23
jun
1

Mark Newbold – the big picture implications of PCNs

Posted by Podcast1 Comment

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Android | Email | RSS

Dr Mark Newbold is an experienced NHS doctor, manager and academic who, until recently, was Managing Director of the Birmingham super-practice, Our Health Partnership. In this wide-ranging discussion Ben and Mark focus on the bigger picture: the strategic implications of Primary Care Networks and the role of general practice in integrated care systems. They cover everything from leadership and influence to scale and accountability. Mark begins by describing the introduction of PCNs as “an NHS led…radical process of transformation”

Mark updates us on what he has been doing (1:06)

NHS-led transformation (1:39)

Moving from “institution” to “system” (2:43)

Bringing general practice into the system (3:18)

General practice is the foundation of integrated care (3:46)

Size, scale and influence (4:53)

The question of existing at-scale general practice (6:23)

Tiers of collaboration (7:36)

Geographic spread and the “offer” of working at-scale (9:47)

Differentiating the “offer” for member and non-member practices in an at-scale organisation (10:34)

The Clinical Director role (11:56)

The future for Community Trusts (12:44)

The balance of power between general practice and Community Trusts – emerging GP leaders (13:27)

PCNs – beginning of the end for independent general practice? (14:58)

A collective approach (16:06)

Evolving a new model of general practice (17:20)

The accountability of integrated care systems (18:04)

Taking a long term view (19:01)

A discussion forum for GPs (20:36)

The GP View website Mark mentions can be accessed here

Our previous podcasts with Mark on the setting up of Our Health Partnership can be found below:

Episode 13 – Our Health Partnership: The story so far

Episode 41 – Progress with a super-partnership

Episode 79 – The further adventures of a super-partnership

Episode 109 – Our Health Partnership – the story continues

16
jun
0

Katie Collin – VAT for Primary Care Networks explained

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Android | Email | RSS

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

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Android | Email | RSS

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

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Android | Email | RSS

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

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Android | Email | RSS

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

Page 2 of 36
123436