31
mar
0

Podcast : Developing the practice managers of tomorrow – City and Hackney GP Confederation

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We have three guests this episode to talk about the unique Salaried Trainee Practice Manager programme developed by the City and Hackney GP Confederation. Dr Mary Clarke CBE the Confederation’s Director of Workforce, Grace Neil, the Programme Co-ordinator for the scheme and trainee Practice Manager Kerry Reynolds join Ben to variously explain how and why the programme was developed, the format and content of the programme and what it felt like to be a participant.

Show Notes

Mary begins by describing the confederation (1:16)

Mary’s role as Director of Workforce (2:05)

The challenges facing Practice Managers (3:59)

The complexity of the Practice Manager role (4:56)

The origins of the Salaried Practice Manager programme (6:01)

Grace joins the confederation and the scheme takes off (7:24)

Applicants from many routes (8:23)

Kerry explains how she joined the programme (9:26)

Picking six successful applicants (10:25)

Funding the programme (11:16)

How the programme runs (11:34)

The applicants are employed by the confederation and the practices are engaged (13:00)

The content of the programme (13:55)

Kerry reflects on the programme (15:04)

Kerry’s placement (15:58)

The outcome for Kerry (16:28)

What’s next for the programme – a national rollout? (16:51)

Finding out more (18:02)

More information on the programme is available on the Healthy London Partnership website here

A case study from Mary Clarke is available here

The previous podcast Ben mentions with Laura Sharpe from City and Hackney GP Confederation is available here

25
mar
0

Podcast : Tom Howseman – better managing demand through pre-triage protocols

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Tom Howseman is a GP Partner in a large urban practice in Northampton. When their number of GP partners fell from twelve to six due to retirements and they couldn’t recruit they decided to adopt a more multi-disciplinary approach. Over the last two years they have introduced and refined a system of pre-triage protocols which enable reception staff to collect information from patients presenting on the day which is then helpful to the pre-triage clinicians in directing those patients to the appropriate member of the emergency care team. 20,000 additional appointments have been created through this system and in this episode Tom explains how they have done it.

Show Notes

Tom describes his practice and why he developed a new way of working (0:50)

Expanding the multi-disciplinary team (1:48)

Two GPs on call for same-day demand (2:23)

Three potential problems with the then current triage system (3:04)

Introducing a Pre-Triage Process (3:48)

A simple example of how it works (4:20)

Identifying the ten most common reasons for demand and the clinical questions a receptionist can ask (4:57)

Let’s try it… (5:45)

The trial expands and becomes normal practice (6:13)

Protocols for receptionists to follow (7:14)

An example of the protocol (7:59)

A patient rings…what happens next (8:22)

Reducing the waits for patients (9:42)

The receptionists response to the system (10:14)

How the Emergency Care Team works (11:53)

The governance (13:25)

Evolving the system over two years (14:14)

The benefits to the practice (15:50)

The impact on recruitment, relationships and morale (16:46)

The response from patients (18:08)

How replicable is this system? (19:12)

How to begin? (20:42)

You can contact Tom via tom.howseman@nhs.net

18
mar
0

Podcast : Christiana Melam – The roles and skills of a link worker

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Last Thursday (14th March) was International Social Prescribing Day and we brought you a short series of podcasts to recognise this. Last week we gave you social prescribing ambassador Marie-Anne Essam. This week it is the turn of Christiana Melam who is Chief Executive of the National Association of Link Workers; the national professional network for link workers. In this episode Christiana describes what the National Association does, outlines the roles and responsibilities of the link worker and suggests what primary care networks should be doing now to prepare for this role.

Show Notes

Christiana explains how her own life led to her role with link workers (1:02)

Social prescribing and general practice (1:47)

The National Association of Link Workers (2:46)

Mending the fragmentation (3:26)

What is a link worker? (4:44)

The difference between care navigation and link working (5:27)

The typical background of a link worker (6:22)

Competency framework and the qualities of a link worker (7:15)

The skills and training for a link worker (8:57)

How a link worker works (10:14)

What should networks do for the link worker to be a success (11:27)

With whom should networks be making links? (13:01)

The role of the STP (13:52)

Further information (14:33)

The website Christiana refers to is here

11
mar
0

Podcast : Marie-Anne Essam – Social prescribing and link workers

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This Thursday (14th March) is International Social Prescribing Day. To recognise this and to focus on the new GP Contract commitment to provide link workers in all primary care networks, we begin a short series of two podcasts. In the first, this week, Ben talks to Marie-Anne Essam a GP in Herts Valley and an enthusiastic ambassador for social prescribing. She explains what it is and tells a powerful story about a patient of hers which amply illustrates the value of social prescription. She also talks about the role of link workers including their salary, their competences and their likely backgrounds.

Show Notes

Marie-Anne describes the scope of her involvement in social prescribing (0:45)

Marie-Anne’s role in promoting social prescribing– “telling the stories of changed lives” (1:01)

Help prescribed but not on an FP10 (2:45)

Designing social prescribing (4:06)

Marie-Anne tells the story of John, her first patient for whom she provided a social prescription (6:06)

Spreading the enthusiasm – a skilled link worker (11:51)

Working with patients – personalised solutions (12:54)

An understanding of social prescribing – the evidence (13:39)

The resources are coming (15:20)

What is a link worker? How do they work? (16:53)

Salary for link workers, training and competences (21:15)

The most important traits for a link worker (22:50)

“Field researcher” (23:54)

Further information (24:46)

NHS England has set up an online learning platform to share the latest resources and encourage collaboration. To join the platform, please contact england.socialprescribing@england.nhs.net

4
mar
0

Podcast : Nikki Kanani Returns! – answering your practical questions about primary care networks

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Ben’s special guest for the second week is Dr Nikki Kanani, Director of Primary Care for NHS England. You can listen to the first episode here. In this second part she addresses the concerns of podcast listeners about primary care networks including population size, hosting of the networks and the role of federations. She looks at how clinical leaders should be identified and focuses in detail on the timetable from March 2019 onwards and what practices should be doing now to guarantee success.

Show Notes

Questions from listeners – Why a 30-50,000 population for networks? (0:40)

Degrees of flexibility with population size (2:10)

Agreement required from CCG and the LMC (3:02)

Can one practice be a network? (3:32)

Resolving disagreements over scale and coverage (4:13)

Who hosts the networks? (5:22)

What does this mean for federations? Is it the end? (7:04)

Being part of a network and a federation…the roles (8:16)

Clinical leaders – should they move from CCGs to networks? (9:32)

Genuine “bottom-up” leadership (10:46)

Building a new style of leadership (11:42)

Up to the practices who leads them (12:45)

Critical success factors – start with consolidating your relationships (13:12)

The timetable from March 2019 (14:49)

Hope and optimism… (15:58)

More information – What’s App group and NHS England website (17:08)

Nikki’s commitment to the process (18:33)

The NHS England Website is here

The contact Nikki mentions is england.pcn@nhs.net

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