legs and his feet have become hot, red and inflamed. The GP is concerned that there may be a serious underlying cause and calls a vascular clinic for advice.

Across the corridor Dr Tom Pelly is treating Alice who is wincing in pain and struggling to sit down due to excruciating boils around her groin. Initially the GP is concerned the boils may be related to the hip surgery Alice has recently undergone. But, upon closer inspection he concludes the boils are being caused by infected hair follicles - an infection that has been introduced by Alice’s shaving her bikini line.

And Dr Andy Cordell is concerned about Kerry, who was recently in a cycle accident. Kerry injured her head in the crash and, although a CT scan came back clear, has started experiencing headaches and impaired vision.

Later, Nurse Linda Wilcox welcomes Sally, a blind patient, to the surgery. Sally is accompanied by her guide dog Lilly and is in the surgery for some travel jabs. The patient is currently in training for the Blind World Sailing Championships and Nurse Linda urges her to come back with a gold medal.

Also Dr Jane Ghosh meets Catherine, a widowed grandmother who is struggling with anxiety, depression and loneliness. Catherine is one of 11 children and, now that many of her siblings have passed away, she is scared she could be next – so much so, she is worried about going to bed and would rather sleep in a chair.

Episode 16

Episode 16

Patients boasting a wide variety of lumps, bumps and swellings keep the busy Horfield Health Centre GPs honest this week.

Dr Elizabeth Barnard’s patient Catherine is a diabetic who has developed a large, painful blister between two of her toes. In non-diabetics this would be no great cause for concern but foot problems in diabetics are something that immediately ring alarm bells with GPs due to reduced circulation and sensation. It’s vital to get on top of these infections early. In a worse case scenario, tardy treatment could result in an amputation.

Meanwhile Dr Farida Ahmad is offering support to Lorraine who is concerned about a huge, unsightly scar on her leg – the result of surgery. Can anything be done to improve its appearance?

Geoffrey is in to see Dr Alison Bolam with an egg sized swelling on his elbow. An older gentleman, Geoff is concerned it could be something sinister. Fortunately, his GP is immediately able to put his mind at rest. The large, squidgy lump is a fluid filled ‘bursa’ that should go down on it’s own given some time.

Dr Anna Graham, meanwhile, is treating Debbie, a teaching assistant who is under stress at work and who has discovered a sizeable lump on the side of her neck. Fortunately, this lump is nothing more serious than a larger cyst which is relative easy to treat.

Next up, a young patient, Phoebe. Her mother has noticed lots of strange bumps on her daughter’s tummy and knees and is understandably concerned. Again, the GP has the answer. Dr David Jewell informs mum that these bumps are skin tags called molluscum, fairly common in children, which should clear up by themselves without treatment.

There are more lumps to deal with when Dr Anna Graham meets Thomas. The patient has developed a large number of painful ulcers inside his mouth, that have left him struggling to speak. Can the GP help?

And patient Kay also has lumps – this time on the backs of her knees – which she thinks could be sinister moles. After getting down on all fours to view the affected area, Dr David Jewell confirms that these are in fact warts.

Meanwhile, Leigh is in to see Dr Anna Graham because his knee has started to swell up alarmingly. The GP suspects the problem may, in part, be due to Leigh’s weight and urges him to consider losing some pounds.

Episode 17

Episode 17

Dr Tom Pelly leads the charge this week at Horfield Health Centre in Bristol.

The first patient through his consulting room door is Robin, a gentleman who is being driven to distraction by an infernal jock itch. Just to make sure his GP gets the full story, Robin has brought in photographs of the offending area. Can Dr Tom bring an end to Robin’s suffering?

Dr Pelly’s next patient is Paul who suffered from polio as a child and whose legs have caused him serious problems over since. The most serious of these issues is necrotizing fasciitis, a ‘flesh eating’ disease which came on as a result of an insect bite and has which left one of Paul’s legs extremely disfigured. Paul’s latest leg related problem is a severely swollen ankle – a relatively minor hiccup as far as the long-suffering patient is concerned.

Across the corridor, Dr Amanda Ramshaw is treating Christine who recently suffered a stroke. Although Christine is still suffering with a headache, vision problems and impaired hearing she hasn’t heard anything from the stroke clinic. Time for Dr Ramshaw to get on the case and for the GP to issue a stark warning to her patient – stop smoking immediately or you are probably going to die.

Meanwhile, Dr Alex McLaren is seeing apprentice plumber Pixie who has slipped in the bath and injured her shoulder. Pixie is worried that she has damaged her rotator cuff, an injury which will take a long time to heal and stop her working.

Dr Liz Lee’s patient Jackie is suffering from pains in her stomach. She’s concerned these symptoms may signify a problem with her heart but the veteran GP believes a different cause may be at play. Jackie’s grown up children are leaving home, something that’s making her extremely anxious – and as all GPs know, anxiety is the root of a great many health problems.

Another anxious patient, Murat, is seeing Dr Farida Ahmad. Murat, who was recently involved in a road traffic accident, has been suffering pain and vomiting and, after chatting to his Mum, is now worried he might be about to lose his belly button!

Also tonight, Dr Alison Bolam meets Lynn and her daughter Michelle. Michelle is worried that her mum is suffering from dementia after Lynn has started forgetting things including where her glasses are. Dr Bolam conducts a memory test.

And Dr David Jewell sees Geraldine who has been suffering with buzzing in her ears. Time for Dr Jewell to get his trusty tuning fork out.

Episode 18

Episode 18

In this week’s episode, the Horfield Health Centre GPs focus their attention on treating teenagers and young people.

Dr Farida Ahmad is seeing Archie, a teen who has come in with his mum because he’s feeling anxious. His hectic home life is causing him to feel lost and overwhelmed. Dr Ahmad reassures Archie that his mature explanation is a good thing and suggests he needs counselling.

Melissa is a young woman who’s been suffering with severe pain in her pelvis and persistent bleeding. Her big concern is that her contraceptive coil may have become dislodged. After carrying out a thorough examination, Dr Liz Lee is inclined to agree with her patient and recommends Melissa have a pregnancy test.

Meanwhile, Dr Tom Pelly is discussing home life with his patient Jordan. The teenager has come to see his GP because he’s been feeling suicidal. Thankfully, following a frank consultation, Jordan leaves feeling calmer and better informed about what he should do in times of crisis.

And Dr Amanda Ramshaw meets Chloe, an 18-year-old who fainted earlier in the day after flying home from holiday in Spain. Chloe, who feels like her heart is racing, banged her head when she fainted so her GP gives her a thorough examination. She subsequently sends Chloe to hospital to rule out a possible blood clot on her lungs.

Also tonight, Dr Tom Pelly treats Logan, a young lad who’s been suffering with headaches for two years. He’s on medication for ADHD and wonders if it’s related. After examining him thoroughly, Dr Pelly thinks his headaches could be linked to his eyesight and suggests an eye test as soon as possible.

Across the corridor, UCC Lizzie Harris has got Jackson in after he fell off his BMX bike and grazed his side. The nasty sore looks red and angry so UCC Lizzie cleans the wound, dresses it and send him on his way with lots of good advice on not letting it get infected.

Monique is in with Nurse Lumley as she’s going to Nepal to help rebuild a school. She needs several vaccinations to protect her from diseases such as Hep B and Typhoid. Nurse Lumley gives her some great advice about how to help keep herself safe whilst she’s away.

Later Dr Alison Bolam meets Callum who’s concerned he’s got a urine infection. Then, Callum drops a mini bombshell – he’s worried he’s drinking too much alcohol! His GP goes over his alcohol consumption in detail. Taking everything into consideration, she feels he’s not at risk right now but gives him some great ideas on how to cut his drinking down and so he leaves with a smile on his face.

Episode 19

Episode 19

There are 11.8 million people aged 65 or over in the UK, and by 2025, over 65 year olds will out number people under the age of 15.

In this special edition of ‘GPs’, we shine a light on the trials and joys of being a pensioner in the UK in 2017.

First through Dr Amanda Ramshaw’s consulting room door is Roy, a sprightly 92 year-old who is struggling with carpal tunnel syndrome. The pain in his hands is keeping Roy awake at night and the syndrome has left him struggling to pick up cutlery. Dr Ramshaw presents Roy with a range of treatment options, including surgery. But Roy is reluctant to go into hospital, because he worries about taking up a bed that a younger person could be using.

Cycling into the surgery comes an extremely fit OAP called Cherry. She’s in to see Dr David Jewell because she’s worried about a mole on her shoulder. Cherry is concerned it could be skin cancer. Will Dr Jewell be able to put her mind at rest?

Along the corridor, Dr Andrew Cordell is treating Angela who has had a persistent nosebleed and has started seeing strange lights in her field of vision. During the consultation, Angela opens up about the stress she is under at home: she’s a full time carer for her husband who suffers from dementia.

Later, Dr Holly Hardy sees one of her regular patients, Father Ryan, who has brought her a gift and some good news about his blood pressure. On the down side, he’s been feeling very tired recently and (after doing some self diagnosis on Google) has come to the conclusion that he must have sleep apnea.

Later, Dr Amanda Ramshaw sees Edward who is sporting a small growth at the side of his eye. Worried that it has doubled in size in just 6 weeks, Dr Ramshaw advises they keep an eye on it.

Dr Jane Ghosh meets with 92 year-old Triffie and her husband Reg. Triffie is suffering with terrible abdominal pain which is keeping her up at night. Dr Ghosh investigates.

Dr David Jewell meets Ron who is suffering from a rare autoimmune condition called Myasthenia gravis, which leaves him feeling tired and sounding drunk when he speaks. The affliction has left Ron reluctant to get out and about like he used to, but Dr Jewell urges Ron not to let things get him down, stressing the importance of maintaining a positive mental attitude in old age.

Dr Alex McLaren offers Reverend Margaret a friendly ear as she comes in to discuss medication for her ongoing depression.

And it’s a trip down memory lane for Nurse Linda Wilcox and her patient Maurice as they recall his ballroom dancing past and how he used to work on the buses. Maurice also shows off his Tai Chi skills.

Episode 20

Episode 20

This Special Edition of “GPs: Behind Closed Doors” is given over to arguably the most precious, and challenging, patients at the Horfield Health Centre, Bristol – the babies and toddlers.

Baby Polly is only few months old and has been brought in to see Dr. Farida Ahmad because her family are worried there may be something wrong with her eyes. They have noticed Polly has a habit of opening her eyes very wide and that her eyeballs appear to be rapidly shaking. Dr Ahmad is concerned and carries out a thorough examination.

Also tonight, Dr. Alison Bolam treats four year-old Jonathan who has been brought to the doctor with a nasty red rash all over his chest and back. The bumps are big and red, and his family are concerned that meningitis might be the cause.

Meanwhile Dr. Katherine Pitt is examining young Louie whose heart beat, mysteriously, has periods where it is double what it should be. On top of this, there are occasions when he’s asleep, that Louie appears to stops breathing altogether.

Next door, Dr. Andrew Cordell is examining baby Alfie who is in for his six-week check up. First time mum Katie has a number of concerns about her son’s development, in particular his eyesight and hearing.

Along the corridor Dr. David Jewell is examining baby Tia who has a nasty cough and is struggling to breathe at night. Detecting a wheeze in her chest Dr Jewell is concerned she may have asthma, but as he explains, she is still too young to be categorically diagnosed.

Rachel brings her baby son Ezra in to see Dr. Farida Ahmad. He has been vomiting and Rachel is concerned it might have something to do with a fall he had on his head a few weeks ago.

Dr. Hardy sees baby Harley for his six-week postnatal check-up and Dr. Jewell sees young Cody who is full of energy but struggling with painful genitals.

And Later, Dr. Graham treats Robyn who has returned from holiday with a suspected ear infection. Dr Graham also addresses the concerns Robyn’s mum has about her speech development.

Episode 21

Episode 21

A much loved, regular patient – Michael Skudder – makes a welcome return to the Horfield Health Centre this week. He’s scheduled to have one of his toes amputated in a few days time and is in for a pre-op check up with Nurse Lumley. But Michael’s foot has already deteriorated to a worrying extent and he’s developed a temperature.
Nurse Lumley calls Dr Farida Ahmad into her treatment room for a second opinion -and her concerns are confirmed. The GP gets on the phone to the hospital immediately and requests that Michael be admitted straight away

Meanwhile, Dr Anna Graham is talking to Donovan who has been his wife’s full-time carer since 2010. Although he’s happy and proud to care for his spouse, the physical and mental stresses of doing so have taken a heavy toll on Donovan. He’s clearly exhausted and in desperate need of some respite. Luckily, his compassionate and experienced GP is able to offer some much needed help.

Dr Liz Lee is training another young doctor, Dr Lesley Black this week. Her patient, Peter, has a history of deep vein thrombosis and he’s worried that this potentially life-threatening condition could be coming back.

In a less urgent consultation, Dr Farida Ahmad treats Jack, a tree surgeon with an infected finger. Jack’s in a lot of pain and is keen to know if Dr Ahmad can lance the finger and release the pressure so he can get back to his tree climbing.

Also tonight Dr Anna Graham meets Kail, a young boy suffering with tonsillitis. Will antibiotics be required? Before she prescribes them, the conscientious GP must put her patient through a three-stage test.

Dr Ramshaw is caught on the hop by one of her patients this week. When she starts taking a blood sample, Richard informs her that she’ll “almost definitely find alcohol in there”! Upon further questioning Richard is happy to tell his GP that he had a few pints before coming to the consultation.

Dr Liz Lee’s final consultation of the day is with Janet who recently fell off a pair of high-heeled shoes and painfully injured her left foot. It’s a salutary lesson in the perils of wearing high-rise footwear!

Episode 22

Episode 22

There’s a Christmas feeling at the Horfield Health Center. The decorations are up in the waiting room and even Santa has dropped in for a visit. For the GPs and nursing staff though, it’s still business as usual.

First into the consulting rooms is Michelle. She’s in to see veteran GP Dr Liz Lee and, as it turns out, just making it into the surgery has been a major achievement for the patient. Mental illness has led her to be convinced that when she leaves her home, members of the public who she encounters are constantly laughing at her. It’s a crippling disorder that has left Michelle virtually housebound. She also suffers from anxiety and has occasionally had suicidal thoughts. The one positive influence in her life is her dog – something that the GP can use as a foundation for getting Michelle better.

Meanwhile, Dr Farida Ahmad is trying to get to the bottom of why her patient Robert is complaining of dizzy spells whenever he goes jogging. Outwardly, Robert appears healthy but closer questioning by his GP reveals Robert’s work takes him to remote overseas locations and that in the past he has contracted malaria and dengue fever. Could his dizzy spells be the sign of a tropical disease?

Later, Dr Liz Lee meets Jane, a returning patient who is still suffering from nausea, stomach pain and a lack of appetite. What Jane wants more than anything is to tuck into a nice roast dinner but all she can manage is some dry bread. Dr Lee is concerned that these symptoms could be the sign of something sinister.

Dr Tom Pelly’s patient James has come in complaining of ringing in his ears. Turns out he was rehearsing with his rock band a few weeks ago but was not wearing any ear protection. Dr Pelly can see that James’ eardrums don’t look like they should and concludes he may be suffering from tinnitus brought on by the loud music.

Later Dr Andrew Cordell has some bad news for his patient Anne – who is complaining of a raging thirst that’s causing her to drink glass after glass of water. Test results has confirmed that Anne has early onset diabetes and that radical lifestyle changes are required.

And making his final appearance at the surgery – popular patient, and former Shakin’ Stevens keyboard player – Michael ‘Ace’ Skudder. His GP Farida Ahmad is very worried about Michael’s low blood count and urges him to undergo further tests at hospital.

Episode 23

Episode 23

There’s a New Year feeling at Horfield Heath Centre and the residents of Bristol are on a health kick! Christmas can be a time of over-indulgence, so this week we meet patients who want help to change some bad habits, and need advice on how to stick to their New Year resolutions.

Nicola has come in after some weight loss advice with Dr Amanda Ramshaw. She’s struggling to shift weight even though she’s swimming frequently and making an effort to exercise. Her GP has some words of encouragement to keep Nicola going on her weight loss journey. But, Nicola has a very sweet tooth and all those leftover Christmas treats are proving hard to resist!

Dr Andrew Cordell meets Jason, a man with a pain around his liver. The GP is worried that Jason’s drinking habits may have caused some damage and wants to get some tests done. Dr Cordell also has some useful advice on why it’s important to be honest with your doctor regarding our drinking habits.

Robert is in with a sore foot to see Dr Farida Ahmad. He’s keen to start going to the gym to lose some extra pounds but is scared, because he thinks he’s too fat! Dr Ahmad is very encouraging and understanding of Roberts concerns and assures him there’s no reason to be afraid of working out in public, even if you’re insecure about your weight.

UCC Lizzie Harris meets Ali, a 'raging Spanish bull’! He has tried to quit smoking but finds his anger issues when not smoking become too much, Lizzie has some advice to help.

Carl is having real problems with his chest. He’s under an immense amount of stress and has been turning to alcohol as a stress reliever, but this only seems to make his situation worse. UCC Claire Fry lends an ear.

Next up is Jeremy. He’s after some advice about getting a vasectomy. Dr Anna Graham informs Jeremy of the recent NHS changes that have made this, once commonly prescribed procedure, harder to get on the NHS.

Finally, George is back in to see Dr Ahmad. He’s made some positive changes in his life and he’s decided upon some ongoing personal goals. In short, he’s an inspiration for everyone who wants to start making some positive changes in the new year.

Episode 24

Episode 24

The deteriorating conditions inside Britain’s prisons (and the time pressures being faced by the nation’s GPs) come into sharp focus in tonight’s show.

George is in to see Dr Anna Graham following his recent release from prison. George has a long list of health concerns – too many to squeeze into a ten minute appointment – so Dr Graham focuses her attention on the most urgent – in particular the infected cigarette burns, inflicted by other inmates, that are covering George’s torso! George is also suffering from mental health problems but Anna has a waiting room full of other patients to treat – so George will have to book another appointment and cope as best he can.

Meanwhile, Dr David Jewell is trying to get to the bottom of why his young patient Finlay has developed a painful rash around his mouth and chin. The veteran GP suspects the source of the infection is inside Finlay’s nose and he’s been spreading it around because of a habit that is the scourge of parents everywhere – nose picking.

Across the corridor, Dr Andy Cordell is treating another youngster, Elizabeth, who has been complaining of pain all over her body. The GP suspects she is exhibiting the early signs of inflammatory arthritis.

Dr Jane Edge has asked Lisa to come in for the results of a smear test. Thankfully the results are clear but Lisa is still suffering from irregular bleeding and pain after sex, so further detective work is required of her GP.

Next door, Dr Jane Ghosh is helping a Hayley who is suffering with IBS. The patient is trying to improve her diet but she just can’t seem to give up pork pies.

And Dr Anna Graham chats with Natalie who has been in a wheelchair since she was a teenager and who can only eat via a feeding tube.

Later, Dr Ahmad catches up with teenager Craig, who receives regular medication for his ADHD and who recently suffered a seizure.

And Dr Jane Edge meets another teen, Byron, who has impaired hearing and who is concerned he may have burst an eardrum whilst swimming on holiday.

Also tonight Dr Graham helps a young man who has developed much more quickly than expected at this age. He needs to slim down, and having already tried a children’s weight loss programme, is now looking to go to Slimming World.

Episode 25

Episode 25

Nightmare neighbours can seriously damage your health! That’s a lesson patient Hayley has learned to her cost. For years, she has been running the gauntlet every time she returns to her home. Her neighbours have been subjecting her to a tirade of abuse and it’s started to take a toll on her mental health. Hayley is now struggling with anxiety and depression and is desperate for some respite. Can her GP, Dr Amanda Ramshaw do anything to help?

Regular patient Valentine is also struggling with anxiety – although hers is being brought on by her continued struggles to begin the gender reassignment surgery she desperately wants. Fortunately for Valentine, her GP, Dr Alison Bolam has got her back and is doing all she can to green light her patient’s physical transformation.

From mental health problems to problematic extremities – a GP’s day is always a varied one. Dr Tom Pelly’s patient Janet is in because the tips of her fingers are persistently cold and turning white in colour. It’s an unpleasant condition but thankfully not a serious one. Raynauds Syndrome is more common in women than in men (affecting about 5% of women) and Janet is presenting with classic symptoms.

Meanwhile 16 year old Rhiannon is in to see UCC Lizzie Harris about her toes. Her big toe nails are growing thicker and thicker and have taken on a brown almost horn-like appearance. Rhiannon’s dad has recommended the use of an angle grinder to file them down. Lizzie Harris has a different plan.

Across the corridor, Dr Andy Cordell does his best to help Deborah who was recently involved in a road traffic accident. The car that shunted hers was only travelling at about 10 mph but the impact has still left Deborah with a painful injury that has left her unable to hold her head up straight. She desperately needs something to prop her head up and her resourceful GP comes up with a neat improvised solution – a teddy bear.

Also tonight – Dr Jane Edge tries to help her patient Shane who is still having trouble breathing. Despite undergoing a battery of tests the cause of his shortness of breath remains formerly undiagnosed. Shane is a smoker though – and his work as a plasterer leaves him constantly exposed to dust. Could these be the smoking guns?

Episode 26

Episode 26

It's a typically busy week for the GPs at Bristol's Horfield Health Center…

Dr Tom Pelly meets Hugo - a young boy who has been brought in by his dad because he has fallen down the stairs and landed directly on his head. It's a worrying situation for any parent, but doubly so for Hugo's dad because it looks as though there are traces of blood in Hugo's tears.

Meanwhile Dr Ahmad is concerned about a young woman, Phoebe, who's been suffering with chronic and unexplained stomach pains that have left her unable to eat, drink or sleep. After several days of vomiting and with no clear reason behind the sickness Farida needs to take Phoebe's treatment up a notch and get the local hospital involved.

Also, Dr Tom Pelly meets Janet and her sister Gabrielle, two elderly sisters who have come in with concerns about a skin lesion that's appeared on Janet's face after an operation. The wound has started weeping and Gabrielle doesn't know what to do to help her sister, who has learning difficulties. As always, Dr Pelly has some reassuring advice to offer.

Meanwhile patient Ann is in to see Dr Jane Edge. Ann has a number of physical disabilities but is in to see Dr Edge because she has an agonizingly sore throat. During a moving consultation, Ann reveals to her GP that she is also feeling depressed because some people are "not treating her like a human being" because of her disability.

Later Bryony comes to see Dr Amanda Ramshaw for some very informative advice on the contraceptive coil. Amanda gives her a full debrief on the options available for women interested in a different type of birth control.
James is in for a chat about his toilet habits, which leads to an impromptu prostate exam courtesy of the ever-efficient Dr Anna Graham. Luckily James isn't remotely phased by undergoing this important procedure.

Nurse Walker meets Shan, a woman terrified of needles - not ideal considering she's in for a blood test!

Linda is in need of a dressing change - Nurse Deverson is on hand to help out and proves nurses have the strongest stomach of all!

And UCC Lizzie Harris sees a young girl with a suspected urine infection, whose entire fantastically-coloured-haired family come in to see Lizzie for some advice.

Episode 27

Episode 27

This week on GP's: Behind Closed Doors we learn that too much fun can be a dangerous thing…

Patient Steve recently fainted at a theme park after going on five white-knuckle rides. He's in to see Dr Elizabeth Barnard because his girlfriend (who is a nurse) has detected he has an irregular pulse and, with a family history of heart disease, Steve's understandably concerned. Dr Barnard checks him over and delivers some bad news about his driving - leaving Steve stranded at the surgery.

Later, Dr Graham meets a young boy who has developed a rash all over his back following a trip to the woods with his cub pack; and an elderly gentleman who is struggling with joint pain and is struggling to look after his wife.

First through the consulting room door for Dr Andy Cordell is patient Louise, who has noticed a worrying rash on her breast.

Later, Dr Cordell sees regular patient Andrew who wants to be put forward for a genetic cancer-screening test. His brother and mother have both suffered from bowel cancer so the GP is happy to make the referral.

Meanwhile, Callum and his mum Alison are in to see Dr Elizabeth Barnard. Callum keeps going over on his feet and has been ruining his school shoes. Dr Barnard examines him and reveals that he is flat footed - which is no surprise to Alison who confesses "hobbit feet" run in the family.

Down the corridor, Urgent Care Clinician Lizzie Harris sees musician Sean who called 111 the night before having suffered excruciating pain in his ears which felt like "someone is stubbing out a cigarette" in his ear canal. Lizzie checks him over and gives him a warning about wearing ear protection.

And, Dr Farida Ahmad sees patient Victoria who is in visible pain and is experiencing gushing blood when she goes to the toilet. Dr Farida tries to get to the bottom of things

Later, Dr Ahmad lends a friendly ear to Italian born Ilaria who has come in for the test results relating to a lump on her neck. While she's in the room Ilaria opens up about her anxiety. Dr Ahmad helping her to explore her options.

Gaynor is in to see Dr Alison Bolam about a lump on her leg which she's worried could be her second bout of skin cancer. Dr Bolam examines her and swiftly puts her on the two week referral potential cancer list.

Episode 28

Episode 28

In recognition of Channel 5's 'Suffrage Week', there's a focus of female doctors and women's health issues in this episode of GP's Behind Closed Doors.

Dr Jane Edge meets first time mum Grace who is suffering with excruciating pain in her nipples. Grace is breastfeeding and is concerned that she may have developed thrush in her breasts which she may pass on to her newborn. Grace is understandably upset but her GP is able to offer a sympathetic ear; some unconventional advice (breast isn't necessarily always best) and an unlikely pain relief tip involving cabbage leaves!

Down the corridor, a worried Gloria is in to see Dr Alison Bolam for a breast cancer referral. Three of Gloria's immediate family have had breast cancer so Dr Bolam checks to see if her patient meets the NHS criteria for genetic testing.

First into Dr Amanda Ramshaw's consulting room is Maisie, a little girl who hurt her neck when she attempted to pull off a back flip at school and landed awkwardly. Concerned about reports that Maisie has been acting strangely ever since, the GP investigates.

Meanwhile Dr Farida Ahmad see regular patient Justis who has been struggling since his wife had a miscarriage. Even though he knows it's irrational Justis blames himself and it's driving him into depression. Dr Ahmad does her best to lift Justis out of the dark place he has found himself.

Also tonight Urgent Care Clinician Lizzie Harris meets Rosie who is having surgical staples removed from her head. Rosie took a tumble and gashed her head following a big night out with friends. Armed only with her staple remover, Lizzie gets stuck in.

Dr Graham meets Paul who is preparing to move back into his father's house. His dad recently suffered a bleed on the brain, so Paul's moving back home to take care of him. But the pair haven't always seen eye to eye and Paul is worried about the effect the move will have on his mood. Dr Graham refers him for some talking therapy.

Later, Dr Amanda Ramshaw meets a young woman who is suffering with pain in her stomach. The GP thinks it's IBS, and when she digs a bit deeper she discovers that Hannah also suffers from anxiety. Dr Ramshaw shares her own story of IBS and offers Hannah some potential solutions.

Also, Dr Anna Graham sees a man called Neil who has suffered ongoing nasal problems ever since he fell out of a tree aged 5. His perpetually runny nose is interfering with his job as a driver and he's reached the end of his tether.

Episode 29

Episode 29

They say dogs are man’s best friend. Cats, it seems, have a different agenda. Patient Anna has come in to see Dr Anna Graham about a very large burn on her leg. The cause of the injury? Anna’s cat climbed up onto the ironing board and (accidentally?) knocked the iron onto her devoted owner’s leg! A shocked Dr Graham calls upon Nurse Julie Lumley for assistance.

Meanwhile Dr Jane Edge is treating Valerie who has come in for the results of a scan - which has revealed a large gall stone. However, things are more complicated for Valerie, as she is also suffering from Parkinson’s disease.

Also tonight, Dr David Jewell sees Sheralyn who has been suffering crippling chest pain and who is understandably worried about her heart. Her father died of a heart attack very young and she’s concerned that she’ll follow the same path.

A cancer story with a happy ending. Ewan, a new patient at the surgery, has come to see Dr David Jewell for the first time. Ewan requires a prescription for a thyroid medication. Dr Jewell is surprised that someone so young would require such a medication – until he discovers that Ewan had to have his thyroid removed after it became cancerous. He has since made a complete recovery and there is a very low risk that the cancer will ever recur.

Just across the corridor, Dr Alex McLaren has an appointment with Chris who has is recovering from a severe infection that saw him hospitalised. However it quickly becomes clear that the main issue for Chris is that he is suffering from depression and reveals he’s been having suicidal thoughts.

Next door, Dr Helen Thomas is treating Aisha, a mother of five who is clearly very unwell. She has just returned from a holiday in Dubai and has a fever, a horrible cough and can’t seem to keep any food down. Dr Thomas is concerned.

Also tonight, Dr Tom Pelly is seeing a Sundhi, a young girl who is struggling with her breathing. She’s been unable to breathe through her nose for several years and this has caused other health problems.

Episode 30

Episode 30

There are some baffling cases for the Horfield Health Centre GPs to deal with this week.

Dr Farida Ahmad’s patient Laurence has been vomiting and suffering from tonsillitis. So far - so straight forward. But Laurence has something else that’s been bothering him – smelly sneezes! His highly qualified GP is at a loss…

Across the corridor, UCC Lizzie Harris is treating 12 year-old Naomi who has noticed a mysterious, pea sized lump in her cheek. Lizzie is stumped as to what the lump could be – so she calls in Dr Jane Edge for a second opinion – who is also stumped!

Dr Amanda Ramshaw’s patient Allan suffers from a condition called Dupuytren’s Contracture, which severely restricts the movement in his hand and fingers. Allan is desperate for corrective surgery - but this does not come as standard on the NHS. In order to qualify for an operation Allan will need to make a strong case, so he has brought in evidence of how his illness has blighted his life.

Dr Andy Cordell’s patient Ray has also noticed a strange growth on his body – in this case, on his upper arm. Its scaly appearance gives the GP cause for concern so he refers Ray to the cancer clinic for an urgent appointment.

Dr Anna Graham’s patient Rebekah also has a mole that needs looking at. Thankfully, it’s harmless, but Rebekah has another issue that she want’s to discuss with her GP. Her mother died very suddenly recently and Rebekah is still struggling to comes to terms with her sudden loss. Dr Graham, who also knew Rebekah’s mum, does her best to comfort Rebekah at what is a very sad time for them both.

Later Dr Farida Ahmad meets Linda, a woman in her 50s who has extremely painful breasts. Linda is understandably concerned because her aunt developed breast aged 50.

Also tonight, Dr Andy Cordell treats Dan who injured his leg in a bizarre stepladder accident. And Dr Liz Lee tries to help Linette – a lady in her 80’s who is suffering to cope with chronic pain caused by her osteoarthritis

UCC Lizzie again, and she’s treating a nasty cut on Rebecca’s thumb after she sliced it while cooking. The slice has left a flap of skin looking very black but it’s still got blood running through it so Lizzie’s not concerned the skin is dead. After tending to the wound and re-dressing it, Rebecca leaves a happy patient.

And later, UCC Claire Fry meets young Lloyd who needs his stitches looking at. He’s got an arm injury from when he ran into a door and needs his stitches checking over as they’re painful. Claire cleans up the wound, re-dresses it and sends him on his way, explaining the sticky plasters were probably on too tight and were likely to be pulling on the hair on his arm.

Meanwhile, Dr Pelly sees Linda and her husband David. She’s in because her stomach is bloated and very painful and after a thorough examination Dr Pelly diagnoses constipation with overflow. She needs to keep drinking her sachets and increase the amount so the blocked poo can be released.

Episode 31

Episode 31

The week commencing 26th Feb 2018 is Eating Disorders Awareness Week and this episode of ‘GPs: Behind Closed Doors’ shines a light on this vital issue.

Michelle is a regular patient at the surgery for whom maintaining good mental health is a challenge. In a frank consultation with Dr Tom Pelly, Michelle explains that she suffers from bulimia – an eating disorder for which she is currently receiving counseling. Michelle’s binge eating of chocolate and cakes has a range of physical health implications – not least amongst which is the very real risk of her developing diabetes. Dr Pelly offers guidance.

Mental illnesses are often hard to spot, but Dr Pelly’s next patient’s issue is hard to miss. Robert smashed his front teeth out ten years ago, resulting in the formation of scar tissue behind his upper lip. Over time the lip has now swollen to alarming proportions. Can the unflappable GP help?

Hassan has been suffering with a tight chest and breathing issues. He has since been using his mum’s inhaler and is certain that he is asthmatic. It’s a classic case of ‘self-diagnosis’ and in this case Hassan’s GP, Dr Helen Thomas, is inclined to agree with him.

Dr Liz Lee is met with a curious case when Christopher arrives in her consulting room. Every time he tries to swallow lukewarm water, a gag reflex kicks in and he spits it back out again. On the other hand, cold water and hot water don’t cause him any problems. Dr Lee attempts to get to the bottom of things.

Patient Jennifer meets Dr Andrew Cordell for the first time and opens up about her recent struggles with depression and anxiety. Dr Cordell is kind and careful in his treatment of Jennifer, especially when she mentions her recent suicidal thoughts. After agreeing to up her dosage of antidepressants, Dr Cordell reminds Jennifer that there is always someone to talk to and offers the support of the Samaritans.

Art is commonplace around Horfield Health Centre and this afternoon Dr Bolam is greeted by sculptor Peter, the creator of some of these pieces. Peter has been having pain in his leg and is worried it may be a DVT. Dr Bolam investigates the situation.

Episode 32

Episode 32

Dr Holly Hardy pronounces patient Derek is a ‘miracle’ because of the way his arteries have healed following a heart attack six months ago. Today, it's not his heart that is bothering him but the pain in his back, which came on after lifting a heavy TV set. Dr Hardy checks Derek over and suggests that he takes painkillers. And stops lifting heavy TVs!

Meanwhile Dr Farida Ahmad is trying to help another patient who also has a history of heart issues. Mohammed is a Muslim gentleman who has been experiencing dizzy spells when he gets up and down to pray. His GP explains that those sudden movements are causing his blood pressure to fluctuate and suggest Mohammad adjust the way in which he worships.

David and his guide dog Winston have come to see Dr Andrew Cordell because he has a sore head and neck. He already suffers with whiplash, but the pain has now travelled up the back of his head, causing headaches. Dr Cordell is keen to rule out temporal arteritis - a potentially devastating illness that could cause David further sight loss.

Fourteen year old Jaylon has come to see Dr Anna Graham because he is having trouble sleeping at night. The GP offers advice on how to wind down before bedtime - a skill he needs to learn for the rest of his life.

Cancer survivor Mary is suffering with a nasty bout of cellulitis. Her whole leg has become infected and it's agony to touch. She’s worried that it's going to get worse but Dr Alex McLaren reassures her that they should be able to treat with drugs and she will be pain free soon.

Also tonight, Dr Jane Edge treats a lady who has been experiencing excruciating pain in her abdomen. Alarmingly she has also been passing blood clots when she goes to the loo.

And urgent care clinician Lizzie Harris tries to reassure a lady who has discovered pain lumps under her arms and in her breasts. Jackie, who already suffers with anxiety, is understandably distressed.

Episode 33

Episode 33

Everyone worries about cancer, but two of the patients who feature in tonight’s episode of ‘GPs’, have perhaps more reason to worry than many of us.

Teenager Clarice is in with her mum to see Dr Amanda Ramshaw because she has been complaining of a sore and irritated throat. So far, so routine. But Clarice’s mum then reveals her daughter is a cancer survivor. Clarice has been cancer free for over a year but before she was first diagnosed, she complained of throat pain similar to that which she’s experiencing now. Could this indicate a return of the disease? The GP investigates further.

Meanwhile, another teenager, Sam, is talking to Dr Alison Bolam about the raised glands in his neck. Again, another very normal presentation. But Sam is worried, and with good reason, because one of his parents is currently undergoing treatment for cancer. Dr Bolam examines him thoroughly and seeks to put his mind at rest.

Alice was in a car accident recently and has come in to see Dr Barnard about the resulting pain in her neck. The GP checks her over and discovers Alice has a completely different take of the meaning of ‘whiplash’.

Down the corridor, Dr Alison Bolam is meeting new patient Ben for the first time. He has just moved to the area and is hoping to be prescribed some medication for his mental health issues. During the consultation Ben reveals that he has a long-standing problem with alcohol and that he has attempted suicide in the past. Worryingly, since moving, Ben has lost contact with his mental health support team – a potentially volatile situation that requires Dr Bolam’s urgent attention.

Later, a worried mother brings her little boy, Benjamin, in to see Dr Liz Lee because he’s been having persistent nosebleeds. Dr Lee tries to get to the bottom of things.

And Alex Dr McLaren tries to help long term patient Stephen who has been trying to muddle along with a large hernia for several months. Stephen has learning difficulties and appears to have ‘fallen through the cracks’ when it comes to receiving appropriate treatment via the NHS. The GP does his best to get his treatment program back on track.

Episode 34

Episode 34

Telisha and her husband Mark have come to see Dr Andrew Cordell with their 9-week-old baby boy for a post-natal check up. Later the conversation turns to the subject of contraception. There are many options availably for the couple and Telisha seems particularly interested in the idea of her husband undergoing a vasectomy. Mark, on the other hand, is going to take some convincing.

Philip and his wife have come to nurse Linda Wilcox to get Philip’s surgical staples removed. It turns out Philip is a real life ‘bionic man’. After having accidentally sawn his own arm off, doctors managed to save the limb by taking a graft from Philip’s leg. But the operation left Philip with a limp. To address this, he recently had a ‘nerve stimulator’ installed in his lower back that comes with a remote control.

First into Dr Alison Bolam’s consultation room this week is Nolen. She’s been experiencing pain in her head and her right arm is numb and tingling. Dr Bolam is, as always, unflappable, but she is concerned. Could Nolen’s symptoms indicate a stroke? She needs to get to the bottom of this situation, and fast.

Meanwhile, Heather pays a visit to Dr Amanda Ramshaw, accompanied by her husband and her daughter-in-law. They’re all concerned because Heather been hospitalized in the past for sepsis – and she is now showing symptoms again. Will she have to hot foot it to A&E like last time?

Across the corridor, Dr Anna Graham is seeing Shane, an otherwise fit young man, who has recently developed an infuriatingly itchy rash all over his body. Could Shane possibly have picked up a dose of the parasite responsible for scabies.

Meanwhile Dr Farida Ahmad gets a visit from Luke who’s been sick for a couple of days and his skin and eyes have turned yellow.

Episode 35

Episode 35

In this episode of ‘GPs: Behind Closed Doors’ we discover that exercise can, on occasion, be bad for your health…

Man-mountain Jemal is in to see Dr Andrew Cordell because he has a severe pain in his chest. But this isn’t a heart related issue. Jemal is a bodybuilder who, during a recent workout, managed to drop a 60kg barbell directly onto his rib cage. An accident like that would stop lesser mortals from ever setting foot in a gym again. But Jemal, as Dr Cordell discovers, is made of sterner stuff.

Across the corridor, Dr Alison Bolam is giving another keen sportsman (albeit of a more sedate kind) the once over. Derrick, a gentleman of a certain age, is a passionate bowls player, but he’s been unable to hit the greens recently due to an agonizing pain in his wrist. He’s tried everything for it – including a special cream that contains legal cannabis – but so far nothing has worked. Can Dr Bolam restore Derrick to (bowling) match fitness?

Later, Dr Liz Lee meets Jacqueline, a medical student who has also suffered an exercise related injury. Jacqueline was walking to university a couple of days ago when she took a tumble and injured her ankle. The examination gives the veteran GP Liz, an opportunity to test her young patient’s medical knowledge.

Dr Andrew Cordell receives a visit from young Haris and his mum. The 7 year old has crashed his bike and fallen on his head. Despite wearing a cycle helmet, Haris was knocked out for a few seconds and mum is understandably concerned. Dr Cordell checks the youngster over for signs of concussion and any related complications.

Exercise has helped at least one patient though. Fibromyalgia sufferer Nicola has joined the gym and her widespread body pain appears to be settling down as a result. Her GP, Dr Helen Thomas, is pleased and sets her sights on tackling Nicola’s remaining problem area, her legs.

Also tonight, long-term depression sufferer Harry comes in for a consultation with Dr Amanda Ramshaw. His mood has been particularly low of late and he is desperately seeking a way out. This prompts a frank discussion about what’s best for Harry – medication, talking therapy or a combination of the two.

Episode 36

Episode 36

The dangers posed to public health by the ‘opioid crisis’ are underlined in this episode of “GP’s”.

Sarah has come in to see Dr Tom Pelly because she’s worried about the effect the strong, opiate based painkiller she’s been prescribed is having on her health. Sarah has actually stopped taking Tramadol recently and is now suffering withdrawal symptoms: projectile vomiting, sweats, insomnia and severe constipation, which was so painful she ended up calling the NHS helpline for advice. The case poses Dr Pelly with a dilemma – how best to control Sarah’s pain symptoms without exposing her to the risks posed by opiate based drugs?

Patient Janice also suffers from widespread pain and it’s hampering her daily life. Today it’s her stomach that’s giving her trouble and it’s down to Dr Helen Thomas to come up with a diagnosis and some appropriate treatment. An easy solution would be to prescribe Janice some painkillers - but Dr Thomas has a theory that she wants to explore first. She wants to test Janice’s stomach for a bacteria called Helicobacter, which she thinks may be the cause of her problems.

In other news, mum Nutcheewan is in to see Dr Anna Graham about her daughter Sienna - who says she is constantly thirsty and requests drinking water throughout the night. Dr Graham quickly rules out any serious medical conditions, believing the real issue is a behavioral one. Crafty baby Sienna, has worked out that by asking for water all night, she can avoid going to bed and get extra attention from Mum and Dad.

Meanwhile, sprightly OAP John is having a checkup with Dr Holly Hardy. Despite his age, he’s “loving life”, although he is suffering from excessive wind.
After examining John’s stomach, Dr Hardy decides she wants to send John for some further tests, just to rule out anything more sinister.

Later, mum Laura brings her son Riley in to see Dr Anna Graham about her son Riley, who fell off his bunk bed ladder a few days ago and hurt his groin. Riley is very brave when Anna examines him and afterwards even attempts to get himself dressed, although does end up with his shoes on the wrong feet. Mum Laura is reassured that no serious harm has been done.

Episode 37

Episode 37

The week commencing 9th April 2018 is Orchid Male Cancer Awareness Week so this episode of ‘GPs: Behind Closed Doors’ highlights how vitally important good cancer awareness can be. An anxious Tim has come in to see Dr Tom Pelly because he’s concerned about some strange looking patches that have appeared on his skin. The GP is quickly able to put his mind at rest about that, but when Tim shows Dr Pelly what he thinks is a straight-forward fungal infection on his big toe, cancer-related-alarm-bells start to ring in his doctor’s mind.

Excessive drinking is known to increase the chances of men developing certain types of cancer, a fact that Dr Alison Bolam is keen to impress on her patient Martin who has been downing upwards of 100 units a week! Martin claims he is gradually reducing his intake, but Dr Bolam won’t let it lie and stresses how potentially damaging his current drinking is. The GP offers him additional help, but a reluctant Martin would rather wait to see the results of his bloods before taking decisive action.

Of course cancer strikes males of all ages. Young Cassius appears to be fit and healthy but his mum is very worried because she has noticed some strange lumps in his neck. Dr Helen Thomas gives the youngster the once over and is able to offer much needed reassurance.

And baby Jasper has been bought in by his mum because she has noticed a lump in his genitals. Dr Jane Ghosh examines Jasper and is able to identify the lump as a hydrocele – a harmless swelling that should go away by itself but may require a minor operation.
Later, Dr Anna Graham meets regular patient Deborah – although on this occasion it’s Deborah’s mum Gloria who is in need of medical attention. Gloria suffered a fall recently and has brought her daughter along to act as her interpreter - because she can only communicate via sign language.

Across the corridor, Dr Andy Cordell is treating Diane who has previously suffered from a condition called ‘macular degeneration’ in her right eye than can cause significant vision loss. She is now concerned that the same problem may be affecting her left eye and Dr Andy Cordell is inclined to agree with her, so he sends her on her way with an urgent referral to the eye specialists.

And Dr Elizabeth Barnard has her hands full with Ethan and Marshal who run riot whilst she attempts to perform a 6-week check post natal check on their baby sister Lunar. Their mum Krystal is not happy with their behaviour and reads the riot act – an evening on the naughty step and no iPads!

Episode 38

Episode 38

The dangers posed by high blood pressure come into focus in tonight’s episode of GP’s Behind Closed Doors.

In Dr Alison Bolam’s consulting room, emotions are running high. During her recent pregnancy, first-time-mum Ann-Marie was diagnosed with pre-eclampsia (PE), a potentially life-threatening disorder characterised by the onset of high blood pressure. In order to protect the health of Ann-Marie and her baby, the child was induced several weeks early, and is currently still in intensive care. Anne-Marie is still traumatised by those events and breaks down when she discusses them with Dr Bolam – who offers advice and a sympathetic ear.

Meanwhile, in Dr Helen Thomas' consulting room there are concerns for patient Lech, whose blood pressure has sky rocketed since he stopped taking his hypertension medication. Lech was recently in hospital for an operation and was advised (incorrectly as it works out) to stop taking the drugs – something that his GP finds quite shocking.

Also tonight, patient Billie is in to see Dr Tom Pelly. She’s been feeling dizzy and unwell ever since a jar of cooking sauce fell off a shelf in the supermarket and knocked her on the head. Dr Pelly runs some tests.

Dr Liz Lee’s patient Simon is also in with an injury. He was attempting to lift a manhole cover with a metal bar recently, when it slipped and sprang back, smashing him in the face. He was lucky not to lose an eye and is in need of some much needed pain relief.

Down the corridor, mother of two Kathryn is in to see Dr Holly Hardy following the unwelcome discovery that her two year old has threadworms. Kathryn is breastfeeding her youngest and she’s concerned what effect anti-worm medication might have on her new born.

Meanwhile, Dr Anna Graham sees Bethany who has a mysterious lump in her abdomen. Worryingly it appears to be getting bigger. The veteran GP investigates.

And Dr Liz Lee sees patient Sophie who is suffering from persistent cold and flu symptoms – that have caused her to take 22 days off work! The GP looks at all the possible causes including stress and even HIV.

Episode 39

Episode 39

GPs are renowned for working extremely long hours. But this week Dr Liz Lee meets a patient who works at least hard as she does.

Anthony is in to see Dr Lee because he’s suffering from extreme fatigue. During the consultation he explains that, despite being in his 60’s, he still works 50 to 60 hours a week as a painter decorator. When Dr Lee suggests his tiredness might be down to the fact that he’s working too hard for a man of his years, Anthony reveals that he doesn’t want to slow down, because slowing down will mark the “beginning of the
end”. Can his GP persuade him to accept a compromise – and just slow down a little.

Dr Amanda Ramshaw’s patient Gerald has come in complaining of a tight chest and a pain in his arm and neck. Gerald is no spring chicken and Dr Ramshaw is understandably concerned this could be a heart problem – particularly when she discovers Gerald has a particularly low heart rate. An urgent ECG and a trip to the hospital is called for.

Across the corridor, Dr Anna Graham is treating a teenage girl who has tonsillitis. But, what appears to be a routine appointment takes a moving turn when we learn that the young patient’s mother has terminal cancer. Dr Graham does what she can to provide support.

Later, Dr Liz Lee meets Chris, a former heroin addict who has been struggling with mental health issues for most of his adult life. Chris’, already difficult, life took a turn for the worse when his brother died of a drug overdose in the flat they shared. Recently Chris has been feeling particularly low and is worried that he may go back to using drugs if he doesn’t get some help. Dr Lee does all she can to pull him back from the brink.

Young Chahid has been sent home from school because he’s been wheezing really badly and turning blue. Urgent Care Team member Lizzie Harris gives the young patient a thorough examination and does what she can to bring his asthma attack under control.

Also tonight, Dr Tom Pelly meets new mum Hannah and her baby, Arthur, for a postnatal check. During the consult Hannah reveals that it was a traumatic birth and that she holds the hospital largely responsible.

And Dr Amanda Ramshaw, does her best to quell the fears of two worried patients who are concerned their baby, who only has a mild virus, is seriously ill.

Episode 40

Episode 40

The busy GPs at the Horfield Health Centre find the time to put several worried patients’ minds at rest this week.

Baby Mattias’ testicles didn’t descend when he was a new-born and, several months on, mum Julie still isn’t sure that they have. Fortunately, following an examination, Dr Jane Edge is able to confirm that all is now well with Mattias’ testicles. And the GP even has time to take a look at his big brother Benjamin’s infected finger.

Patient Everton is back for a review with Dr Andrew Cordell about his “horribly high” blood pressure. Thankfully it’s much improved, but it’s not such good news when it comes to Everton’s blood results, which call for less drinking, and an altogether healthier lifestyle.

Later Dr Andrew Cordell sees David, who suffers from Parkinson’s Disease. David seems well and is maintaining his weight, but is struggling to get up in the morning. He doesn’t do any exercise at home, but Andy is pleased to hear that he’s still getting out and about most evenings.

Sean is a musician and is worried about his hearing due to on going ENT issues. He’s tried all sorts of nasal sprays and treatments, but the symptoms persist. Dr Anna Graham thinks he may have a chronic rhinitis and Sean is delighted that he may finally have a diagnosis.

Jane is experiencing tummy and bowel issues, and becomes quite emotional when she explains all the stress she’s been under lately to Dr Amanda Ramshaw. Her GP offers a sympathetic ear and, after detecting a lump in Jane’s abdomen, urgently refers her for further tests.

Ann is on a new medication and has been experiencing pains in her chest. Dr Jane Edge runs through her ECG results and reassures Ann that her medication is safe and not the cause of the pains, but they have to keep an eye on her whilst she’s taking it. Dr Edge is really happy to hear that the medication is helping and is very complimentary of Ann’s shoes!

Clifford injured his leg and, while tending to the wound, UCC Lizzie Harris is surprised by the state of his legs and feet!

Nancy visits Dr Anna Graham with an angry flare up of eczema. Dr Graham offers lots of great advice on how to manage the symptoms and prescribes some steroid cream to try and get it under control.

Julie has a chesty cough and sounds pretty terrible. She’s not been taking her inhalers and Dr Amanda Ramshaw is shocked when she enquires how much Julie is smoking - a whopping 40-50-a-day!

Adorable little Riley is in for some results, which fortunately are all clear. He’s been experiencing aches in his legs, but Dr Andrew Cordell thinks he’s a healthy happy child, that’s just experiencing growing pains.

Episode 41

Episode 41

May 14th to May 20th 2018 is Mental Health Awareness Week, so in this episode (to be broadcast on 16th May), the GPs at the Horfield Health Centre deal exclusively with this vital public health issue. One in six people suffer from a mental health problem each week, so the doctors certainly have their work cut out for them.

Dr Alex McLaren meets Daniel, a young man seeking help because he is hearing voices inside his head. Daniel talks of hearing two distinct voices – and of how he now stays at home most of the time, in case they ‘persuade him’ to do something dangerous. Dr McLaren looks for some solutions.

Next through the door is regular patient Jess who is in to see Dr Farida Ahmad. She’s recently had a relapse with her anxiety having mistakenly taking antihistamines instead of her antidepressants. Dr Farida offers a sympathetic ear and some solutions.

Dr Holly Hardy meets new patient Dane who comes armed with a list of handwritten notes that he no longer remembers writing. Dane is worried he’s heading for a breakdown and confesses to Dr Hardy that he often enters a “hyper realistic world”. With Dane being only 17 years old, Dr Hardy is cautious with his treatment options.

Later, Dr Andy Cordell meets Rohit who has been suffering from panic attacks, which have led to him being taken to hospital. Rohit puts his symptoms down to eating specific foods - so Dr Cordell turns investigator.

Down the corridor regular patient Chloe is in with her mum to see Dr Jane Edge about medication for her anger issues - after she punched a wall. Dr Edge is unconvinced that medication is the answer to Chloe’s problems.

Dr Jane Ghosh meets new patient Katie who comes in to introduce herself and to talk about her phobia of vomiting. Katie goes on to describe the problems that suffering from a phobia causes, and how a miscarriage sent her spiraling into depression.

Finally, it’s an upbeat consultation for Tom Pelly and regular patient Christopher. Much to Dr Pelly’s delight, Christopher’s schizophrenia medication has been working and his hallucinations have subsided. He also informs Dr Pelly that he is leaving the practice as accommodation has been found for him elsewhere.

Episode 42

Episode 42

The future of the NHS depends on the next generation of GPs so, in tonight’s show, we shine a light on the medical students who are currently training at Horfield Health Centre.

Taking centre stage is student Craig. He sits in on a number of consultations before leading his own, under the watchful eye of Dr Amanda Ramshaw. His first patient, Sophie, wants a change of contraceptive pill, and it's not long before Craig discovers that even the most straightforward of consultations is harder than it looks. Luckily Dr Ramshaw is on hand to intervene and fill in the gaps in Craig’s medical knowledge.

Of course, the regular cast of GPs also get involved.

Peter has come to see Dr Tom Pelly after collapsing at home following what appears to have been a stroke-like episode. It’s not the first time this has happened to Peter and Dr Pelly is concerned that these episodes are happening with increased regularity - so he arranges for Peter to be seen in a neurology clinic as a matter of urgency.

Kathryn’s nose is causing her excruciating pain and, after examining her, Dr Amanda Ramshaw suspects an infection in her sinuses. She gives Kathryn the choice of an antibiotic treatment or letting things get better on their own. As the pain is so intense, Kathryn opts for antibiotics.

Also visiting the surgery this week are Portuguese friends, Fatima and Sara. Fatima has been having palpitations and dizzy spells. Sara helps with translation and eventually Dr Pelly uncovers the history of Fatima’s heart problems, for which he is able to prescribe medication.

Long-term patient Clifford has come to see Dr Liz Lee about the pain behind his eye. He’s already seen an optician to rule out problems with his retina, and Dr Lee’s examination in the surgery offers no further clues, so she arranges for him to be seen for specialist investigations at the eye hospital.

Builder Andre is worried about his chest because he has been coughing up phlegm. He explains to Dr Holly Hardy that in recent years he has made a number of lifestyle changes, including giving up smoking and avoiding parties. As Andre is an ex-smoker, Dr Hardy arranges blood tests and sends him to the hospital for an x-ray to check his lungs.

Episode 43

Episode 43

In tonight’s episode, the final show of the current series, the GPs at Horfield Health Centre, Bristol, reflect on what it’s like to work as a GP in the UK today; and offer some predictions for the future of General Practice in Britain, in light of the many challenges it faces as a public service.

Meanwhile, there’s still plenty of work to be done…

George is back in the surgery to see Dr Jane Edge. It’s been 4 months since he’s been released from prison and, despite his efforts to lead a normal life, he’s fallen back into drug addiction. He’s now suffering from paranoia and his body is covered in rashes. Dr Edge tries help.

Dr Tom Pelly starts his day with a visit from Patrick whose groin has been painful for the past few weeks. He’s tried to tough it out but the pain is becoming unbearable, and it’s come to the point where he’s struggling to walk and going to the loo is agony.

Zoe is visiting Dr Helen Thomas because her ears are painful – normally a straightforward condition to treat. But Zoe’s pregnant, and with a history of six miscarriages, Dr Thomas is at pains to ensure the medication she’s diagnosing poses no risk to Zoe’s unborn baby.

Across the corridor, Edina has come to see Dr Amanda Ramshaw. She’s young, and leads a healthy lifestyle, but she’s suffering from extreme tiredness, dizziness and she can’t explain episodes when she finds herself shaking uncontrollably.

Dr Farida Ahmad receives a visit from Jean, an elderly patient (with a love for rock and roll) who’s found a lump in her leg.

Also tonight, Henry, a concerned father, has brought his baby daughter Penelope in to see Dr Jane Edge. She’s been coughing badly, but today, all the sweet little girl wants to do is play with Dr Edge’s stethoscope.

And newlyweds Helen and Simon are back to see Dr Liz Lee, as Helen’s wrist is causing her trouble. Dr Lee runs some tests.

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Trailer: GPs: Behind Closed Doors – Series 5