17
dec
0

Episode 140: Terry Kemple – Sustainable general practice

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Terry Kemple was a past president of the RCGP and is now the RCGP’s representative for Sustainability and Climate Change. In this episode he talks to Ben about the Green Impact for Health Toolkit. The Toolkit enables general practices to plan and implement actions they can take to become more sustainable and covers areas such as health and well-being, water use, recycling and procurement. Terry describes the uses of the toolkit, the associated awards scheme and how practices can become involved.

Show Notes

Terry explains his current role at the RCGP (0:41)

Terry’s involvement in The Green Impact for Health Toolkit (0:56)

The origins of the toolkit through the NUS (1:33)

Adapting the scheme for GPs (2:34)

Examples of what practices can do (2:48)

Making a difference as an individual (3:24)

Saving money and being efficient (4:09)

Engaging the practice team (4:35)

Using the toolkit practically (5:06)

Allocating the awards (6:15)

The award itself (6:59)

“A sense of direction” rather than a chore (7:37)

Helping the whole community’s health (8:18)

A universal model with local choices (10:08)

General practice leading on making a difference locally (11:22)

Operating at-scale and the toolkit (12:14)

Getting started (13:11)

Promoting and adapting the Toolkit (14:23)

Contacting Terry (14:58)

The website Terry mentions is www.greenimpact.org.uk/giforhealth and the “test drive log-in” he mentions is gifh@greenimpact.org.uk and the Password is testtoolkit (all one word)

Terry’s email address is tk@elpmek.demon.co.uk

10
dec
0

Episode 139: Andrew Sixsmith – a new approach to workforce development

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Andy Sixsmith is a GP in West Yorkshire and is involved in workforce development through NHS England and the West Yorkshire and Harrogate Health and Care Partnership (WYHP). In this episode Andy also talks to Ben about his recent decision to join a practice in the Modality super-partnership. In terms of workforce development he talks about the challenges currently being faced and the plan put in place by WYHP (including the formation of four Primary Care Training Hubs) and about the early impact that this new approach is having.

Show Notes

Andy explains his roles (0:41)

Joining Modality (1:10)

The transition from independent medical practice to Modality (2:01)

The challenges in workforce development – what Andy would say to a new GP (2:37)

Improved skill mix to make general practice more attractive (3:55)

Supporting sessional GPs to join the permanent workforce (4:49)

Action in West Yorkshire and Harrogate (7:26)

Creating a local solution (8:22)

Primary Care Training Hubs (9:08)

Federations and workforce development (9:47)

Early stages of focussed support for practice needs (11:19)

Personal example of the benefits of skill mix (12:42)

Integrating the funding from myriad sources (13:55)

The beginnings of a positive impact (15:22)

Finding out more (16:43)

Andy is on Twitter @andysixsmith

He can be contacted via email a.sixsmith@nhs.net

The West Yorkshire and Harrogate Health and Care Partnership website is available here

3
dec
0

Episode 138: Jake Lee – One Care: a large, successful federation in the south west

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Jake Lee is GP Medical Director of One Care, a federation of 82 practices in Bristol, North Somerset and South Gloucestershire. Formed in 2014 on the back of a bid for the Prime Minister’s Challenge Fund they have grown to serve 1 million patients. In this podcast Jake tells Ben the story of that growth, the relationship that has been developed with and across practices, how the federation works and about the many projects they have successfully delivered.

Show Notes

The formation of One Care in 2014 (0:44)

The number of practices involved (1:30)

The original bid to the Prime Minister’s Challenge Fund to improve access (1:48)

Three original aspects to the bid; centralised telephony, shared patient record and an intranet (2:28)

Delivering the three aspects…and more (3:08)

The benefits of shared telephony (4:46)

A practical example (5:56)

The intranet solution (7:01)

Implementing ideas from the practices – mental health nurses (8:05)

Evaluating e-consult (9:57)

How were these developments funded? (11:00)

Two waves of funding to 2017 (12:05)

Holding the improved access contract – a partnership with practices (13:01)

A practical example – a third party physiotherapy service (14:58)

Practices allowed to be small but benefit from being large (16:24)

The role of the federation in co-ordinating the GP provider “voice” (17:23)

One Care Ltd owned by practices (18:31)

Funding GP representation – the governance structure (19:40)

Finding out more (21:21)

The One Care website is here

Contact One Care at enquiries@onecare.org.uk

They are also available on Twitter @onecaretweets

26
nov
0

Episode 137: Andrew Boyd – The RCGP partnership with Park Run UK

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Andrew Boyd is the RCGP’s Clinical Champion for Physical Activity and Lifestyle. The RCGP has formed a partnership with Park Run UK and has already signed up over 400 practices to the park run initiative. Park Runs are free, weekly 5 kilometre runs (or walks) open to anyone over the age of 4 of any ability. They run in over 750 locations in the UK and have proven a hugely successful way of encouraging physical activity and wellbeing. Andrew explains how the partnership came about, and how practices can become involved. He describes two case-studies of patients who have benefited and explains some of the other initiatives covered by his champion role.

Show Notes

Andrew explains how he became a clinical champion with the RCGP (0:52)

What is Park Run? (1:54)

Open to all abilities and all communities (2:42)

Spread across the UK…and around the world (3:22)

The partnership between the RCGP and Park Run UK (3:42)

The success of the partnership (4:47)

Promoted to patients – and GP teams (5:14)

Two practical examples of the impact (6:21)

Why should GP practices promote Park Run? (8:10)

Other elements of Andrew’s role – teaching and tool kit (9:43)

Moving Medicine ([/skipto]11mins 10secs)

Impacting on the whole community – at-scale working (11:47)

Social prescribing (13:10)

Further information (14:40)

Further information is available from the RCGP website here

The Physical Activity and Lifestyle resources are available on the RCGP website here

The Moving Medicine website is available here

 

19
nov
0

Episode 136: Northumbria Primary Care – an innovative partnership between primary and secondary care

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In this episode we hear about Northumbria Primary Care (NPC), a network of seven GP practices formed in 2015 across Northumberland and North Tyneside. The “twist” is that NPC is a wholly-owned subsidiary of Northumbria NHS Foundation Trust, the local acute trust, and that all the GPs are salaried. Ben is joined by NPC’s Medical Director Dr Nigel Twelves and Dr Lily Lamb, a GP and their Education Lead. Nigel and Lily explain how the model works, how it benefits patients and GPs and how the relationship with the acute trust has developed and is developing.

Show Notes

Northumbria Primary Care explained (1:04)

Practices coming together to share support (3:10)

GPs approach the acute trust (4:30)

Seven practices and 45,000 patients (4:56)

Huge geographical area (5:29)

Working in the new model (6:03)

The salaried model versus the partnership model (7:10)

Practices are individual entities with sub-contracts to Northumbria Primary Care (8:43)

Clinical and Management Executive to support governance (10:01)

The over-arching Board reporting to the parent company: the Foundation Trust (10:37)

What it feels like for GPs (11:43)

GP workload has reduced (12:43)

Workforce benefits of working with the Foundation Trust (14:17)

Minimising variance and adopting single models (15:39)

Working with secondary care consultants (16:57)

Has care to patients improved? (17:27)

Impact on GP recruitment and retention (19:31)

Is the model developing? (20:35)

Future aspirations and growth (22:22)

Finding out more (23:41)

The Northumbria Primary Care website is available here.

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