{"id":2683,"date":"2022-03-02T18:23:32","date_gmt":"2022-03-02T18:23:32","guid":{"rendered":"https:\/\/gp-training.hee.nhs.uk\/bolton\/?page_id=2683"},"modified":"2022-07-26T21:26:35","modified_gmt":"2022-07-26T20:26:35","slug":"case-3","status":"publish","type":"page","link":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/","title":{"rendered":"Case 3"},"content":{"rendered":"\n<a href=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/\" class=\"wp-block-nhsblocks-nhsbutton nhsuk-button\">Back to Case List<\/a>\n\n\n\n<p class=\"has-text-align-center has-white-color has-emergency-red-background-color has-text-color has-background\" style=\"font-style:normal;font-weight:700\">Remember, before reading the analysis, ensure you have listened to the recording, made your own notes and completed your own assessment of the case.<\/p>\n\n\n\n<p>This video recording looks at a patient who has come for a result of their HbA1c<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Case 3 - Diabetes Review (Vers 19)\" src=\"https:\/\/player.vimeo.com\/video\/672317278?dnt=1&amp;app_id=122963\" width=\"640\" height=\"360\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"has-white-color has-nhs-blue-background-color has-text-color has-background wp-block-heading\" style=\"font-style:normal;font-weight:700\">Analysis<\/h2>\n\n\n\n<p class=\"has-text-align-center has-white-color has-emergency-red-background-color has-text-color has-background\"><strong>It is important to note that the expert analysis is to be used as a guide only. These cases have not gone through the same rigorous approach used in the marking of the real RCA examination. However, the analyses provide an indication of how a typical assessor might review and grade a case.<\/strong><\/p>\n\n\n\n<h3 class=\"has-nhs-blue-color has-text-color wp-block-heading\">Summary<\/h3>\n\n\n\n<p>A good case for long term condition as the opportunity to take a good history to work out why control has deteriorated is needed and usually negotiated management can be shared.<\/p>\n\n\n\n<h3 class=\"has-nhs-blue-color has-text-color wp-block-heading\">Timeline<\/h3>\n\n\n\n<p>Doctor Introduces himself and patient says has come for results.<\/p>\n\n\n\n<p>0.10 Asks patient if knows why had tests done.<\/p>\n\n\n\n<p>0.15 Patient asks if will just give him results.<\/p>\n\n\n\n<p>Doctor says looks anxious and Patient says he is as never rung up before to come in.<\/p>\n\n\n\n<p>0.30 Patient asks what they show and is it serious?<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Doctor says results show sugars have gone up the patient knows it\u2019s the HbA1c<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dr says has gone up to 78 and patient expresses surprise says it\u2019s a lot.<\/li><\/ul>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Slightly awkward start my advice would be unless it\u2019s really bad news to get on and give result because a patient won\u2019t think of anything else until you do So here eg \u2018as you know we\u2019ve called you in to discuss the test that looks at diabetes control and that has gone up a bit.\u2019&nbsp; Instead of that the patient has to ask for result and express frustration at not being told<\/em><\/p>\n\n\n\n<p>1.00 Dr asks if he has any idea what may have caused the rise.<\/p>\n\n\n\n<p>1.06 Patient says not looking after himself as well increased snacks and reduced exercise.<\/p>\n\n\n\n<p>1.22 Doctor asks if anything happened in life to cause that and patient says not been as active as churchwarden, lots of deaths covid quite stressful and need to get (diabetes) sorted.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>This but is done well reflective questions and the patient is very knowledgeable and forthcoming.<\/em><\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>What the doctor doesn\u2019t do is assess physical symptoms thirst fatigue blurred vision weight gain\/loss thrush etc to get an idea of how much the rise is affecting the patient<\/em><\/p>\n\n\n\n<p>2.02 Dr says sounds like struggling &#8211; patient says reduced support.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>This was just about ok however I think imposing how you would feel in a situation on a patient isn\u2019t a good idea it\u2019s better to ask them open questions how have you coped? How did you feel? (Listen to some <a href=\"https:\/\/www.bbc.co.uk\/programmes\/b006qnmr\" target=\"_blank\" rel=\"noreferrer noopener\">Desert Island Discs<\/a> as the presenter Lauren Laverne is excellent at this!)<\/em><\/p>\n\n\n\n<p>2.15 Asks how diet has changed Patient repeats that snacking.<\/p>\n\n\n\n<p>2.35 Dr reflects back about exercise and asks what does: Patient says reduced walking.<\/p>\n\n\n\n<p>3.00 asks re alcohol patient says no and also volunteers doesn\u2019t smoke.<\/p>\n\n\n\n<p>3.19 Dr asks what thinks and patient volunteers simply needs to change diet.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Little bit of repetition here however we do get that alcohol isn\u2019t involved. We don\u2019t get much of a sense of the patient\u2019s home life. Does he cook or not is that why he snacks? Who else is at home?<\/em><\/p>\n\n\n\n<p>3.35 Dr asks if that will be enough? Patient says yes and will also get back to exercise.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Good reflective question<\/em>.<\/p>\n\n\n\n<p>3.50 Dr suggests there are other options but then asks if will be able to stick to diet.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Again quite reflective and signposts might not be enough<\/em>.<\/p>\n\n\n\n<p>4.10 Dr highlights other options eg medications and Patient says are they needed?<\/p>\n\n\n\n<p>4.34 Dr says when levels \u2018serious\u2019 risk of stroke heart attack increases Patient says doesn\u2019t really want to go on tablets.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>The issue here is that in someone who has been well controlled one abnormal HBa1c isn\u2019t going to cause them to have a stroke or lose their feet. Such shock tactics isn\u2019t appropriate it needs to be put in context. Using words like serious is emotive and frightening. Also studies have shown that tight control later in life isn\u2019t as effective in stopping problems as tight control early so the explanation isn\u2019t correct<\/em>.<\/p>\n\n\n\n<p>5.10 Patient explores reluctance and patient says on life once started, and doctor asks patient to explain who says he doesn\u2019t feel dr will stop.<\/p>\n\n\n\n<p>5.35 Dr says that possible if gets lifestyle sorted then may be able to stop.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>I think the real opportunity to negotiate is missed. What would be wrong with offering the choice to try what he thinks he can do for 3 months and then revisiting tablets if control isn\u2019t achieved?&nbsp; That could be set against starting tablets now. The pros and cons having been discussed the patient can make a decision?<\/em><\/p>\n\n\n\n<p>5.50 Patient expresses surprise might be able to stop medication in the future.<\/p>\n\n\n\n<p>6.00 Dr refers to guidance that tablets needed now.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Guidance is guidance not gospel. A reluctant patient who looks well doesn\u2019t need to be forced onto tablets which is what this feels like<\/em>.<\/p>\n\n\n\n<p>6.10 Patient asks a searching question about how many patients have had their tablets stopped. Dr says every patient different and doesn\u2019t answer question or ask patient why asks. Says if get sugars under control then no reason for long term use.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>Take the opportunity to ask patients why they are asking you the questions. Sometimes you will find out what they are thinking other times you will need to answer as here<\/em>.<\/p>\n\n\n\n<p>6.50 Patient asks if needs to start medication. Dr says its an option and patient quickly interrupts to ask what doctor would do? &nbsp;The doctor starts to suggest the lifestyle changes but the patient interrupts what would you do if it was your dad?<\/p>\n\n\n\n<p>7.24 The Dr answers start the tablets..<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>An interesting exchange where the patient puts the doctor on the spot. The doctor does answer eventually. Personally I think if the options to try diet\/exercise alone had been on the table vs tablets now, the patient (not the doctor) would have made the decision but all credit for saying what would do<\/em>.<\/p>\n\n\n\n<p>7.35 Patient says doesn\u2019t want to but probably has to. Doctor says will support in process and discuss the tablets.<\/p>\n\n\n\n<p>8.05 Talks about metformin starting dose side effects then increasing dose Patient says three a day is a lot.<\/p>\n\n\n\n<p>9.03 Dr explores the reluctance re the three a day and goes on to say will check HbA1c again in 3 months.<\/p>\n\n\n\n<p>9.55 Patient says sounds like have to do it. Dr answers question rather than asking why patient asking. Reiterates diet and exercise and mentions health trainer.<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>The support system is only briefly touched on. At the start of the management the doctor could have set the scene. \u2018There are things you can do like the diet and exercise. There are things I can do like using some medicines which I\u2019ll explain in a moment, and there are people who can help us like the health trainer We can do all or some of these things What do you think would work for you?\u2019<\/em><\/p>\n\n\n\n<p>10.41 Arranges review in 3 months<\/p>\n\n\n\n<p class=\"has-nhs-light-blue-background-color has-background\"><em>A safety net isn\u2019t really needed however it would have been reasonable to say if the tablets don\u2019t suit get back to me, or if you get thirsty etc&nbsp; despite the tablets please get in touch<\/em>.<\/p>\n\n\n\n<h2 class=\"has-white-color has-nhs-blue-background-color has-text-color has-background wp-block-heading\" style=\"font-style:normal;font-weight:600\">RCA Assessment <\/h2>\n\n\n\n<p class=\"has-text-align-center has-nhs-black-color has-nhs-yellow-background-color has-text-color has-background\">RCA assessment Overall: <strong>Borderline<\/strong><\/p>\n\n\n\n<p class=\"has-white-color has-emergency-red-background-color has-text-color has-background\">Data Gathering: <strong>Fail<\/strong><\/p>\n\n\n\n<p>Unfortunately, the doctor doesn\u2019t do much in this area. Current symptoms aren\u2019t assessed The patient\u2019s home situation isn\u2019t enquired about especially around shopping diet and meal preparation<\/p>\n\n\n\n<p class=\"has-nhs-black-color has-nhs-yellow-background-color has-text-color has-background\">Management: <strong>Pass<\/strong><\/p>\n\n\n\n<p>He does follow the guideline and explain metformin He does encourage lifestyle changes with diet and exercise. he does involve another member of the team in the health care assistant He does arrange to see again after a repeat blood test. It\u2019s all a little superficial though and there are no reasons to reattend<\/p>\n\n\n\n<p class=\"has-nhs-yellow-background-color has-background\">Interpersonal: <strong>Pass<\/strong><\/p>\n\n\n\n<p>I think this just creeps into pass but only just by virtue of some of the questions like do you think will that be enough However some of the explanations and words used could have shocked rather than got the patient on board The management whilst talked about at length didn\u2019t give the patient the option of trying diet and exercise alone for 3 months so it was imposed rather than negotiated. Having said that the patient asked the doctors opinion he gave it and the patient followed it<\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-content\/uploads\/sites\/52\/2022\/03\/Case-3-Diabetes-review.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of Embed of Case-3-Diabetes-review..\"><\/object><a id=\"wp-block-file--media-394dd471-4cf6-4e01-a777-ca6c239ee592\" href=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-content\/uploads\/sites\/52\/2022\/03\/Case-3-Diabetes-review.pdf\">Case-3-Diabetes-review<\/a><a href=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-content\/uploads\/sites\/52\/2022\/03\/Case-3-Diabetes-review.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-394dd471-4cf6-4e01-a777-ca6c239ee592\">Download PDF<\/a><\/div>\n\n\n\n<a href=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/\" class=\"wp-block-nhsblocks-nhsbutton nhsuk-button\">Back to Case List<\/a>\n","protected":false},"excerpt":{"rendered":"<p class=\"nhsuk-card__description\">Remember, before reading the analysis, ensure you have listened to the recording, made your own notes and completed your own [&hellip;]<\/p>\n","protected":false},"author":107,"featured_media":0,"parent":2724,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2683","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Case 3 - Bolton GP Training Hub<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Case 3 - Bolton GP Training Hub\" \/>\n<meta property=\"og:description\" content=\"Remember, before reading the analysis, ensure you have listened to the recording, made your own notes and completed your own [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/\" \/>\n<meta property=\"og:site_name\" content=\"Bolton GP Training Hub\" \/>\n<meta property=\"article:modified_time\" content=\"2022-07-26T20:26:35+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/case-list\\\/case-3\\\/\",\"url\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/case-list\\\/case-3\\\/\",\"name\":\"Case 3 - Bolton GP Training Hub\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/#website\"},\"datePublished\":\"2022-03-02T18:23:32+00:00\",\"dateModified\":\"2022-07-26T20:26:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/case-list\\\/case-3\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/case-list\\\/case-3\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/case-list\\\/case-3\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"MRCGP Examinations\",\"item\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"MRCGP Consultation Calibration Tool\",\"item\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"MRCGP Consultation Calibration Tool: How to Use the Cases\",\"item\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/mrcgp-examinations\\\/rca-calibration-tool\\\/case-list\\\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Case 3\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/#website\",\"url\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/\",\"name\":\"Bolton GP Training Hub\",\"description\":\"Health Education England\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/gp-training.hee.nhs.uk\\\/bolton\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Case 3 - Bolton GP Training Hub","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/","og_locale":"en_GB","og_type":"article","og_title":"Case 3 - Bolton GP Training Hub","og_description":"Remember, before reading the analysis, ensure you have listened to the recording, made your own notes and completed your own [&hellip;]","og_url":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/","og_site_name":"Bolton GP Training Hub","article_modified_time":"2022-07-26T20:26:35+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/","url":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/","name":"Case 3 - Bolton GP Training Hub","isPartOf":{"@id":"https:\/\/gp-training.hee.nhs.uk\/bolton\/#website"},"datePublished":"2022-03-02T18:23:32+00:00","dateModified":"2022-07-26T20:26:35+00:00","breadcrumb":{"@id":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/case-3\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/gp-training.hee.nhs.uk\/bolton\/"},{"@type":"ListItem","position":2,"name":"MRCGP Examinations","item":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/"},{"@type":"ListItem","position":3,"name":"MRCGP Consultation Calibration Tool","item":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/"},{"@type":"ListItem","position":4,"name":"MRCGP Consultation Calibration Tool: How to Use the Cases","item":"https:\/\/gp-training.hee.nhs.uk\/bolton\/mrcgp-examinations\/rca-calibration-tool\/case-list\/"},{"@type":"ListItem","position":5,"name":"Case 3"}]},{"@type":"WebSite","@id":"https:\/\/gp-training.hee.nhs.uk\/bolton\/#website","url":"https:\/\/gp-training.hee.nhs.uk\/bolton\/","name":"Bolton GP Training Hub","description":"Health Education England","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/gp-training.hee.nhs.uk\/bolton\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"}]}},"_links":{"self":[{"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/pages\/2683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/users\/107"}],"replies":[{"embeddable":true,"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/comments?post=2683"}],"version-history":[{"count":7,"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/pages\/2683\/revisions"}],"predecessor-version":[{"id":3129,"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/pages\/2683\/revisions\/3129"}],"up":[{"embeddable":true,"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/pages\/2724"}],"wp:attachment":[{"href":"https:\/\/gp-training.hee.nhs.uk\/bolton\/wp-json\/wp\/v2\/media?parent=2683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}