
Alastair Church
Dr Alistair Church is a GP principal in Gwent, South Wales, and consultant neurologist at the Royal Gwent Hospital specialising in Parkinson's disease and movement disorders.
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OCT 5
Sep 9, 2026
Supporting patients with Parkinson’s disease, with Dr Alistair Church
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4:55
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4:18Pat AndersonHOST
What's the pattern of symptoms and signs that I might encounter, including ones that I might not necessarily have thought of?

Alastair ChurchGUEST
I mean, it's quite variable, and that's what makes the job quite interesting.

Alastair ChurchGUEST
You know, that what we're typically taught at medical school is you would make a diagnosis of Parkinson's, which is still a clinical diagnosis, so there are no specific tests really that are helpful.

Alastair ChurchGUEST
But actually, we know that by the time you have slowness and stiffness of movement, you may have had Parkinson's for more than 10 years.

Alastair ChurchGUEST
So there's a big move now for trying to pick it up before the motor manifestation, so the pre-motor Parkinson's.

Alastair ChurchGUEST
And these are pretty non-specific, so it's very difficult to be definitive at the time.
6 MINS LATER
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11:06Pat AndersonHOST
My ne- next question was gonna be, what is the GP's role in management of Parkinson's disease? But it sounds like you've just said that they are now encouraged to refer straight away.