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Mike Holmes is a GP in a large practice of 50,000 patients in York & Hull and part of a GP Federation covering 130,000. He is also the newly elected Vice-Chair, Membership of the RCGP. Furthermore Mike is a founder member of NHS Collaborate, the primary care leaders’ network developed by primary care leaders. In this episode Mike tells the story of how his practice grew across two cities, how the large GP federation emerged and what at-scale general practice has been able to deliver in York and Hull. In telling his story he outlines some important lessons about GP resilience and how it can be strengthened by increased scale.

Show Notes

Mike begins his story (1min 02secs)

Mike’s practice in York begins to expand (2min 07secs)

A conscious decision to increase scale and appoint some non-clinical leadership (3min 18secs)

The Equitable Access to General Practice programme – expanding to Hull (3mins 51secs)

Remodelling the workforce – beginning with community pharmacy (5mins 33secs)

The impact of difficult GP recruitment (6mins 33secs)

Does size create resilience? (8mins 08secs)

Doesn’t increased size just bring increased problems? (9mins 22secs)

Routine 15 minute patient contacts (11mins 02secs)

Measuring quality (11mins 48secs)

QI Ready with the RCGP (13mins 53secs)

Three elements to resilience including pragmatic optimism (14mins 43secs)

Support for innovation (16mins 27secs)

Nimbus Care – an alliance of practices creating Communities of Care (17mins 24secs)

Engaging all stakeholders (19mins 59secs)

Why such scale? (20mins 56secs)

Collaboration increases sustainability (22mins 55secs)

Connecting, listening, recognising vulnerability and risk taking (24mins 15secs)

The two previous episodes in this series with members of NHS Collaborate can be found at: Episode 87 – Jonathan Serjeant on Generative Listening and Episode 91 – Mark Spencer on Risk Taking

The NHS Collaborate website can be found here