16
jun
0

Katie Collin – VAT for Primary Care Networks explained

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This is the episode all about VAT. No, come back! It’s complex but vitally important stuff for PCNs and you’ll regret not listening… We are delighted to welcome Katie Collin, Client Services Partner at Ramsay Brown Chartered Accountant to explain it all. She covers who needs to be registered for VAT, what services incur VAT, Cost Sharing Groups and the VAT implications of the three models for PCNs. She has also produced a frequently asked questions document which you can access at the end of these Show Notes.

Show Notes

VAT – the hot topic of the moment (0:45)

Who has to be registered for VAT (1:04)

The three main reasons why a GP might be registered for VAT (1:47)

What services incur VAT – provision of services and staff (2:54)

Holding the contract and keeping control (5:12)

Other services – admin and back-office functions attract VAT (6:19)

Part of an overall contract – an example (6:58)

How does a Cost Sharing Group work? (8:23)

Members of a legal entity (9:16)

On-costs but not a management charge (10:23)

Is VAT chargeable on what PCNs are being asked to do? (11:13)

Employing a Link Worker (12:47)

The VAT implications for the three models for PCNs:

1 The Lead Practice Model (13:26)

Is the lead practice registered for VAT (15:28)

2 The Flat Model – the easiest model? (s16:38)

Liabilities of joint employment (17:45)

3 The Federation Model (18:26)

The big issues with federations (19:54)

The federation as a cost sharing group (20:36)

Core members/non-core members of networks (21:43)

Setting up a legal entity now – is it worth it? (23:06)

Employing staff and pensions (23:57)

Other things to consider (25:06)

Don’t go it alone (25:51)

Getting in touch and finding out more (26:20)

You can find Ramsay Brown’s “VAT and Primary Care Network FAQs” here

The Ramsay Brown website is here

Katie’s email address is katiecollin@ramsaybrown.com

9
jun
0

Podcast – Marie Anne Essam – National guidance for employing link workers

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Draft national guidance has been produced by NHS England to help Primary Care Networks introduce the role of Social Prescribing Link Worker. In this episode Social Prescribing enthusiast and GP, Dr Marie-Anne Essam, explains the value of the new guidance and takes Ben through a number of the elements it contains. They look at the Framework for Social Prescribing contained within the guidance, the salary for Link Workers and how their effectiveness and much more. The guidance will be published in its final form in the summer.

What’s in a name – The Social Prescribing Link Worker explained (1:09)

The draft guidance – still in development (2:09)

The status of the guidance (2:37)

PCNs and Link Workers – working differently (3:38)

Addressing the potential for duplication (5:02)

Using the money creatively – strengthening the system (6:23)

Making it “doable” (7:35)

The salary of the Link Worker – is it right? (8:31)

Making your PCN attractive to a Link Worker (10:22)

Supervision and training for Link Workers (10:58)

Quality assuring the Link Workers (12:36)

Measuring effectiveness (13:13)

The Framework for Social Prescribers (14:30)

Elements of the framework (15:02)

Other support available – education for the Link Workers (16:49)

Further information (17:47)

Marie-Anne can be emailed at marieanneessam@nhs.net

You can download a copy of the draft guidance here

This is the fourth in our series of podcasts on social prescribing. The other three can be found below:

Episode One: Marie-Anne Essam – Social Prescribing and Link Workers

Episode Two: Christiana Melam – The roles and skills of a Link Worker

Episode Three: Marie-Anne Essam – How social prescribing is changing patients’ lives

 

 

2
jun
0

Podcast : Clare Allcock – Accelerating collaboration in primary care

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In this podcast Clare Allcock outlines the four main areas on which nascent networks should be focussing if they want to accelerate their development. Clare works for Kaleidoscope Health and Care, an organisation devoted to facilitating collaborations that improve health and care. Prior to this she had a distinguished career in the NHS at local and national level; most recently heading up the primary care and community development team for three CCGs in Surrey and Sussex.

Clare explains her experience with general practice (0:45)

What does Kaleidoscope do? (1:29)

Developing an understanding of how networks can be successful (2:02)

Four areas for networks to focus on:

1. Clarity of purpose (2:34)

Bringing everyone together – collective agreement (4:02)

Using the difficult characters (5:15)

What are you NOT trying to do? (6:23)

2. Building trust (6:50)

Focus on quick wins (7:29)

Do something you HAVE to do (8:03)

Spend time together (8:27)

Myth busting (9:43)

Trust and lawyers (10:00)

3. Shared learning and communication (11:36)

Choose your app and get on with it (12:18)

Training needs and learning together (12:52)

Trust and relationships need work (13:30)

4. Measurement (13:56)

Network maturity matrix (14:52)

Reflection (15:31)

Prioritise and start small (16:20)

Be clear, agree and “do something doable” (16:57)

Finding out more (17:51) Contact: clare@kaleidoscope.healthcare

26
may
0

Podcast : Minesh Patel – Learning from the Primary Care Home model

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Minesh Patel is the Chair of the National Association for Primary Care and he joins us this week to explain what lessons the NAPC’s Primary Care Home programme has for emerging Primary Care Networks (PCNs). He focuses on wide engagement, the multi-disciplinary team and leadership. He looks at the different challenges of voluntary and mandated networks and has some sound advice for the new Clinical Directors of PCNs.

What is a Primary Care Home? (0:55)
A forerunner of Primary Care Networks – evolving (3:17)
Building on progress supported by the new resources (3:58)

Key lessons learnt:
1. The power of wide engagement (4:50)
2. Managing population health (5:41)
3. The strengths of the MDT (6:17)

Developing a strong vision (6:42)
Introducing new roles – a skills approach (7:49)
Strategic vs practical and immediate (9:11)
Working with community teams (10:47)
Relationships between leadership teams (11:53)
Distributed leadership (12:50)
The challenges for Primary Care Homes – supporting the leadership (13:18)
Differing challenges of voluntary and mandated networks (14:45)
Advice to the new Clinical Directors (16:06)
What’s the likely future for general practice? (17:05)
Finding out more (18:11)

The NAPC Primary Care Home website pages can be found here
For more information about the Diploma in Advanced Primary Care Management, please click here

The previous podcasts on Primary Care Homes that Ben mentions can be found below:
Nav Chana from the NAPC
Stewart Smith in St Austell
Jonathan Cope in Plymouth
Steve Kell in Bassetlaw

19
may
0

Podcast : Tara Humphrey – Introducing new roles to Primary Care Networks

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This week sees the return to the General Practice Podcast of Tara Humphrey, Managing Director of THC, a group of project managers who aim to influence and support positive change in primary care. With the introduction of new roles into Primary Care Networks many are asking detailed questions about how to guarantee successful implementation and ensure the people in the new roles are happy, effective and want to stay. In this episode Tara answers those questions.

Tara updates her role since she last appeared on the podcast in 2017 (0:48)

The new roles (1:21)

Clinical Fellowships (1:56)

Is this new role needed and why? (2:43)

Should we just use the guidance that exists? (3:20)

The practical considerations of introducing a new role (4:14)

What makes an organisation introduce new roles effectively? (5:13)

Networks making new roles feel integrated (6:16)

Host practices? (7:20)

Evolving roles and flexibility (8:00)

Developing a workforce plan (8:58)

Overcoming resistance to new roles (9:53)

Setting realistic expectations (10:59)

The value of ongoing communication (13:02)

Practically introducing link workers (13:50)

The challenge of introducing new roles to networks (15:02)

Look at the precedents (16:03)

Focus on the here and now and then develop a clear vision (17:07)

Meaningful measurement of outcomes (18:04)

Other resources (19:13)

Find out more about Tara and the work she does via her website which is here

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