12
may
0

Podcast: Riaz Jetha – The Clinical Negligence Scheme for General Practice

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The state-backed clinical negligence scheme for general practice launched on the 1st April this year. In this podcast Ben talks to Riaz Jetha, a GP and consultant with an interest in at-scale general practice. Riaz explains how the new scheme differs from the traditional indemnity providers, how claims can be made and what and who is covered by the scheme.

Ben catches up with Riaz on progress with primary care networks (0:54)

Why a state-backed scheme? (1:35)

The costs of medical indemnity (2:15)

Introduction of the new scheme (2:41)

Differences between this scheme and previous schemes (3:24)

Is this scheme enough? (4:30)

The current situation (5:31)

The difference in costs (6:15)

Making a claim under the CNSGP (6:48)

Who administers the scheme? (7:56)

Being proactive (8:18)

What is covered (8:51)

Other clinical staff are covered (9:40)

What is NOT covered (10:03)

Questions about locums (10:41)

Indemnity for other professionals (11:55)

Out of hours/unscheduled care (12:40)

Protecting reputation by settling claims (13:31)

Using top legal professionals (14:28)

Solving the indemnity crisis (14:58)

Finding out more detail (15:59)

The NHS Resolution website is available here
In order to sign up as a subscriber to our weekly newsletter and receive your free copy of the 10 Step Guide to Achieving a Stronger Voice for General Practice visit our website here

5
may
0

Podcast: Ben Gowland – Developing a powerful voice for general practice

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In this podcast Ben Gowland, Director and Principal Consultant of Ockham Healthcare, launches a new publication from Ockham; “Ten Steps for Developing a Powerful Voice for General Practice”. With the development of Primary Care Networks and the greater integration of care come huge opportunities for at-scale general practice. However, if they are to partner with often larger and more established organisations it is essential that they develop a more powerful voice. In the Ten Step Guide and in this podcast Ben explains why it is important, how it can be done and the pitfalls to avoid.

Ben explains why he has written the Ten Step Guide at this time (0:44)

Why a strong voice is important (1:46)

Having a seat at the right meetings is not the only answer (2:28)

How should primary care network leaders establish a strong voice – looking internally and developing a mandate (3:22)

The relationship between the Clinical Director and the practices (4:27)

Having a loud voice is not the same as a powerful voice (5:26)

Relationships outside of the meetings (6:11)

Developing relationships with other PCNs (7:07)

The value of a good relationship with the LMC (8:42)

When the going gets tough… (9:12)

Managing the tension – how NOT to do it (10:25)

If you get it wrong – ‘fess up (11:54)

How to get hold of your free copy of the Ten Step Guide (12:52)

In order to sign up as a subscriber to our weekly newsletter and receive your free copy of the guide visit our website here

And if you’d like one of the last copies of our book The Future of General Practice: Real Life Case Studies of Innovation and New Ways of Working you can order one for just £9.99 here

28
apr
0

Podcast: Dipesh and Ebrahim – Into the minds of two trainee GPs

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Record numbers are signing up for GP training and in this episode Ben talks to Dipesh Gopal and Ebrahim Mulla, two GP trainees, about why they chose to become GPs. He asks them about their expectations versus the reality of the role, how (and if) they see the partnership model figuring in their careers and why they think so many GPs are leaving the profession. They consider what can be done to “solve the problems of general practice” and give a view on whether the future for general practice is a bright one

Show Notes

Why choose to become a GP – Dipesh (0:56)

Why choose to become a GP – Ebrahim (1:44)

Has the experience matched the expectations? – Dipesh (2:34)

Has the experience matched the expectations? – Ebrahim (3:19)

How do you see your career panning out? – Dipesh (4:20)

How do you see the partnership role? – Dipesh (5:18)

How do you see your career panning out? – Ebrahim (6:00)

The danger of being spread too thinly – Dipesh (6:48)

Embracing portfolio careers – Dipesh (7:58)

Or looking for stability – Ebrahim (10:00)

Why are so many newly qualified GPs not staying? – Finding purpose – Dipesh (10:43)

How do you solve a problem like general practice? – Reviewing training – Ebrahim (12:23)

How optimistic are you on the future of general practice – Dipesh (14:07)

How optimistic are you on the future of general practice – Ebrahim (15:57)

14
apr
0

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

8
apr
0

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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