12
dec
0

Podcast – Martin Allen, Andrea McConkey, Kerry Mills – FeNO Testing

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Ben is in esteemed company on the podcast this week, joined by Dr Martin Allen (Consultant Physician and a Clinical Lead in Respiratory Medicine at University Hospital North Midlands), Kerry Mills (Advanced Respiratory Nurse Practitioner and Clinical Lead at Hereford Medical Group) and Andrea McConkey of the Wessex Academic Health Science Network, who brief us on all aspects of FeNO testing. Measuring fractional exhaled nitric oxide in the breath of patients, FeNO testing devices are a novel medical technology used to support the diagnosis of asthma. In this episode, we learn about how FeNO testing works in practice, the impact testing is having on the management and treatment of asthma and how others can get their hands on the devices and all available resources. Martin, Kerry and Andrea also welcome listeners to join a recently launched learning collaborative and share some incredibly useful links to further information on the FeNO revolution.

Introduction (0.54)

What is FeNO testing? (2.08)

What difference has it made to the management of asthma? (5.48)

Why are we not seeing a bigger uptake? (8.34)

The AHSN Programme (9.32)

The rollout of FeNO (12.18)

FeNO equipment costing (16.15)

Overcoming the barriers of Feno – Martin & Andrea (17.14)

Advice about getting started (20.23)

Final words (22.18)

 

West Midlands Academic Health Science Network’s website is here.

A wealth of information about FeNO is also available within the Wessex AHSN website here.

The AHSN Network can support you in finding out how and where to get started on your FeNO journey here.

For infographics and guidance about how the devices themselves and how testing works in practice check out the Circassia device and the Bedfont device

If you’re interested in finding out more about each of available devices, contact Steven who can guide you on the Circassia option, or Marc for the Bedfont device.

Information about the Rapid Uptake Programme is here.

NICE guidance is accessible here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

To find out more information about Livi, their services and how to get in touch, check out their website here.

5
dec
0

Podcast – Hussain Gandhi – Life as a Clinical Director (Part 4)

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In this week’s episode, we are joined by Hussain Gandhi who reflects on his last three and a half years as a Clinical Director. Gandhi and Ben discuss the Primary Care Network infrastructure; what has changed in terms of staffing and the introduction of the additional roles, the impact of these changes and what we might expect to see next. We also quiz Gandhi about the transition to a more hybrid pattern of working; the overall impact of this on teams and what is necessary in terms of tech, and other considerations, for supporting strong communication and maximising our effectiveness.

Introduction – Life as a PCN Clinical Director (1:13)

Re-election process for a Clinical Director (1:39)

Splitting your role as a Clinical Director (2:08)

What areas of the role do you enjoy? (2:54)

Infrastructure of a PCN (3:46)

Enhanced access (5:21)

Technology progress in PCN (6:06)

Does remote working affect your PCN? (8:11)

Any tips for making remote meetings work? (9:54)

New entrants to the IT market for General Practice (11:14)

Reflecting over the past 3 and a half years (12:37)

What’s next for PCN’s? (13:46)

The GP Assistant role (14:47)

How do you introduce new roles into PCN’s? (16:43)

Next steps for the workforce in the PCN (17:57)

Are operational requirements of PCNs manageable? (20:09)

The impact of Integrated Care Systems and what’s expected next? (21:31)

How does the BMA Current Policy & the Fuller Review affect your role? (23:41)

What lessons have you learnt since becoming a Clinical Director? (25:27)

Where to find information on EGP Learning (26:49)

The link to the eGP learning YouTube channel is here and for all enquiries about the Ockham podcast, please contact Ben Gowland here.

To find out more information about Livi, their services and how to get in touch, check out their website here.

28
nov
0

Podcast – Practice Index – Quiet Quitting

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In this month’s Practice Index sponsored panel episode, Robyn and Ben are joined by Practice Index HR guru Susi O’Brien to reflect upon a rollercoaster last three years in general practice and the resulting impact on staffing levels. Post-Covid demand and ongoing strike action across the healthcare sector (amongst other factors) are leading to a steep increase in rates of employee dissatisfaction and a culture of ‘quiet quitting’. What exactly is ‘quiet quitting’ though? What can lead to people quitting quietly? And most importantly, how can we better address the causes of demotivation, stress and burnout within the workforce, to improve staff satisfaction and retention in our own networks?

Introduction (0:09)

Common findings from the clinics Robyn and Susi hold (1:19)

What is quiet quitting? (1:48)

Quiet quitting in the workplace (3:44)

Is quiet quitting linked to pay and inflation? (5:00)

Has the pressure of the past three years caused staff to burn out? (7:02)

Addressing quiet quitting (8:11)

Impact of remote working (10:28)

Managers supporting each other (12:28)

Impact of strikes – Robyn (14:56)

Impact of strikes – Susi (16:35)

How to be proactive regarding quiet quitting (18:04)

 

For all enquiries about the Practice Index / Ockham podcast, please contact James Dillon here or Ben Gowland here

21
nov
0

Podcast – Sir David Haslam – Side Effects: How Our Healthcare Lost its Way and How We Fix it

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This week, we are proud to introduce none other than Sir David Haslam, former Chair & President of the Royal College of GPs, former President of the British Medical Association, and former NICE Chair, amongst his countless other distinguished roles. Within this ‘must-listen’ episode, David talks to Ben about some of the key areas of focus within his fascinating new book; ‘Side Effects….’ and to offer his views on more the more problematic areas of general practice, as well as where we can and should be more progressive, from his perspective as a former GP, and as things stand currently.

Introduction (0:09)

Meeting David (1:08)

What prompted David to write his book? (1:31)

Identifying what we are trying to achieve (3:02)

Choosing what and where to prioritise (4:49)

Applying rationality to what we can (and can’t) provide support for at system level (6:55)

Managing public expectation (8:26)

The impact focusing on individuals has on maintaining effective delivery (10:53)

Investment in preventative care and what that looks like (11:59)

‘Sexing up’ general practice? (13:55)

The risks to continuity of care (16:06)

ICS implications where the loss of financial ownership is concerned (17:41)

The role of communities in the creation of a more sustainable future (18:53)

How we deliver services within a community-based model (20:12)

David’s take on the Additional Roles Reimbursement Scheme (21:34)

Where does David see effective and positive changes happening going forwards? (23:13)

Getting your hands on a copy of the book…. (24:30)

 

‘Side Effects: How Our Healthcare Lost its Way and How We Fix it’ by David Haslam is available in all the usual places but here’s a link to the outlet David mentioned within the episode.

You can learn more about David and his work via his dedicated website here.

14
nov
0

Podcast – Clinical Pharmacist Solutions – Plugging the Pharmacy Gap

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Most of us are aware of the impact of having pharmacy expertise within our practice and network teams but in many areas, the continuing issue of sourcing (and retaining) pharmacists is proving to be a very challenge. In this week’s episode, we meet Holly Laurence and Ruhina Kassam from Clinical Pharmacist Solutions (CPS), an award-winning training, recruitment and clinical services provider that specialise in providing much-needed, skilled pharmacy resources to practices and primary care networks. Holly and Ruhina talk to Ben about the problem of sourcing staff, why it can be so difficult to hold on to good pharmacists, what we can be doing to incentivise potential new pharmacy staff (and hold onto them), and what CPS can offer by way of support.

Introduction (0:09)

Meeting Holly, Head of Primary Care Support (0:26)

…and Service Manager Ruhina (1:10)

Is recruitment of Clinical Pharmacists a widespread problem, generally? And if so, why? (1:29)

Working out what you want from your pharmacist (3:29)

Setting up dedicated support networks (4:51)

Expectations of salary (5:30)

Handling pay scales (6:41)

Meeting pharmacist expectations (7:20)

Maintaining retention (8:02)

Working within a multi practice network? (8:39)

Holly’s role and how she can ease the burden of recruitment on primary care staff (9:36)

Access and availability of pharmacists (11:11)

The CPS training programme (12:08)

Objective structured clinical examination (OSCE) assessment (14:38)

What else do CPS offer by way of support to practices (15:10)

Slotting in alongside the national pharmacy training programme (16:09)

Pricing schedules (16:45)

Getting in touch (17:41)

 

If you’d like further information, please check out the CPS website or their LinkedIn page here.

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