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We are in full countdown to ICS mode here on the podcast and in recognition of the existing issues of workload, pressures, and targets – and of the upcoming challenges General Practice is facing as we transition into the new, larger scale networks, we felt it was about time we welcomed back Dr Rachel Morris, GP, executive trainer, coach and all-round leadership and resilience expert. This week’s podcast offers a wealth of practical advice and insight into how and why we should be saying no, how to stick to your guns (and not fall victim to external pressures and pushback), why a long-term approach will always win out and how to stop, take stock and adopt a more strategic forward view during this period of high stress, unpredictability and unprecedented levels of patient demand.

Introduction (0:09)

Why has the importance of saying “no” become so relevant recently? (0:19)

Working out what and where your boundaries are (2:06)

Engagement and decision making when setting boundaries (2:41)

Should we benchmark the PCN DES?  (3:12)

A case in point: Investment and Impact Fund (3:50)

Identifying our top priorities? (4:27)

What is achievable and what’s not? Managing system pressures (5:42)

Practical measures for dealing with pushback (7:11)

Pressures of conformity in the new world? (8:53)

The importance of taking a long-term approach (10:59)

Moving from firefighting to forward view (11:54)

Applying the same principles for the Additional Roles Reimbursement Scheme (12:56)

When ARRS strategies fail and why (14:06)

“I’m choosing to…..so that…..” (15:12)

Maintaining a strong narrative (15:34)

Do the same strategies work from an individual perspective? (16:09)

The concept of ‘air cover’ and truly having each other’s backs (17:45)

Why proactive engagement matters (19:01)

….and ensuring there is accountability (20:13)

Finding out more / access to resources (21:32)

Sign up to a FREE webinar on how to help your team, say no, set boundaries and deal with pushback https://www.shapestoolkit.com/live-webinar-June-2022

Sign up to Rachel’s free mini video series about how to say no and set boundaries https://www.shapestoolkit.com/boundaries

Check out the You Are Not A Frog podcast https://youarenotafrog.com/