23
oct
0

Podcast – Practice Index – Preparing for winter…

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In this month’s Practice Index sponsored Practice Manager panel, Nicola, Robyn, and Ben turn their attentions to planning for, funding, and staffing the winter months ahead. With the recent NHS England announcement of a Primary Care funding package, the group discuss the parameters of this, how the funding model has been set out and how we might utilise the allocated monies to best effect, and also discuss the wider ramifications such as the influence of the media, policy makers and public perception on managing and meeting demand during a time when pressure is at its highest and staffing levels remain at the lowest they have ever been.

Introduction (0:09)

Will NHS England’s package of support be of benefit this year? Nicola’s view (0:35)

Robyn’s initial thoughts (1:44)

Flexibility of funding? (2:14)

System development funding and framework – the application process from a Practice Manager perspective (3:16)

Establishment of two-way communication (5:59)

Urgent care demand and the impact on general practice workload (7:36)

A change in central communications (8:52)

Issues of consistency when it comes to messaging (11:32)

Impact on staffing and recruitment (12:47)

‘Sexing up’ Primary Care (14:37)

What can practices do to make the most of the winter funding pot? (16:03)

Applying flexibility in funding local needs (17:38)

A creative and community-based approach (18:34)

“Seeking forgiveness, rather than permission” (19:24)

 

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

16
oct
0

Podcast – Nicole Atkinson & Nicola Decker – From CCG to ICS

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In the latest of our podcast episodes sponsored by Livi, we meet GPs Nicole Atkinson and Nicola Decker, who have similarly considerable experience of working in leadership roles, both within the outgoing Clinical Commissioning Groups (CCGs), and now within the newer Integrated Care Systems (ICSs), and critically, in supporting and managing the transition within their own local areas. They offer Ben their thoughts on where the main challenges may lie, the lessons they have learned whilst on their own, respective journeys, where we should be focusing our energies and priorities right now, and why they feel general practice (and primary care as a whole) has what it takes to succeed in a wider and a possibly less level playing field.

Intro (0:09)

Meeting Nicola Decker (1:04)

Nicole’s remit and experience (2:05)

…and her take on what ICSs are and how she feels they differ from CCGs (2:45)

Nicola’s views on the newer models of care (4:12)

Organisation of resources, having influence and establishment of a voice within a larger system (5:25)

How do we enable general practice to be an effective partner? (7:40)

The Primary Care Collaborative….at place or system level? (9:53)

Consideration of the task, the ask and the purpose (10:48)

How does Primary Care take ownership and hold their influence across the system? (11:20)

Managing the transition and ensuring that we can be as proactive as possible (13:49)

Has there ever been a better time for general practice to collaborate effectively? (15:07)

Is this a time limited opportunity? (17:27)

Are we united by a shared challenge? (18:10)

Working out where to start (19:45)

A change of mindset and working across boundaries (20:35)

A final word from Nicola (22:46)

 

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

9
oct
0

Podcast – Neil Modha – Fulfilment of the Fuller Report

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As chair of the Fuller Report workstream focused on data, population health management, demand/capacity, risk stratification and health inequalities, GP Partner and Clinical Chair of the Greater Peterborough Network, Dr Neil Modha is well placed to offer further insight into the objectives and outcomes of the report, and what it really means for the general practice of the future. Fortunately, Ben has managed to grab 23 minutes of Neil’s time to discuss some of the key takeaways such as; when and how do we embed some of the report’s recommendations, how do we adapt these to ensure we are able to meet local needs, how do these fit within the new backdrop of integrated care, and what are the expectations of primary care now, and in the future?

Introduction (0:09)

Neil’s take on the final version of the Fuller Report (0:30)

How mindful of the report are we in general practice right now? (1:24)

A muted reaction? (2:23)

What are the key implications of the report? (3:39)

Access and urgent care (4:28)

Where does responsibility sit for meeting and managing the urgent care demand? (6:30)

Are we moving towards a ‘hub’ style of working practice? (8:19)

Why we should be proactive in shaping the future, and in embedding the recommendations within the report (10:00)

Integrated Neighbourhood Teams; the end of the road for PCNs? (10:52)

Where does general practice sit in terms of a leadership perspective (13:42)

Funding new models of care (15:21)

Thoughts on maintaining influence within a wider context (17:50)

Neil’s advice for networks and practices on ensuring preparedness (19:45)

2
oct
0

Podcast – Paul Bennett – Managing Patient Demand

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We last spoke with GP Dr Paul Bennett way back in December 2019 BC (before Covid) when his Porchester based surgery was in the process of trialling new and innovative ways of meeting and managing patient demand. Fast forward to almost three years later; post pandemic, within a rapidly evolving general practice landscape, and with the pressure to provide more appointments at an all-time high, Paul and his team have had to adapt and improve their previous strategies, to offset the needs of their patient population against decreasing numbers of medical professionals. In this week’s podcast instalment, Paul talks Ben through the new systems they have embedded to manage the challenge of capacity and demand, and why he feels that in Porchester, they are able to offer a safer, more streamlined, and equitable service.

Introduction (0:10)

What’s been happening since we last spoke to Paul? (0:47)

How does the ‘pod’ system work? (2:05)

The role of the Care Navigator (2:25)

eConsult platforms and eForm creation (2:44)

Breaking down the two components of demand (3:34)

Managing patient access (4:38)

Allocation of a designated pod team (55:30)

Management of those requiring urgent treatment (6:05)

Transferring patients from routine to urgent care pathways (8:22)

The red flag form (9:19)

Forms for more specific conditions and concerns (10:04)

Aligning the process within the wider network (11:40)

Managing triage, decision-making and proactively signposting patients (1:04)

Development of the case managers and the pod team skill mix (13:09)

Positive impacts and lessons learned (14:44)

Measuring outcomes (15:53)

What have been the main issues or problems? (16:26)

Reaction from the doctors to newer ways of working (17:18)

Next steps (19:09)

Finding out more and getting in touch (20 mins 37 secs20:37)

 

If you’d like to learn more about the systems in place at Westlands Medical Centre, Paul’s is contactable here.

25
sep
0

Podcast – Livi – Increasing doctor numbers

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In the latest of our Livi-sponsored podcast episodes, Ben speaks to Dr Harriet Bradley, GP, and Medical Director at Livi, and Dan Kane, GP Federation Chief Executive Officer at Northampton General Practice Alliance, about the widespread shortage of GPs across the country, and how Livi are working with local systems to support them in meeting patient demand and increasing capacity. Harriet talks to us about the Livi ethos, their work and how they operate as a service and also, from the perspective of local practices and networks, Dan is able to offer valuable insight into the impact that employment of Livi’s services has made on them in not only increasing the availability of doctors but as to how the service has been received by primary care staff and the benefits felt by the patients they serve.

Introductions (1:04)

Meeting Livi’s Harriet Bradley (1:20)

Meeting Dan Kane, Northampton General Practice Alliance’s CEO (1:49)

The relationship between Livi and GPA (2:15)

How does the service work in practice and how are the Livi GPs embedded within existing local systems? (3:24)

Tailored support models for each individual area (4:22)

The response from practices (5:34)

Support at federation level (7:26)

Building trust and effective communication channels (8:30)

Dan fills us in on the GPA journey with Livi and why they decided to use their services (9:36)

How do local GPs feel about Livi? (10:40)

Getting buy-in from the get-go (11:50)

Integration with EMIS and SystmOne (12:57)

Building up the reserves of doctor capacity from Livi’s perspective (14:21)

IT access and requirements (15:26)

Funding and payment to Livi (15:58)

Who typically commissions Livi’s services? (16:55)

What’s next for Dan and GPA? (17:37)

What are Livi’s aims and aspirations, going forwards? (19:05)

Advice from Dan on key considerations and what works (20:01)

Getting in touch with Livi and finding out more (21:39)

 

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

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