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Nick Hughes is GP Director of Salus Medical Services. Salus is a GP federation formed by 23 practices in Farnham and North East Hampshire. The federation is a member of the “Happy, Healthy, at Home” vanguard, one of NHS England’s Primary and Acute Care Systems (PACS). The vision of the vanguard is “…that local people are supported to improve their own health and wellbeing and that when people are ill or need help, they receive the best possible joined up care.” Nick explains what it means to work in general practice as part of a PACS.

Show Notes

What is Salus Medical Services? (55secs)

How the federation was formed (1mins 30secs)

Why the federation exists (2mins 39secs)

Too many ideas – forming the federation (3mins 16secs)

Governance of the federation and funding (4mins 24secs)

What might be done differently? (4mins 55secs)

Taking on new services (5mins 49secs)

Introducing skill mix (7mins 18secs)

The PACS vanguard (8mins 04secs)

The relationship with the acute hospital (8mins 38secs)

Concerns about the takeover of general practice (9mins 27secs)

The problems in general practice (10mins 23secs)

Using PACS to “solve” the problems (11mins 18secs)

Working in localities (12mins 10secs)

Transforming local general practice (13mins 29secs)

What is the federation doing? (14mins 29secs)

The new skill mix and enhanced integrated care (15mins 12secs)

Who employs the new staff? (16mins 05secs)

A stronger voice for general practice (17mins 10secs)

Management structure (18mins 34secs)

The main lessons of the journey (19mins 03secs)

Finding out more information (20mins 14secs)

Find out more about Salus via their website here

Find out more about the General Podcast LIVE event here