26
nov
0

Episode 137: Andrew Boyd – The RCGP partnership with Park Run UK

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Andrew Boyd is the RCGP’s Clinical Champion for Physical Activity and Lifestyle. The RCGP has formed a partnership with Park Run UK and has already signed up over 400 practices to the park run initiative. Park Runs are free, weekly 5 kilometre runs (or walks) open to anyone over the age of 4 of any ability. They run in over 750 locations in the UK and have proven a hugely successful way of encouraging physical activity and wellbeing. Andrew explains how the partnership came about, and how practices can become involved. He describes two case-studies of patients who have benefited and explains some of the other initiatives covered by his champion role.

Show Notes

Andrew explains how he became a clinical champion with the RCGP (0:52)

What is Park Run? (1:54)

Open to all abilities and all communities (2:42)

Spread across the UK…and around the world (3:22)

The partnership between the RCGP and Park Run UK (3:42)

The success of the partnership (4:47)

Promoted to patients – and GP teams (5:14)

Two practical examples of the impact (6:21)

Why should GP practices promote Park Run? (8:10)

Other elements of Andrew’s role – teaching and tool kit (9:43)

Moving Medicine ([/skipto]11mins 10secs)

Impacting on the whole community – at-scale working (11:47)

Social prescribing (13:10)

Further information (14:40)

Further information is available from the RCGP website here

The Physical Activity and Lifestyle resources are available on the RCGP website here

The Moving Medicine website is available here

 

19
nov
0

Episode 136: Northumbria Primary Care – an innovative partnership between primary and secondary care

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In this episode we hear about Northumbria Primary Care (NPC), a network of seven GP practices formed in 2015 across Northumberland and North Tyneside. The “twist” is that NPC is a wholly-owned subsidiary of Northumbria NHS Foundation Trust, the local acute trust, and that all the GPs are salaried. Ben is joined by NPC’s Medical Director Dr Nigel Twelves and Dr Lily Lamb, a GP and their Education Lead. Nigel and Lily explain how the model works, how it benefits patients and GPs and how the relationship with the acute trust has developed and is developing.

Show Notes

Northumbria Primary Care explained (1:04)

Practices coming together to share support (3:10)

GPs approach the acute trust (4:30)

Seven practices and 45,000 patients (4:56)

Huge geographical area (5:29)

Working in the new model (6:03)

The salaried model versus the partnership model (7:10)

Practices are individual entities with sub-contracts to Northumbria Primary Care (8:43)

Clinical and Management Executive to support governance (10:01)

The over-arching Board reporting to the parent company: the Foundation Trust (10:37)

What it feels like for GPs (11:43)

GP workload has reduced (12:43)

Workforce benefits of working with the Foundation Trust (14:17)

Minimising variance and adopting single models (15:39)

Working with secondary care consultants (16:57)

Has care to patients improved? (17:27)

Impact on GP recruitment and retention (19:31)

Is the model developing? (20:35)

Future aspirations and growth (22:22)

Finding out more (23:41)

The Northumbria Primary Care website is available here.

12
nov
0

Episode 135: Cassandra Baiano – a different kind of medical student

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Cassandra Baiano is a medical student in the first cohort of the innovative Scottish Graduate Entry Medicine (ScotGEM) MBChB at the University of St Andrews in Fife, Scotland. ScotGEM is “designed to develop doctors interested in a career as a generalist practitioner within NHS Scotland….(and) offers a unique and innovative four-year graduate entry medical programme…and focuses on rural medicine and healthcare improvement” .  In this podcast Cassandra describes the course and explains how the programme is different to traditional medical training.

Show Notes

Cassandra describes the new graduate entry medicine programme (1:04)

Preparing to be a generalist (2:31)

The first cohort (3:06)

The elements that make the programme novel – case based (3:18)

Generalist clinical mentors (4:03)

Scary but amazing! (4:44)

Hard and soft skills learnt in parallel (5:15)

Developing “agents of change” (5:48)

Changing general practice from the inside (6:29)

Examples of agents of change learning – placement within the voluntary sector (6:55)

Encouraged to make changes (8:10)

Cassandra’s route to the programme (8:54)

Applying for ScotGEM (10:46)

Describing the cohort (11:19)

The attractions of being a generalist (12:10)

How unique is the programme? (13:40)

The attractions of this programme (14:44)

Hopes for the future (15:32)

Contacting Cassandra (16:31)

Cassandra’s email address is cassie.baiano@gmail.com

She is also on LinkedIn at https://www.linkedin.com/in/cassandrabaiano/

The ScotGEM website is available here.

5
nov
0

Episode 134: Rachel Morris –GP burn-out, stress and resilience

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Rachel Morris is a GP, an executive coach and presenter with Red Whale; producers of the famous GP Update. In Episode 108 of the General Practice Podcast Rachel described two courses that Red Whale run to develop primary care leaders. In this episode she looks at GP resilience; what it is and how can you acquire it. She considers the causes of stress and burnout and points to a range of useful resources GPs can use to develop their personal resilience.

Details of these further resources are available at the bottom of these show notes

Show Notes

Rachel defines resilience (39secs)

The idea of developing better resilience (1min 10secs)

Is resilience genetic or learnt? (1mins 44secs)

Resilience as a skill (2mins 29secs)

The controllable causes of stress (2mins 56secs)

The value of conflict (3mins 47secs)

Teams are fundamental to managing stress… (5mins 05secs)

…but teams can be a cause of stress (5mins 50secs)

The value of the coffee break (6mins 21secs)

Burn-out – its signs and symptoms (8mins 47secs)

What to do if you recognise burn-out (10mins 27secs)

Tools available to strengthen resilience (11mins 30ecs)

Managing our inner chimp (12mins 44secs)

Managing or reducing stress (13mins 25secs)

When it works…an example (15mins 03secs)

Available resources (16mins 38secs)

Individual coaching (17mins 51secs)

Mindfulness (18mins 13secs)

A bespoke course (18mins 33secs)

Other resources (19mins 10secs)

Finding out more (20mins 13secs)

Resources mentioned in this episode:

Dr Steve Peters’ book “The Chimp Paradox” is available via Amazon here

Mark Williams book “Mindfulness – A Practical Guide to Finding Peace in a Frantic World” is available via Amazon here.

The eGPlearning podblast which reviews the mindfulness app “Headspace” can be found here

Our previous podcast with Paula Wright on GP Learning Groups can be found here

The Red Whale GP Update website is here

You can contact Rachel via her website at wildmonday.co.uk

29
oct
0

Episode 133: Steph Coughlin and Nina Griffith –a Primary Care Network based on neighbourhoods

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The Neighbourhood Development Programme in City and Hackney in London is a primary care network based around eight neighbourhoods with populations of between 30-50,000. The neighbourhoods are structured round GP practices with a bottom-up, clinically-led support network bringing together all local partners engaged in integrated health and social care. In this podcast Ben talks to Clinical Lead and local GP Dr Steph Coughlin and Nina Griffith who is the work stream director for Neighbourhoods. They describe how the network functions and how it is bringing together all constituent organisations to improve access, reduce duplication, improve integration and, in the medium term, change outcomes for patients.

Show Notes

Steph and Nina describe their roles in the programme (41secs)

Describing a neighbourhood (1min 26secs)

How the neighbourhood model impacts on the population (2mins 14secs)

The integrated care model (3mins 18secs)

History of integrated work in City and Hackney – focussing on relationships (4mins 47secs)

Focussing on improvement and joined up services (5mins 49secs)

Practical work streams – shared data about the neighbourhoods (6mins 52secs)

Pilots – adult community nursing, mental health support, adult social care & learning disabilities and complex patients (7mins 47secs)

Local focus on problems within neighbourhoods (8mins 38secs)

Enthusiasm across the system including residents (9mins 25secs)

Engaging residents in the programme – A Patients’ Panel (10mins 22secs)

Forming the Patients’ Panel, using PPGs (11mins 18secs)

Advice on building relationships across the system – the programme structure (12mins 44secs)

Neighbourhoods look different (14mins 28secs)

Trust and confidence (15mins 25secs)

Vision for the future of the model – seamless care and happier workforce (16mins 36secs)

Long term versus quick wins (18mins 13secs)

Finding out more (19mins 37secs)

Contact Nina via nina.griffith@nhs.net or Steph via stephaniecoughlin@nhs.net

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