13
aug
0 1

Episode 123: What impact will millennials have on general practice in the future – an expert panel discussion – Part 2

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Here is the second part of our expert panel discussion considering the impact of millennials on general practice. In this part the panel considers the impact of the differing needs of millennial patients, how disruption and innovation will continue to influence and whether, ultimately, millennials pose an opportunity or a threat.

If you missed Part One you can find it here.

The panel consists of:

Surina Chibber: a GP and founder of My Locum Manager

Aisha Malik: a GP, social media strategist and founder of Doctors in Business

Mayur Vibhuti: a GP and Visiting Reader in Medical Leadership at Canterbury and Christchurch University

Show Notes

Ben continues the discussion by opening it out to consider millennial patients (1min 03secs)

Mayur responds on the unmet needs of millennial patients and how GP at Hand filled one of those needs and how the GP crisis affects this (2min 02secs)

Aisha wants to preserve the GP/patient relationship (3mins 49secs)

Surina considers where investment needs to take place to encourage further innovation (4mins 45secs)

Ben doubts that general practice will be able to control disruption (6mins 15secs)

Surina feels that disruption is a good thing but the pace of change in the NHS will hold things back (6mins 44secs)

Aisha fears that the NHS cannot keep up with the pace of innovation and that external bodies will drive it (8mins 04secs)

Mayur considers the increasing pace of change and the fate of those that will resist it (8mins 41secs)

Ben asks whether millennials are an opportunity or a threat and suggests that general practice is in the best place to make change happen (11mins 14secs)

Mayur sees the opportunities but believes new and old doctors should mentor each other (12mins 37secs)

Surina sees technology as a great opportunity but must be done in the right way (13mins 56secs)

Aisha feels that general practice must continue to grow and that necessity will be the Mother of invention (14mins 54secs)

Ben sums up (15mins 40secs)

 

 

6
aug
0 0

Episode 122: What impact will millennials have on general practice in the future – an expert panel discussion

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Here is the first part of our fourth expert panel discussion. This time we are looking at what will be the impact of millennials on general practice. In this first part the panel considers what a millennial is, what is driving them to be different to the older generation and how the system might need to change to accommodate this new generation.

Part Two will follow next week.

This time Ben is joined by:

Surina Chibber: a GP and founder of My Locum Manager

Aisha Malik: a GP, social media strategist and founder of Doctors in Business

Mayur Vibhuti: a GP and Visiting Reader in Medical Leadership at Canterbury and Christchurch University

Show Notes

Ben starts by asking for a definition of millennials (1min 03secs)

Mayur responds with a definition and provides some attributed characteristics (1min 24secs)

Surina admits to being a millennial and links the definition to general practice (2mins 07secs)

Aisha looks at the positive and negative connotations of the term (3mins 03secs)

Ben asks what is creating the idea of the millennial GP (3mins 57secs)

Aisha believes that pressure on GPs is driving millennials (4mins 35secs)

Mayur talks about the technological revolution (5mins 03secs)

Ben raises the idea of a tension between millennials and the previous generation (6mins 51secs)

Surina talks about a change of mind-set driving GPs rather than a difference in generations (7mins 20secs)

Ben asks whether concerns about a difficult future are pushing millennials to demand more now (8mins 45secs)

Aisha agrees and talks about morale in the profession (9mins 12secs)

Mayur agrees and talks about role-modelling (10mins 11secs)

Ben asks what this means for GPs in the future (11mins 09secs)

Mayur believes general practice will adapt but needs to change the way in works (11mins 50secs)

Surina talks about developing My Locum Manager and how this was influenced by millennials  (12mins 59secs)

How do we change the system? (14mins 02secs)

Ben asks whether the partnership model will survive millennials (15mins 23secs)

Yes, says Aisha, but must be flexible to retain millennials (15mins 53secs)

Ben queries who will be the partners for the future if everyone wants flexibility (17mins 13secs)

Surina talks about her husband – who is a partner and father (17mins 31secs)

Aisha recognises a lack of GPs is key (18mins 57secs)

Mayur wants to create a new partnership model based on networks of staff and patients (19mins 30secs)

Ben talks about the vanguards and differing models of general practice (21mins 11secs)

Mayur believes the culture of general practice must change for millennials to step up to be partners (22mins 17secs)

Ben asks what needs to be different and Mayur responds (23mins 20secs)

Aisha believes GPs must be at the centre of describing a new future (24mins 12secs)

30
jul
1 0

Episode 121: Duncan Petty – A pioneer for pharmacists working in general practice

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This is the second in our short summer series of pharmacy-focussed podcasts. In this episode Ben talks to Duncan Petty who runs Prescribing Support Services, one of the largest suppliers of pharmacists to general practice. Duncan, who was one of the first clinical pharmacists to be employed in general practice, explains the prerequisites necessary for pharmacists to work well in general practice, the benefits they bring, how at-scale working impacts on them and how they can deliver prescribing savings. He also explains his vision for the future of primary care based pharmacy.

Show Notes

Duncan starts out as a hospital pharmacist (53secs)

Duncan is one of the first pharmacists to work in general practice (1min 44secs)

Duncan sets up Prescribing Support Services (2mins 05secs)

What Prescribing Support Services does (2mins 34secs)

Pharmacists working in general practice – how it works (3mins 41secs)

What makes it work well – the critical success factors (5mins 23secs)

The costs of indemnity for pharmacists (6mins 46secs)

The benefits of pharmacists in general practice (7mins 49secs)

How at-scale general practice impacts on pharmacists (9mins 22secs)

Pharmacists working from hubs versus those employed by a practice (10mins 59secs)

Setting up a hub (11mins 49secs)

Delivering prescribing savings (12mins 20secs)

Commercial sponsorship from pharma (13mins 59secs)

The relationship between community pharmacy and practices (14mins 54secs)

A vision for community pharmacy (16mins 07secs)

Pharmacists working together (17mins 43secs)

Finding out more (19mins)

Duncan’s business website is www.prescribingsupportservices.co.uk

The Primary Care Pharmacy Association website can be found here

The Optimed Healthcare site is available here

23
jul
0 0

Episode 120: Ravi Chal – Innovation and technology in modern pharmacy

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In the first of two pharmacy-focussed podcasts we talk to Ravi Chal who is a pharmacist and founder of Future Pharmacy, a company which is developing an app to work as a clinical decision support system for pharmacists. In this podcast Ravi explains how the app will work; offering doctors and pharmacists both a dosage calculator and access to the four largest pharmaceutical databases via the user’s phone. Ravi also has a company called Locum Passport; an automated document wallet for locums which facilitates the transfer of personal information between agencies. Ravi also considers how technology will develop within the NHS in the future.

Show Notes

Ravi explains how he moved from hospital pharmacy to set up Future Pharmacy and how the app is being developed (45secs)

Technology liberating pharmacists to concentrate on areas where they add most value (2min 25secs)

Relevance to general practice (3mins 20secs)

Progress with development and the Future Pharmacy Platform (4mins 01secs)

Getting the biggest resources on board (5mins 03secs)

A Government grant to test feasibility (5mins 23secs)

How the app will work – a dosage calculator and a resource centre on your phone (5mins 49secs)

How the app will develop including AI and machine learning (7mins)

How the app might work in general practice (7mins 26secs)

How automation might help with medicine reviews (8mins 33secs)

Ravi’s other company; Locum Passport (9mins 18secs)

Reaction from other pharmacists and from GPs – technology making life easier (11mins 05secs)

Developing technology in or outside the NHS; risk aversion (12mins 21secs)

Disruptive innovation versus NHS-controlled innovation (13mins 43secs)

Will it be Facebook and Google that make the difference? (15mins 42secs)

More information from Ravi (17mins 11secs)

To find out more you can e-mail Ravi at ravi@future-pharmacy.co.uk

The Locum Passport app can be downloaded through the app store

Or visit www.locumpassport.co.uk

16
jul
0 0

Episode 119: How will the new models of care change general practice? Part 2– An expert panel discussion.

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This is the second part of our panel discussion looking at how the new models of care will impact on and change general practice (Part One is available here). In this final part of the podcast the panel consider what is motivating general practice to adopt the new models of care, about shifting the balance between secondary and primary care, how working at scale will impact and achieving a greater voice for general practice within the system.

Our fourth panel discussion on Millennial GPs will follow in a few weeks’ time.

This time Ben is joined by:

Nav Chana: GP and chair of the National Association of Primary Care

Nick Hicks: Ex-GP and CEO of COBIC an independent consultancy focussing on outcomes-based health and care

Tracey Vell: GP, Chief Executive of Manchester LMC and Associate Lead for Primary and Community Care in the Greater Manchester Health and Social Care Partnership

Show Notes

Ben asks about the motivation for the primary care home model; is it the crisis in general practice or something more positive? (1min 07secs)

Nav outlines the varying motivations for adopting the model (1min 59secs)

Tracey identifies the crisis across the whole NHS as a motivation for change (3mins 31secs)

Nick agrees but paints an optimistic picture for general practice (4mins 45secs)

Tracey believes that independent contractor status will enable general practice to lead change (6mins 17secs)

Nav believes empowering general practice is the key (7mins 45secs)

Nick suggests giving secondary care teams population health goals (9mins 06secs)

Nav agrees and suggests this is a principal of the primary care home model (10mins 37secs)

Tracey describes how the Manchester system enables just this concept (11mins 40secs)

Nick is excited by the concept and talks about the Christie Hospital and how the system might change to improve cancer outcomes (14mins 25secs)

Tracey responds and gives a practical example of how this might be achieved by considering the integration of the whole patient pathway (15mins 45secs)

Ben asks what practices need to be doing now to implement this kind of change – and how working at scale might facilitate this (17mins 41secs)

Nav suggests that size depends on what you are trying to do and how this links to money (18mins 57secs)

Tracey suggests a range of sizes is best and explains how this works in Manchester (20mins 28secs)

Ben introduces the idea of general practice gaining a stronger voice as a provider (22mins 18secs)

Tracey suggests that gaining a voice depends on how much GP wants to be part of the solution – but to be aware of tokenism – she describes the Manchester answer (23mins 12secs)

Nav says it depends on what the “voice” is for and cautions that bureaucracy doesn’t get in the way (25mins 41secs)

Tracey explains that the Manchester system has reduced bureacracy (27mins 06secs)

Ben asks for final reflections (28mins 32secs)

Nick talks about how technology might impact, about population health and shared accountability (29mins 06secs)

Nav says integrated workforce models and team based care will also impact (30mins 57secs)

Ben concludes and thanks the panel (32mins 30secs)

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