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Podcast : Marie Anne Essam – how social prescribing is changing patients’ lives

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In the third in our series of podcasts on social prescribing, GP and social prescribing champion Marie Anne Essam returns to tell us three powerful real-life patient stories in which a social prescription has changed a patient’s life; a carer who got his purpose back, a man with a housing problem who turned his life around and an anxious, reluctant patient who found the support she needed. Plus: guidance on the new link workers will shortly be issued to all primary care networks and Marie Anne gives us a sneak preview of what it will contain.

Show Notes

Marie Anne explains her engagement with social prescribing (0:50)

Story Number One: A Carer (2:15)

Marie Anne reflects on how social prescribing impacted on this patient (5:55)

Story Number Two: A Problem with Housing (7:05)

Patient relationships and social prescribing (12:34)

Story Number Three: Persistence Pays Off (13:23)

Overcoming the potential problems of employing a link worker (16:53)

Let the resources go… (18:57)

What will be in the new guidance (19:55)

The availability of the guidance (22:25)

Is this package attractive enough? Unpacking the “why?” (23:40)

Ben recommended our earlier podcast with Sheinaz Stansfield on social prescribing and you can find that here

Marie Anne’s previous podcast on social prescribing and link workers can be found here

And the other podcast in this series, with Christiana Melam on the roles and skills of link workers, can be found here

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Podcast : Riaz Jetha – the new primary care network DES

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The specification and guidance for the new network DES runs to over 100 pages. In the days following its publication Ben and special guest Dr Riaz Jetha digested the content of the DES and, in this episode, they talk through the key differences they identified. They look at the nature of the network agreement, the role of federations, how clinical leaders will be recruited, population size, funding and much more. You might also be interested in Ben’s latest Blog which covers similar material.

Show Notes

What are the key differences in the new guidance (0:53)

Mandatory Network Agreement (1:52)

The organisation receiving the funds must hold a primary medical contract (2:50)

Where can federations fit in? (4:13)

Subcontracting arrangements (4:55)

Clinical leadership (5:55)

Extended hours by 1st July (7:06)

Ambitious timescales (7:45)

Backdated funding for established networks (8:33)

Flexibility in offering extended hours (9:25)

How is this likely to work? (10:26)

Flexibility on population size (11:04)

Smaller neighbourhood teams within bigger networks (11:58)

The Accountable Clinical Director (12:41)

Four options to recruit the Accountable Clinical Director (13:17)

Do smaller networks get more resources? (15:16)

What is “additionality”? Auditing levels of staffing (16:17)

Recruiting pharmacists (17:33)

Lack of flexibility this year – control and standardisation at the beginning (17:59)

Where does the additional 30% of the funding come from? (19:31)

Potential to under-use the resources? (21:45)

The expected funding for 2019/20 (22:27)

Is this package attractive enough? Unpacking the “why?” (23:40)

Remember – if you are interested in a copy of our book The Future Of General Practice which contains a series of case studies tthat will be of interest to anyone establishing a primary care network, you can now purchase a copy at only £9.99 (a reduction of over 60% on the original price). You can purchase the book here.

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Podcast : Developing the practice managers of tomorrow – City and Hackney GP Confederation

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We have three guests this episode to talk about the unique Salaried Trainee Practice Manager programme developed by the City and Hackney GP Confederation. Dr Mary Clarke CBE the Confederation’s Director of Workforce, Grace Neil, the Programme Co-ordinator for the scheme and trainee Practice Manager Kerry Reynolds join Ben to variously explain how and why the programme was developed, the format and content of the programme and what it felt like to be a participant.

Show Notes

Mary begins by describing the confederation (1:16)

Mary’s role as Director of Workforce (2:05)

The challenges facing Practice Managers (3:59)

The complexity of the Practice Manager role (4:56)

The origins of the Salaried Practice Manager programme (6:01)

Grace joins the confederation and the scheme takes off (7:24)

Applicants from many routes (8:23)

Kerry explains how she joined the programme (9:26)

Picking six successful applicants (10:25)

Funding the programme (11:16)

How the programme runs (11:34)

The applicants are employed by the confederation and the practices are engaged (13:00)

The content of the programme (13:55)

Kerry reflects on the programme (15:04)

Kerry’s placement (15:58)

The outcome for Kerry (16:28)

What’s next for the programme – a national rollout? (16:51)

Finding out more (18:02)

More information on the programme is available on the Healthy London Partnership website here

A case study from Mary Clarke is available here

The previous podcast Ben mentions with Laura Sharpe from City and Hackney GP Confederation is available here

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Podcast : Tom Howseman – better managing demand through pre-triage protocols

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Tom Howseman is a GP Partner in a large urban practice in Northampton. When their number of GP partners fell from twelve to six due to retirements and they couldn’t recruit they decided to adopt a more multi-disciplinary approach. Over the last two years they have introduced and refined a system of pre-triage protocols which enable reception staff to collect information from patients presenting on the day which is then helpful to the pre-triage clinicians in directing those patients to the appropriate member of the emergency care team. 20,000 additional appointments have been created through this system and in this episode Tom explains how they have done it.

Show Notes

Tom describes his practice and why he developed a new way of working (0:50)

Expanding the multi-disciplinary team (1:48)

Two GPs on call for same-day demand (2:23)

Three potential problems with the then current triage system (3:04)

Introducing a Pre-Triage Process (3:48)

A simple example of how it works (4:20)

Identifying the ten most common reasons for demand and the clinical questions a receptionist can ask (4:57)

Let’s try it… (5:45)

The trial expands and becomes normal practice (6:13)

Protocols for receptionists to follow (7:14)

An example of the protocol (7:59)

A patient rings…what happens next (8:22)

Reducing the waits for patients (9:42)

The receptionists response to the system (10:14)

How the Emergency Care Team works (11:53)

The governance (13:25)

Evolving the system over two years (14:14)

The benefits to the practice (15:50)

The impact on recruitment, relationships and morale (16:46)

The response from patients (18:08)

How replicable is this system? (19:12)

How to begin? (20:42)

You can contact Tom via tom.howseman@nhs.net

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Podcast : Christiana Melam – The roles and skills of a link worker

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Last Thursday (14th March) was International Social Prescribing Day and we brought you a short series of podcasts to recognise this. Last week we gave you social prescribing ambassador Marie-Anne Essam. This week it is the turn of Christiana Melam who is Chief Executive of the National Association of Link Workers; the national professional network for link workers. In this episode Christiana describes what the National Association does, outlines the roles and responsibilities of the link worker and suggests what primary care networks should be doing now to prepare for this role.

Show Notes

Christiana explains how her own life led to her role with link workers (1:02)

Social prescribing and general practice (1:47)

The National Association of Link Workers (2:46)

Mending the fragmentation (3:26)

What is a link worker? (4:44)

The difference between care navigation and link working (5:27)

The typical background of a link worker (6:22)

Competency framework and the qualities of a link worker (7:15)

The skills and training for a link worker (8:57)

How a link worker works (10:14)

What should networks do for the link worker to be a success (11:27)

With whom should networks be making links? (13:01)

The role of the STP (13:52)

Further information (14:33)

The website Christiana refers to is here

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