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20
feb
0

Podcast – Helen Parker – General practice lessons from New Zealand

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This week, we revisit the podcast published back on 26th June 2017, we return to Helen Parker and her fascinating insights into general practice half way round the world. Helen has, for the past four years, worked in New Zealand for the Pinnacle network of GP practices and this is the second part of an interview that we began in Episode 64. In this part Helen goes into more detail about the structured model of general practice they are introducing in New Zealand; how it is being implemented and what it means for patient and staff satisfaction.

Introduction (0:09)

Re-engineering the inside of general practice – the Healthcare Home model (0:45)

Planning a model of best general practice (2:31)

Getting sign-up to the model (4:05)

Strengthening and preserving general practice (5:56)

Central resources from working at scale (6:55)

The new patient information system and the patient portal (7:29)

The call centre (8:26)

Getting involved in the business of the practices (9:58)

The “lean” programme for ensuring high-quality general practice (10:46)

Supporting the implementation of the model into general practice (11:41)

Funding the support (13:17)

Financial incentives/disincentives (13:51)

Ensuring the changes happen – leadership (15:03)

The change team (16:12)

The outcomes of introducing the new model on patients and staff (16:55)

The wider impact (18:12)

The clarity of the process – lessons for the UK (19:36)

Further information can be found here.

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

13
feb
0

Podcast – Paul Deffley – Working effectively across Practices

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We revisit the podcast published back on 29th September 2019, this was the second conversation between Ben and Paul Deffley, Hove GP and clinical director of Practice Unbound; a not-for-profit organisation devoted to “helping general practice work smarter”. In this episode Paul uses the example of a pathology delegation pilot to look at how practices can effectively work together across networks, how they can better manage change and, working at scale, deliver network solutions to collective problems.

Introduction (0:09)

Paul outlines his background and his positive view of PCNs (0:43)

An example of working together – a pilot for pathology delegation (2:50)

Tests not needing a clinical context (4:56)

Understanding the pathology activity – what’s safe to delegate (6:03)

Clinical variation in pathology requests – and reducing requesting patterns (7:15)

Managing the delegated requests – a non-clinical team approach (8:33)

Group consultations? Testing different ways of managing patients (9:12)

Overcoming the concerns about risk (9:43)

Understanding the fears (10:55)

Grouping routine tests (11:13)

Auditing the administrators (12:50)

The impact on GP workload – 90% of routine bloods are handled by the admin team (12:23)

Working smarter (14:00)

Clinical variation down (14:57)

Is this a legitimate use of PCN time and energy? (15:28)

PCNs looking at individual GP practice (16:44)

Establishing and maintaining trust (18:32)

The impact of networks on shared problems (19:43)

Making the most of development funding (20:43)

An end-to-end flow exercise (22:45)

Positive relationships (23:29)

Further information (24:15)

Practice Unbound’s web address can be found here.

And Paul can be emailed directly at Pauldeffley@nhs.net

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

6
feb
0

Podcast – Rachel Morris & Ben Gowland – Making change happen in General Practice

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This week we revisit a previous podcast from 11th November 2019, Rachel Morris has “starred” in two of our most popular podcasts and through her work on GP resilience, she was inspired to set up her own “You Are Not A Frog” podcast. In a recent edition of that podcast, she interviewed our own Ben Gowland to discuss ways in which general practice can effectively introduce change, particularly against a background of resistance.

Introduction (0:09)

Ben explains how his career progressed to setting up Ockham Healthcare (0:44)

How Ockham Healthcare developed its unique offering (1:54)

Working with at-scale general practice – a means to an end (2:39)

The goals for working at scale (3:29)

Making a difference – Time for Care (4:21)

Change is difficult so how do we approach it? (6:53)

Introducing pharmacists – a practical example (7:24)

Resistance to change – a systematic approach (9:07)

The problem is obvious why we need to change? Isn’t it? (11:17)

The system and what you can control (12:15)

Overcoming the emotional response (13:20)

Picking the changes you pursue – small or large (14.2614:26)

Ockham Healthcare’s role in supporting joint working (16:31)

Influencing without hierarchical “power” – a practice’s relationship with the PCN (17:49)

What’s the one big thing a PCN should be doing? (19:35)

Expect resistance – dealing with your “No Nos” (20:54)

Becoming positive about change (22:09)

Contacting Ben (23:20)

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

The You Are Not a Frog podcast is available in a number of places including here.

30
jan
0

Podcast – Practice Index – New Labour Announcements

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In this month’s Practice Index sponsored panel episode, Ben is joined by panel regular Robyn Clark & also Hussain Gandhi. They discuss the new announcement made by the labour party in regard to General Practice and making the service salaried to the NHS. Robyn and Gandhi express their thoughts with reference to the announcement and the impact it may have on the public, GPs and GP Surgeries. Ben explores if this change could happen under a Labour government and how it would look for GPs.

Introduction (0:09)

New announcements made by labour (0:44)

Labour’s Wes Streeting’s words… (1:28)

Gandhi’s thoughts.. (2:22)

Frustrations for politicians unable to control GP Practices (3:38)

Robyn’s thoughts.. (5:10)

Why now? (6:13)

Cross-party commitment to the Enquiry report (8:55)

Where do we move forward from here? (9:56)

Does this introduce bureaucracy? (13:08)

Reflection of the National Leadership of General Practice (14:00)

Can we do more to support National Leaders of General Practice? (16:08)

Could this change happen if Labour got in? (18:44)

What would it look like…? (20:12)

Final thoughts..? (20:59)

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

23
jan
0

Podcast – Veena Aggarwal, Aarti Bansal & Alastair Jackson – Greener Practice & Sustainability

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In this week’s episode, Ben is joined by three guests, Veena Aggarwal, Aarti Bansal & Alastair Jackson. Together they discuss the Greener Practice Community, healthcare professionals working together to inspire sustainable primary care. Aarti explains the Greener Practice Network and the ‘one-stop hub’ website and how like-minded individuals can join. The podcast also focuses on asthma, particularly in relation to inhalers and the toolkit on offer to help reduce the environmental impacts of inhalers.

Introduction (0:08)

How Aarti Bansal got into sustainability.. (0:28)

How Alastair Jackson got into sustainability.. (1:05)

How Veena Aggarwal got into sustainability.. (1:54)

Greener Practice Network & what’s involved (2:34)

The focus on inhalers in relation to sustainability (5:07)

Asthma toolkit (6:40)

The use of the Asthma toolkit.. (8:03)

Where to find the toolkit  (8:53)

The implementation of the toolkit.. (9:29)

Training & protocols for Asthma clinics (11:04)

Obstacles to overcome when implementing the toolkit? (13:32)

What barriers are in the way of the implementation? (15:32)

What do you need to drive the change? (18:33)

Other advice (21:34)

Greener Practice website information (24:42)

To visit the Greener Practice Website, use this link.

To read the ‘Better and Greener Asthma Care’ short blog, please click here.

The link to the PCN Green Page (including respiratory resources, use this link.

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

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