20
mar
0

Podcast – Richard Wood – Establishing local GP leadership groups

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In this week’s episode, Ben is joined by guest, Dr Richard Wood, co-CEO of Berkshire, Buckinghamshire and Oxfordshire LMC. Richard discusses his day-to-day role, directing the teams which execute the LMC’s agenda. He shares his thoughts behind the Integrated Care System and what the move means for General Practice and also the thinking behind the GP Leadership groups. Richard took over as co-CEO in 2018, on the podcast he explains what he felt was important at the time, what route he went down and how the groups look today. Finally, Richard shares the lessons he has learnt along the way and any advice he has for others on the same journey.

Introduction (0:09)

Richard Woods day to day role (0:25)

Place based Leadership routes within an Integrated Care System… (0:45)

The thinking behind needing GP Leadership groups (2:09)

LMC or system request? (3:05)

Is there a potential for LMC to grow? (4:21)

What locations are you connected with currently? (5:59)

Tell us about the process you went through… (7:32)

Any surprises from the principles? (9:36)

What route did you go down? (10:10)

How to prevent the smaller groups from being isolated? (11:29)

PCN CD’s… (12:41)

How does funding work? (13:51)

What is involved in the meetings? (16:15)

What does success look like within the groups? (18:02)

How do the groups work together to have an influence? (19:10)

Dr Woods’ advice.. (20:10)

Final words.. (21:16)

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

13
mar
0

Podcast – Paul Gordon– March 2023 NHS Pensions UPDATE

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Ben is joined once again by NHS pensions expert, Paul Gordon. Paul returns to the podcast to discuss new changes to the NHS pension scheme. Ben and Paul last spoke in December 2022 prior to the consultation taking place. The consultation completed at the end of January this year and as of the 7th March feedback has been shared. Paul communicates the outcome from the consultation and explains the proposed changes in relation to the flexibilities around retirement, tax charges and the impact of the changes on staff.

Introduction (0:09)

Consultation outcome.. (0:39)

Introducing new flexibilities to retirement.. (1:36)

How does this make things easier? (2:54)

Pensions and a full salary income.. (3:32)

Tax implications.. (4:56)

Lifetime allowance.. (8:02)

Total rewards statement.. (10:51)

How to calculate the best outcome for you? (13:11)

Changes to 24 hour retirement.. (16:39)

Risks in single handed practices and small practices.. (19:20)

Effects of inflation.. (22:06)

Widening the access to pension scheme (25:32)

When will the changes be applied? (27:41)

Accessing your Total Rewards Statement

To contact Paul directly: Paul.gordon@atomos.co.uk

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

6
mar
0

Podcast – George Gavriel & Emma Vye – Swan

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Dr George Gavriel, who is partner at the Swan Practice and Clinical Director of the Swan PCN, & Emma Vye who is Operations Manager at both Swan Practice and Swan PCN are guests on the podcast this week. Their practice is a single practice PCN and they join Ben to discuss their journey of moving into being stand alone. Ben gets an understanding of how the single practice and PCN works in terms of their resources, clinical delivery and management team. They discuss the ‘Gold card’ approach for clients who can be seen on the same day through a ‘same day service’ system. They reflect on how it has benefited them being an independent PCN and why others may or may not look into doing the same.

Introduction (0:09)

Where they’re located.. (0:25)

Single Practice PCN (0:41)

What was the rationale for you to work alone? (1:14)

Resistance from commissioners.. (2.27)

Benefits of being a single Practice & PCN? (3:06)

The shift into being a single Practice, Emma’s perspective (4:21)

How does it work? (4:44)

How many sites do you have? (6:07)

Issues of allocating staff.. (7:26)

The fuller report.. (7:57)

Challenges of setting up the same day service? (9:38)

Staffing of the same day service.. (11:54)

Deploying ARS staff into the same day service.. (13:37)

Gold card.. (13:58)

Impact of the PCN & Practice (15:04)

Reflections of being a single Practice PCN.. (16:51)

Value of being independent? (19:24)

Contact details.. (22:05)

Contact George directly on george.gavriel@nhs.net.

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

27
feb
0

Podcast – Practice Index – Triage

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 This week, Ben is joined by Jo Wadey, Practice Business Manager at St Lawrence Surgery and Dr David Stokes, a GP partner at the same surgery and Clinical Director for Central Worthing PCN. They discuss their new triage system which has recently been put into effect at the surgery. They talk through how the new system has been implemented and how it has impacted the surgery, the GPs and the patients. Jo and David share their results and what advice they have for other surgeries thinking of following the same triage system.

Introduction (0:36)

How things were before the new ‘triage’ system (1:41)

What’s the first point of contact for the patients? (3:54)

Is this done in real time? (5:09)

Training of the Patient Services Team (5:37)

The journey of the new triage system.. (6:52)

How was implementing this change? (9:53)

How did you deal with the changes? (14:29)

What results have you seen so far? (16:41)

Impacts on GP workload? (19:19)

ARS staff… (21:04)

Any advice? (212:01)

If you have any queries, please direct them to info@practiceindex.co.uk

Following the success of this episode Jo and David have been inundated with responses and further queries!  As a result, they held a webinar to answer more questions about their service – you can watch the webinar here

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

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.

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