23
mar
0

Podcast – Paul Gordon – Pensions UPDATED

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Following the release of the budget statement and the global challenges faced by the coronavirus pandemic, Paul Gordon, MacArthur Gordon Medical Specialist Financial Planner, re-joins Ben to talk through the changes and implications for the GP pension pot.

Introductions (20 secs)

What has changed since January? (45 secs)

The details of the changes (1 min 25 secs)

The annual allowance issue (3 mins 57 secs)

Checking the status of the annual allowance (5 mins 17 secs)

Scheme Pays option (6 mins 38 secs)

Balancing pensions growth against workload demand (7 mins 56 secs)

If my income is unchanged, am I exempt from tax penalties? (10 mins 2 secs)

The challenge of monitoring in-year growth (11 mins 41 secs)

Advice for those considering retirement (14 mins 8 secs)

Information for employers (16 mins 30 secs)

The Covid-19 effect (17 mins 28 secs)

NHS v private pensions schemes (18 mins 52 secs)

What else should I be aware of right now? (19 mins 45 secs)

Getting in touch (21 mins 47 secs)

For access to an up to date pension statement: https://www.totalrewardstatements.nhs.uk/

To request annual allowance growth figures, call the Pensions Agency on 01253 774774

Scheme Pays Election form available here

Paul is contactable via email: paul@macarthurgordon.co.uk

https://www.macarthurgordon.co.uk/

16
mar
0

Podcast – Tim Sacks – A New Approach to Funding Primary Care

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This week’s podcast features Tim Sacks, Chief Operating Officer at East Leicestershire and Rutland CCG, who guides Ben through the prevalence-based contract they employ for funding general practice in his area. Does it work better than the more traditional, weighted capitation-based models, where are the challenges and can it be employed within a PCN?

Introductions (48 secs)

Delegated commissioning (1 min 33 secs)

GP contracts: weighted capitation versus prevalence (1 min 48 secs)

How do you implement a new type of contract? (3 mins 16 secs)

Measuring the impact on investment (4 mins 7 secs)

The response from general practice so far (5 mins 31 secs)

How effectively can general practice respond to financial risk? (6 mins 29 secs)

Practice involvement in shaping new contracts (8 mins 8 secs)

PCNs and funding distribution (9 mins 46 secs)

Identifying the fairest and most appropriate funding model (11 mins 38 secs)

‘Proportionate universalism’ (12 mins 38 secs)

Do hybrid models work? (13 mins 58 secs)

Plans for the future (15 mins 17 secs)

Opportunities within a PCN framework (16 mins 27 secs)

Primary care commissioning in the future? (17 mins 33 secs)

The potential for PCNs to own their funding (19 mins 36 secs)

Getting in touch & further information (22 mins 13 secs)

https://eastleicestershireandrutlandccg.nhs.uk/

Tim is contactable via email: tim.sacks@eastleicestershireandrutlandccg.nhs.uk

9
mar
0

Podcast – Gary Hughes – The Practice Manager and the PCNs

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The spotlight is on Practice Managers and their crucial role in shaping and influencing new ways of working in a network-based world. Gary Hughes has a wealth of experience in this area and here shares his insights on the impact of the PCNs on practice managers, where the role evolves and fits within a wider network community and how practice managers really feel about the changes.

Introductions (0:42)

Gary’s own PCN and his involvement so far (0:54)

Bracknell mental health project pilot (01:42)

Embedding new processes; expectation versus reality (02:27)

What is the network impact on individual practices? (03:08)

Does the introduction of new roles herald a new era in general practice? (03:50)

Practice Managers and collaborative working (06:06)

Organisational leadership within a practice management role (07:19)

What do Practice Managers see that maybe GPs don’t? (09:02)

The Practice Management view of the PCNs (09:52)

The evolution of the Practice Manager role within networks (10:41)

What support might Practice Managers’ need to drive change? (11:46)

How does joint working really begin? (13:07)

The case for dedicated management support (14:53)

Advice on joined up working (15:30)

Keeping in touch (16:51)

You can contact Gary and keep up to date with his weekly blog via his LinkedIn profile here

2
mar
0

Podcast – William Greenwood – LMCs & PCNs

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How have PCNs impacted on local medical councils (LMCs)? What should the relationship be between LMCs and PCNs? Does the role of LMCs have to change following the introduction of PCNs? Listen as William Greenwood, Chief Executive of Cheshire LMC, shares his thoughts and experiences on this week’s podcast.

Introductions (0:45)

PCNs: First impressions (1:40)

Have LMCs been largely supportive of PCNs since their formation? (2:40)

The role of LMCs in relation to PCNs (3:28)

What have been the main concerns for Cheshire local members? (4:37)

Reaction to the original draft primary care specification (5:51)

…and the updated version? (6:43)

Are the LMCs generally happy with he updates & what are the chances of sign off? (8:03)

Are PCNs a “fad”? (8:33)

Practice based contracts versus a network specification (9:32)

Supporting the voice of a practice within a network (10:49)

The expectation of and from the LMC and its members (a two-way process) (14:43)

LMC skills and expertise and what they can offer as a result (15:48)

Are LMCs always constructive and helpful? (16:29)

LMC future role (18:15)

Getting in touch (19:30)

https://www.cheshirelmcs.org.uk/

Cheshire LMC office: 01244 313483

24
feb
0

Podcast – James Gransby – A Money Expert’s Guide to PCN Finances

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James Gransby, Partner at RSM UK and medical financial expert, summarises the key considerations and implications for practices and new networks of their financial arrangements, particularly within the context of the new – and since updated – draft primary care contract service specification.

Introductions (0:48)

James’ initial thoughts on the formation of PCNs and their impact (1:22)

Workforce implications (2:15)

How is the PCN’s money best held? Is there an ‘ideal’ financial model? (3:51)

The lead practice model (5:21)

Lessons learned so far, advice on setting up a new financial model – and all things VAT (6:27)

Let’s talk about pensions (7:41)

Clinical Director pay (9:18)

Check employment status for tax / HMRC (10:04)

Year End accounts (13:00)

Showing a ‘surplus’ and how to manage a PCN ‘surplus’ (14:21)

Impact on practice finances as a result of PCNs (16:15)

Reflecting on the draft service specifications (the December 2019 version) (17:37)

General Practice sustainability in today’s world? (20:10)

James’ top tips for practices and networks (21:55)

Getting in touch (23:10)

The draft GP contract update – new reflections (23:31)

What differences do the changes in the draft contract make? (24:19)

Tax implications for contract incentives? (24:55)

HMRC updates discussed (26:25)

 

James is contactable at: james.gransby@rsmuk.com

https://www.rsmuk.com/

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