14
mar
0

Podcast – Farzana Hussain – New beginnings…

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We’ve followed the journey of Dr Farzana Hussain, GP lead at The Project Surgery in East London, former 2019 GP of the Year closely over the last three years. Following her recent decision to step down as a Clinical Director, we wanted to revisit her story and find out the reason for her change in direction, particularly while the primary care landscape begins to shift and change once more. In this week’s episode, Farzana gives a typically open and honest account of her reasons for stepping away from Clinical Directorship, where she feels the challenges have been and where they lie ahead, what she has enjoyed most during the last three years, her hopes for the future on a personal level and for general practice, and what new (and seasoned) clinical leaders may need to be mindful of as we step into the brave new world of Integrated Care Systems (ICSs).

Introduction (0:09)

Farzana’s decision to step down (0:32)

Moving away from PCNs? (2:15)

Where does the problem lie with PCNs? (2:39)

The tension between central expectation and priorities on the ground (4:21)

What needs to change to enable PCNs to thrive, particularly within the ICS context? (6:32)

Getting the most from PCN investment (8:51)

Adoption of a place-based approach (10:23)

Is a change in mindset needed, where PCNs are concerned? (12:02)

Partnering with local agencies and an increased community-based focus (14:19)

Concern for the future (15:34)

Advice for new PCN Clinical Directors starting out now (16:42)

Farzana’s top three lessons learned (19:08)

What’s next? (20:50)

 

Our PCN Plus online programme is now open for registrations! Aimed at new 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.

8
mar
0

Bonus Podcast – Reaction to the GP Contract

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The announcement of the changes in GP contract heralds a fresh set of challenges for already stretched PCN Clinical leaders, and the need for a bonus edition of our (usually weekly) podcast alongside the introduction of a targeted programme of training. Today’s episode features a seasoned panel of experts; PCN and management guru Tara Humphrey of THC Primary Care, Dr Hussain Gandhi, Clinical Leader, and co-presenter of the eGPlearning Podblast, Dr Andrew Foster, Gandhi’s eGPlearning counterpart, and fellow Nottinghamshire-based GP, and finally, our very own Ben Gowland. Together, the quartet dissect the announcement, reflect on the changes (and the change in the way the contract has been negotiated), how primary care could and should respond, and why Clinical Directors might feel that now is the right time to upskill further, ahead of the new integrated world and the additional pressures that this may present.

Introduction & Overview (0:30)

Ben’s immediate reactions to the new GP contract (1:19)

Initial thoughts from Tara (3:27)

Andy’s perceptions (5:13)

….and Gandhi’s views (8:49)

Tensions between NHS England and the General Practice Committee (10:45)

Ben discusses the shift in management of contract negotiations (and the fallout) (11:29)

Funding general practice recovery and the response (13:00)

Tara: why we should focus on building stronger networks and take a more strategic view (14:32)

How the PCN Plus programme can help (15:38)

What might happen next (16:35)

Responding versus reacting (17:42)

A test of diplomacy and resilience in our Clinical Directors (18:20)

How to sign up for PCN Plus (19:45)

 

The PCN Plus online programme is now open for registrations! Aimed at new PCN Clinical Directors, the team of experts featured in today’s podcast 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 now, please visit our dedicated webpage or you can contact Ben for further information.

7
mar
0

Podcast – Neil Modha – Fuller’s Stocktake.

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We are shaping up for the new world of integrated care systems (ICSs) and as part of this, the Fuller national stocktake is a live initiative which has been commissioned to appraise how well existing systems work with primary care (and others) to improve integration of patient care. As a senior GP who is leading on the data, population health management, risk stratification and health inequalities workstream, Dr Neil Modha talks to Ben about the scope of the review, how it is being conducted in practice, the influence of the review outcomes on general practice’s place in the new world, and how others can also get involved.

Introduction (0:41)

How Neil became involved in the review (0:47)

The purpose of the review (1:21)

Is the review focused on PCNs, or is it a more holistic appraisal of primary care as a whole? (2:11)

How is the review being undertaken? (3:15)

Organisation of workstreams and input (3:44)

What are the likely outcomes and how are these measured? (5:00)

Examples of best practice (6:08)

A focus on improving the interaction between the wider system and primary care (7:18)

PCN & ICS; getting off to the right start (8:05)

Report timeline (8:56)

What happens when the report it released? (9:44)

Maintaining the voice of general practice within a larger healthcare ecosystem (10:25)

The role of PCNs in the new world (11:52)

Shaping the future GP contract (13:38)

Talking sustainability (14:24)

A wider ownership of PCNs? (16:40)

Commissioning and funding deployment going forwards (17:23)

Advice for general practice staff on the PCN effort in light of the upcoming changes (18:18)

Finding out more (20:10)

Responses and input (21:08)

Deadline for feedback (22:18)

 

If you are interested in getting involved, would like to learn more, and / or participate in providing input into Fuller’s Stocktake, please email here.

The Fuller’s Stocktake engagement platform is additionally accessible here.

Our PCN Plus online programme is now open for registrations! Aimed at new 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.

28
feb
0

Podcast – Practice Index – The race for space.

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NHS real estate is a complex business, particularly when you’re dealing with a sharp increase and influx of new staff, alongside a mass return to on-site working. In the next instalment of our monthly Practice Index / Ockham Healthcare series, residents Nicola Davies and Dr Hussain Gandhi, offer their thoughts on all things estates; from session planning, to support and management of the newly formed Additional Roles Reimbursement Scheme (ARRS) teams, creation of hybrid working spaces, the benefits to both clinical and non-clinical staff of remote working. We try to pick apart the challenges and look at ways to maximise square footage, and maintain efficiency, whilst space is at a premium.

Introduction (0:40)

The current situation in Nicola’s practice (1:00)

…and in Gandhi’s (1:36)

Covid, the shift towards remote working, and the resulting impact on space (2:07)

The new version of remote working in a ‘post Covid’ era (2:57)

Nicola’s own experiences of remote working (3:49)

Have attitudes changed where remote working is concerned? (4:53)

Gandhi’s thoughts (6:39)

Remote session planning (7:46)

The resulting benefits in creating a more flexible working space (8:22)

Clinical working patterns within Nicola’s surgery (9:10)

Maintaining team spirit where multi-site working exists (10:08)

Considering the ARRS staff setup (11:32)

A sense of belonging and management of wellbeing needs (13:32)

Challenges for leaders (14:59)

Identifying with practice or PCN (16:28)

Meeting the estates needs of both clinical and non-clinical staff (17:54)

Hybrid working, digitisation of medical records and an IGPM update (20:44)

 

The Practice Index website is here

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

21
feb
0

Podcast – Clare Sieber – An insight into the General Practice Committee

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Many in general practice may be unaware of the existence of the General Practice Committee, a recognised body which exists to represent all GPs in the UK, regardless of whether they are BMA members or not, and which is split into national groups of elected members who attend and speak on behalf their local constituent GPs. This week GP, mediator and former GPC member Dr Clare Sieber returns to the podcast to fill us in on the work of the GPC, its role, and objectives, and details her experiences of the committee and why she believes radical change within primary care and how the workforce are represented is required.

Introduction (0:09)

Getting involved with the GPC (0:27)

How does the GPC work? (1:49)

Links to the LMCs (3:14)

The role of the GPC and their main objectives (3:50)

The mandate for industrial action (4:45)

What happened after the motion for strike action was passed? (5:39)

Contractual negotiations with NHS England (6:54)

Resignation from the committee (7:55)

The negotiation process (8:27)

Attempting to bring about change (9:53) Issues with maintaining open communication and transparency (111:42)

What’s Clare’s sense of where General Practice is right now? (12:25)

Moving forwards from here (13:57)

Ensuring effective communication within the ICS new world (14:49)

How does general practice come together, and stand together? (15:35)

 

To learn more about what Clare can offer as a mediator, check out her LinkedIn profile here

The General Practice Mediation website is also here

To get in touch, Clare is contactable here

To find out more information about our PCN Plus training programme, focused on supporting and skilling PCN Clinical Directors to be successful in their roles, check out our dedicated webpage or get in touch with Ben here

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