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 (40 secs)

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

13
jan
0

Podcast – PCNs – Where are we now?

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Following on from last week’s theme, Ben asks Dr Nav Chana and Dr Tracey Vell for their views on the problems and the progress of PCNs. What are their experiences of PCNs? What are the perceptions of the new models of care across general practice? Where do the threats and opportunities lie?

Introductions (46 secs0:46)

Tracey and Nav’s personal experiences of PCNs summed up (1:15)

Working together; impact on structure and investment opportunities (2:45)

What’s happening in Nav’s PCN (3:47)

Are PCNs too inward looking from a general practice perspective? (5:45)

The impact of change and using change as a mechanism for improvement (7:00)

The PCN paradox (8:14)

Tracey: where practices can use PCNs to focus on their priorities (9:20)

The challenges of linear development (10:15)

The Maturity Matrix (11:34)

How do we support enable innovative working in PCNs from the start? (12:14)

Plug in now to integrated care systems and why not to wait (13:24)

Benefits at practice level from working within a network (15:16)

…and the challenges (16:33)

The current perception of PCNs (16:54)

A threat to command and control? (18:47)

Working at scale = larger resources (21:00)

Integration of PCNs within the wider healthcare system (22:04)

Population Health Management as a tool for building a successful PCN (23:01)

NAPC resources and case studies (24:07)

Greater Manchester GP Excellence Programme (25:09)

The links for both the NAPC’s material and the Greater Manchester GP Excellence programme:

https://napc.co.uk

https://gpexcellencegm.org.uk

6
jan
0

Podcast – Becky Malby – Six months in the life of PCNs

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In our first podcast of the new decade, Ben chats to PCN guru Becky Malby, Professor of Health Systems Innovation at London South Bank University, about the introduction and progress of network-based working. Listen for her take on their establishment, on the critical success factors and navigating the minefield of structural challenges versus meeting local health needs.

Introductions (0:31)

Becky’s take on the first few months since PCN formation (0:47)

Difficulty of contracting versus meeting complex needs (1:18)

Importance of collaboration (2:02)

A crystal-clear purpose is key to a successful PCN (3:02)

Change should happen at practice (as well as at network) level (3:45)

How to reach agreement on purpose (4:29)

Data analysis and the gateway to collaboration and collaborative working (4:55)

What is the relationship between the network and its practices? (6:05)

PCN priorities: three main aims (7:11)

How setting network priorities can achieve local goals (8:29)

Defining PCN membership (9:30)

How do individual practices hurdle barriers to reciprocal working? (10:08)

“Strategy is measured by the speed of trust” and why talking matters (11:28)

Contractual requirements and where these fit with a holistic vision (12:38)

Introduction of new roles into new network models (13:29)

Management of time, capacity and funding; striking a balance (15:15)

Just say “no” (17:23)

Further information (19:35)

For Becky’s podcast and access to the resources she mentions, head to:

www.beckymalby.wordpress.com

www.source4networks.org.uk

16
dec
0

Podcast – The link to increased consulting capacity? Social Prescribing, link workers and PCNs

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In our final podcast of 2019, Ben talks to David Cowan, Care Navigation Lead at Conexus Healthcare, about how care navigation and the newly introduced link worker roles can assist in easing the pressure on PCNs. What are the key elements of the link worker role, where do link workers sit within existing staffing frameworks and how can they make the biggest impact?

David explains his journey to becoming Care Navigation Lead (1:03)

What does David’s role involve now and how is it structured? (2:02)

“As well as, not instead of”; the importance of care navigation complimenting social prescribing (3:00)

“Patients with a social need should not have to see a GP to access social prescribing support” (5:08)

NHS England key elements of the social prescribing role (5:35)

Starting from scratch; how to best implement social prescribing roles within a PCN (5:54)

How care navigation works and maximising its effectiveness (7:05)

Referral criteria & training requirements for existing practice staff (8:43)

Building relationships on a practice by practice basis (11:22)

Ben and David explore the challenges faced by a newly placed link worker and the training they require (12:08)

“Micro-commissioning” the link worker / travel agency analogy (13:40)

From a PCN perspective: What level of experience and expertise can be expected of a new link worker? (15:12)

How do you measure the impact of a link worker? (16:31)

Getting in touch (18:10)

For more information on the social prescribing qualifications and training David mentions head to https://conexus-healthcare.org/social-prescribing-qualification-training/

To get in touch with David and Conexus Healthcare:

contact@conexus-healthcare.org

or via Twitter:

@HealthyDaveC or @ConexusHealthUK

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