22
nov
0

Podcast – Tara Humphrey – Where are PCNs right now?

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The times they are a-changin’ and as we enter the third year since the formation of primary care networks (PCNs), Ben is joined by podcast regular and primary care management guru Tara Humphrey to take stock of the current situation in general practice. Are we still surviving, rather than thriving? What gains have been made over the last 28 months? Where do the pressures lie and where are the incumbent Clinical Directors up to in their thinking of where to go next in taking their networks forward and/or handing on responsibility to a new leader? Have we made any progress in making sure the work of individual practices intertwines with network goals and our overall vision? Do we still have an overall vision? All this and more in this week’s fascinating episode…

Introduction (0:09)

An update from Tara (0:26)

What are the key challenges in the PCN world currently? (1:23)

The pressure of the new delivery requirements (1:58)

How a PCN Manager can help (4:00)

The link between PCN Manager and ARRS staff (5:03)

Managing capacity and keeping up (5:44)

Recent BMA reaction and the impact of this on the ground (6:51)

Bridging the gap between practices and PCN (7:43)

Taking stock at this point in the PCN journey (9:55)

Face to face versus virtual working 11:10

Next steps into the future (s11:49)

Passing on the baton of Clinical Directorship (13:04)

Balancing hierarchical structure (13:57)

Re-establishment of the PCN purpose and why this is so important (15:43)

Getting in touch (17:37)

 

To connect with Tara and to access all the available resources on offer from THC Primary Care, do check out:

The THC Primary Care website

The Business of Healthcare Podcast to get the latest insights into business and management behind the scenes in primary care.

Tara’s Twitter and LinkedIn accounts

Applications for the second round of the incredibly popular New to General Practice Partnership training programme are open! If you are considering stepping into partnership, or are a newly appointed GP partner, the Ockham Health / THC Primary Care / McCartney Health Associates training course is scheduled to begin again in February 2022. If you would like to know more, or you would like to sign up, please get in touch with Ben at ben@ockham.healthcare

15
nov
0

Podcast – Nusrat Kausar – The value of a dietitian in primary care

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On her almost first anniversary of working in primary care, Nusrat Kausar joins Ben on the podcast this week to discuss the parameters of her role as a dietitian specialising in supporting pre-diabetic patients and those diagnosed with Type 2 diabetes. Based in a West Yorkshire PCN, Nusrat fills us in on her experiences so far; how her previous roles have influenced her journey into general practice, the value that dietitians can add in terms of supporting the PCN and her patients, her top tips for attracting, keeping and getting the most from a good dietitian, how dietitians can blend in seamlessly with existing staff (and the more newly established additional roles teams) and turning to the future, how she foresees the role developing even further.

Introduction (1:10)

Designing a job description (1:56)

Nusrat’s background as a dietitian (2:40)

Making the move into primary care (3:29)

What does a day in the life of a dietitian look like? (4:06)

The referral process and caseload (4:37)

PCN demographic and how each practice works within the system (5:47)

Maximising service engagement (6:17)

Monitoring the impact so far (7:28)

How is the service making a difference to patients? (8:26)

Working alongside other ARRS team members (9:24)

Encouraging a sense of belonging (10:12)

Line management and clinical supervision (11:21)

How can PCNs make the best use of their dietitian? (12:03)

Is a more flexible approach to role design better? (13:28)

Nusrat’s top tips for recruiting and retaining a dietitian (15:09)

Advice for dietitians who are considering working in general practice (16:18)

Looking ahead: How will the role develop going forwards? (17:44)

Recommended resources (19:11)

Applications for the second round of the incredibly popular New to General Practice Partnership training programme are now open! If you are considering stepping into partnership, or are a newly appointed GP partner, our training course scheduled to begin again in February 2022, in collaboration with McCartney Health Associates and THC Primary Care, might just be for you. If you’d like to know more, or if you’re already sold and keen to sign up, please get in touch with Ben at ben@ockham.healthcare

8
nov
0

Podcast – Farzana Hussain – Year 2 as a Clinical Director and beyond…

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This week heralds the return of inspirational GP Dr Farzana Hussain, who runs The Project Surgery in Plaistow, east London, is Clinical Director of her local PCN and 2019’s GP of the Year, amongst other key roles where she champions innovation and quality improvement in primary care. Farzana is back to share her thoughts on the last year in her role as Clinical Director and what comes next for her Newham PCN. From the additional roles reimbursement scheme (ARRS) rollout, to going back to basics and defining local objectives, readying teams, and staff, for the move towards integrated care and the associated shift in her priorities, leading on an emotive and truly rewarding local project and attempting to redress the health inequalities balance, the pace of work continues to be unrelenting and 2022 looks set to be equally challenging. Listen here as Ben takes time to explore Farzana’s hopes, frustrations, achievements and aims in our latest podcast episode.

Introduction (0:10)

An overview of the last year (0:30)

The challenges of the ARRS (1:47)

Why shared purpose is so important (2:53)

Preparing for integrated care systems (4:24)

Farzana’s view on the change in PCN deliverables (5:19)

Identifying priority areas (7:12)

Juggling practice and PCN priorities (8:26)

The Newham knife crime project (11:24)

The role of the Youth Link Worker and partnering with local community groups (13:36)

Levelling up the health inequalities imbalance (14:54)

What’s next for Farzana? (15:40)

Feeling the benefit of the additional roles (17:03)

Can we take control of the ICS agenda? (19:08)

1
nov
0

Podcast – Hussain Gandhi – Life as a Clinical Director (Part 3)

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“Dr Gandalf”, GP, eGPlearning podblast founder, and Ockham podcast favourite, is back with another fascinating insight into his most recent year as Clinical Director for Nottingham City East PCN. In this third instalment documenting the journey in his ‘day’ job, Gandhi and Ben discuss the highlights of recent times, including the recruitment and expansion of a safeguarding care coordination service, how Nottingham East have embedded wider ARRS staff, the impact of the updated GP contracts within the network and on the patient population, preparations for the new world of integrated care in 2022 and what’s next on the agenda for Gandhi as he reflects on his achievements to date and why he remains as passionate as ever about his role.

Introduction (0:10)

On how life is, right now (0:37)

Practice vs PCN priorities (1:04)

Maintaining individual identities within a wider network (2:11)

The Safeguarding Care Coordinator (3:20)

Recruitment of other additional roles (4:23)

Exploring the relationship between additional roles staff and the wider workforce (5:39)

Accommodating and integrating the ARRS teams (7:16)

The challenges presented by the new primary care contracts (7:58)

Gandhi’s view of the health inequalities risk presented by existing contractual targets (9:38)

How can we respond to contractual targets in practice? (10:46)

Reaction to the recent NHSE publication (12:00)

Preparations for Integrated Care Systems (ICSs) (14:52)

Where does the Clinical Director post sit in context with the LMCs and the development of the ICSs? (16:43)

Looking ahead… (17:49)

The best bits of clinical directorship (19:25)

 

The link to the eGPlearning YouTube channel is here

24
oct
0

Podcast – Practice Index – The Improved Access publication…debriefed.

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The dust has certainly not settled on the very recent NHS England publication on improving access for patients and supporting general practice and in the latest of our joint Practice Index / Ockham Healthcare podcast series, our ‘fab four’ react. Our now infamous panel of Practice Management extraordinaires and Institute of General Practice Management founders and directors, Nicola Davies, Robyn Clark, Kay Keane and Jo Wadey, talk to Ben about what’s been set out within the document and how they feel about it, following an outcry from IGPM members and primary care colleagues alike. From the risks posed by the way the funding has been set out, to an apparent lack of understanding about the reality on the ground right now, where this leaves the sector and how general practice could be better supported, the quartet tell us why the latest guidance falls so far short and share their concerns about what the future holds for a primary care which is already at crisis level.

Introduction (0:25)

Initial reactions (0:46)

Key concerns (1:14)

Performance based funding (1:40)

A lack of understanding about what’s happening on the ground (2:52)

The contradiction of improved access and promotion of remote consultations (4:13)

How should practices respond? (6:28)

Are there any useful takeaways from the publication? (8:17)

Onus on commissioners (9:42)

The risk of perverse incentivisation (10:15)

How can general practice be better supported right now? (11:00)

IGPM response (11:27)

Feedback from individual practice managers (12:52)

An undeliverable expectation? (13:21)

A sign of things to come? (15:33)

The IGPM one year on and what is happening next (17:19)

 

Practice Index’s website can be found here

For more information and to sign up to become a member of the IGPM, please find the website here

For all enquiries, please contact James Dillon here or Ben Gowland here

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