5
jun
0

Podcast – Rachel Morris – The importance of saying “No”

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We are in full countdown to ICS mode here on the podcast and in recognition of the existing issues of workload, pressures, and targets – and of the upcoming challenges General Practice is facing as we transition into the new, larger scale networks, we felt it was about time we welcomed back Dr Rachel Morris, GP, executive trainer, coach and all-round leadership and resilience expert. This week’s podcast offers a wealth of practical advice and insight into how and why we should be saying no, how to stick to your guns (and not fall victim to external pressures and pushback), why a long-term approach will always win out and how to stop, take stock and adopt a more strategic forward view during this period of high stress, unpredictability and unprecedented levels of patient demand.

Introduction (0:09)

Why has the importance of saying “no” become so relevant recently? (0:19)

Working out what and where your boundaries are (2:06)

Engagement and decision making when setting boundaries (2:41)

Should we benchmark the PCN DES?  (3:12)

A case in point: Investment and Impact Fund (3:50)

Identifying our top priorities? (4:27)

What is achievable and what’s not? Managing system pressures (5:42)

Practical measures for dealing with pushback (7:11)

Pressures of conformity in the new world? (8:53)

The importance of taking a long-term approach (10:59)

Moving from firefighting to forward view (11:54)

Applying the same principles for the Additional Roles Reimbursement Scheme (12:56)

When ARRS strategies fail and why (14:06)

“I’m choosing to…..so that…..” (15:12)

Maintaining a strong narrative (15:34)

Do the same strategies work from an individual perspective? (16:09)

The concept of ‘air cover’ and truly having each other’s backs (17:45)

Why proactive engagement matters (19:01)

….and ensuring there is accountability (20:13)

Finding out more / access to resources (21:32)

 

Sign up to a FREE webinar on how to help your team, say no, set boundaries and deal with pushback https://www.shapestoolkit.com/live-webinar-June-2022

Sign up to Rachel’s free mini video series about how to say no and set boundaries https://www.shapestoolkit.com/boundaries

Check out the You Are Not A Frog podcast https://youarenotafrog.com/

29
may
0

Podcast – Onyi Okonkwo & Mohammed Sattar – The Journey to Partnership as a BAME GP

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Going into partnership and realising success as a GP Partner can be a difficult enough landscape to navigate but when you are from a black, Asian, or other minority ethnic background, simply finding the opportunity to apply and establish yourself within a partnership can be a challenge in itself, for a variety of reasons. In this week’s episode, Ben welcomes Drs Onyi Okonkwo and Mo Sattar, who provide insight into the barriers and issues both they, and colleagues within the black, Asian and minority ethnic (BAME) GP network have faced (and continue to face) – and share their personal reflections from their respective journeys into senior partnership whilst offering practical advice for those considering taking on partnership on what to expect, how best to prepare and why a difference in cultural perspective shouldn’t be a hindrance to achieving success.

Introductions (0:15)

A meeting of minds (0:40)

Going into GP Partnership – Onyi’s story (1:35)

Mo’s journey to partnership (2:43)

Transitional challenges (3:37)

Making the jump from salaried GP into partnership (5:17)

Dealing with a steep learning curve – advice from Mo (5:59)

Mo’s lessons learned (7:49)

Being propelled into senior partnership (8:30)

Access to formal support (10:25)

The benefit of coaching and mentoring (11:13)

Clinical versus management (13:25)

Issues facing GPs from a BAME background – from Mo’s perspective (14:47)

Onyi’s view (17:12)

Advice from Onyi for BAME GPs considering going into partnership (20:52)

A final word from Mo (22:14)

22
may
0

Podcast – Katie and Esther – The Cancer Nurse Assessor role

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We are consistently having to think more and more creatively when it comes to workforce planning. Patient demand is at an all-time high and accordingly, an increase in funding for staffing gathers apace, however this needs to be balanced against the ever-present estates headache, and in context with the move towards integrated care.  When Haywards Heath Villages PCN detected that additional support was needed in improving patient outcomes for cancer and the uptake of cancer screenings, the Cancer Nurse Assessor role was born. Working alongside the medical staff and the ARRS team, Esther Walker’s role is more standalone and specialist in its remit and this week, both she and PCN Clinical Director Dr Katie Spensley talk to Ben about Esther’s initial approach, her findings so far, working alongside the ARRS staff, Esther’s aims for the future (both short and long term), the positive outcomes she is seeing and why she is already hugely well valued within the Haywards Heath Villages PCN team.

Introduction (0:09)

Haywards Heath Villages PCN (0:21)

The creation of the Cancer Nurse Assessor role (0:31)

Funding streams (1:28)

Esther’s background (2:22)

How does the role work in practice? (3:56)

Auditing the existing service (6:29)

What are Esther’s key objectives? (8:50)

The impact of the role on the PCN- and individual practices (10:25)

Long term plans; for Esther, the service, and the wider workforce (12:39)

Balancing resources against patient needs (14:03)

Esther’s reflections on the PCN transition (14:31)

Interfacing with the ARRS teams (16:43)

Development of staffing going forwards (18:37)

Lessons learned (20:04)

Finding out more / getting in touch (22:33)

 

Katie is very happy to speak to anyone wanting to learn more about the Cancer Nurse Assessor role and is contactable here.

If you would like to know more about the innovation within Hayward’s Heath Villages PCN, you can also contact their local federation, Alliance for Better Care (who have also recently featured on the podcast). Their website (which contains all the relevant information and contact points) can be found here.

15
may
0

Podcast – Practice Index – Introducing the Gender Identity Toolkit for General Practice

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Up until now, there has been a disparate and distinct lack of easily accessible information available to the lesbian, gay, bisexual, trans and non-binary community on the practical processes and implications of changing title and gender marker. There have been many reports of misunderstanding and in some cases mistreatment, in the absence of clear guidance on entitlement and expectation; coupled with a widespread lack of knowledge and advice available to staff on the ground in general practice. Luckily, with the colliding of Pride in Practice, Indigo Gender Service, The Institute of General Practice Management and Practice Index worlds, a team of representatives from each have put their heads together, spent time gathering all the available information, experiences and knowledge, and together, Aimee, Luke, Kay, Ali and their colleagues have taken time out to talk us through what is already an invaluable resource; The Gender Identity Toolkit for General Practice.

Introduction (0:09)

Our panel members (0:31)

Meeting Aimee and the role of Pride in Practice (0:54)

Dr Luke Wookey tells us more about Indigo Gender Service (1:58)

Why was the toolkit created? (2:51)

The process of centralising knowledge and guidance (4:11)

The importance of information gathering and sharing, and a collective approach (4:49)

Confusion around records management and establishment of clear guidelines (5:34)

Existing barriers felt by the trans and non-binary community (6:19)

Bureaucracy, misunderstanding and a lack of knowledge on all sides (7:23)

How to get the most from the toolkit (8:36)

Summarising the process for changing title and gender marker (9:14)

The implications for screening and having access to a lead professional within the practice (12:05)

Bringing all the information together (13:55)

What difference will the toolkit make? (14:14)

A working example of the impact of Pride in Practice (14:54)

Ensuring the policy is adopted at a local level (16:17)

Applying the policy within daily practice (17:47)

Ensuring there isn’t a ‘one size fits all’ approach (18:42)

Implications of records migration (19:22)

The training on offer from Pride in Practice (20:48)

Accessing the toolkit – and other resources (22:27)

 

The Practice Index website link to the toolkit (and the relevant discussion forums) is here

You can also access the toolkit via the IGPM website here

Pride in Practice’s website can be found here. If you are interested in learning more about the training on offer, please get in touch here

The link to the Indigo Gender Service website is here

Indigo Gender Service also have a dedicated email for healthcare professionals to get in touch which is indigo.advice@nhs.net – or you can contact Luke directly at lukewookey@nhs.net

Luke has recently featured on another podcast with Primary Care Knowledge Boost around trans health which may also provide some additional useful information for primary care teams.

Kay is contactable on Twitter, if you have any further queries

The Gender Identity Toolkit Launch webinar is available on the IGPM YouTube channel now

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

8
may
0

Podcast – Alliance for Better Care – ICSs Incoming…Working with our Federations

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In another of our series focused on Primary Care preparations for Integrated Care System (ICS) go-live in July and working alongside partners both old and new, we speak to Alliance for Better Care (ABC) Chair, Surrey Heartlands ICS Primary Care Leader and PCN Clinical Director Dr Pramit Patel, and ABC CEO Katherine Saunders, on the role of GP federations, and how they can both support and springboard practices and networks in making the most of the opportunities available in the new world. From establishment of meeting forums and well-balanced structures, to managing and maintaining effective communication across much wider remits, and the role of federations going forwards, ABC offer a best practice view of where we should be challenging our energies over the coming weeks and months, in the lead up to ICS launch.

Meeting Pramit (0:17)

Introducing Katherine (0:44)

The ICS / Primary Care Leader role (1:07)

Executive Structure (2:12)

Reaching consensus across a large area; meetings and formal structures (2:56)

Summarising the existing setup (5:28)

How does engagement work, particularly at place level? (6:14)

A lone GP voice in the room? (7:37)

Getting a sense of how other parts of the system view general practice (8:33)

External perceptions of Primary Care (9:41)

How does the federation work to support general practice operations within the ICS? (10:38)

The role of the federations in the ‘new world’ (11:56)

Joint working between federations (12:53)

What should the objectives be for general practice, moving forwards? (14:19)

Communication of the positive possibilities (15:49)

What differences will we see and what impacts will we feel at ICS go-live? (17:41)

Readying practices, networks, and federations ahead of July (19:23)

Pramit’s top tips for others (20:32)

Advice from Katherine (21:44)

 

Further resources, support, and information, as advised by Pramit and Katherine, can be found within the dedicated Primary Care NHS Confederation webpage here

Katherine and Pramit are happy to speak to anyone who would like to learn more about the Surrey Heartlands / Alliance for Better Care journey towards integrated care. Please visit the ABC website for more information and contact points.

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