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1
mar
0

Podcast – Rachel Binks – Digital consultations for care homes

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Telehealth is a tool which can be used in a variety of ways; to support and enhance existing systems or to introduce a completely new way of working. Whilst telehealth is a relatively new concept in many areas, in others it is a more long-term feature of the health ecosystem.  In West Yorkshire, Immedicare offer a 24/7 digital care service to support primary care providers with the management of care home patients. Having been established for over 10 years, they know only too well what works, what does not and crucially how to realise the benefits of telehealth; enabling rapid triage and response around the clock, reducing secondary care admissions and relieving pressure on care home staff, local practices and PCNs. Rachel Binks, Nurse Practitioner for Digital and Acute Care at Airedale NHS Foundation Trust, joins Ben this week to fill us in on the Immedicare journey and why they have been instrumental in improving health outcomes for their care home patients.

Introduction (0:34)

How did the concept first come about? (0:46)

The Immedicare journey (1:26)

Enabling a 24/7 service (2:11)

800 care homes and counting (3:43)

How does the service work in practice? (4:32)

What is the contractual basis of the service and where does it fit with local providers? (5:12)

Managing a broad spectrum of conditions and health concerns (7:13)

The importance of building and maintaining relationships (7:56)

The Immedicare clinical workforce (9:27)

Making the service viable (10:15)

Balancing relationships with local PCNs and practices (11:16)

Multi-disciplinary team meetings (12:59)

What has been the impact of the service? (13:36)

Technical limitations? (14:16)

Reducing community care visits and admissions (14:50)

Aligning with new PCN services and staff teams (15:51)

Feedback from the care homes (16:42)

Financial and contractual setup (17:14)

What’s next as far as developing the service is concerned? (18:23)

Finding out more (19:17)

Immedicare website is here

Rachel is happy to discuss any aspect of the service on offer from Immedicare or telehealth more broadly. Her email address is here

22
feb
0

Podcast – Practice Index – Smashing the vaccination target.

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It is undeniable that the success of the Covid vaccination programme so far is due to the efficiency and the herculean efforts of general practice staff across the board; from volunteers, to drivers, Practice Managers, doctors, nursing, and administration teams who all continue to go the extra mile to try to get the country back on its feet. On our dedicated monthly Practice Index / Ockham podcast, we have closely followed the progress of our Practice Managers (and their teams) from the beginning in December and January – and this week we revisit their journeys at a pivotal point as they smash their initial target of vaccinating the most vulnerable patient groups with their first doses. On this month’s panel, podcast regular Nicola Davies is joined by her colleagues Kay Keane of Alvanley Family Practice (and network manager for Werneth PCN) and Andrew Athale, Practice Manager for Eastmoor and Alverthorpe GP practices, to discuss their largely positive experiences so far but also the additional pressure they and their wider colleagues are feeling, their views on ensuring full and accurate financial reimbursement across their networks and what comes next as far as core general practice demand and delivery of second doses are concerned.

 

Introductions (0:34)

Progress on the vaccination programme in each area; starting with Nicola’s (1:30)

Kay tells us about her experiences in Stockport so far (2:26)

Kay’s role in the process (3:01)

Patient inspiration (3:29)

How has it gone so far in Andrew’s network? (4:05)

Meeting the challenge of vaccinating care home residents and house bound patients (5:03)

Processing payment (7:51)

The problem with Pinnacle (9:20)

Ensuring accurate and timely distribution of funds (10:05)

The pressure of working at scale when it comes to financial reimbursement (10:58)

Wider network impacts (12:22)

Could this be the making of PCNs? (13:13)

How has the set up of the mass vaccination sites affected local practices? (14:14)

Are PCNs really in competition with the mass vaccinations sites? (15:55)

Delivery of vaccines at a more local level (17:30)

Preparations for second doses (18:56)

Why delivery notifications need to be right (19:30)

Managing core general practice demand alongside the vaccine drive (20:02)

Pressure on Practice Managers (20:49)

Ben’s closing remarks (22:25)

 

The Practice Index website can be found here

For all enquiries, please contact James Dillon here

15
feb
0

Podcast – Lantum – Supporting ICSs to succeed – now and in the future.

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With demand on general practice already at an all-time high, many practices and networks require a smarter solution to manage staffing and rotas, to ensure the pressure of core primary care work, alongside the mass vaccination drive, can be effectively delivered. Dr Ishani Patel, GP and co-founder of the digital staff bank solution Lantum is back on the podcast and joined by colleague, Lantum account manager, Tom Herbert-Maynard, to update us on the progress that Lantum has made, how their solution is supporting ICSs up and down the country to create a fully flexible workforce across the NHS eco-system, their influence on staffing the vaccination sites and most importantly, to provide information on the NHSEI funding available now for ICSs to enable procurement of and access to a digital staff bank.

Introductions (0:38)

Who are Lantum and what role are they playing in supporting the vaccination rollout? (0:51)

How does a digital staff bank work where the vaccination programme is concerned? (1:39)

Lessons learned from the programme so far (3:28)

What advantages does a digital system offer versus traditional methods of rota management? (5:38)

How would a rota manager organise staffing using an online portal, in practice? (6:08)

Governance considerations (8:14)

Maintaining a good rate of vaccinations and how the system could support this (8:26)

The key differences between smaller vaccination hubs and larger scale vaccination sites (9:28)

NHSEI funding availability (11:05)

Putting a flexible staffing pool in place across an ICS (12:46)

Which roles can be managed within a digital staff bank? (14:34)

Enabling delivery of truly integrated care (15:22)

Breaking down organisational boundaries (16:29)

How do I access the NHSEI funding offer? (17:29)

I am a Clinical Director, and I would like to find out more (18:29)

Getting in touch (19:20)

The Lantum website is here

Ishani is contactable here

This page explains a little more about how Lantum can provide ‘connected scheduling’ between staff banks.

What should be the key considerations when sourcing a digital staff bank provider? Lantum’s blog post is here

8
feb
0

Podcast – Ria Agarwal – Supporting Physician Associates

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With the right training and support in place, Physician Associates can play an important part in relieving a proportion of the clinical burden on GPs and their wider staff. As the role is now included in those available through the Additional Roles Reimbursement Scheme, we persuaded Ria Agarwal, herself an experienced Physician Associate (PA), to make a return to the podcast, to share her experiences and her tips for getting the best out of a newly recruited PA. Why she believes they can really make a difference to practice productivity, what PA preceptorships (such as the scheme currently on offer in Sheffield) can bring in the way of support and how to get the best out of your newest recruit.

Introduction (0:34)

Four years in the life of a Physician Associate (PA) (0:48)

Is the PA role now more widely accepted in general practice? (2:05)

The inclusion of PAs in the additional roles’ reimbursement scheme (2:39)

Preceptorship schemes (2:58)

What is involved in a preceptorship typically? (3:46)

Structuring PA consulting appointments in the first year (6:24)

Progression and training (7:16)

The influence of a practice in enhancing the potential of a PA (8:26)

Is there a benefit to newly qualified PAs having access to and mentorship from a more experienced PA? (11:03)

Tackling recruitment (12:31)

Expectation versus reality (15:11)

Why where you base your PA matters (16:24)

Preceptorship funding (17:22)

The key to success (18:30)

Final thoughts and advice (19:44)

A link to Ria’s paper on the preceptorship scheme available in Sheffield is here

1
feb
0

Podcast – Alliance for Better Care – GP federations and PCNs

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When primary care networks were first launched, many believed this might spell the end for GP federations, but this is not necessarily the case. There are numerous examples of some innovative partnership models developing across the country to support PCNs in delivering the best quality care and whereby federations are providing the resources to absorb some of the key workstreams, thus removing the burden from practice and network staff. Alliance for Better Care, or ABC as they are commonly known, are a typical example of a GP federation who are achieving success by working collaboratively with their PCNs. This is due, in part, to the expertise of their two Network Development Managers, Caroline Upton and Lena Abdu, who join Ben on the podcast to give an insight into their roles, what they entail, where they have made a difference and why partnership working might be the way forward.

Introductions (0:38)

ABC demographic and mission (0:57)

Lena’s background (1:39)

Caroline’s journey to becoming a Network Development Manager (2:42)

Sharing the management of networks from a federation perspective (3:14)

Ownership of dedicated work packages (4:02)

The importance of maintaining strong relationships with individual clinical directors (4:48)

Communication and engagement with wider teams (5:34)

Other available support for PCNs (6:42)

All about recruitment (7:53)

The additional roles scheme (10:23)

Managing workload and demand capacity (12:04)

Meeting the new general practice service specifications (13:13)

Meeting representation (15:38)

What are the main challenges? (17:31)

How are the Network Development Manager roles costed? (19:43)

Finding out more and getting in touch (21:32)

 

Alliance for Better Care’s website can be found here

Email: caroline.upton@nhs.net and / or lena.abdu@nhs.net

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