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Podcast – Nils Christiansen – PCNs Limited?

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There is no clear answer when it comes to the ‘ideal’ PCN setup, as it is all very much dependent on an individual spectrum of factors including (and not limited to) population size, numbers of employees, local health needs and priorities, financial setup, and more. With workload becoming ever more complex and demand continuing to grow for general practice services, is incorporation the answer when we are seeking to establish a safe and sustainable structures for the managing partners and their employees, going forwards? Luckily, DR Solicitors own Managing Partner Nils Christiansen features in this week’s podcast episode and guides us expertly through, not only the minefield of incorporation, but offers practical advice on safeguarding and streamlining the PCN as a business entity.

Introduction (0:09)

The PCN issues which are on Nils’ radar at present (0:18)

The Practice Agreement (0:59)

Establishing a sustainable PCN model (2:10)

Discounting the lead practice model? (3:38)

Benefits of incorporation – risk management (4:49)

Other advantages of incorporation (5:38)

Addressing issues of parity (7:31)

When PCNs incorporate, does this affect the fabric of wider general practice? (8:51)

What’s the actual process for incorporation? (10:46)

Can we leverage our existing governance frameworks to make the process smoother? (21:50)

Additional admin burden (14:10)

Implications on the financial flows and resources (15:27)

Employment liabilities (17:46)

Transfer of employees into a new entity (20:09)

NHS Pensions (22:01)

Data on the numbers of PCNs who are incorporating (22:36)

Finding out more (24:37)

 

If you have more specific questions on any aspect of incorporation and your existing PCN setup, you can visit the DR Solicitors website here, telephone them on 01483 511555, or email Nils at n.christiansen@drsolicitors.com

There are just a couple of spaces up for grabs on our new, online PCN Plus programme and the deadline for sign-ups is this week! Aimed at new PCN Clinical Directors, and experienced PCN Managers, and featuring a team of experts, we will be delivering training and advise on all the need to knows, including (and not limited to); establishment of a PCN vision, communications, managing finances and workforce, and preparations for integrated care systems. If you are interested in learning more, or you’re keen to confirm your space now, please visit our dedicated webpage or you can contact Ben for further information.

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Podcast – Adrian Loades – ICS Incoming…. Primary Care and the Local Authorities

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It’s the third in our series of podcasts focused on the preparations for Integrated Care Systems! This time, we meet with Adrian Loades, who is the Corporate Director of People at the London Borough of Redbridge, responsible for Adults and Children’s Social Care (and Education), and Public Health within his remit. Adrian chats to Ben about his thoughts on the preparations and the build up so far towards the new systems of working, the priorities on the local council agenda and how these already align with much of what primary care is aiming to achieve, how general practice and local authorities can come together to establish strong, multi-agency partnerships and ultimately, what we need to do in practice, across the board, to maximise health outcomes in an integrated world.

Introduction (0:09)

Meeting Adrian (0:40)

Adrian’s experiences of working within the local authority (1:05)

Is there a council perspective on general practice? (2:20)

The barriers to establishing relationships with general practice, from the council’s point of view (3:43)

Collective working through the pandemic (4:44)

Examples of strong multi-agency initiatives (5:59)

The health inequalities agenda (7:10)

Moving into an ICS environment (8:09)

Neighbourhoods and place-based working (9:28)

Are councils and general practice natural allies when it comes to embedding a place-based approach within an ICS? (11:07)

How will working at place, actually work in practice? (11:45)

What are the key factors when it comes to embedding a place-based approach? (13:00)

Adrian’s advice for general practice in making a success of working at place (14:12)

Focusing on the needs of the residents, instead of prioritising a political agenda (15:23)

Cultivating relationships with those who can influence council leaders (17:03)

Neighbourhoods and Primary Care Networks (18:04)

The local authority view of PCNs (20:21)

Leveraging PCNs as a means for establishing strong neighbourhoods (20:58)

Advice for PCNs on building relationships within the wider ICS network (21:56)

Support for general practice on sourcing additional space (23:02)

Who to contact at local authority level (23:59)

PCN Plus (24:32)

 

There are still a few spaces left on our PCN Plus online programme! Aimed at new PCN Clinical Directors, and experienced PCN Managers, and featuring a team of experts, we will be delivering training and advise on all the need to knows, including (and not limited to); establishment of a PCN vision, communications, managing finances and workforce, and preparations for integrated care systems. If you are interested in learning more, or you’re keen to sign up now, please visit our dedicated webpage or you can contact Ben for further information.

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Podcast – Matthew Winn – ICS Incoming…. Primary Care and Community Trusts

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In the second of our series (and on the occasion of our 300th podcast episode), we focus on the preparations for, and the journey towards, Integrated Care Systems (ICSs). We are delighted to feature Cambridgeshire Community Services Trust CEO (and NHS England lead for Community Health) Matthew Winn, to get his views on the existing relationship between community services and general practice, and what can be done to establish, enhance and improve existing partnerships locally, in readiness for the new models of care. It is a fascinating insight into how external partners perceive primary care both locally and centrally, and with the advent of new meeting forums, and new initiatives, how we can work together to meet the scale of demand from our patients, post Covid and beyond.

Introduction (0:09)

Meeting Matthew (0:39)

The scope of Matthew’s NHS England role (1:25)

The future for Primary Care Networks (PCNs) (2:36)

The Community Services view of general practice right now (3:51)

Building relationships with general practice, an external perspective (6:15)

Big versus small? (8:00)

Reaching out at a local level (10:14)

The remit of place-based Boards (12:47)

A new opportunity to re-establish local partnerships? (14:04)

A shift in strategic focus, where out of hospital is concerned (16:23)

Hospital at Home and virtual wards (18:31)

Thoughts about leadership for the future and upskilling our GPs (20:18)

Matthew’s advice about establishment of stronger relationships with Community Services teams (23:01)

Who should we reach out to? (25:21)

Further information and resources (26:35)

 

Here is the link to the NHS England and NHS Improvement workspace on futureNHS

27
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Podcast – Practice Index – Bridging the health inequalities gap

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Doctors of the World is a leading charitable organisation which aims to break down barriers to healthcare and prevent social injustice for millions, both globally and within the UK. Currently based in London, Doctors of the World provide medical care, information, and practical resources for minority groups who continue to struggle with access to basic healthcare. In this month’s episode of the Practice Manager podcast, Nicola, Robyn and Ben are joined by Dr Yusuf Ciftci, Policy and Advocacy Manager, and National Health Advisor Janet, from Doctors of the World to discuss the issues of access in-depth. From the thorny issues of current bureaucracy, prejudice and misunderstanding to re-education and improvements via the medium of programmes such as the Surgeries Initiative, and a powerful personal account of Janet’s own experiences, today’s podcast is a must-listen for general practice in raising awareness of the importance of inclusion – and improving health outcomes for all.

Introduction (0:09)

Doctors of the World; the charity, and its aims (0:25)

All about Yusuf (1:47)

Janet’s background and her role as a National Health Advisor (2:40)

The disparity between England and Scotland in accessing healthcare, and Janet’s own experiences (3:32)

Why registering with a GP surgery is not necessarily straightforward (4:17)

Prevalence of the registration and access issue (5:21)

Nicola’s view (6:20)

Robyn’s perspective and feedback from the IGPM (8:10)

Re-educating practice staff (9:20)

Improving access and support (10:06)

What changes can be made right now? (12:11)

Doctors of the World’s Safe Surgeries Initiative (13:04)

Signing up for Safe Surgeries (14:24)

Clarification on the resources available (15:05)

Addressing health inequalities as a practice and as a network (15:46)

Robyn’s thoughts about escalation of poor health outcomes and prevention of these locally (17:13)

Janet’s thoughts about how to positively effect change (17:49)

Finding out more (19:26)

 

The Doctors of the World webpage, which contains all of the resources discussed in this episode, including The Safe Surgeries toolkit, can be found here. You can sign up for the initiative here

The Practice Index website is here

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

21
mar
0

Podcast – Tara Humphrey – General Practice Leadership in 2022

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As we so frequently state, a new era is truly beginning in general practice, with so much on the horizon strategically and operationally. With more and more being demanded from our clinical and management leaders, and three years on since the birth of PCNs, we are seeing widespread changes in leadership teams and the styles required to support and motivate staff, meet the ever-growing demand in terms of patients’ needs, centrally driven targets and the push towards further integration. Thankfully, Tara Humphrey, Founder and Director of THC Primary Care, host of the Business of Healthcare podcast and one of the country’s leading experts in PCN Management, is back in the hot seat to share her own experiences of the transition within her area and to offer advice for those currently living through the same changes and challenges, as well as giving insight into two key programmes which are currently on offer to both seasoned managers and new leaders alike.

Introduction (0:33)

A new dawn for PCN management (0:57)

What’s the latest from Tara’s area? (11:32)

Reaching the decision to step down (2:11)

When there is a complete change in operational and clinical leadership (2:58)

A reform in leadership style? (3:54)

Escalation of workload (4:32)

Handing over (5:49)

Transitional challenges (6:53)

Tara’s reflections and advice for other areas undergoing the same changes (7:56)

Preserving relationships (9:21)

Finding support as a new Clinical Director (10:53)

The PCN Plus Programme for more experienced leaders (12:01)

How Tara’s PCN Accelerator Programme works for new leaders (13:17)

Course dates and information about sign up (14:53)

Our PCN Plus online programme is now open for registrations! Aimed at PCN Clinical Directors, our team of experts will deliver training on all the need to knows, including (and not limited to); establishment of a PCN vision, communications, managing finances and workforce, and preparations for integrated care systems. If you are interested in learning more, or you’re keen to sign up, please see our dedicated webpage or you can contact Ben for further information.

If you’re brand new to PCN management, Tara’s Online Accelerator Programme is perfect for you. All the details from course content to how to sign up and access the training are contained within the dedicated THC Primary Care page.

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