22
may
0

Podcast – Katie and Esther – The Cancer Nurse Assessor role

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We are consistently having to think more and more creatively when it comes to workforce planning. Patient demand is at an all-time high and accordingly, an increase in funding for staffing gathers apace, however this needs to be balanced against the ever-present estates headache, and in context with the move towards integrated care.  When Haywards Heath Villages PCN detected that additional support was needed in improving patient outcomes for cancer and the uptake of cancer screenings, the Cancer Nurse Assessor role was born. Working alongside the medical staff and the ARRS team, Esther Walker’s role is more standalone and specialist in its remit and this week, both she and PCN Clinical Director Dr Katie Spensley talk to Ben about Esther’s initial approach, her findings so far, working alongside the ARRS staff, Esther’s aims for the future (both short and long term), the positive outcomes she is seeing and why she is already hugely well valued within the Haywards Heath Villages PCN team.

Introduction (0:09)

Haywards Heath Villages PCN (0:21)

The creation of the Cancer Nurse Assessor role (0:31)

Funding streams (1:28)

Esther’s background (2:22)

How does the role work in practice? (3:56)

Auditing the existing service (6:29)

What are Esther’s key objectives? (8:50)

The impact of the role on the PCN- and individual practices (10:25)

Long term plans; for Esther, the service, and the wider workforce (12:39)

Balancing resources against patient needs (14:03)

Esther’s reflections on the PCN transition (14:31)

Interfacing with the ARRS teams (16:43)

Development of staffing going forwards (18:37)

Lessons learned (20:04)

Finding out more / getting in touch (22:33)

 

Katie is very happy to speak to anyone wanting to learn more about the Cancer Nurse Assessor role and is contactable here.

If you would like to know more about the innovation within Hayward’s Heath Villages PCN, you can also contact their local federation, Alliance for Better Care (who have also recently featured on the podcast). Their website (which contains all the relevant information and contact points) can be found here.

15
may
0

Podcast – Practice Index – Introducing the Gender Identity Toolkit for General Practice

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Up until now, there has been a disparate and distinct lack of easily accessible information available to the lesbian, gay, bisexual, trans and non-binary community on the practical processes and implications of changing title and gender marker. There have been many reports of misunderstanding and in some cases mistreatment, in the absence of clear guidance on entitlement and expectation; coupled with a widespread lack of knowledge and advice available to staff on the ground in general practice. Luckily, with the colliding of Pride in Practice, Indigo Gender Service, The Institute of General Practice Management and Practice Index worlds, a team of representatives from each have put their heads together, spent time gathering all the available information, experiences and knowledge, and together, Aimee, Luke, Kay, Ali and their colleagues have taken time out to talk us through what is already an invaluable resource; The Gender Identity Toolkit for General Practice.

Introduction (0:09)

Our panel members (0:31)

Meeting Aimee and the role of Pride in Practice (0:54)

Dr Luke Wookey tells us more about Indigo Gender Service (1:58)

Why was the toolkit created? (2:51)

The process of centralising knowledge and guidance (4:11)

The importance of information gathering and sharing, and a collective approach (4:49)

Confusion around records management and establishment of clear guidelines (5:34)

Existing barriers felt by the trans and non-binary community (6:19)

Bureaucracy, misunderstanding and a lack of knowledge on all sides (7:23)

How to get the most from the toolkit (8:36)

Summarising the process for changing title and gender marker (9:14)

The implications for screening and having access to a lead professional within the practice (12:05)

Bringing all the information together (13:55)

What difference will the toolkit make? (14:14)

A working example of the impact of Pride in Practice (14:54)

Ensuring the policy is adopted at a local level (16:17)

Applying the policy within daily practice (17:47)

Ensuring there isn’t a ‘one size fits all’ approach (18:42)

Implications of records migration (19:22)

The training on offer from Pride in Practice (20:48)

Accessing the toolkit – and other resources (22:27)

 

The Practice Index website link to the toolkit (and the relevant discussion forums) is here

You can also access the toolkit via the IGPM website here

Pride in Practice’s website can be found here. If you are interested in learning more about the training on offer, please get in touch here

The link to the Indigo Gender Service website is here

Indigo Gender Service also have a dedicated email for healthcare professionals to get in touch which is indigo.advice@nhs.net – or you can contact Luke directly at lukewookey@nhs.net

Luke has recently featured on another podcast with Primary Care Knowledge Boost around trans health which may also provide some additional useful information for primary care teams.

Kay is contactable on Twitter, if you have any further queries

The Gender Identity Toolkit Launch webinar is available on the IGPM YouTube channel now

For all enquiries about the Practice Index / Ockham podcast, please contact James Dillon here or Ben Gowland here

8
may
0

Podcast – Alliance for Better Care – ICSs Incoming…Working with our Federations

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In another of our series focused on Primary Care preparations for Integrated Care System (ICS) go-live in July and working alongside partners both old and new, we speak to Alliance for Better Care (ABC) Chair, Surrey Heartlands ICS Primary Care Leader and PCN Clinical Director Dr Pramit Patel, and ABC CEO Katherine Saunders, on the role of GP federations, and how they can both support and springboard practices and networks in making the most of the opportunities available in the new world. From establishment of meeting forums and well-balanced structures, to managing and maintaining effective communication across much wider remits, and the role of federations going forwards, ABC offer a best practice view of where we should be challenging our energies over the coming weeks and months, in the lead up to ICS launch.

Meeting Pramit (0:17)

Introducing Katherine (0:44)

The ICS / Primary Care Leader role (1:07)

Executive Structure (2:12)

Reaching consensus across a large area; meetings and formal structures (2:56)

Summarising the existing setup (5:28)

How does engagement work, particularly at place level? (6:14)

A lone GP voice in the room? (7:37)

Getting a sense of how other parts of the system view general practice (8:33)

External perceptions of Primary Care (9:41)

How does the federation work to support general practice operations within the ICS? (10:38)

The role of the federations in the ‘new world’ (11:56)

Joint working between federations (12:53)

What should the objectives be for general practice, moving forwards? (14:19)

Communication of the positive possibilities (15:49)

What differences will we see and what impacts will we feel at ICS go-live? (17:41)

Readying practices, networks, and federations ahead of July (19:23)

Pramit’s top tips for others (20:32)

Advice from Katherine (21:44)

 

Further resources, support, and information, as advised by Pramit and Katherine, can be found within the dedicated Primary Care NHS Confederation webpage here

Katherine and Pramit are happy to speak to anyone who would like to learn more about the Surrey Heartlands / Alliance for Better Care journey towards integrated care. Please visit the ABC website for more information and contact points.

1
may
0

Podcast – Nils Christiansen – PCNs Limited?

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There is no clear answer when it comes to the ‘ideal’ PCN setup, as it is all very much dependent on an individual spectrum of factors including (and not limited to) population size, numbers of employees, local health needs and priorities, financial setup, and more. With workload becoming ever more complex and demand continuing to grow for general practice services, is incorporation the answer when we are seeking to establish a safe and sustainable structures for the managing partners and their employees, going forwards? Luckily, DR Solicitors own Managing Partner Nils Christiansen features in this week’s podcast episode and guides us expertly through, not only the minefield of incorporation, but offers practical advice on safeguarding and streamlining the PCN as a business entity.

Introduction (0:09)

The PCN issues which are on Nils’ radar at present (0:18)

The Practice Agreement (0:59)

Establishing a sustainable PCN model (2:10)

Discounting the lead practice model? (3:38)

Benefits of incorporation – risk management (4:49)

Other advantages of incorporation (5:38)

Addressing issues of parity (7:31)

When PCNs incorporate, does this affect the fabric of wider general practice? (8:51)

What’s the actual process for incorporation? (10:46)

Can we leverage our existing governance frameworks to make the process smoother? (21:50)

Additional admin burden (14:10)

Implications on the financial flows and resources (15:27)

Employment liabilities (17:46)

Transfer of employees into a new entity (20:09)

NHS Pensions (22:01)

Data on the numbers of PCNs who are incorporating (22:36)

Finding out more (24:37)

 

If you have more specific questions on any aspect of incorporation and your existing PCN setup, you can visit the DR Solicitors website here, telephone them on 01483 511555, or email Nils at n.christiansen@drsolicitors.com

There are just a couple of spaces up for grabs on our new, online PCN Plus programme and the deadline for sign-ups is this week! Aimed at new PCN Clinical Directors, and experienced PCN Managers, and featuring a team of experts, we will be delivering training and advise on all the need to knows, including (and not limited to); establishment of a PCN vision, communications, managing finances and workforce, and preparations for integrated care systems. If you are interested in learning more, or you’re keen to confirm your space now, please visit our dedicated webpage or you can contact Ben for further information.

24
apr
0

Podcast – Adrian Loades – ICS Incoming…. Primary Care and the Local Authorities

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It’s the third in our series of podcasts focused on the preparations for Integrated Care Systems! This time, we meet with Adrian Loades, who is the Corporate Director of People at the London Borough of Redbridge, responsible for Adults and Children’s Social Care (and Education), and Public Health within his remit. Adrian chats to Ben about his thoughts on the preparations and the build up so far towards the new systems of working, the priorities on the local council agenda and how these already align with much of what primary care is aiming to achieve, how general practice and local authorities can come together to establish strong, multi-agency partnerships and ultimately, what we need to do in practice, across the board, to maximise health outcomes in an integrated world.

Introduction (0:09)

Meeting Adrian (0:40)

Adrian’s experiences of working within the local authority (1:05)

Is there a council perspective on general practice? (2:20)

The barriers to establishing relationships with general practice, from the council’s point of view (3:43)

Collective working through the pandemic (4:44)

Examples of strong multi-agency initiatives (5:59)

The health inequalities agenda (7:10)

Moving into an ICS environment (8:09)

Neighbourhoods and place-based working (9:28)

Are councils and general practice natural allies when it comes to embedding a place-based approach within an ICS? (11:07)

How will working at place, actually work in practice? (11:45)

What are the key factors when it comes to embedding a place-based approach? (13:00)

Adrian’s advice for general practice in making a success of working at place (14:12)

Focusing on the needs of the residents, instead of prioritising a political agenda (15:23)

Cultivating relationships with those who can influence council leaders (17:03)

Neighbourhoods and Primary Care Networks (18:04)

The local authority view of PCNs (20:21)

Leveraging PCNs as a means for establishing strong neighbourhoods (20:58)

Advice for PCNs on building relationships within the wider ICS network (21:56)

Support for general practice on sourcing additional space (23:02)

Who to contact at local authority level (23:59)

PCN Plus (24:32)

 

There are still a few spaces left on our PCN Plus online programme! Aimed at new PCN Clinical Directors, and experienced PCN Managers, and featuring a team of experts, we will be delivering training and advise on all the need to knows, including (and not limited to); establishment of a PCN vision, communications, managing finances and workforce, and preparations for integrated care systems. If you are interested in learning more, or you’re keen to sign up now, please visit our dedicated webpage or you can contact Ben for further information.

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