The General Practice Podcast

18
sep
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Episode 81: John Pilcher – Capital for primary care estate development

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This is the fourth podcast in our short series about GP premises. This week Ben talks to John Pilcher from GPI, a primary care premises developer. John talks to Ben about the capital available for primary care estate development including capital money made available by the NHS Estates Fund and that from third party developers. He explains the differences between third party investment and PFI and talks about actions being taken to shorten the length of leases.

Show Notes

GPI is a third-party primary care premises developer (39secs)

Investor/develop/owner of primary care premises (55secs)

The drivers creating demand for new primary care estate (1mins 35secs)

The traditional model may no longer be appropriate (2mins 47secs)

The challenge of investing in new estate (3mins 34secs)

Is the NHS providing sufficient capital? (5mins 02secs)

Real-life, practical issues for GPs (6mins 47secs)

Where else can the capital come from? (8mins 19secs)

No capital – invest revenue (9mins 37secs)

Other routes – including third party development (10mins 25secs)

£3.3bn available for 750 new primary care buildings? (11mins 35secs)

How close is this to PFI? (13mins 28secs)

Rents dictated by the District Valuer (17mins 07secs)

Concerns about the length of leases (18mins 05secs)

Learning more (19mins 44secs)

Contacting John (20mins 32secs)

John can be contacted at john.pilcher@gpgroup.co.uk

GPI’s website is available at www.gpgroup.co.uk

The other three episodes in this series are:

Episode 1: Paul Conlan from GP Surveyors

Episode 2: Edwina Farrell from Weightmans

Episode 3: Ian Crompton from Lloyds Banking Group

11
sep
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Episode 80: Three questions that determine the future of general practice

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In this special edition of the podcast, celebrating our eightieth episode, Ben goes back through the archives and selects expert opinion from previous podcast interviewees to help him answer three questions which, he believes, will determine the future of general practice. The questions relate to GP independence, optimum scale and the role of federations. He uses clips from diverse speakers including Mark Newbold, Nav Chana, Tracey Vell, Jonathan Cope and others to suggest ways in which general practice might change over the next ten years.

Show Notes

Ben explains the rationale for this podcast (8secs)

Will general practice actually change? (31secs)

Three key questions to consider (1mins)

  1. Will general practice remain independent? (1mins 26secs)

Practices giving up their independence – views from Tracey Vell and Berge Balian (2mins 11secs)

Retaining independence – views from Mark Newbold (4mins 15secs)

What do the GPs of the future want – views from Nish Manek (6mins 09secs)

Independence may go or not (7mins 27secs)

  1. At what scale will general practice operate? (8mins)

Views from Mark Newbold (8mins 14secs)

Is bigger better? – views from Rebecca Rosen (9mins 4secs)

Smaller scale – views from Nav Chana (10mins 18secs)

Scale dictated by sustainability and localisation (11mins 3secs)

  1. How will the roles of federations develop? (12mins 03secs)

Federation or merger – views from Rebecca Rosen (12mins 38secs)

A federation’s hope for the future – views of Laura Sharpe (13mins 58secs)

Federations as accountable care organisations – views from Chris Ash (15mins 53secs)

General practice in accountable care organisations – views from Tracey Vell (17mins 12secs)

The role of a super-practice in accountable care – views from Mark Newbold (18mins 39secs)

Integral role of federations (19mins 23secs)

What will the future for general practice be? (19mins 37secs)

Finding out more (21mins 20secs)

4
sep
0 0

Episode 79: Mark Newbold – The further adventures of a super-practice

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Our Health Partnership (OHP) in Birmingham is one of the country’s largest super-practices. We’ve been following its progress since we began the podcast and this week we catch up again with Managing Director Mark Newbold. The organisation has grown again including a new locality in Shropshire. OHP is now recognised as a single entity for the purposes of CQC assessment and a single accounting system is in place with a single set of accounts. Mark explains how these milestones have been achieved and looks to the future and an integrated care system.

Show Notes

Mark summarises the previous six months progress (43secs)

The super-practice is now 42 practices – including a group from Shropshire (1min 36secs)

How the addition of a new locality has changed things (3mins 09secs)

Has the central team grown? (4mins 21secs)

Self-sufficient with £1m of funding from practices (5mins 44secs)

The challenge of working across two STP footprints (7mins 53secs)

Has OHP stopped growing? (9mins 7secs)

A single entity for the CQC (10mins 40secs)

Will the CQC still visit practices? (12mins 48secs)

Peer support around quality (14mins 12secs)

A single accounting system and a single set of accounts (14mins 59secs)

The business plan for this year (16mins 58secs)

Engagement in the STP (18mins 10secs)

Developing an integrated services programme (19mins 17secs)

OHP leading on integrated care (20mins 46secs)

A stronger voice in the system (21mins 59secs)

Moving in a clear direction (23mins 59secs)

The future can be based on the independent GMS model (25mins 05secs)

REMEMBER: Mark is one of the speakers at our first General Practice Podcast LIVE Event. So if you want to hear more of Mark visit our website here for more information and to book tickets.

28
aug
0 0

Episode 78: Ian Crompton – Are GP premises still a good investment?

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This week is the third in our short series about GP premises. Ben talks to Ian Crompton, the Head of Healthcare Banking at Lloyds Banking Group. Ian describes the relationship that the bank has developed with GP practices and a range of specific issues relating to premises including the concept of “last man standing”, the options for new partners and the difference between owner/occupied and investment properties. He gives his views on the formation of property companies and ways in which GPs can protect themselves and their investment.

Show Notes

Ian establishes a healthcare division in Lloyds Bank (43secs)

The scale of the operation (1min 27secs)

GPs and the bank (1mins 52secs)

What happens when a practice needs more money (2mins 45secs)

The banks view on GP property (4mins)

Are premises still a good investment? (5mins 02secs)

The fear of “last man standing” (6mins 42secs)

New partners and buying in to property (7mins 39secs)

The banks view on lending against property (10mins 28secs)

Valuation and security (11mins 44secs)

Owner/occupied and investment properties (12mins 28secs)

Complicated arrangements – get a lease (14mins 18secs)

Property companies (16mins 17secs)

Meetings with accountants, lawyers, valuers and the bank (18mins 59secs)

Getting in touch with Ian directly (20mins 14secs)

Ian’s mobile number is 07802 750707

The bank’s website is www.lloydsbank.com/healthcare

21
aug
0 0

Episode 77: The Future of General Practice

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We’re seventy-six episodes of the podcast in and adding together all the information we’ve gleaned from numerous case studies, a picture begins to emerge of what the future for general practice might look like. In this episode we look at some of the unique insights we’ve gained about what might make general practice stable and sustainable for the future. At the same time we launch our first ever conference. To be held next March, “The Future of General Practice” brings together a matchless array of previous podcast guests in a riveting programme of discussions, “live podcast” chats and presentations. Find out more here. A generous discount on the ticket price is available for subscribers to our weekly newsletter. If you don’t subscribe and you want to receive our podcast and blog every week then subscribe here.

Show Notes

Ben introduces the Potentate of the Podcast (09secs)

The origins of the general practice podcast (35secs)

Our first Podcast Live event – a uniquely interactive conference (1mins 40secs)

The principles of the General Practice Podcast made flesh (2mins 38secs)

The Future of General Practice (3mins 02secs)

Introducing some of the speakers: Mark Newbold (4mins 19secs)

Mark Newbold on working at scale (4mins 45secs)

Introducing some of the speakers: Tracey Vell (5mins 55secs)

Tracey Vell on the new models of care (6mins 30secs)

Introducing some of the speakers: Steve Kell (7mins 49secs)

Steve Kell on the primary care home (8mins 25secs)

Introducing some of the speakers: Jonathan Cope (9mins 45secs)

Jonathan Cope on the lessons learnt (10mins 13secs)

Introducing some of the speakers: Nav Chana (11mins 19secs)

Nav Chana on shaping healthcare for the future (12mins 02secs)

The event is aimed at anyone interested in the future of general practice (13mins 05secs)

More information available on our website here (13mins 42secs)

Discount on ticket price for subscribers – subscribe here (14mins 15secs)

Future episodes of the podcast (15mins 00secs)

Getting in touch with us (15mins 56secs)

Email Ben with ideas for future episodes at ben@ockham.healthcare

 

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