Pearls

Red Whale Pearls are our super useful weekly updates for GPs and other primary care clinicians - designed to turn tricky evidence and guidelines into practical advice for consultations, focus on important issues we shouldn't miss and make our lives easier! Sign up to receive our Pearls by email.

Familial hypercholesterolaemia

October is National Cholesterol Month so we may see more people come forward to ask for a cholesterol check. And, as we are processing the results, we need to have our antennae out for possible cases of familial hypercholesterolemia. 
23rd October 2025

Ultra-processed food

Joe Wicks’ recent documentary ‘Licensed to Kill’ has brought this topic back into the spotlight. While the scare-tactic language in the title and promo are perhaps not the best way to support people to make sustained change, the programme contained some important points and may well result in questions coming primary care’s way.  
16th October 2025
Trainees

Liver disease: GEMS

We often hear from GP registrars that interpreting LFTs is one of the trickier tests to deal with. So, in this month’s trainee Pearl, we want to share our Liver Disease GEMS.
8th October 2025

Managing menopause after a diagnosis of breast cancer

Women in this situation will commonly seek our advice. Conflicting media coverage over the safety of different menopause treatment options after breast cancer have created a recipe for confusion and frustration for patients and clinicians alike. 
2nd October 2025

Are you ready for the ‘September surge’? 

The Primary Care Respiratory Society has drawn our attention to the ‘September surge’ (or autumn asthma spike). This refers to the significant increase in asthma admissions that occurs each September in the UK, particularly impacting children and young people.  
11th September 2025
Trainees

Safety-netting in primary care

One of the skills you will develop during GP training is safety-netting. Safety-netting is an essential consultation tool we can use to manage our patients safely, while acknowledging the uncertainty that exists and communicating this clearly.
3rd September 2025

Gonorrhoea: prevention through vaccination

This week, the BBC reported that the UK ‘gonorrhoea vaccine’ became widely available through sexual health services from Monday 4 August, so here is our article to help you with any consultations you may have on this!
7th August 2025
Trainees

Top tips for your PDP

So, here we are at the beginning of another academic year! This month we’re sharing our article on Workplace-based Assessment (WPBA). We’ve even mapped out a 3-year plan, based on the RCGP guidance, to help you to pace your training.  
6th August 2025

Managing mastitis has changed…

For women who choose to breastfeed, mastitis can be painful and unwelcome, and they often seek our advice and support – but are we offering the right information?
31st July 2025