Getting to know...a GP

Dr Alistair Church is a GP who specialises in neurology and movement disorders, including Parkinson’s. We find out more about his day-to-day work.

What’s your background and how did you get into your current role?

After completing a degree in psychology, and eventually medicine, I moved to Wales to start working as a GP. I combined this job with working as a clinical assistant in the Department of Neurology at the Royal Gwent Hospital in Newport, south Wales.

I started off working alongside a consultant neurologist in the movement disorder clinic, which I took over when he left.

What inspired you to specialise in neurology and movement disorders?

I think the mystery of neurology is the hook that drew me to working in that field. My grandfather had Parkinson’s and I have a very vivid memory of visiting him in his nursing home. I would love, in some small way, to be part of a generation that is able to change the course of Parkinson’s.

What does your day-to-day role involve?

I currently have two roles, which sees me divide my week between specialist neurology clinics and working as a GP in a small, semi-rural practice near Newport.

In my role as neurologist, I work closely with 2 Parkinson’s nurses and I receive referrals from general practice, and from my colleagues within neurology and other specialties.

When seeing new patients, I hope to provide them with a diagnosis, and to give them as much information as they wish to know at that time, so they’re fully aware of their treatment options.

I try to ensure every patient leaves the clinic with an understanding on where to access further information, a follow up with a Parkinson’s nurse and, if required, a referral to a physiotherapist or occupational therapist.

The more you can become an expert in your condition, the better.

In my experience, once patients know what they are dealing with, they can start taking back control of their lives.

What health and care tips do you give to people with Parkinson’s?

I would like them to spend as much time as they can every day working on their core stability, strength and balance, as well as keeping their brain as active as they can. This is as important as taking your tablets on time. A positive attitude and a mindset to maximising their potential is also extremely important.

I would also encourage patients to monitor their weight and check their blood pressure from time to time. The more you can become an expert in your condition, the better.

In my experience, once patients know what they are dealing with, they can start taking back control of their lives. This, combined with the right medication and the support of Parkinson’s health professionals, can help someone manage their condition as best they can.

When should someone with Parkinson’s book an appointment with their GP?

The simple answer is when you or your family are worried. There is a tendency to think that all your symptoms are due to your Parkinson’s, but this may not be the case. Keep an open mind – as your doctor should do.

Make sure you understand what has been said and never be afraid to ask questions or request clarification if you aren’t clear. It is your consultation and you must get from it what you want.

How can someone with Parkinson’s best prepare for their GP appointment?

Whether it’s a telephone, video or face-to-face appointment, it’s important to take a little time beforehand to think about what you want to get from the appointment and write it down. I would also suggest always having an accurate list of your medication with you at all times.

If it helps, you might like to be on loudspeaker and have someone with you during the appointment. They can help you remember what was said and what the outcome was.

Also, stabilising your phone or tablet in place, so you can sit a little way from it, can make all the difference.

Make sure you understand what has been said and never be afraid to ask questions or request clarification if you aren’t clear. It is your consultation and you must get from it what you want.