17
feb
0

Podcast – Riaz Jetha – Summarising the GP Contract Agreement updates

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Dr Riaz Jetha, GP Organisational and Leadership Development Consultant with Health Integration Partners, joins Ben on this week’s podcast to dissect and discuss the updates to the current GP contract agreement. Listen here for their analysis and interpretation of some of the key amendments and what they mean for primary care and primary care networks on a wider scale.

Introductions (0:09)

First impressions (0:57)

PCN focus (1:29)

Changes to the Additional Roles Reimbursement Scheme (1:50)

Removal of employment liability within the roles reimbursement scheme (3:00)

Which roles will have the most influence? (3:21)

Structuring new roles according to local need (4:48)

Support for PCNs in forming their structures and the funding timetable (5:53)

The impact of the draft service specification updates (7:30)

Changes in the ability to earn (8:40)

Renewing the burden + wider reaction to the service spec changes (9:51)

The Impact & Investment Fund (13:12)

Is the impact and investment funding more lucrative? Could this be a benchmark for the future? (14:46)

Breaking down the investment payments; cost per patient? (16:09)

Changes to imms and vaccs / QOF (16:55)

Increasing GP numbers (17:55)

Access improvement (19:40)

The Time to Care Programme and maintaining positive initiatives (20:39)

Current status of the contract update & draft service specification and Riaz’s final thoughts (21:12)

Riaz is contactable at: riaz.jetha@healthintegrationpartners.co.uk

10
feb
0

Podcast – Sarah Kay – Let’s get physical ! Promoting the benefits of being active

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Ben is joined by Wessex GP and Physical Activity Clinical Champion Dr Sarah Kay who outlines why physical activity is a key component in the health agenda of all providers, how to motivate patients and practices in enhancing their own health and wellbeing, why prevention is always better than cure and what support is available to enable everyone to feel the benefits.

Introductions (0:36)

Physical Activity Clinical Champions: the facts (1:17)

What are the aims of the role? (2:09)

The Moving Medicine website (2:54)

National guidelines on physical activity; where to find them and the information provided (3:53)

New areas of focus in management of physical activity (4:59)

Is general practice doing enough to promote physical wellbeing? (5:42)

Finding time to talk about physical activity during a restricted GP consult (7:21)

The potential for wider impact (8:16)

#parkrunPractice @parkrunUK and #GPparkrunPledge (9:11)

Wellbeing champions & best practice (11:29)

Active Practice resources (12:05)

PCNs and the health wellbeing agenda (13:29)

Support from the link workers (14:31)

How do I start the ball rolling in my area? What support is available? (15:25)

Where can I find my local clinical champion? (17:21)

Final word from Sarah (17:42)

 

Moving Medicine website
https://movingmedicine.ac.uk/

Public Health England: National guidelines on physical activity
https://www.gov.uk/government/publications/physical-activity-applying-all-our-health/physical-activity-applying-all-our-health

RCGP Guidance

parkrunpractice
https://r1.dotdigital-pages.com/p/49LX-52M/parkrunpractice

Physical Activity & Lifestyle Toolkit
https://www.rcgp.org.uk/clinical-and-research/resources/toolkits/physical-activity-and-lifestyle.aspx

GP On-Call Bike
https://www.gponline.com/gps-offered-subsidised-bikes-home-visits-rcgp-scheme/article/1661079
https://www.wessexfaculty.co.uk/product-page/gp-on-call-bike

Where to find your local Physical Activity Clinical Champion
email: physicalactivity@phe.gov.uk

3
feb
0

Podcast – Sheinaz Stansfield – The role of the frailty nurse in general practice

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Podcast favourite and Practice Manager extraordinaire Sheinaz Stansfield is back to share more innovation and inspiration from Oxford Terrace and Rawling Road Medical Group – namely, the introduction of a frailty nurse to manage their large cohort of patients with long-term conditions and complex needs. Sheinaz outlines why the role was designed, the impact on the GPs and the wider network, how the frailty nurse works alongside the care navigators (and their wider complex care team) and most importantly, why patients love their new model of care.

Introductions (0:34)

The reasons for change (1:19)

Cultural challenges (2:20)

The creation of the frailty nurse role (3:52)

Population health management / the importance of soft intelligence and hard data (5:17)

How was the new role embedded and what was the initial effect? (6:11)

Impact on practice-wide home visiting (6:55)

How is the nurse supported, day to day? (7:30)

The team around the nurse (8:10)

How does the referral process work? What is the demand? (9:10)

The care navigators (9 mins 55 secs9:55)

When a patient’s condition worsens (10:32)

The benefits to the GPs (11:26)

Whole system impact (12:16)

Is there a danger of being a victim of your own success? (12:48)

Extending best practice across the PCN (14:18)

Is there room for negotiation within the role reimbursement scheme? (14:51)

The effect on internal and wider relationships (15:35)

Patient feedback (16:21)

Future plans? (17:23)

Getting in touch and finding out more (18:40)

APP FORM – Nursing Team of the Year290515_1

Managing Frailty in the Community Submitted

Case Study: Introduction of the Frailty Nurse
https://www.emishealth.com/insights/latest-articles/frailty-care-home-is-where-the-health-is/
https://pcc-cic.org.uk/article/frailty-nurse-halts-rise-unplanned-admissions

Case Study: Introduction of the Care Navigator
http://napc.co.uk/wp-content/uploads/2017/09/PCN_Case_Study_Report.pdf
https://www.england.nhs.uk/atlas_case_study/improving-dementia-care-through-care-navigation-and-social-prescribing/

Oxford Terrace and Rawling Road Medical Group website
http://www.otmg.co.uk/

Twitter: @sheinazs

27
jan
0

Podcast – Judy Oliver – How does general practice thrive, rather than just survive?

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Judy Oliver, who specialises in leadership, organisational development and delivery of high-quality training and coaching across the health sector, talks to Ben about the culture of general practice within the wider health world right now, her experiences of working with general practitioners and their teams and why she believes there is no better time than now to realise their potential – and beyond.

Introductions (0:40)

Judy’s background and what led her to working with the health sector (0:50)

What kinds of things does Judy do with general practice and primary care? (2:07)

Where is general practice now? (2:54)

Do GPs understand the power they have, and can they harness it? (3:55)

Is there too much of a negative focus and is this causing a failure to progress? (6:08)

The battle for funding, the pressure to deliver and the impact more widely (6:50)

Seek forgiveness, not permission (7:45)

The challenge of challenging others and enabling confidence (8:30)

How to engage and motivate; practical advice (9:56)

NHS structures explained in five, five-minute clips (10:18)

Can general practice thrive in PCN and Federation form? (11:22)

Competitiveness as a culture? (11:55)

Practice vs PCN; identifying where the focus should be (12:51)

21st century general practice (14:10)

Supporting local success from the top (15:04)

Developing crucial relationships (16:02)

The challenge of the integrated care provider (16:51)

Taking the “easy” way out and “going internal” (17:44)

Getting in touch (19:20)

Judy’s website
www.judyoliverandco.com

Five, five-minute clips on NHS structures
https://www.judyoliverandco.com/nhsstructureresources.html

Judy’s direct contact:
judy@judyoliverandco.com

20
jan
0

Podcast – How do you solve a problem like a pension?

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Paul Gordon, Medical Specialist Financial Planner (and pensions expert) joins Ben on this week’s podcast to give an update and an overview on the GP pension scheme as it stands; how to check on your own pension position, understanding and avoiding the financial landmines and how to access further information and support.

 

Which changes have caused the biggest problems? (0:52)

Impact on high earners; the tapered annual allowance (1:19)

Be aware: how much tax will I (or do I already) owe? (1:51)

Can I get ahead of the problem? (2:36)

How to get an update on my current pension position; contacts and red flags (2:54)

Options to lessen the impact of the annual allowance (6:11)

Less = more? (6:16)

The threshold income + pension growth (7:40)

What are the alternatives to cutting my hours? (9:30)

Forthcoming changes and the timeline for changes (10:22)

If I’ve incurred charges, how do I get my money back? (11:41)

How to avoid potential pension penalties (13:16)

Where can I get more information and what can I do now? (16:22)

The employer and employee conundrum (19:11)

Getting in touch (20:36)

 

Please find below the link Paul mentions regarding the 2019/2020 Annual Allowance Charges.

Statement from the Secretary of State on the Clinician Pension Tax Scheme   

 

Accessing Pension Estimates

www.totalrewardstatements.nhs.uk

 

Requesting Annual Allowance Growth Figures

NHSPA – 01253 774774

 

And finally, Paul’s direct contact:

paul@macarthurgordon.co.uk

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